--- title: "Health IT to integrate pt choice in shared decision making | Sutter Health" description: "Describe experience and lessons learned to implement shared decision making process in primary care CVD management." url: "https://www.sutterhealth.org/research/publications/health-it-to-integrate-pt-choice-in-shared-decision-making-1055312702" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Health IT to integrate pt choice in shared decision making # Shared decision making: using health information technology to integrate patient choice into primary care. Jones JB, Bruce CA, Shah NR, Taylor WF, & Stewart WF. _Transl Behav Med. 1(1):123-33. doi: 10.1007/s13142-011-0023-5._ 2011-03-01 ## Abstract Advances in shared decision making (SDM) have not successfully translated to practice. We describe our experience and lessons learned in translating an SDM process for primary care cardiovascular disease management. The SDM process operationalized recognized SDM elements using workflow modifications, a computerized patient questionnaire, an automated risk calculator to identify at-risk patients, a web-based tool for patients to choose interventions, automated feedback on the personalized benefits of choices, and a web-based tool for providers to view patient risk, patient choice, and expert advice. Although medication was typically the intervention resulting in the greatest risk reduction, the majority of patients preferred dietary and other lifestyle changes. Patients generally favored the opportunity to make and communicate choices. However, providers only viewed patient choice data in 20% of the encounters. Translation of the SDM process was successful for patients and the difference between patient choice and optimal risk reduction points to the importance of engaging in an SDM process. Lack of engagement by providers may be due to "alert fatigue" or to the failure of the SDM process to improve efficiency in the office visit. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/24073039) ![J.B. Jones, Ph.D., MBA](https://dyn.mktgcdn.com/p/rIQfkoa5XfKJYCHSVrDKsACQSNJ7jTljZTHKC4Lae2E/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) J.B. Jones, Ph.D., MBA Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/jb-jones-phd-mba-1049680984) ## Research topics - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) - [Food and Nutrition](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Food+and+Nutrition%5C%22%22) - [Medical Informatics](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Medical+Informatics%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Personalized hypertension management using patient-generated health data integrated with electronic health records (EMPOWER-H): six-month pre-post study.](https://www.sutterhealth.org/research/publications/htn-mgmt-pt-generated-data-and-ehrs-1055312515) Lv N, Xiao L, Simmons ML, Rosas LG, Chan A, Entwistle M. J Med Internet Res. 19(9):e311. doi: 10.2196/jmir.7831. 2017 Sep 19 - Publication ### [Under diagnosis of hypertension using electronic health records.](https://www.sutterhealth.org/research/publications/under-diagnosis-of-hypertension-using-ehr-1055312667) Banerjee D, Chung S, Wong EC, Wang EJ, Stafford RS, Palaniappan LP. Am J Manag Care. 16(2):e35-42 2010 Feb 01 - Publication ### [Evaluating the healthiness of chain-restaurant menu items using crowdsourcing: a new method.](https://www.sutterhealth.org/research/publications/eval-healthiness-chain-rest-menu-crowdsource-1055312505) Lesser LI, Wu L, Matthiessen TB, Luft HS. Public Health Nutr. 1-7. \[Epub ahead of print\] 2016 Jul 13 - Publication ### [Machine learning and atherosclerotic cardiovascular disease risk prediction in a multi-ethnic population.](https://www.sutterhealth.org/research/publications/asvd-risk-prediction-in-multi-ethnic-population-1055312841) Ward A, Sarraju A, Chung S, Li J, Harrington R, Heidenreich P, Palaniappan L, Scheinker D, Rodriguez F. NPJ Digit Med. 3:125. doi: 10.1038/s41746-020-00331-1. eCollection 2020. 2020 Sep 23 - Publication ### [The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.](https://www.sutterhealth.org/research/publications/patterns-of-ehr-portal-use-in-pts-with-cvd-or-diabetes-1055312712) Jones JB, Weiner JP, Shah NR, Stewart WF. J Med Internet Res. 17(2):e42. doi: 10.2196/jmir.3157. 2015 Feb 20 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/health-it-to-integrate-pt-choice-in-shared-decision-making-1055312702#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Health IT to integrate pt choice in shared decision making"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/health-it-to-integrate-pt-choice-in-shared-decision-making-1055312702#medicalscholarlyarticle","name":"Shared decision making: using health information technology to integrate patient choice into primary care.","headline":"Health IT to integrate pt choice in shared decision making","abstract":"Advances in shared decision making (SDM) have not successfully translated to practice. 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Translation of the SDM process was successful for patients and the difference between patient choice and optimal risk reduction points to the importance of engaging in an SDM process. 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