Despite improved access to information, many people are neither engaged in their health care nor in the decision-making process. As the hub of care coordination, case managers are perfectly positioned to participate in and support shared decision-making
(SDM) efforts. This article addresses SDM from a case management
The objectives are to
- define SDM and its process;
- discuss the ethical mandate of SDM;
- present an SDM approach;
- identify support for SDM within case management foundational documents;
- associate SDM to case management communication and relationship skills; and
- present an informed consent to case management scenario using a modified process recording.
Primary Practice Setting(s):
Applicable to all health care sectors where professional case management
skill is an essential case management
competency. Shared decision-making
is a communication
process in which a case manager and a client collaborate to make the best health care decisions based on what matters most to the client. Case managers must undertake education and training to become fluent in shared decision-making
as a core feature of person-centered, professional practice.
Implications for Professional Case Management Practice:
Professional case managers must understand the concept and principles of shared decision-making
as applies in their practice as well as their responsibilities to support care team colleagues using shared decision-making
concepts. Organizations should incorporate shared decision-making
language in program descriptions, individual performance plans, satisfaction surveys, and department/organization goals.