With its passage, stakeholders expect to see vast improvement in health cover...
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... developed and tested by Kriston et al in 2010 which yielded a Cronbach’s alpha of 0.938 in internal consistency but generalizability was limited to the elderly. The PPACA directs the secretary of HHS to contract with an entity, the National Quality Forum (NQF), to synthesize evidence, convene a broad range of experts to establish standards for patient decision and decision aids that are used in SDM, and to develop a certification process for the DAs. Priority shall be given to DAs that address preference sensitive conditions. Grants are to be made available to assist healthcare providers in using SDM tools that have been certified. DESIs have come to stay in routine healthcare practice and in time, they should be standardized with periodic evaluations for quality and accuracy. The healthcare reforms legislation explicitly calls for a certification process for DESIs.
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