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

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 17 September 2018

⏱️ 58 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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).

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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,

Transcript

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0:00.0	The first Irish podcast is for entertainment education and information processing.
0:09.1	At the top of this discuss, should not be used only by industry, your orbit and industry
0:11.4	is more than easy as organizations, but more than use the same as express on the podcast
0:13.2	or solo those of those should not be interpreted perfectly for official policy or position
0:15.2	of the agency, the cyber-phosphate, cash-like morons, and affiliate outreach programs.
0:17.2	Indeed, there are any in fact there are none.
0:19.0	Pretty much we are responsible for this throughout, which we should always do our homework
0:20.5	and let's know when we're done.
0:30.0	Welcome back to the Curbsiders.
0:37.0	Well, hello Matthew, it's been quite a break.
0:40.9	How was your break?
0:41.9	5 breaks bit okay.
0:43.4	Yeah, I think we haven't recorded anything in like two weeks and it feels longer.
0:48.2	Yes, it does.
0:49.9	But we have like a gazillion shows to record in the next two months so we'll be sick of
0:55.0	each other.
0:56.1	Yes, we will.
0:57.1	We'll look forward to fainting enthusiasm for the next couple of weeks.
1:01.3	Paul, could you tell the audience what the show is about?
1:05.6	I'd be happy to, Matt.
1:06.6	We are an internal medicine podcast that uses expert interviews to bring you clinical
1:10.5	pearls and practice changing knowledge.
	...

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