Commonly overused healthcare interventions: (5) - ANSWER- prescription drugs,
antibiotics, laboratory tests, diagnostic imaging, procedures such as back surgery and
prostatectomy, and end-of-life treatments
5 overused health interventions identified in ______ by: - ANSWER- 2008 by the
National Priorities Partnership convened by the National Quality Forum
Examples of overused health interventions: - ANSWER- Antibiotic treatment of a cold
virus, spinal fusion, pacemaker
Causes of overuse: - ANSWER- Fee-for-service payment, fear of missing a diagnosis,
different beliefs per providers, providers' expectations, patient expectations, clinician
competence, and diagnostic skills
Strategies to reduce overuse: - ANSWER- Choosing Wisely Campaign- American
Board of Internal Medication Foundation
Encourage providers and patients to engage in conversations to reduce overuse.
Public reporting of hospital specific information- LeapFrog
Marinated Mind: - ANSWER- The idea that more treatment is better, leading to overuse.
Overuse ends up causing a faster, hurried, workflow.
, Affordable Care Act and rationale for development: - ANSWER- Goal is to increase
ACCESS to health care by expanding coverage, creating incentives among providers to
achieve higher levels of QUALITY and EFFICIENCY. To provide the best care for the
patient with the optimal result given the circumstances, delivered at the right price.
ACA 3 goals: - ANSWER- Cost, quality, and access as a result of accountability,
transparency, performance measurement, public reporting, value-based purchasing.
Value-Driven Health Care: - ANSWER- Improving the quality of care while lowering its
costs. Linking of affordable care and quality.
Examples of value-driven health care: - ANSWER- -Performance measurement- quality
measures like Nursing Quality Indicators.
-Public reporting- part of the national strategy for improving quality. Providing
information to consumers to make choices and incentivize providers who give better
care.
States that require nursing reporting: - ANSWER- Maine & Colorado
Using research to influence policy-Evidence-based policy: - ANSWER- An approach
that helps people make well informed decisions about policies, programs, and projects
by putting the best available evidence from research at the heart of policy development
and implementation.