Assessing the Scene: Is DA Implementation Right for your Clinic?


Organizational Priorities
Leadership buy-in is essential for successful practice change. Before implementing DAs, it’s important to make sure that clinic leadership can invest the resources (e.g., time, staff, and finances) necessary to overcome clinical inertia to integrate these tools into routine patient care. If clinic leadership is either (a) not fully behind the initiative or (b) currently facing competing priorities, such as implementing an electronic medical record, working to hire clinicians, or struggling to stay financially viable and update business practices, then now might not be the time to attempt this practice change. Waiting until your practice has the organizational change capacity to commit to the initiative increases likelihood of success.

Clinician and Practice Staff Buy-In
Organizational leadership should also evaluate the interest of clinicians and front/back office staff before deciding to engage in the project. Implementing DAs requires a commitment from all levels of the clinic team. Developing processes and distributing the DAs take time. In our experience in Oregon, clinician and project staff engagement has facilitated successful project implementation.

tasks chart

You may need to budget for these additional supplies and tasks associated with DA implementation:

  • Decision Aid acquisition
  • Packet supplies (i.e., manila envelopes)
  • Mailing DA Packets (approximately $2/packet)
  • Copying
  • Phone calls
  • Reminder post-cards
  • Storage supplies (i.e., storage boxes, wall hangers)
  • Marketing materials (i.e., posters, brochures)


Next: The Big Picture