About the SHARE Approach Workshop

The SHARE Approach Workshop curriculum was developed by AHRQ to support the training of health care professionals on how to engage patients in their health care decisionmaking. The curriculum content aims to train participants on how to use patient-centered outcomes research (PCOR) resources and materials (e.g., decision aids) in a process of shared decisionmaking to help patients make the best possible health care decisions.The SHARE Approach: Essential Steps of Shared Decision Making. Step 1: Seek your patient's participation. Step 2: Help your patient explore and compare treatment options. Step 3: Assess your patient's values and preferences. Step 4: Reach a decision with your patient. Step 5: Evaluate your patient's decision.

The SHARE Approach outlines five steps health care professionals can take to ensure they are effectively implementing shared decisionmaking with patients during clinical encounters. The steps were designed to incorporate the essential elements that have been defined for shared decisionmaking.

Below is information that can help you assess whether you or your organization are ready to employ this training program in your own institution.

Is Your Organization Ready for the SHARE Approach?

Answering the following questions will help you determine if you or your organization are ready to use AHRQ's SHARE Approach curriculum.

If you find that you have more "yes" responses than "no" responses to the following questions, the SHARE Approach curriculum is probably right for your organization. If you find that you have mostly "no" responses—particularly if your senior leadership is not yet onboard and willing to commit time and resources to training and implementation efforts—it may be best to spend some time first working on these readiness issues before attempting to use the curriculum in your setting.

Associated with each of the questions below you will find resources and materials that you can use to educate yourself and the decisionmakers in your organization/practice about PCOR and shared decisionmaking.

Readiness Question

1. Do you personally have the time and skills to train health professionals, either in your own institution or those from other health professional or provider organizations? YES/NO
AHRQ provides all of the tools and resources that make up the SHARE Approach curriculum. The curriculum is includes an Introduction, four content modules, and a module with training tips.
For each module, AHRQ provides a facilitator’s guide and slides—all ready to download, print, and use.
The curriculum encompasses approximately 6 hours of training that can be done over time (e.g., through 1 to 1.5 hour modules). However, the amount of preparation time required for trainers is considerably more depending on your familiarity with the subject matter. Facilitator guides include a handy preparation checklist with materials needed and tasks to do before training on each module. The guides also outline the learning objectives and provide detailed instruction for assembling materials for participants. The step-by-step presentation script makes it easy for trainers to facilitate discussions and activities.
AHRQ also has developed a marketing toolkit that you can use to promote the workshop at your own institution.

2. Will your institution allow time for personnel to participate in training? YES/NO
If your institution is considering the adoption of the SHARE Approach within your practice, your institution or practice will need to ensure that other members of your institution are trained on the SHARE Approach curriculum content. Be sure that your senior leadership will support this training and that your colleagues are interested in participating.
3. Will your institution provide the required staff time and resources to implement the SHARE Approach? YES/NO
The best way to implement shared decisionmaking in practice is to establish an implementation team that can adapt the SHARE Approach for your organization or practice.  Several staff members from different disciplines should participate on the implementation team.
AHRQ has also developed "Putting Shared Decisionmaking Into Practice: A User's Guide for Clinical Teams" (PDF File, 3.66 MB). This user's guide, which is part of the SHARE Approach training, is designed to support ongoing efforts among health care providers to use current and reliable evidence in everyday clinical decisionmaking.
4. Is there leadership support for this effort?  YES/NO
Change happens most easily if there is visible support from senior leadership. Are your organization or practice's senior leaders willing to support quality improvement initiatives, such as the SHARE Approach? Are they willing to commit staff time and other resources that will be needed to achieve a positive change?
AHRQ has developed "Achieving Patient-Centered Outcomes with Shared Decisionmaking: A Brief for Administrators and Practice Leaders" (PDF file PDF File, 2.11 MB) that you can share with practice administrators or senior leaders.
This brief is designed to quickly highlight benefits of using PCOR and shared decisionmaking and various incentives for adopting these processes in the clinical practice setting. The guide discusses evidence about how using decision tools and shared decisionmaking can—

  • Improve the quality of patient care.
  • Help organizations meet new legislative goals for providing patient-centered care.
  • Help organizations achieve recognition as a patient-centered medical home or with meeting certification requirements for becoming an Accountable Care Organization.

It also highlights the availability of AHRQ's free, evidence-based resources that can be used, as well as other resources.

5. Will your institution be able to reinforce and reward positive steps toward the adoption of PCOR and shared decisionmaking? YES / NO
A change in clinical practice doesn't happen overnight. It takes time, and participants using the new practice need training, coaching, and positive reinforcement for their efforts. Your organization or practice needs to make a long-term commitment to the implementation of PCOR in shared decisionmaking to ensure its success.
AHRQ provides additional resources to support ongoing training and learning about shared decisionmaking and patient-centered outcome research.

  • SHARE Approach Webinars: AHRQ offers six recorded Webinars (1.5 hours in length) on topics related to the implementation of shared decisionmaking and the use of patient-centered outcomes research tools. 
  • SHARE Approach Implementation Success Stories: AHRQ has developed a series of implementation Success Stories which highlight some examples of how AHRQ’s SHARE Approach curriculum and supporting tools have been used by others.
  • CME/CE Activities on AHRQ’s PCOR Resources: AHRQ’s Effective Health Care Program offers dozens of free accredited online education opportunities on its varied PCOR topics.

Learn more about these activities at AHRQ's Shared Decisionmaking Web page: http://www.ahrq.gov/shareddecisionmaking.

What Will You Learn From the SHARE Approach Curriculum?

Some of the things you can expect to learn in AHRQ's SHARE Approach curriculum are highlighted below.

The benefits of using PCOR products (e.g., patient decision aids and educational resources) and shared decisionmaking
Using PCOR materials in shared decisionmaking can help your organization or practice engage patients in a way that can improve their experience of care, improve adherence and treatment outcomes, lower costs, and make the care you deliver more patient-centered. It can also help your organization or practice meet national certification standards to become an Accountable Care Organization or recognized as a Patient-Centered Medical Home.
How to use patient decision aids and educational resources to support shared decisionmaking
This training focuses on the use of free patient-centered outcomes research (PCOR) materials from the Agency for Healthcare Research and Quality (AHRQ).
If you are not using PCOR materials (e.g., decision aids) in shared decisionmaking, this curriculum will introduce you to a new and innovative approach to help your organization or practice achieve the Triple Aim.
If you are using PCOR materials from other sources, this workshop will be a great introduction to new, evidence-based materials to help patients make decisions about their treatment options. It will also reinforce your approaches to sharing these resources with patients through a process of shared decisionmaking.
If your organization or practice already uses AHRQ's materials in shared decisionmaking with your patients, you may find the information presented in the curriculum reinforces what you are already doing.
Why organizational change is needed to implement effective shared decisionmaking
Implementing the SHARE Approach is a team effort that involves everyone in the organization, from senior leadership to front desk staff. Helping team members understand how using shared decisionmaking can support the organization or practice's mission and how each individual plays a role, builds camaraderie, trust, and a motivation to change current practice.
If your organization is moving toward an interdisciplinary or team-based approach to providing patient-centered care, the SHARE Approach will facilitate these efforts.

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Page last reviewed October 2014
Page originally created October 2014
Internet Citation: About the SHARE Approach Workshop. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/shareddecisionmaking/workshop/about-shareworkshop.html