Set aside time and space for discussions about overuse
1. Devote a medical staff case conference, morbidity & mortality conference or medical grand rounds to a specific example of how overuse led to patient harm
2. Incorporate stories and strategies for reducing overuse into existing staff meetings, nursing rounds or morning huddles
3. Provide clinicians and teams with protected, paid time and dedicated meeting space to have discussions about a specific area of overuse. Bonus points: provide food and beverages
4. Provide support for experts to facilitate discussions between clinicians about variation in utilization of overuse services
During discussions about overuse, prompt sense-making conversations by:
Highlighting the potential for patient harm
5. Invite clinicians, staff, and patients to share “stories” or real clinical cases of overuse that could have led to patient harm
6. Share articles from peer-reviewed literature and the media that illustrate how medical overuse can lead to potential harm
7. Elicit ideas from clinicians, staff, and patients to spur new topics of discussion on medical overuse and the potential for patient harm
Ensuring actionable utilization data are readily available
8. Provide transparent provider or team-specific data on variation during formal meetings about reducing overuse
9. Post dashboards that visually display utilization data in break rooms or other shared spaces where spontaneous, informal conversation may occur
10. Share patient experience data alongside utilization data to spur discussion about the relationship between value-based care and patient satisfaction