Value-based Care
Study: Cost Avoidance Associated with Clinical Pharmacist Presence in a Medical Intensive Care Unit
9 Apr, 2019 | 02:16h | UTCCost Avoidance Associated with Clinical Pharmacist Presence in a Medical Intensive Care Unit – Journal of the American College of Clinical Pharmacy (free PDF) (via @ABsteward)
Study: Usability Improvements in Electronic Health Records are Associated with Improved Cognitive Workload and Performance
8 Apr, 2019 | 01:08h | UTC
Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery
27 Mar, 2019 | 05:47h | UTCEvaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery at a Safety-Net Health System – JAMA Internal Medicine (free for a limited period)
Commentary: Cataract Surgery: QI Initiative Markedly Reduced Low-Value Preoperative Care – MedicalResearch.com (free)
Related: Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery (free)
Perspective: Why You Should Be a “Medical Conservative”
25 Mar, 2019 | 00:43h | UTCWhy you should be a “medical conservative” – Lown Institute (free)
Original Article: Perspective: The Case for Being a Medical Conservative (free article and twitter thread)
“being a medical conservative means being skeptical about new medical advances until unbiased and high-quality evidence shows a clear benefit”
Perspective: Is Healthcare Transparency the Answer to Rising Health Care Costs?
24 Mar, 2019 | 20:52h | UTCSurvey Snapshot: Is Transparency the Answer? – NEJM Catalyst (free)
Related Commentary on Twitter
Survey Snapshot: Is Transparency the Answer? @nejmcatalyst Insights Council members say that while transparency might be necessary, we have to change the way care is delivered. https://t.co/ltQExyeiH1 pic.twitter.com/FPvYxBvJMS
— NEJM Resident 360 (@NEJMres360) March 21, 2019
Systematic Review: Value of Hospital Antimicrobial Stewardship Programs
17 Mar, 2019 | 18:12h | UTC
Review: Enhanced Recovery After Surgery in Emergency Colorectal Surgery
11 Mar, 2019 | 03:52h | UTCRelated Guidelines: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free) AND Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018 (free)
Choosing Wisely: Five Things Physicians and Patients Should Question in Otolaryngology – Rhinology
7 Mar, 2019 | 02:27h | UTCChoosing Wisely Canada: Five Things Physicians and Patients Should Question in Otolaryngology – Rhinology – Canadian Society of Otolaryngology – Head & Neck Surgery (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Study: Impact of a Probiotic-based Hospital Sanitation on Antimicrobial Resistance and HAI-associated Antimicrobial Consumption and Costs
5 Mar, 2019 | 02:55h | UTCCommentaries: New sanitation system halves healthcare associated infections and cuts costs by 75 percent – Bocconi University (free) AND Study: Hospital sanitation system cuts infections by 52 percent – UPI (free)
Amazing results. Hopefully, a randomized trial will confirm these findings.
Perspective: Bundled Payments Are Moving Upstream
27 Feb, 2019 | 00:53h | UTCBundled Payments Are Moving Upstream – NEJM Catalyst (free)
“For bundled payments to fulfill their promise of delivering greater value to patients, bundling must shift toward the condition or person level rather than the procedure level”
2018 Update on Pediatric Medical Overuse
27 Feb, 2019 | 00:43h | UTC2018 Update on Pediatric Medical Overuse: A Review – JAMA Pediatrics (free for a limited period)
Related Commentary on Twitter (Thread)
Update on Pediatric Medical Overuse: Top 9 Recent Findings
1. For children with uncomplicated appendicitis, nonoperative treatment with antibiotics could be considered as an initial treatment strategy.https://t.co/qhpWozLMi2 @JAMASurgery @aaronecarroll— JAMA Pediatrics (@JAMAPediatrics) February 18, 2019
Measuring Hospital-Acquired Complications Associated with Low-Value Care
26 Feb, 2019 | 02:17h | UTCMeasuring Hospital-Acquired Complications Associated With Low-Value Care – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Low-value procedures harm patients, consume hospital resources – HealthExec (free)
Study: Hospital Intervention Resulted in a 45% Reduction in the Urine Cultures Ordered
25 Feb, 2019 | 00:38h | UTCCommentaries: Unnecessary testing for UTIs cut by nearly half – Washington University School of Medicine (free) AND Hospital intervention cuts unneeded UTI tests – CIDRAP (free)
Observational Study Suggests Greater Primary Care Physician Supply is Associated with Reduced Mortality
21 Feb, 2019 | 04:04h | UTCAssociation of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015 – JAMA Internal Medicine (free for a limited period)
Commentaries: Primary care physicians associated with longevity, new research finds – Stanford Medicine (free) AND Greater primary care physician supply associated with longer life spans – News Medical (free)
Hospital Pharmacy: Choosing Wisely Canada New Recommendations Released
20 Feb, 2019 | 03:00h | UTCChoosing Wisely Canada: Six Things Clinicians and Patients Should Question – Canadian Society of Hospital Pharmacists (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Hospital Wastes A Third Less Food After This One Change
18 Feb, 2019 | 23:42h | UTCHospital Wastes A Third Less Food After This One Change – Forbes (free)
Related Case Study: Mayo General Hospital Food Waste Prevention (free PDF)
Report: Lab Testing Misuse Costs Billions
18 Feb, 2019 | 21:41h | UTCWhat the Doctor Ordered: Improving the Use and Value of Laboratory Testing – CD Howe Institute (free PDF)
News Release: Lab Testing Misuse Costs Billions (free)
Commentary: Billions wasted annually on inappropriate lab tests, report finds – The Star (free)
Editorial: Prioritizing Patient and Caregiver Values in the Delivery of High-Quality Medical Management Without Dialysis
13 Feb, 2019 | 00:39h | UTC
Opinion: Cancer Treatment at Home is Safe, Effective, and Closer to Happening Than You Think
11 Feb, 2019 | 21:18h | UTCCancer treatment at home is safe, effective, and closer to happening than you think – STAT (free)
Related: The Oncology Hospital at Home – Journal of Clinical Oncology (free) AND Home care—a safe and attractive alternative to inpatient administration of intensive chemotherapies – Supportive Care in Cancer (free)
Five Warning Signs of Overdiagnosis
11 Feb, 2019 | 00:05h | UTCFive warning signs of overdiagnosis – The Conversation (free)
Related: Overdiagnosis: Causes and Consequences in Primary Health Care (free) AND Screening: How Overdiagnosis and Other Harms can Undermine the Benefits (free) AND WONCA Position Paper on Overdiagnosis and Action to be Taken (free) AND Overdiagnosis: what it is and what it isn’t (free) AND Review: Overdiagnosis Across Medical Disciplines (free) AND Too much medical care: bad for you, bad for health care systems (free)
Potential Excessive Testing at Scale: Biomarkers, Genomics, and Machine Learning
11 Feb, 2019 | 00:02h | UTCViewpoint: Potential Excessive Testing at Scale: Biomarkers, Genomics, and Machine Learning – JAMA (free for a limited period)
Related Commentary on Twitter
Excessive medical testing in the era of big data and precision medicine can lead to potential harms and unnecessary healthcare costs. @mandl & @arjunmanrai write an insightful @JAMA_current viewpoint on how to deal with this threat. https://t.co/uu1Cjwqy8n pic.twitter.com/L67aJhetCf
— Muin J. Khoury (@MuinJKhoury) February 8, 2019
Study: Receipt of Primary Care Associated with More High-value Care and Better Health Care Experience
10 Feb, 2019 | 23:52h | UTCQuality and Experience of Outpatient Care in the United States for Adults with or Without Primary Care – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Patients Engaged in Primary Care More Likely to Receive High-Value Care, Report Better Healthcare Experience – AJMC (free) AND Study: Patients with primary care physicians get better healthcare – UPI (free) AND Patients with primary care have better quality health and experience – Brigham and Women’s Hospital (free) AND Primary care utilization associated with increased high-value care – 2 Minute Medicine (free)
Study: Web-Based Symptom Monitoring Increases Overall Survival in Lung Cancer
10 Feb, 2019 | 23:50h | UTCTwo-Year Survival Comparing Web-Based Symptom Monitoring vs Routine Surveillance Following Treatment for Lung Cancer – JAMA (link to abstract – $ for full-text)
Commentary: Lung cancer OS benefit with patient-reported symptom monitoring – Medwire News (free)
See Original Article: #ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment (free study and commentaries)
Review: Enhanced Recovery After Surgery in Gynecologic Oncology
7 Feb, 2019 | 15:19h | UTCRelated: Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part I – Gynecologic Oncology (free) AND Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part II – Gynecologic Oncology (free) AND Enhanced recovery after surgery (ERAS®) in gynecologic oncology – Practical considerations for program development – Gynecologic Oncology (free)
Measuring the Value of Health
4 Feb, 2019 | 22:36h | UTCMeasuring the value of health – Bill & Melinda Gates Foundation (free)
Related Commentary on Twitter
Global health organizations turned a $10 billion investment into $200 billion in benefits. You can’t beat that deal: https://t.co/abKrtagQo7 pic.twitter.com/aUiskZYxsn
— Bill Gates (@BillGates) January 29, 2019