decisionhealth Newsletters, Part B News - 2017 Issue 10 (October)
Guidance from low-value health care services assessed in a recent study
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Article Overview
This article reviews a set of guidance statements about low-value health care services drawn from Choosing Wisely and related clinical guidelines. It is useful for clinicians, coders, auditors, and practice leaders who want a broad view of common areas where unnecessary care may be reduced. The material is organized around major types of care decisions, including treatment, diagnostic testing, disease approach, preoperative evaluation, follow-up, and screening.
Why This Topic Matters
Understanding these guidance statements can help organizations identify high-volume areas of potentially unnecessary care and support better provider education, utilization review, and quality improvement.
Article Sections
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Common treatments
Broad guidance on medication and treatment choices in common outpatient and pediatric conditions.
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Diagnostic tests
Broad guidance on the use of imaging and other diagnostic evaluation methods across several clinical scenarios.
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Disease approach
Broad guidance on treatment and procedure choices for selected conditions and patient groups.
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Preoperative evaluation
Broad guidance on baseline testing and pre-surgical workup in lower-risk patients.
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Routine follow up/monitoring
Broad guidance on ongoing monitoring and routine follow-up testing in stable or asymptomatic patients.
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Screening tests
Broad guidance on preventive screening and routine testing in asymptomatic populations.
What You Will Learn
- How low-value care guidance is organized across major clinical categories
- Which broad types of services are commonly targeted for avoidance
- How guideline-based recommendations can support provider education and utilization management
- What kinds of screening, testing, monitoring, and treatment topics are addressed
Who Should Read This
- Physicians
- Nurse practitioners
- Physician assistants
- Medical coders
- Compliance staff
- Utilization review teams
- Quality improvement teams
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