Sense-making Conversations

Conversations are a medium for change. “Sense-making” conversations are non-threatening, respectful discussions that make meaning out of evidence and problems, and lead to pathways for manifesting the 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.

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Key Changes

  • Use best practices in communication to support sense-making and learning among clinicians and care teams.
  • Highlight the potential for patient harm as part of sense-making conversations about overuse.
  • Ensure actionable utilization data are readily available to support sense-making conversations about overuse.
  • Provide resources to support sense-making conversations about overuse with patients and families.

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