NEJM Catalyst Source | Comments Courtesy of Matt Zavadsky
Very well-done commentary from NEJM Catalyst.
While not specifically mentioned, our “EMS” brethren, payers and other healthcare system partners should take note of the ways “EMS” can be a partner in “Leveraging alternative care pathways and care sites, such as telehealth, home-based care, and community-based care, can also help keep patients out of the ED and provide alternatives to low-value and wasteful care. ED visits and hospitalizations are frequently preventable and, once there, patients often receive unnecessary imaging and lab tests.”
Tip of the hat to Chris Hanson from TMF for finding and forwarding this commentary!
Building A Better Health Care System Post-Covid-19: Steps for Reducing Low-Value and Wasteful Care
The upheaval in the provision of routine health care caused by the Covid-19 pandemic offers an unprecedented opportunity to reduce low-value care significantly with concurrent efforts from providers and health systems, payers, policymakers, employers, and patients.
By Corinna Sorenson, Ph.D., MHSA, MPH, Mark Japinga, MPA, Hannah Crook & Mark McClellan, MD, Ph.D.
August 21, 2020
The Covid-19 pandemic has disrupted the provision of routine care, forcing providers and patients to postpone many services and adopt virtual and non-contact strategies. These changes present an unprecedented opportunity to re-evaluate the necessity of services our health system provides, embracing and enhancing the ones that provide the most value and finally reducing or eliminating those that provide little or no benefit. Immediate action is essential as reopening occurs; force of habit and financial stresses may otherwise counteract some positive recent changes and move the health care system back toward business as usual. We suggest aligned strategies for providers and health systems, payers, policymakers, employers, and patients that can help seize this opportunity to build a better health system.
In just months, the coronavirus (Covid-19) pandemic upended significant portions of the U.S. health care system.1 Postponed elective procedures and services for non-emergency care significantly reduced overall health care utilization,2 and the rapid shift to telehealth dramatically altered care delivery. Recent months have also exposed long-standing flaws of our health care system, marked by fragmentation, inefficiencies, high rates of chronic illness, and glaring health disparities.