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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Implementing High-Value Care.

Lauren D Demosthenes1, Andrew S Lane1, Dawn W Blackhurst1

  • 1From the Departments of Quality Management and ObGyn, Greenville Health System, Greenville, South Carolina, and the University of South Carolina School of Medicine, Greenville.

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|November 6, 2015
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Summary
This summary is machine-generated.

Obstetrician/gynecologist (OB/GYN) providers demonstrated poor cost awareness. Educational interventions successfully reduced the use of specific high-cost products, leading to significant healthcare cost savings without compromising care quality.

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Area of Science:

  • Healthcare Management
  • Medical Economics
  • Obstetrics and Gynecology

Background:

  • Physician knowledge of healthcare product costs is often limited.
  • Cost-effective alternatives are not always utilized in clinical practice.
  • This impacts overall healthcare expenditure and resource allocation.

Purpose of the Study:

  • To assess the cost knowledge of obstetrician/gynecologist (OB/GYN) providers.
  • To identify specific high-cost items that could be replaced with less expensive, equally effective alternatives.
  • To evaluate the impact of an educational intervention on utilization and cost savings.

Main Methods:

  • A prospective observational pilot study was conducted.
  • An anonymous electronic survey assessed OB/GYN providers' knowledge of product, test, and service costs.
  • Educational interventions (grand rounds) were implemented, followed by a 1-year tracking of utilization and cost savings.

Main Results:

  • 71% of OB/GYN providers completed the survey.
  • Interventions targeted hydrocortisone acetate/pramoxine hydrochloride and dinoprostone vaginal inserts.
  • Reduced use of these items resulted in $159,155 in cost savings within one year.

Conclusions:

  • OB/GYN providers at the institution exhibited inadequate knowledge of product costs.
  • Simple educational interventions can drive lean healthcare changes and significant cost reductions.
  • This approach can improve healthcare quality and efficiency.