For April’s Webinar we had Dr. Scott Pugel, from Kaiser Permanente Georgia, discuss their various evidence-based care initiatives. In 2013, the Department of Resource Stewardship examined data about its physicians’ practice patterns using Choosing Wisely initiatives and shared findings with medical leadership teams. The Adult Medicine department leaders decided to take a closer look at ordering patterns for complete blood count (CBC) screening tests as well as four other Choosing Wisely diagnostic testing and imaging recommendations:
- Don’t perform neuroimaging studies in patients with stable headaches that meet criteria for migraine
- Don’t order annual electrocardiograms (EKGs) or any other cardiac screening for low-risk patients without symptoms
- Don’t use DEXA screening for osteoporosis in women younger than 65 or men younger than 70 with no risk factors
- Don’t do imaging for low back pain within the first six weeks, unless red flags are present.
Teamwork, the sharing of resources, a comprehensive EMR system, as well as audit and feedback were able to change behavior at Kaiser Permanente and showed substantial results towards more appropriate ordering and care.
Did you miss the Webinar? Watch it here.