In past years I have attended the NPA annual conference. I didn’t make it this year, but I want to share some projects that were discussed there that I learned about from an email from Jean Silver-Isenstadt, NPA executive director.
- “Just Price” — This project would pilot methods for physicians to assess patients’ financial vulnerability; collect and publish local price data from hospitals, pharmacies, and area providers for 50-100 of the most common diagnostic procedures and treatments; and promote discussion of diagnosis and treatment costs as part of informed, shared decision-making. The publication of transparent price lists by some in the health sector would create marketplace pressure for all to be as forthcoming.
- “There’s Safety in the Conversation” — Building on the soon-to-be-released TandemHealth app, this project would support physician-patient shared decision-making based on conflict-free, evidence-based guidelines to reduce overtreatment and waste while promoting patient safety. The project would promote a model policy of safe-haven from malpractice lawsuits specifically for episodes of care in which these conversations were documented.
- “Fair Bargain” — This project would put pressure on non-profit hospitals to deliver on the community benefit required in exchange for maintaining tax-exempt status. A new robust scorecard would compare hospital expenditures, quality of community health needs assessments, and degree of consumer and physician involvement in decision-making. Public scorecards have a track record of creating transformative pressure on institutions.
The TandemHealth app is a joint project of Consumer Reports and NPA. It is designed to be used before, during and after the clinical encounter and will present evidence-based information on common medical conditions.
The ABIM Foundation has joined with nine medical specialty societies to develop evidence-based lists of tests and procedures for patients and physicians to discuss and question. The goal of Choosing Wisely is to help physicians, patients and other stakeholders avoid unnecessary and in some cases harmful interventions and reduce the ever-expanding cost of health care. Each participating specialty society will identify five tests or procedures whose use should be questioned. The lists will be announced in April 2012. The lists are modeled after the National Physicians Alliance project “Five Things You Can Do in Your Practice,” which was funded by the ABIM Foundation. Consumer Reports will also be participating in the campaign. One page factsheet here. Press Release here. Website here.