Conversations

Conversations among providers, care teams, and patients

Conversations are an essential medium for change. These conversations should be non-threatening, respectful discussions that make meaning out of evidence and problems, and lead to actionable solutions. In the context of the framework, they lead to a new understanding of how often a test or treatment should be ordered or done and ideas for replacing an overused service (e.g., acupuncture for pain instead of an opioid prescription). These kinds of conversations play a vital role in reducing medical overuse.

Download the full change package for examples of how to make the key changes below.

conversations

Key Changes

  • Use best practices in communication to help clinicians, care teams, and patients develop shared understanding about overuse.
  • Highlight the potential for patient harm as part of conversations that help clinicians, care teams, and patients make sense of the risks of overuse.
  • Ensure actionable utilization data are readily available to support conversations about variation in overused services.
  • Provide resources to help clinicians and care teams elicit patient preferences and stories when engaging in shared decision-making about overuse.

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