Colonel Mike Deaton lays out the pathway that led to the care of medical holdover patients and helps us all understand the present structure and expectations of care for this group of Soldiers who are a new beneficiary population since we started the GWOT Lieutenant Colonel William Rice challenges us all to reduce practice variation
, save money, and enhance the level of care through his business case analysis of Clinical Practice Guidelines (CPGs) in the care of asthmatic patients, in his article entitled "Reduction of Unwarranted Clinical Practice Variation
in the AMEDD." The CPGs are a good thing and definitely here to stay and the sooner we can integrate them into our practices the quicker we can realize the financial and patient care benefits.
It is also used for clinical practice variation
analysis and standardization.
A low rate in a community for hernia repair may indicate a larger proportion of day cases and a preference for day surgery rather than reflect any other practice variation
. If one must be careful that population estimates provide the proper denominators for the calculation of rates, it is equally important to account for cross-boundary flow to ensure that numerators are not inflated by people not at risk of admission in the geographic area (Wennberg and Gittelsohn, 1973).
Second, there has been considerable practice variation
in delivery mode decisions, after controlling for patients' health status and risk.
This supportive evidence is a useful tool for helping to reduce practice variation
, implement research findings at the bedside, and promote rapid implementation of best practice while fostering multidisciplinary teamwork.
They may be designed to reduce clinical practice variation
, reduce costs, or outline the approach to uncommon problems.
As far as we know, there are no international studies in which practice variation
has been analyzed using individual data over such a long period of time.
(34.) Wennberg JE: Dealing with medical practice variation
: A proposal for action.
6.A report of physician practice variation
from established guidelines or clinical protocols
In one way or another, all suggest that clinical policies fall short of their promise to clarify a clinical dilemma, reduce practice variation
, improve quality of care, or reduce costs.