Teaching Value in Health Care

Reshma Gupta discusses “Piloting an Interactive Price Transparency Tool” at University of Utah with Professor of Radiology and Associate Chief Medical Quality Officer Dr Yoshimi Anzai.

Costs of Care's Jordan Harmon talks to Value Challenge Winner Dr. Chris Petrilli about the high-value care program at NYU Langone in New York City.

Learning Network Fellow Dr. Fumiko Chino discusses the Advanced Care Planning program at Duke with Drs. Azalea Kim & Jared Lowe.

Dr. Reshma Gupta and Value Challenge Winner, Dr. Pamela Johnson discuss her Ordering Wisely program as well as the High Value Practice Academic Alliance.

Anton Loman and Dr. Fumiko Chino discuss how UCLA is working to improve the patient billing experience.

Michael Parchman, MD, MPH, Senior Investigator, McColl Center for Health Care Innovation, Kaiser Permanente Washington Health Research Institute discusses the Taking Action Framework for Engaging Providers to Reduce Medical Overuse.

Dr. Juan Brito, Medical Director of the Shared Decision Making National Resource Center at the Mayo Clinic discusses techniques for having cost conversations with patients.

Dr. Arjun Gupta speaks with Martin Brodsky, PhD, ScM and Daneen Sekoni, MHSA on the value of engaging speech and language pathologists, and audiologists.

Dr. Chris Moriates and med students Will Squires and Zack Timmons discuss the Choosing Wisely STARS program with Costs of Care Fellow Arjun Gupta and share tips for integrating it into a curriculum.

In a conversation with Costs of Care’s Chris Moriates, Heather Smith, Director of Quality for the American Physical Therapy Association, discusses ways in which physical therapy can be integrated into patient care to improve both quality and outcomes.

Drs. Reshma Gupta and Eric Wei discuss LA County’s work on combatting low-value care in the low-income population.

In this episode of the Teaching Value in Health Care podcast series, Neel Shah talks with David Vivero, Co-Founder and CEO of Amino, a digital start-up company that helps people navigate medical decisions and costs.

Dr. Arif Kamal discusses the Palliative Care Program at Duke University with Dr. Arjun Gupta, Costs of Care Learning Network Fellow.

Drs. Vinny Arora and Jeanne Farnan are joined by medical student Kathleen Wiest for a discussion on the University of Chicago's Room of Horrors as part of the Teaching Value in Health Care podcast.

L. Scott Sussman, MD, Senior Medical Director, Clinical Operations at Yale New Haven Health and Arjun Venkatesh, MD, MBA, Assistant Professor of Emergency Medicine, discusses stewardship efforts at Yale. Respondents will be John Ayanian, MD, the Director of the Institute for Healthcare Policy and Innovation at the University of Michigan, and Reshma Gupta, MD, the Evaluation and Outreach Director for Costs of Care and a physician at UCLA.

September Wallingford, MSN, RN chats with Jordan Harmon, MHA about the recent launch of the Center for the Advancement of Value in Musculoskeletal Care at the Hospital for Special Surgery.

Dr. Stephanie Nothelle from Primary Care Progress discussing student hotspotting with Costs of Care's Dr. Christopher Moriates

Dr. Rami Farraj discusses the Prevention Prescription Program at King Hussein Medical Center in Jordan with Costs of Care's Dr. Neel Shah.

Drs. Sentil Rajasekaran and Lauren Mazzurco from Eastern Virginia Medical School discuss their Virtual Families curriculum with Costs of Care's September Wallingford, RN, MSN

In this Teaching Value in Health Care Hangout, Reshma Gupta chats with Drs. PJ Brennan, Jennifer Myers and Neha Patel about the creation of a Health Care System Leadership and Quality Improvement track for house staff to help engage residents in the Blueprint for Quality and Safety at Penn Medicine.

ABIM Foundation EVP and COO Daniel Wolfson chats with Dr. Neil Wenger, director of the UCLA Healthcare Ethics Center and chair of the Ethics Committee at the UCLA Medical Center, about the opportunities and challenges in implementing advance directives and care plans.

Robyn Lindner from Choosing Wisely Australia and NPS MedicineWise shares lessons learned and the power of convening to advance the campaign's goals.

Marilyn Stebbins, PharmD, discusses her efforts in training pharmacists and the clinical care team to improve cost-conscious prescribing.

Reshma Gupta, MD talks with Jed Gonzalo, MD, assistant professor at Penn State University College of Medicine about a value-added medical education program he developed in which first-year medical students are embedded in health care systems and serve as patient navigators with goals of: 1) actively participating in medicine instead of observing; 2) gaining experience as part of an interprofessional health care team within in a community of practice; and 3) interacting with patients.

Dr. Vineet Arora, Education Director of Costs of Care talks with Dr. Sachin Jain, CEO of Caremore about the organization’s model of utilizing extensivists to create value and continuity of care for patients.

Stacy Frick, MSN, RN, CNL from the Ann Arbor VA discusses the impact of interdisciplinary teams on value care improvement.

Dr. Chris Moriates chats with Dr. Lauren Desmosthenes about high value care programs for OB/GYNs that she has implemented both in South Carolina and nationally.

Dr. Reshma Gupta chats with UCLA's Dr. Robin Clarke about a program to engage frontline providers in value-based care through provider-level dashboards, audit feedback and coaching.

In this Teaching Value in Healthcare Hangout hosted by Dr. Chris Moriates, Drs. Karen Born and Brian Wong from Choosing Wisely Canada discuss the STARs program (Students and Trainees Advocating for Resource Stewardship).

Dr. Vineet Arora hosts this Teaching Value in Health Care Hangout with Drs. Cheryl O’Malley and Steve Brown from Banner Health. Banner has incorporated high-value care into its major strategic objectives, including creation of a local Choosing Wisely® competition. Through this effort they engaged residents and fellows to develop innovations to reduce unnecessary testing and promote evidence-based care. A winning team worked to improve adherence of lung protective ventilation in patients with acute respiratory distress syndrome (ARDS).

In this Teaching Value in Healthcare Hangout, Dr. Neel Shah interviews Dr. Wade Iams, who co-led Vanderbilt's efforts to drive cultural change in promoting value through a challenge aimed at reducing unnecessary lab orders. The challenge is structured as a friendly, team-based competition between inpatient internal medicine resident teams. While the competition aspect may serve as a motivational tool, the true aim is to improve patient care and satisfaction.

As part of the Costs of Care and ABIM Foundation's Teaching Value Hangout Series, Dr. Marc Willis of Baylor School of Medicine discusses cultural changes and awareness of evidenced-based medicine as result of the Radiology-TEACHES program.

In this Hangout Dr. Swaroop discusses the novel longitudinal "Business of Medicine" curriculum she developed to increase cost-awareness among trainees as part of the internal medicine residency training program at University of California, Irvine, School of Medicine.

Hosted by Dr. Neel Shah, this month's Teaching Value in Healthcare hangout features a conversation with Drs. Accurso and Palchaudhuri about the Providers for Responsible Ordering (PRO) effort started at Johns Hopkins Bayview.

Dr. Miriam Schechter from Albert Einstein School of Medicine and Dominic Lorusso from Consumer Reports discuss a partnership to promote student and faculty use of patient education materials on Choosing Wisely recommendations.

Jessica Perlo from IHI's Open School discusses the I-CAN network.

Dr. Muntz and colleagues assigned third-year medical students on their internal medicine clerkship to roles as "High Value Care Officers." The students were prepared using a series of short podcasts and an iPad-based Choosing Wisely checklist before being asked to initiate conversations with colleagues on opportunities for improvement.

It is well known that surgical costs are extremely high, but most surgeons have little knowledge of their operating room costs. The goal of OR SCORE (OR Surgical Cost Reduction Project) is to enable surgeons to practice cost-effective surgery by providing them with price transparency information about their surgical cases.

SOAP-V is a modified SOAP presentation that encourages students to consider high value care during patient care delivery. The SOAP-V model prompts students to consider: 1) Before choosing an intervention, have I considered whether the result would change management? 2) Have I incorporated the patient’s goals and values, and considered the potential harm of the intervention compared to alternatives? 3) What is the known and potential cost of the intervention, both immediate and downstream?

Dr. Mitesh Patel from the University of Pennsylvania discusses an intervention implemented by the Division of General Internal Medicine at the University of Pennsylvania aimed at increasing the prescribing of generic equivalents when available.

ACP's Dr. Daisy Smith discusses the ACP-AAIM curricula on High Value Care and other efforts led by the ACP to teach medical students, residents, faculty, and practicing physicians.

Choosing Wisely Challenge winner Robert Fogerty, MD, assistant professor of medicine and academic hospitalist at Yale School of Medicine, discusses "I-CARE" (Interactive Cost-Awareness Resident Exercise), which he created to engage faculty and trainees in a friendly competition to create effective, lower cost care plans.

Dr. Todd Lee of McGill University talks about an antibiotic self-stewardship program that relies on trainee-led timeouts.

Drs. Brandon Combs and Tanner Caverly discuss the Do No Harm Project they created while at the University of Colorado School of Medicine to encourage trainees to identify examples of harmful overtesting, overdiagnosis and overtreatment. These scenarios were then written up as case vignettes for the Teachable Moments series in JAMA Internal Medicine.