Programs
Managing Total Cost of Care / Efficiency
Program Resources

Featured Resources

CQC Efficiency Collaborative Change Package: Reducing Inappropriate Use of the Emergency Department
CQC Efficiency Collaborative Change Package

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Actionable Reports

Audience Item Description
Physicians Evaluation Worksheet (DOC) Checklist of information that should be included in a physician report
Physicians Sample physician level reports (PDF) Reports that show physician level performance compared to peer group for specified measures such as back pain, medication use, etc.
Physicians Sample physician level report for ED use (Physicians Medical Group Santa Cruz) (PDF) Actionable report showing Emergency Department use compared to peers, including actionable information
Physicians Sample overuse reports (PDF) Sample physician reports on tests ordered to identify general utilization trends and opportunities for improvement
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Generic Prescribing

Audience Item Description
Medical Directors & Physician Outreach Staff Generic prescribing guideline for PPIs (PDF) Quick facts for physicians about PPIs, sharing generic equivalents, initial therapy recommendations, and over-the-counter options
Physicians Generic prescribing guideline for Statins (PDF) Quick facts on Statins, sharing generic equivalents, monitoring, and recommended therapy
Physicians & Patients Proton Pump Inhibitors (PPIs) Q&As (PDF) Frequently asked questions about proton pump inhibitors to manage gastrointestinal symptoms
Physician Group Leaders Comparative effectiveness of ACE's and ARB's (WEB) Article by David B. Matchar M.D., et al, comparing effectiveness of ACE's and ARB's
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Measurement

Audience Item Description
Managers CQC Efficiency Collaborative Measures (DOC) Table identifying different levels of measures (process, outcome and balancing) for areas such as cardiac testing, MRIs and the Emergency Room
Medical Directors & Physician Outreach Staff Sample Measurement Plan (DOC) Sample form for documenting aims, goals and measurement plan
Medical Directors & Physician Outreach Staff ED Utilization Sample Variation Charts: Sample 1 (PDF) & Sample 2 (XLS) Sample ED visit variation charts across physicians
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Physician Engagement

Audience Item Description
Medical Directors & Physician Outreach Staff Sample focus group invitation (PDF) Describes the process for conducting a focus group with a sample invitation to invite practitioners to join a focus group; example is on Emergency Department overuse
Medical Directors & Physician Outreach Staff Sample focus group script (PDF) Script for conducting a focus group on Emergency Department overuse
Medical Directors & Physician Outreach Staff Sample focus group invitation (Monarch Healthcare) (PDF) Sample focus group invitation
Medical Directors & Physician Outreach Staff Sample focus group presentation (Monarch Healthcare) (PDF) Presentation to focus group exploring variation in the frequency of ED visits among PCP panels
Medical Directors & Physician Outreach Staff 10 Essential Steps to Effectively Engaging Physicians (PDF) Practical guide on 10 essential steps to effectively engaging physicians in change
Medical Directors & Physician Outreach Staff Effectively Engaging Physicians - Dealing with Anger (PDF) Practical guide on how to deal with conflict when engaging physicians in change
Medical Directors & Physician Outreach Staff Effectively Engaging Physicians - Things Not to Say (PDF) List of words and phrases to avoid when engaging physicians in change
Medical Directors & Physician Outreach Staff Leading Physicians Through Change: How to Achieve and Sustain Results by Jack Silversin and Mary Jane Kornacki Book providing detailed information on the implementation of a model that can help an organization gain support from physicians for major organizational changes. The book includes tools and a series of examples that describe successes with the model.
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Readmissions

Audience Item Description
Physician Group Leaders/Managers & Medical Directors Summary of Key Readmissions Program Design Elements (PDF) A three-page summary of key design elements for physician groups to consider when developing a program to reduce hospital readmissions, with a list of additional resources
Physician Group Leaders/Managers & Medical Directors IHI Guide for Field Testing: Creating an Ideal Transition to the Clinical Office Practice (DOC) A guide for testing from IHI on improving the transition from hospital to the office practice (Please note: the steps in this guide are currently being tested to understand their impact on readmissions; IHI welcomes any feedback and learning on these suggested changes)
Physician Group Leaders/Managers & Medical Directors IHI Readmissions Resources Resources/materials from IHI related to the State Action on Avoidable Rehospitalizations (STAAR) project, including summaries of the published evidence and a compendium of promising interventions
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Tools to Reduce Inappropriate Use of ED

Audience Item Description
Physician Outreach Staff/Physicians Avoidable ED Diagnoses Codes Avoidable ED diagnoses codes
Medical Directors & Physician Outreach Staff Sample Patient Questionnaires regarding ED Use: Humboldt De-Norte (PDF) & Sample 2 (PDF) Sample patient surveys regarding ED use and follow-up
Physician Group Staff/Case Managers Sample Case Manager Letter to PCP (DOC) Sample case manager letter to PCP to coordinate and manage care
Physicians Sample Patient Letter (DOC) Sample letter to inform patients on lab work, after hours care and patient satisfaction survey
Physicians & Office Staff Patient Handout: Listing of Services (Monarch Healthcare) (PDF) 2-page reference handout listing key information on urgent & after hours facilities
Medical Directors & Physician Outreach Staff Sample ED Utilization Report for Avoidable Diagnoses (Physicians Medical Group Santa Cruz) (PPT) Sample ED utilization report showing rates of ED use and avoidable diagnoses
Physician Outreach Staff/Physicians 2-Question Depression & Substance Abuse Screening Tool (DOC) 2-question screening tool for depression and for substance abuse
Physician Group Leaders Overuse of Emergency Departments among Insured Californians (WEB) Article commissioned by the California HealthCare Foundation identifying important drivers for ED overuse and interventions to reduce overuse of the ED
Physician Group Leaders Are the Uninsured Responsible for the Increase in Emergency Department Visits in the United States? (PDF) Article by Ellen Weber, et al, exploring the role of insurance status in predicting increased ED use
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General Resources

Audience Item Description
Physician Group Leaders & Managers CQC Efficiency Collaborative Change Package (PDF) Outlines the process for reducing unnecessary waste in organizations with a focus on measures such as ED use, cardiac testing, generic prescribing and MRIs
Medical Directors & Physician Outreach Staff CQC Efficiency Collaborative Change Package: Reducing Inappropriate Use of the Emergency Department (PDF) An implementation guide outlining key strategies, actions, and tools to reduce inappropriate use of the ED
Medical Directors & Physician Outreach Staff Process for Running Effective Team Meetings (PDF) Tools developed by the Institute for Healthcare Improvement (IHI) that include directions for the process for running effective meetings and a Meeting Record Sheet
Medical Directors & Physician Outreach Staff Video: Effective Team Meetings in a Clinical Environment (WEB) 10-minute video produced by CHCF and the California Improvement Network shows how regularly scheduled clinical team meetings can make a difference in team effectiveness, care delivery and provides tips on getting the most from these group interactions
Medical Directors & Physician Outreach Staff Sample focus group summary (XLS) Summary from Monarch Healthcare of key information/feedback gathered from focus groups on physician and patient support and services
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