Value improvement blue prints

Teams of medical providers from academic centers that have successfully implemented quality improvement initiatives have co-authored 6 experience- and evidence-based how-to-guides in JAMA Internal Medicine to reduce unnecessary diagnostics and treatments. The papers include quality and safety outcomes data from value-based Q/I initiatives as well as an implementation blue print (content for educational campaigns and clinical decision support messages). A resident or fellow co-author is a requirement for every guide, in keeping with our mission to engage trainees in high value quality improvement. Learn more about the multi-institutional teams collaborating on these guides here.


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Cardiac biomarkers

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Daily inpatient labs


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Antibiotics in

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C Difficile

Work in progress.

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Proton pump

Work in progress.

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Sedatives in

Numerous organizations have succeeded in educating providers about how to improve the value of care they deliver, including more than 70 medical societies who contributed recommendations to the ABIM Foundation Choosing Wisely® campaign, the American College of Radiology Appropriateness Criteria®, the American Association of Blood Banks’ Clinical Practice Guidelines and JAMA’s Clinical Guidelines. The mission of HVPAA is to serve as the bridge between knowledge and high value practice and facilitate advancement of these best practice recommendations.