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E/M Medical Decision Making

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1. E/M Medical Decision Making

E/M Medical Decision Making E/M Medical Decision Making Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 E/M Medical Decision Making E (...) /M Medical Decision Making Aka: E/M Medical Decision Making , E/M Straightforward Medical Decision , E/M Low Complexity Medical Decision , E/M Moderate Complexity Medical Decision , E/M High Complexity Medical Decision II. Decision Making Type: Straightforward Criteria Minimal number of diagnoses or management options Minimal or no data to be reviewed Minimal risk of complications, morbidity, mortality Related Codes III. Decision Making Type: Low Complexity Criteria Limited number of diagnoses

2018 FP Notebook

2. Shared decision making training programs for doctors: A Rapid Review

the use of shared decision making by healthcare professionals. Cochrane Database of Systematic Reviews, (7). 2. Epstein, R. M., Duberstein, P. R., Fenton, J. J., Fiscella, K., Hoerger, M., Tancredi, D. J,& Kaesberg, P. (2017). Effect of a patient-centered communication intervention on oncologist-patient communication, quality of life, and health care utilization in advanced cancer: the VOICE randomized clinical trial. JAMA Oncology, 3(1), 92-100. 3. Gist, D. L., Bhushan, R., Hamarstrom, E., Sluka, P (...) . The Director, Medical Services has requested for a review of the evidence by the Centre of Clinical Effectiveness (CCE) to inform the development and implementation of a training program for doctors in shared decision making. Objectives The objective of this review was to determine what training programs exist for doctors to inform the implementation of SDM in health services? In particular, the review will focus on: • Training frameworks • Training strategies • Evaluations of training programs/strategies

2019 Monash Health Evidence Reviews

3. Supporting Parents in Making Informed Decisions in Relation to their Children?s Health Needs

. Maguire E, Hong P, Ritchie K, Meier J, Archibald K, Chorney J. Decision aid prototype development for parents considering adenotonsillectomy for their children with sleep disordered breathing. Journal Otolaryngological Head and Neck Surgery 2016; 45(1): 57. 7. Wyatt KD, List B, Brinkman WB, et al. Shared Decision Making in Pediatrics: A Systematic Review and Meta-analysis. Academic Pediatrics 2015; 15(6): 573-83. 8. Neill S, Roland D, Jones CH, Thompson M, Lakhanpaul M. Information resources to aid (...) a reduction in decisional conflict from parents, and that the combined use of decision aids and coaching supported shared decision- making.(20) The second primary study examined the use of medication choice cards to support parent decision-making.(21) The study found that clinicians using the cards reported positive experiences, but that reliable implementation and use of the decision aids was difficult, having only been implemented in 35% of visits where starting or switching medication was discussed.(21

2018 McMaster Health Forum

4. Decision-making capacity of detainees in immigration removal centres (IRCs)

(the ‘Tavistock Report’) found that ‘Home Office staff, who are not medically qualified, are required to make to make extremely difficult decisions’, adding that the ‘Home Office accepts that it has not always got decisions right on the detention of those with mental health conditions’. The Report also highlighted system-wide issues insofar as ‘a complex casework process […] results in the processes not being robust enough for the consideration of mental health issues at key decision points’ (Lawlor et al (...) , 2015: points 1.5, 1.6 and 4.10). 2 One case was set aside by consent.6 http://www.rcpsych.ac.uk Position Statement PS03/17 Assessment of decision-making capacity The Home Office does not currently keep records of the frequency or outcome of capacity assessments in IRCs, so the full extent of this problem is unknown. Assessment of decision-making capacity is not a routine part of the initial or subsequent medical assessments conducted in IRCs. The report of the Shaw review into the welfare

2018 Royal College of Psychiatrists

5. Tanzania evidence ecosystem: Experience of socio-economic research and M&E institutions

Tanzania evidence ecosystem: Experience of socio-economic research and M&E institutions TANZANIA EVIDENCE ECOSYSTEM: EXPERIENCE OF SOCIO – ECONOMIC RESEARCH AND M&E INSTITUTIONS. Sector: Overall Social Economic 1.Main evidence players: The Tanzania Data Ecosystem Key Actors Components of National Statistical System (NSS) Data Users Government, MDAs, Researchers, Private Sectors, NGOs, Development Partners, International Community/ Organizations, Media and the Public in general Data Collectors (...) engagement/debate – e.g. M&E week, evaluation policy etc • Insufficient statistical capacity in terms of man-power and technical knowhow; Limitations in Statistics Act on generating official Statistics; funding data revolution activities; existing information technology infrastructure; Over reliance on traditional data collection systems; low coordination of routine data sources; and insufficient political will on overall data revolution in Tanzania 4. General Characteristics & relationship between

2018 Africa Evidence Network - ecosystem maps

6. Understanding Health-Systems? Use of and Need for Evidence To Inform Decision making

their decisionmaking. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients. This report is made available to the public under the terms of a licensing agreement between the authors (...) Understanding Health-Systems? Use of and Need for Evidence To Inform Decision making White Paper Understanding Health -Systems’ Use of and Need for Evidence To Inform Decisionmaking Research White Paper Understanding Health -Systems’ Use of and Need for Evidence To Inform Decisionmaking Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-0012-I and 290-2015-00004-I Prepared

2017 Effective Health Care Program (AHRQ)

7. A Framework for Evaluating a Minor’s Involvement in Medical Decision Making (PubMed)

A Framework for Evaluating a Minor’s Involvement in Medical Decision Making 29466124 2019 02 21 2019 02 21 1536-0075 18 3 2018 03 The American journal of bioethics : AJOB Am J Bioeth A Framework for Evaluating a Minor's Involvement in Medical Decision Making. 10-12 10.1080/15265161.2017.1418938 Snyder Donna L DL a Food and Drug Administration. Nelson Robert M RM a Food and Drug Administration. eng FD999999 ImFDA Intramural FDA HHS United States Journal Article Comment United States Am J (...) Bioeth 100898738 1526-5161 E IM Am J Bioeth. 2018 Mar;18(3):4-9 29466136 Abortion, Induced Child Clinical Decision-Making Humans Minors 2018 2 22 6 0 2018 2 22 6 0 2019 2 23 6 0 ppublish 29466124 10.1080/15265161.2017.1418938 PMC5997482 NIHMS971519 Pediatrics. 1995 Feb;95(2):314-7 7838658 Pediatrics. 2016 Aug;138(2):null 27456510 Am J Bioeth. 2018 Mar;18(3):4-9 29466136

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2018 The American journal of bioethics : AJOB

8. Hospital Formularies Decision-Making Process

Hospital Formularies Decision-Making Process Hospital Formularies Decision-Making Process | CADTH.ca Find the information you need Hospital Formularies Decision-Making Process Hospital Formularies Decision-Making Process Published on: March 16, 2015 Project Number: ES0290 Product Line: Issue: 47 Result type: Report Context In Canada, hospital-based Pharmacy and Therapeutics Committees may function at an individual hospital level, district or regional health authority level, or provincial level (...) assurance representatives and members of the public. 1 Formulary decisions are made on the basis of empirical evidence; however, factors such as safety of similar available agents, direct costs, cost offsets, and the total cost of care with a new drug compared with current care may also significantly impact formulary decisions. 2 CADTH provides recommendations to the federal, provincial, and territorial public drug plans (hereafter the "public drug plans") to support their formulary decision-making

2016 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

9. Making decisions: Choices for women aged 55-64 years:Should you have a test to screen for bowel cancer?

suggest you speak to your doctor before you do the test. if you would like more information about bowel cancer and bowel cancer screening, please go to page 31. Before you make your final decision, you may wish to talk to your doctor. What to do next FemaleBooklet_Steps_withQs.indd 26 3/3/08 1:39:53 PM27 Here is a list of medical terms and what they mean: Abnormal Not normal. Anus The opening through which faeces pass out of the body. See faeces. Bowel The bowel is part of the digestive system (...) Making decisions: Choices for women aged 55-64 years:Should you have a test to screen for bowel cancer? Making Decisions: Choices for Women Aged 55-64 years Should you have a test to screen for Bowel Cancer? FemaleBooklet_Steps_withQs.indd 1 3/3/08 1:39:14 PMThis booklet was developed by members of the Screening and Test Evaluation Program at the University of Sydney Australia. © 2008 Sian Smith Dr Kirsten McCaffery Dr Lyndal Trevena Associate Professor Alexandra Barratt Professor Les Irwig

2015 SickKids Supportive Care Guidelines

10. Making decisions: Choices for men aged 55-64 years:Should you have a test to screen for bowel cancer?

more information about bowel cancer and bowel cancer screening, please go to page 31. Before you make your final decision, you may wish to talk to your doctor. MaleBooklet_Steps_withQs.indd 26 3/3/08 1:43:19 PM27 Here is a list of medical terms and what they mean: Abnormal Not normal. Anus The opening through which faeces pass out of the body. See faeces. Bowel The bowel is part of the digestive system. It is made up of three parts - the small bowel, the large bowel and the rectum. It gets rid (...) Making decisions: Choices for men aged 55-64 years:Should you have a test to screen for bowel cancer? Making Decisions: Choices for Men Aged 55-64 years Should you have a test to screen for Bowel Cancer? MaleBooklet_Steps_withQs.indd 1 3/3/08 1:42:40 PMThis booklet was developed by members of the Screening and Test Evaluation Program at the University of Sydney Australia. © 2008 Sian Smith Dr Kirsten McCaffery Dr Lyndal Trevena Associate Professor Alexandra Barratt Professor Les Irwig Professor

2015 SickKids Supportive Care Guidelines

11. A qualitative study of decision-making and safety in ambulance service transitions

A qualitative study of decision-making and safety in ambulance service transitions A qualitative study of decision-making and safety in ambulance service transitions A qualitative study of decision-making and safety in ambulance service transitions O'Hara R, Johnson M, Hirst E, Weyman A, Shaw D, Mortimer P, Newman C, Storey M, Turner J, Mason S, Quinn T, Shewan J, Siriwardena N Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation O'Hara R, Johnson M, Hirst E, Weyman A, Shaw D, Mortimer P, Newman C, Storey M, Turner J, Mason S, Quinn T, Shewan J, Siriwardena N. A qualitative study of decision-making and safety in ambulance service transitions. Health Services and Delivery Research 2014; 2(56) Authors' objectives The aim of this study was to qualitatively examine potential system-wide influences on decision-making in the ambulance service

2015 Health Technology Assessment (HTA) Database.

12. Evidence-informed decision-making (EIDM) landscape map for Kenya

, probably due to differentials in capacities. There is little or no analysis, dissemination or use of the data for policy decisions at the local levels due scarcity of resources for M&E such as equipment (including paper, pens etc.) and transportation. Research Translation Parliamentary Research Unit and now nelwly created Parliamentary Caucus for Evaluation Fig. 1: Map of some relationships between the main role players in the Kenyan EIDM environment Research Production Government Research Use KNBS (...) Evidence-informed decision-making (EIDM) landscape map for Kenya Evidence-informed decision-making (EIDM) landscape map for Kenya Ms. Jennifer Mutua 2016 This map is part of a series of maps on the evidence-informed decision-making (EIDM) landscapes in different countries in Africa. The series comprises 25 maps and is available from the Africa Evidence Network. This is map 18 in the series. Maps were produced as part of the bursary conditions for attendance at Evidence 2016 (http

2016 Africa Evidence Network - ecosystem maps

13. Role of Patient and Disease Factors in Adjuvant Systemic Therapy Decision-Making for Early-Stage, Operable Breast Cancer

rigor, and an ASCO panel of content experts reviewed the content of the recommendations. CCO Recommendations For making decisions regarding adjuvant therapy, nodal status, tumor size, estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2) status, tumor grade, and lymphovascular invasion are relevant; Onco type DX score and Adjuvant! Online may be used as risk stratification tools; and age, menopausal status, and medical comorbidities should be considered (...) Female patients who are being considered for, or who are receiving, systemic therapy for early-stage invasive breast cancer (stages I to IIA, T1N0-1, T2N0). Target Audience Medical oncologists, pathologists, surgeons, oncology nurses, patients, and caregivers. Cancer Care Ontario Guideline Recommendations For making adjuvant therapy decisions for women with early-stage breast cancer, the Cancer Care Ontario guideline recommends that lymph node status, T stage, estrogen receptor (ER) status

2016 American Society of Clinical Oncology Guidelines

14. HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma

HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma: Guideline From the College of American Pathologists, American Society for Clinical Pathology, and the American Society of Clinical Oncology"/> HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma: Guideline From the College of American Pathologists, American Society for Clinical Pathology, and the American Society (...) of Clinical Oncology | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLE Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.2016.69.4836 Journal of Clinical Oncology - published online before print November 14, 2016 PMID: HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma: Guideline From the College of American Pathologists, American Society for Clinical Pathology, and the American Society

2016 American Society of Clinical Oncology Guidelines

15. HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma

HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma CAP Laboratory Improvement Programs HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma Guideline From the College of American Pathologists, American Society for Clinical Pathology, and American Society of Clinical Oncology Angela N. Bartley, MD; Mary Kay Washington, MD, PhD; Christina B. Ventura, MT(ASCP); Nofisat Ismaila, MD; Carol Colasacco, MLIS, SCT(ASCP); Al B. Benson III, MD; Alfredo (...) . Objectives.—To establish an evidence-based guideline for HER2 testing in patients with GEA, to formalize the algorithms for methods to improve the accuracy of HER2 testing while addressing which patients and tumor speci- mens are appropriate, and to provide guidance on clinical decision making. Design.—The College of American Pathologists, Amer- ican Society for Clinical Pathology, and American Society of Clinical Oncology convened an expert panel to conduct a systematic review of the literature

2016 College of American Pathologists

16. Shared Decision-Making for Mental Health

decision making in an outpatient psychiatric medication clinic. Psychiatr Serv. 59(6):603-5. 38. Andrews, SB, et al. (2010) Developing web-based online support tools: The dartmouth decision support software. Psychiatr Rehabil J. 34(1):37- 41. 39. Alegria, M, et al. (2008) Evaluation of a patient activation and empowerment intervention in mental health care. Med Care. 46(3):247-56. 40. Cortes, DE, et al. (2009) Patient--provider communication: Understanding the role of patient activation for latinos (...) ) Critical issues for psychiatric medication shared decision making with youth and families. Families in Society: The Journal of Contemporary Social Services. 92(3):310-6. 51. Elwyn, G, et al. (2000) Shared decision making and the concept of equipoise: The competences of involving patients in healthcare choices. Br J Gen Pract. 50(460):892-9. 52. Simmons, M, et al. (2010) Shared decision- making: Bene?ts, barriers and current opportunities for application. Australas Psychiatry. 18(5):394-7

2015 Orygen, The National Centre of Excellence in Youth Mental Health

17. AUA White Paper on Implementation of Shared Decision Making into Urological Practice

Foundation Website. 2013. http://www.health.org.uk/public/cms/75/76/313/4174/Implementing%20shared%20decision%20making.pdf. 2-3-2015 Wennberg, J. E. Unwarranted variations in healthcare delivery: implications for academic medical centres . BMJ . 2002; 325 : 961 O'Connor, A. M., Llewellyn-Thomas, H. A., and Flood, A. B. Modifying unwarranted variations in health care: shared decision making using patient decision aids . Health Aff (Millwood) . 2004; Suppl Variation : VAR63 Stacey, D., Legare, F., Col, N (...) . F. et al. Decision aids for people facing health treatment or screening decisions . Cochrane Database Syst Rev . 2014 1 : CD001431 Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies Press, 2001 Makoul, G. and Clayman, M. L. An integrative model of shared decision making in medical encounters . Patient Educ Couns . 2006; 60 : 301 Charles, C., Gafni, A., and Whelan, T. Shared decision-making in the medical encounter

2015 American Urological Association

18. End of Life Decision Making

be made to understand and respect the cultural mores of the patient and her family. Cultural issues may include with whom one communicates within the family, whom the patient looks to for advice and decision making, how the patient feels about the use of pain medications, and how suffering is understood ( ). When a patient lacks the capacity to make health care decisions, the health care provider may be faced with conflicts between surrogate decision makers and cultural expectations. For example (...) Care Planning Since 1991, Medicaid-participating and Medicare-participating health care institutions have been required to inform all adult patients of their rights to make decisions concerning medical care, including the right to formulate an advance directive. The obstetrician–gynecologist is in an ideal position to have ongoing discussions with healthy patients about their values and wishes regarding future care and to encourage them to complete an advance directive for health care by describing

2015 American College of Obstetricians and Gynecologists

19. “What matters most to you?” How decision aids help patients make better choices

and that research is needed on interventions that support shared decision-making between women considering mode of birth in a pregnancy after a caesarean birth and their care providers. (1) Horey D, Kealy M, Davey MA, Small R, Crowther CA. Interventions for supporting pregnant women’s decision-making about mode of birth after a caesarean. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD010041. DOI: 10.1002/14651858.CD010041.pub2. (2) Elwyn G, Frosch D, Volandes A, Edwards A, Montori V (...) . Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. Medical Decision Making 2010;30:701-11. Dell Horey / February 12, 2014 Thanks very much for taking the time to write about your review here – it’s really interesting. It would be great to hear from anyone who has used one themselves, either as a health practitioner or as a patient faced with a choice. I hope we see more high quality research in this area

2014 Evidently Cochrane

20. E/M Medical Decision Making

E/M Medical Decision Making E/M Medical Decision Making Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 E/M Medical Decision Making E (...) /M Medical Decision Making Aka: E/M Medical Decision Making , E/M Straightforward Medical Decision , E/M Low Complexity Medical Decision , E/M Moderate Complexity Medical Decision , E/M High Complexity Medical Decision II. Decision Making Type: Straightforward Criteria Minimal number of diagnoses or management options Minimal or no data to be reviewed Minimal risk of complications, morbidity, mortality Related Codes III. Decision Making Type: Low Complexity Criteria Limited number of diagnoses

2015 FP Notebook

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