Resources for Improving the Overuse and Misuse of Clinical Services

Change Package

• Efficiency Collaborative Change Package: Efficiency Collaborative Change Package.doc
  Learn the key steps for engaging physicians in reducing the overuse, misuse and underuse of clinical services

Work Plan Tracks: How to Implement Efficiency Changes

Select one of four tracks to guide you through the next set of decisions for the project, based on where your team is in your work process.

• TRACK 1: Identifying Variation and Selecting Measures
• TRACK 2: Validating Sources of Variations and Solutions with Practitioners
• TRACK 3: Testing Interventions
• TRACK 4: Spreading Interventions

Resources by Measure

  1. Cardiac Testing

  2. ED

• Reduce Emergency Department Utilization
  • Article: Overuse of ED among Insured Californians: Overuse of ED among insured Californians.pdf
  • Article: Are the uninsured responsible for the increase in ED visits?
  • Patient Tools (Blue Cross): ER Kit  MedCall Magnet
  • Patient Tools (Mills Peninsula Medical Group): ER_Questionnaire  Thank You Letter to Patient  Unable to Contact Letter to Patient
  • Physician Tools (Mills Peninsula Medical Group): PSAT Flyer  PSAT Packet Cover Letter

  3. MRI

  4. Medication Prescribing

• Improve prescribing of antihypertensive medications for patients with a diagnosis of hypertension
  • Article: Comparative effectiveness of ACE's and ARB's: Comparative Effectiveness of ACEs and ARBs.pdf
• P4P Measures: overall generic prescribing and within four therapeutic classes
  • Website: Engaging patients to use generic prescription drugs

Other Topics

Identifying Variation

• How to Create a Variation Chart: How to Create A Variation Chart.xls
• Sample Variation Charts: Sample Reports and Variation Charts I.pdf   Sample Reports and Variation Charts II.pdf

Creating Actionable Reports for Physicians

• Sample Reports: Sample Reports and Variation Charts I.pdf   Sample Reports and Variation Charts II.pdf

Information for Focus Groups

• Focus Group Suggestions Invitation
• Monarch Focus Group Invite
• Monarch Focus Group Letter - Draft
• THIPA Focus Group Invite - Sample

Additional Information:

Program Description

Measures

Resources

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