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Center for Shared Decision Making

The Center for Shared Decision Making opened in 1999 as the first center in the U.S. dedicated to encouraging doctors and patients to make decisions together. Our services for patients being seen at Dartmouth-Hitchcock include provision of patient decision aids, decision support counseling, and facilitation of advance care planning discussions. Our Patient Support Corps volunteers help patients think about and organize their questions and concerns in preparation for an appointment and for patients being seen in Lebanon are also available to attend appointments to take notes and audio record to assist with retention of information.

Shared Decision Making Resources at The Dartmouth Institute

Decision support toolkits

These toolkits were developed in collaboration with the Informed Medical Decisions Foundation. You may use any of these tools at no cost and without permission provided you cite their use in any publications or presentations.

Other Online Resources

  • Agency for Healthcare Research and Quality (AHRQ): Health Care Innovations Exchange
    The Innovations Exchange aims to increase awareness of innovative strategies and activities among health care providers in a timely manner. Every day, health care practitioners find better and more effective ways of delivering health care. However, the diffusion of their innovative ideas is slow and rarely reaches beyond institutional walls or across health care settings (e.g., from hospitals to nursing homes, or from private physician practices to community health clinics). As a result, health care providers unnecessarily duplicate each other's efforts.
  • American Academy on Communication in Healthcare (AACH)
    For more than 30 years, the American Academy on Communication in Healthcare (AACH) has been in the forefront of research and teaching relationship-centered healthcare communication. If you are looking for ways to improve patient safety, interdisciplinary teamwork, patient satisfaction scores, or just want to work on individual communication skills, AACH can help.
  • Ask Me 3® is an educational program that encourages patients and families to ask three specific questions of their providers to to ask three specific questions of their providers to better understand their health conditions and what they need to do to stay healthy. Designed by health literacy experts, Ask Me 3 is intended to help patients become more active members of their health care team, and provide a critical platform to improve communications between patients, families, and health care professionals.
  • Emmi
    Emmi’s technology-based solutions are designed using a human-centered approach to empower people to be participants and partners in their care while improving the business performance of healthcare systems.
  • Health Dialog
    Health Dialog works with health plans and employers to improve the quality of care and reduce the costs of health care by enhancing the quality of patient-physician dialogs.
  • Healthwise
    Healthwise is a global provider of health information, decision support tools, behavior change assistance, and personal care planning for the top health plans, care management companies, hospitals, and consumer health portals.
  • Informed Medical Decisions Foundation
    For over two decades, the Informed Medical Decisions Foundation has been working to advance shared decision making through research, policy, clinical models and patient decision aids. They believe that the only way to ensure high quality medical decisions are being made is for a fully informed patient to participate in a shared decision making process with their health care provider.
  • Institute for Healthcare Improvement
    The Institute for Healthcare Improvement (IHI), an independent not-for-profit organization based in Cambridge, Massachusetts, is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide. At our core, we believe everyone should get the best care and health possible. This passionate belief fuels our mission to improve health and health care.
  • Institute for the Interdisciplinary Study of Decision Making (NYU) Medicine
    The mission of IISDM is to support, unite and develop the interdisciplinary study of human decision-making throughout the academic and policy landscape at NYU – linking the study of decision-making from the level of neurons to the level of social policy.
  • International Patient Decision Aid Standards (IPDAS) Collaboration
    The International Patient Decision Aid Standards (IPDAS) Collaboration is a group of researchers, practitioners and stakeholders from around the world that was established in 2003 to enhance the quality and effectiveness of patient decision aids by establishing a shared evidence-informed framework with a set of criteria for improving their content, development, implementation, and evaluation.
  • Massachusetts General Hospital Health Decision Sciences Center
    The Health Decision Sciences Center (HDSC) is committed to improving the quality of decisions made by patients and health care providers. The HDSC is involved in developing, implementing, and evaluating decision aids and decision quality measures to support shared decision-making in medical encounters.
  • Mayo Clinic Shared Decision Making National Resource Center
    The Mayo Clinic Shared Decision Making National Resource Center advances patient-centered medical care by promoting shared-decision making through the development, implementation, and assessment of patient decision aids and shared decision making techniques.
  • Minimally Disruptive Medicine (Effective Care that Fits)
    Minimally disruptive medicine (MDM) seeks to advance patient goals for health, health care, and life, using effective care programs designed and implemented in a manner that respects the capacity of patients and caregivers and minimizes the burden of treatment – the healthcare footprint – the care program imposes on their lives.
  • National Center for Cognitive Informatics and Decision Making in Healthcare (Univ. Texas)
    The National Center for Cognitive Informatics and Decision Making in Healthcare (NCCD) is funded by the Office of the National Coordinator for Health IT (ONC) under the Strategic Health IT Advanced Research Projects (SHARP) Program, which seeks to support improvements in the quality, safety and efficiency of health care through advanced information technology. NCCD is a consortium of many institutions led by The University of Texas Health Science Center at Houston (UTHealth).
  • Ottawa Hospital Decision Centre (OHDeC)
    This site includes links to decision aids including the Ottawa Personal Decision Guide©, online training, shared decision making implementation toolkits, evaluation measurement tools and research reviews.
  • Society for Medical Decision Making (SMDM)
    SMDM improves health outcomes through the advancement of proactive systematic approaches to clinical decision making and policy-formation in health care by providing a scholarly forum that connects and educates researchers, providers, policy-makers, and the public.
  • The Dartmouth Atlas of Health Care
    For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide comprehensive information and analysis about national, regional, and local markets, as well as individual hospitals and their affiliated physicians.
  • Visualizing Health (A Scientifically Vetted Style Guide for Communicating Health Data)
    Use Visualizing Health from the University of Michigan to create graphics to communicate health data to your patients.