Table 2.

Option score elements present per encounter

Provider	Patient	Sum OPTION Score	0-100 OPTION Score	OPTION Element Rating
				1	2	3	4	5	6	7	8	9	10	11	12
A	1	8	17	1	1	0	0	1	0	0	0	0	0	1	0
B	2	32	67	3	3	0	2	2	0	0	0	2	1	1	1
	3	26	54	3	2	0	0	1	0	1	0	0	0	2	3
C	4	6	13	1	0	0	0	1	0	0	0	0	0	1	0
D	5	4	8	1	0	0	0	0	0	0	0	0	0	1	0
	6	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	7	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	8	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	9	0	0	0	0	0	0	0	0	0	0	0	0	0	0
	10	0	0	0	0	0	0	0	0	0	0	0	0	0	0
E	11	19	40	2	2	0	2	2	0	0	0	0	0	1	0
	12	16	33	2	2	0	1	1	0	0	0	1	0	1	0
	13	23	48	3	3	0	2	2	0	0	0	0	0	1	0

OPTION elements: The clinician (1) draws attention to need for decision making process; (2) states there is more than one way to deal with the identified problem; (3) assesses patient’s preferred approach to receiving information; (4) lists options; (5) explains the pros and cons; (6) explores patient expectations; (7) explores the patient’s concerns; (8) checks patient understood; (9) offers explicit opportunities to ask questions; (10) elicits preferred level of involvement in decision making; (11) indicates need for a decision making (or deferring) stage; and (12) indicates need to review the decision.

NOTE: OPTION Score elements are rated from 0, behavior not observed, to 4, behavior is exhibited to a very high standard.