Dr Heidi Omundsen

Session | Perioperative medicine update
Perioperative shared decision-making in the Bay of Plenty

NZSA speaker Omundsen bio

Dr Heidi Omundsen MBChB, FANZCA, MBHL, is a specialist anaesthetist working in the Bay of Plenty, with an interest in perioperative medicine, shared decision making and service improvement. She holds a Master’s Degree in Bioethics and Health Law (Otago) and has a long-standing interest in the process by which we share information with our patients and support decision-making.

Perioperative shared decision-making in the Bay of Plenty

Our team at Bay of Plenty DHB recognised we had a subset of patients who would benefit from co-ordinated multi-specialist input and shared decision-making very early in their perioperative journey, i.e. before they make a decision to have an operation.

We describe our experience of a quality improvement initiative culminating in the development of a complex decision pathway (CDP). The CDP encourages surgeons to identify high risk patients who will benefit from shared decision making, manages input from multiple specialists as needed with excellent communication between those specialists, and provides a patient-centred approach to decision making using a structured communication tool.