Value-based Care
Study shows many patients with metastatic cancer near the end of life still receive guideline-nonconcordant radiotherapy.
18 Jan, 2022 | 09:35h | UTCCommentary: Study: Cancer patients given high-dose radiation treatments even near end of life – UPI
N95 respirators can be safely decontaminated up to 25 times, research shows.
17 Jan, 2022 | 00:26h | UTCNews Release: N95 Respirators Can Be Safely Decontaminated Up to 25 Times, Research Shows – Beth Israel Deaconess Medical Center
Original Study: Assessing changes to N95 respirator filtration efficiency, qualitative and quantitative fit, and seal check with repeated vaporized hydrogen peroxide (VHP) decontamination – American Journal of Infection Control (link to abstract – $ for full-text)
Viewpoint: Hierarchical payment models—a path for coordinating population- and episode-based payment models.
16 Jan, 2022 | 22:52h | UTCHierarchical Payment Models—A Path for Coordinating Population- and Episode-Based Payment Models – JAMA (free for a limited period)
Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022) statement: updated reporting guidance for health economic evaluations.
13 Jan, 2022 | 08:13h | UTC
A qualitative study identified a wide variation of expected impacts of the 626 low-value services spotted by the US Choosing Wisely recommendations.
7 Dec, 2021 | 08:39h | UTCLongitudinal Content Analysis of the Characteristics and Expected Impact of Low-Value Services Identified in US Choosing Wisely Recommendations – JAMA Internal Medicine (free for a limited period)
Editorial: The Next Frontier of Less Is More—From Description to Implementation – JAMA Internal Medicine (free for a limited period)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Viewpoint: The growing phenomenon of “virtual-first” primary care.
24 Nov, 2021 | 08:39h | UTCThe Growing Phenomenon of “Virtual-First” Primary Care – JAMA (free for a limited period)
Nursing care for oncologic patients undergoing surgery using an enhanced recovery approach.
17 Nov, 2021 | 08:22h | UTCOncologic Surgical Care Using an Enhanced Recovery Approach – AACN Advanced Critical Care
News release: Enhanced Recovery Approach Changes Care for Surgical Oncology Patients – American Association of Critical-Care Nurses
Related: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
Choosing Wisely: Nine pediatric otolaryngology recommendations.
9 Nov, 2021 | 01:09h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Systematic Review | Management of High-Need, High-Cost Patients.
9 Nov, 2021 | 01:20h | UTCSee also:
Related:
Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open
Multimorbidity: a priority for global health research – The Academy of Medical Sciences
The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review
Multimorbidity: clinical assessment and management – NICE Guideline
Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs
Better Care for People with Complex Needs – Institute for Healthcare Improvement
Choosing Wisely for Thyroid Conditions: Ten things clinicians and patients should question – “Do not order thyroid ultrasound for nodule detection in patients without thyroid anatomic anomalies on clinical examination”.
9 Nov, 2021 | 01:11h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value.
20 Oct, 2021 | 09:58h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Viewpoint: Surgical overtreatment and shared decision-making—the limits of choice. – “Payment models further incentivize surgical intervention. Fee-for-service payment plans reward surgeons for operating, not for ensuring that surgery is right for a patient”.
17 Oct, 2021 | 21:17h | UTCSurgical Overtreatment and Shared Decision-making—The Limits of Choice – JAMA Surgery (free for a limited period)
Commentary on Twitter
“Adjusting payment models to mitigate financial incentives..to overtreat is a start. However..greater focus should be given to the myriad other causes of overtreatment,” such as triggers of care cascades, write Clapp, Schwarze & @LeeAFleisher. https://t.co/f4mPsnxyVB
— Ben Harder #BlackLivesMatter (@benharder) October 14, 2021
Choosing Wisely: Seven things physicians and residents/patients should question in long term care.
7 Oct, 2021 | 10:31h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
New analysis shows use and predictors of low-value care in health systems – “Patients at health systems with smaller shares of primary care physicians and without teaching hospitals were more likely to receive low-value services”.
28 Sep, 2021 | 09:08h | UTCNews release: New analysis shows use and predictors of low-value care in health systems nationwide – Brigham and Women’s Hospital
Original study: Low-Value Care at the Actionable Level of Individual Health Systems – JAMA Internal Medicine
Author interview: Low-Value Care at the Actionable Level of Individual Health Systems
Commentary on Twitter
New study measures and reports use of 41 low-value care services + composite measure for 556 health systems across US. More low-value care in systems w ↓ PCPs, w/o major teaching hospital, HQ'ed in South+West, in areas w ↑ healthcare spending https://t.co/0qdkflxwWF
— JAMA Internal Medicine (@JAMAInternalMed) September 27, 2021
Cochrane Special Collection | De-implementation of low-value health care: resource prioritization in the COVID-19 pandemic era.
23 Sep, 2021 | 10:13h | UTCEditorial: Making wise choices about low‐value health care in the COVID‐19 pandemic – Cochrane Library
Commentary: Choosing health care wisely when resources are scarce – Evidently Cochrane
Commentaries on Twitter
📰Our new editorial @cochranecollab: Making wise choices about low‐value health care in the COVID‐19 pandemic👉https://t.co/qABVg7emRi
Linked Special Collection on low-value care: https://t.co/fstV8P8OQS#FreeAccess pic.twitter.com/h9KZGUm2kp
— Juan Franco 🏳️🌈 (@juan_francomd) September 22, 2021
Sadly, some medical interventions are in use despite evidence against them. With @Cochrane_SH, we have published a Special Collection of Cochrane reviews of Low Value Care interventions and described the issue in an Editorial. We cannot afford wasted HC. https://t.co/PXUhaMZud2
— Karsten Juhl Jørgensen (@KarstenJuhl) September 22, 2021
Systematic review: Interventions to Reduce Hospital Length of Stay in High-risk Populations.
21 Sep, 2021 | 08:58h | UTC
Choosing Wisely: Five things clinicians and patients should question in rural medicine.
19 Sep, 2021 | 23:26h | UTCChoosing Wisely Canada: Rural medicine list of recommendations – Canadian Journal of Rural Medicine
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
M-A: The clinical efficacy and safety of enhanced recovery after surgery for cesarean section.
26 Aug, 2021 | 08:28h | UTCRelated:
Pre-post study: Improved outcomes with an enhanced recovery approach to cesarean delivery
Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery
Enhanced Recovery After Surgery (ERAS) Society Guidelines
Effect of early palliative care on end-of-life health care costs: a population-based, propensity score–matched cohort study.
18 Aug, 2021 | 08:30h | UTC
Commentary on Twitter
⚕️@oncoalert:
Ultimately you refer to #palliativeCare because it's what's best for patients. For symptom control, decreased anxiety/depression, & for essential #goalsofcare conversations.The fact that early #pallonc care is cost-saving?
Even better. #hpmhttps://t.co/xVkD2FoP17 pic.twitter.com/drhPxHMCSO— Fumiko Ladd Chino, MD (@fumikochino) August 17, 2021
Perspective: The high stakes of outsourcing in health care.
17 Aug, 2021 | 08:38h | UTCThe High Stakes of Outsourcing in Health Care – Mayo Clinic Proceedings
Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.
12 Aug, 2021 | 08:42h | UTCCommentary: Hospital overuse linked to thousands of adverse events each year – Lown Institute
Commentary on Twitter (thread – click for more)
Research by @kelsey_chalmers @AElshaug @DrVikasSaini @ShannonBrownlee shows that spinal fusion overuse is associated with >1000 more adverse events for Medicare beneficiaries each year.https://t.co/L83CDNqFiC
— Lown Institute (@lowninstitute) July 27, 2021
RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.
6 Aug, 2021 | 09:54h | UTCCommentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
Viewpoint: Aligning payments, services, and quality in primary care.
6 Aug, 2021 | 09:08h | UTCAligning Payments, Services, and Quality in Primary Care – JAMA (free for a limited period)
Value-based radiology: what is the ESR doing, and what should we do in the future?
30 Jul, 2021 | 11:33h | UTC
What’s new in intensive care: environmental sustainability.
30 Jul, 2021 | 11:32h | UTCWhat’s new in intensive care: environmental sustainability – Intensive Care Medicine