Cases in High Value Care
Developed by Lauren D. Demosthenes, MD, Greenville Health System and Jennifer M. Keller, MD, MPH, The George Washington University
Curriculum for Teaching High Value Care in Ob-Gyn
Physicians have a responsibility to our patients and society to “do no harm,” which includes providing cost-conscious medical care. Recognizing overuse of medical care is difficult for physicians in the moment of providing clinical care, and even more difficult to teach our trainees.
Practicing ob-gyns have an important leadership role to play in practicing value-based care. Integrating education in residency training about health care value will prepare residents to make high value, cost-conscious decisions in their practices and within the health systems in which they work.
Ways to use the Cases in your Residency Program
- On the fly while teaching around a clinical case
- Have your residents design value improvement projects using the Culture, Oversight accountability, System support, and Training (COST) framework
- Have your residents create a Value-Based Care case
- Give the residents a High Value Care scenario (without the cost information) and ask them to identify the costs using the data available to them (websites, hospital/practice billing departments, etc.)
Preeclampsia Work Up
Rupture of Membranes Evaluation
IOL with Foley
“Inpatient” versus “Outpatient” Induction of Labor
Sterilization: Postpartum tubal vs. interval laparoscopic tubal
Office vs. outpatient surgical management of first trimester pregnancy loss
Choosing High-Value Medications
Usefulness of urine protein dipstick testing as part of routine prenatal care
Dermoplast and Epifoam Use after Vaginal Delivery
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