The Framework

The Taking Action on Overuse Framework aims to help health care providers, health system leaders, and allied organizations engage and support health care teams in reducing overused care—and, in the end, doing less of what harms and more of what helps patients. It is a roadmap that can be applied to existing and new initiatives to reduce medical overuse, providing a way to focus change efforts.


Getting Started

The graphic above presents the updated 2018 Taking Action on Overuse conceptual framework for how to reduce overused care. An accompanying “change package” helps users identify the specific changes necessary to sustainably reduce medical overuse.

Get started by taking the assessment and then initiate conversations about overuse with providers, care teams, and patients.

  • Change package: An evidence-based set of change concepts and key changes determined to be critical to the improvement of an identified care process.
  • Change concept: A general approach or idea used as a framework for developing the kinds of activities and changes that lead to improvement.
  • Key changes: The specific changes or activities you can use to achieve the intended improvement.

The Taking Action on Overuse Framework consists of six change concepts — conversations among providers, care teams, and patients; prioritization of the work; a culture of trust, innovation, and improvement; shared purpose and language; commitment of resources to measurement; and indicators of successful awareness, ownership and action. Four are organized under the umbrella of Catalysts that Create the Conditions for Change, as they lay the ground work for successful implementation of the key changes associated with the other two change concepts.

Download the full Framework with contextual information, change concepts, key changes and specific examples of how to make those key changes.

Download a simple version of the Framework with only change concepts, key changes and example activities.

Download this Powerpoint with talking points to help orient and align your institution around overuse and the Taking Action on Overuse Framework.

Download full framework

Stay Informed