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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

A 10-step program to successfully reduce low-value care.

Howard Beckman¹, John Mafi, Beth Bortz

¹University of Rochester School of Medicine and Dentistry, 285 Westminster Rd, Rochester, NY 14607.

The American Journal of Managed Care

|June 22, 2021

Summary

Reducing low-value care (LVC) is crucial for controlling US healthcare costs. A practical 10-step program effectively integrates LVC reduction into medical systems, improving patient outcomes and reducing expenses.

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Area of Science:

Health Economics
Healthcare Management
Clinical Practice Improvement

Background:

US healthcare spending nears 18% of GNP, creating financial strain.
Low-value care (LVC) offers minimal benefit, incurs costs, and poses risks to patients.
Effective strategies are needed to identify and reduce LVC.

Purpose of the Study:

To present a practical, 10-step approach for integrating low-value care reduction programs into healthcare systems.
To provide a tested methodology for reducing unnecessary medical interventions and associated costs.

Main Methods:

Development of a 10-step program for LVC reduction.
Utilizing accurate data assembly and clear practitioner reporting.
Implementing change management strategies and nonjudgmental communication.

Main Results:

The 10-step approach has been tested and validated in peer-reviewed studies.
The program facilitates the integration of LVC reduction initiatives.
Key components include data analysis, practitioner engagement, and strategic outreach.

Conclusions:

A structured, 10-step program can effectively reduce low-value care in medical systems.
This approach addresses cost containment and patient safety by minimizing unnecessary treatments.
Successful implementation relies on data, communication, and a clear rationale for change.