Value-Based Care
2021 ACC Expert Consensus: Same-day discharge after percutaneous coronary intervention
13 Jan, 2021 | 02:05h | UTCCommentaries: 2021 ACC Expert Decision Pathway on Same-Day Discharge After PCI – American College of Cardiology AND Checklist for Same-Day Discharge PCI Stresses Buy-In, and a Plan – TCTMD AND Same-Day Discharge After PCI: ACC Expert Consensus Decision Pathway – Cardiology Advisor AND Ticking all the right boxes for same-day discharge PCI – MDedge Cardiology
Case series: Safety of same‐day discharge after uncomplicated, minimalist transcatheter aortic valve replacement in the COVID‐19 era
13 Jan, 2021 | 02:03h | UTCCommentary: Pandemic Prompts Closer Look at Same-Day Discharge After TAVI – TCTMD
Commentary on Twitter
With dwindling hospital capacity from #COVID19, study of safety of same‐day discharge after #TAVR @emoryhealthcare available via @CCIJournal. SDD after uncomplicated #TAVR in selected patients may open beds & prevent unnecessary CV morbidity. https://t.co/fuTdVUrFu5
— Chandan Devireddy MD MBA (@drdevireddy) December 31, 2020
Five things clinicians and patients should question in Pediatric Cardiology
3 Nov, 2020 | 02:59h | UTCCommentary: Choosing Wisely: Practices to Question in Pediatric Cardiology – NEJM Journal Watch
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Perspective: Reinventing pediatrics through video care first
3 Nov, 2020 | 02:57h | UTCReinventing Pediatrics Through Video Care First – JAMA Pediatrics (free for a limited period)
Deimplementation in Pediatrics: Past, Present, and Future
3 Nov, 2020 | 02:56h | UTCDeimplementation in Pediatrics: Past, Present, and Future – JAMA Pediatrics (free for a limited period)
Can covid-19 help us deal with the pandemic of defensive medicine?
2 Nov, 2020 | 02:28h | UTCCan covid-19 help us deal with the pandemic of defensive medicine? – The BMJ Opinion
Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery
29 Oct, 2020 | 09:07h | UTCRelated Systematic Review: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research AND Summary: People leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR
See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Commentary on Twitter
Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study- https://t.co/VRZ1LKzEvJ pic.twitter.com/2G1InEcIEZ
— AJOG (@AJOG_thegray) October 27, 2020
Video consultations in primary and specialist care during the covid-19 pandemic and beyond
21 Oct, 2020 | 09:30h | UTCVideo consultations in primary and specialist care during the covid-19 pandemic and beyond – The BMJ
[Abstract Only] Study: Excess days in acute care provide a more comprehensive picture of hospital performance compared to 30-day readmission rates
21 Oct, 2020 | 09:04h | UTCEvaluation of Hospital Performance Using the Excess Days in Acute Care Measure in the Hospital Readmissions Reduction Program – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Excess Days in Acute Care Provide More Comprehensive Picture of Hospital Performance Compared to 30-day Readmission Rates – AboutHealthTransparency.org AND EDAC: A ’More Comprehensive Picture of Hospital Use’ – Physician’s Weekly
Five things clinicians and patients should question in public health
15 Oct, 2020 | 09:05h | UTCFive Things Clinicians and Patients Should Question – Choosing Wisely Canada
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Meta-analysis: Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness
14 Oct, 2020 | 09:18h | UTCEditorial: Palliative Care for Patients With Noncancer Illnesses
Commentary on Twitter
In this meta-analysis of RCTs of patients with primarily noncancer illness (mostly heart failure) palliative care was associated w less acute health care use & lower symptom burden, with no difference in quality of life https://t.co/ZtH6w48vz4 @kieranlquinn
— JAMA (@JAMA_current) October 13, 2020
Updated Choosing Wisely Canada recommendations: Tests and treatments to question in obstetrics and gynecology
7 Oct, 2020 | 09:02h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Commentary on Twitter
Today, @SOGCorg releases 3 new #choosingwisely recs (#10-12) of tests and treatments to question in #obstetrics & #gynaecology
See the new recs: https://t.co/vFSmJcqY0y pic.twitter.com/luNgGedz2n
— ChoosingWiselyCanada (@ChooseWiselyCA) October 5, 2020
De-adopting low-value care: Evidence, eminence, and economics
4 Oct, 2020 | 23:20h | UTCDe-adopting Low-Value Care: Evidence, Eminence, and Economics – JAMA (free for a limited period)
Author Interview: De-Adopting Low-Value Care—Evidence, Eminence, and Economics
Commentary on Twitter
Evidence alone is NOT sufficient for many healthcare professionals to abandon low-value treatments that provide little or no benefit to patients.
Often it's only when their financial reimbursement is reduced or stopped that their use declines quickly. https://t.co/YiggZyqUMp
— The Sp⚽️rts Physio (@AdamMeakins) October 3, 2020
Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers
1 Oct, 2020 | 08:58h | UTC
Commentary on Twitter
Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs
— Olaf Geerse (@OlafGeerse) September 30, 2020
WHO publishes pricing policy guideline to improve affordable access to medicines
30 Sep, 2020 | 09:33h | UTCNews release: WHO publishes pricing policy guideline to improve affordable access to medicines – World Health Organization
Original Guideline: WHO guideline on country pharmaceutical pricing policies – World Health Organization
Commentary on Twitter
The 🆕 guideline covers 🔟 pricing policy approaches, incl.:
✔️ External & internal reference pricing
✔️ Value-based pricing
✔️ Promoting price transparency
✔️ Tendering & negotiation
✔️ Pooled procurement
✔️ Cost-plus pricing
…and more👉 https://t.co/XYqUYStolJ pic.twitter.com/T7vDMUmfBK
— World Health Organization (WHO) (@WHO) September 29, 2020
Perspective: The incompatibility of patient-centered care with fee-for-service payment
29 Sep, 2020 | 09:57h | UTCThe Incompatibility of Patient-Centered Care With Fee-for-Service Payment – JAMA Internal Medicine
Commentary on Twitter
Deeply moving, beautiful, insightful article. The US health care system MUST change the way we pay. That's the only way we will improve health, give the right care, and restore the centrality of care-giving.https://t.co/5cc59glIMm
— Dr. Tom Frieden (@DrTomFrieden) September 28, 2020
Sophisticated purchasing of pharmaceuticals: Learning from other countries
29 Sep, 2020 | 09:55h | UTCSophisticated Purchasing of Pharmaceuticals: Learning From Other Countries – JAMA
Related: Drug Reimbursement Regulation in 6 Peer Countries – JAMA Internal Medicine (free for a limited period)
Commentary on Twitter
#Governments can do Cost-effective purchasing of #pharmaceuticals if they do unified purchases and leverage on solid #health technology assessment entities. #Knowledge and #synergy are key!#HTA #healthcare #healthcaresystems #healthcaremanagement https://t.co/16GmUCCqSZ
— Vanessa Campo-Ruiz, MD PhD (@VCSTX) September 28, 2020
Editorial: Two remedies for inappropriate percutaneous coronary intervention—closing the gap between evidence and practice
22 Sep, 2020 | 09:28h | UTCEditorial: Two Remedies for Inappropriate Percutaneous Coronary Intervention—Closing the Gap Between Evidence and Practice (free for a limited period)
Original Studies: Potential Association of the ISCHEMIA Trial With the Appropriate Use Criteria Ratings for Percutaneous Coronary Intervention in Stable Ischemic Heart Disease – JAMA Internal Medicine (free for a limited period) AND US False Claims Act Investigations of Unnecessary Percutaneous Coronary Interventions – JAMA Internal Medicine (free for a limited period)
Not necessary. 5 policy ideas for limiting low-value care in Canada
18 Sep, 2020 | 09:23h | UTCNot Necessary. Policy Ideas for Limiting Low-Value Care in Canada – Choosing Wisely Canada
Commentary on Twitter
#ChoosingWisely🇨🇦 has released 5 policy ideas to address in the short, medium, and long-term to limit low-value care in Canada during the pandemic and beyond.
Read now: https://t.co/fSTAe2ZvFM
— ChoosingWiselyCanada (@ChooseWiselyCA) September 17, 2020
Less is more: Identifying recommendations for stopping or scaling back unnecessary routine services in primary care
15 Sep, 2020 | 08:44h | UTCCommentaries: A Solution for Guideline Overkill—More Guidelines or Shared Understanding? – JAMA Internal Medicine AND Doctors Get Plenty of Advice on Starting Treatment. This Could Help Them Know When to Stop – University of Michigan
Commentary on Twitter
When should we stop or scale back medical treatments and tests? A new study describes a systematic, transparent, and reproducible approach for identifying valid de-intensification recommendations for primary care to improve care for patients https://t.co/qtSCOAJAz2
— JAMA Internal Medicine (@JAMAInternalMed) September 14, 2020
Viewpoint: Radiology and value-based health care
14 Sep, 2020 | 00:56h | UTCRadiology and Value-Based Health Care – JAMA (free for a limited period)
Getting ready for the Covid-19 pandemic: Experience of a Brazilian hospital
3 Sep, 2020 | 11:00h | UTCGetting Ready for the Covid-19 Pandemic: Experience of a Brazilian Hospital – NEJM Catalyst
Choosing Wisely: Five low-value or harmful practices that should be avoided in pediatric pulmonology and sleep medicine
1 Sep, 2020 | 05:57h | UTCCommentary: Choosing Wisely: 5 Practices to Avoid in Pediatric Pulmonology and Sleep Medicine – NEJM Journal Watch
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Building a better health care system post-Covid-19: Steps for reducing low-value and wasteful care
25 Aug, 2020 | 03:52h | UTC
Choosing Wisely Africa: Ten low-value or harmful practices that should be avoided in cancer care
7 Aug, 2020 | 03:06h | UTC