The Curbsiders Internal Medicine Podcast17 Sep 2018

#114 High Value Care: Assess Quality, Mitigate Diagnostic Uncertainty, Overcome Barriers

Kick up the quality of your care with tips and tactics from Caitlin Clancy MD, coauthor of ACP’s High Value Care Curriculum. We learn to define quality and value in healthcare; the most common barriers to high value care; use of probability and likelihood ratios to boost clinical reasoning and combat diagnostic uncertainty; some useful tools to estimate cost; sources of healthcare waste; and some general pearls on how the healthcare system works...or doesn’t. ACP members can claim free CME-MOC at acponline.com/curbsiders (goes live 0900 EST on podcast release date).

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits:

Written & Produced by: Matthew Watto MD
Hosts: Paul Williams MD, Stuart Brigham MD, Matthew Watto MD
Guest: Caitlin Clancy MD

Time Stamps

00:00 Disclaimer, intro and guest bio
03:50 Guest one-liner, some discussion on non traditional paths, and picks of the week
12:10 Case 1: Defining value, cost, quality; sources of healthcare waste; and how to avoid the waste of daily labs
23:00 Case 2: An uninsured patient who needs major surgery; costs for uninsured versus insured patients
28:35 Do insured patients have better outcomes?
31:15 How to determine cost and “fair market price”
36:29 Case 3: Clinical case of suspected heart failure
45:45 Case 4: Clinical case of patient requesting antibiotics; barriers to high value care and how to overcome them
57:05 Outro

Tags: high, value, care, quality, cost, diagnostic, uncertainty, likelihood, ratio, testing, treatment, consumer, acp, college, american, insured, uninsured, bill, charge, reimbursement,

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