“Stop IT” is a hospital-wide campaign promoting high-value care with the goal to reduce unnecessary inpatient testing.
The core team consists of representatives from finance, residents, hospitalists, specialists, and EPIC physician builders.
Our first target was inappropriate inpatient thrombophilia workup – i.e. testing for Factor V Leiden, protein S level, etc as we felt this was a "low hanging fruit" for a proof-of-concept project. Project leaders met with senior hematologists and geneticists to identify 15 tests that would not change management of acute thrombus or are unreliable in setting of acute thrombus. Education on why these tests are inappropriate will occur through the EHR during provider workflow upon attempting to order the test, with a hard-stop allowing only specific exceptions to continue with order. We are now tracking the number of tests ordered, hospital spending, and hematology consults before & after implementation (Spoiler alert - for those tests such as Factor V Leiden and Prothrombin 20210 that we are removing the ability to order as an inpatient - it falls to 0). Our goal is to foster system-wide awareness of thoughtful ordering practices so that everyone can start “Stop[ping] IT"! Our current targets following this same algorithm are now: inappropriate "daily labs", tacrolimus levels, echocardiography, HIT (and subsequent HIT therapy), inpatient HCV pcr, and iCal.
Easy one-click social registrationIs this safe?
We only receive the minimum information necessary to verify your account. We never get access to your friends/contacts or your profile, and we never post on your behalf. Your social account is used for logging in only.ORRegister via email
Send me updates on this Contest
In order to ensure a fair voting process and to make sure that no one votes more than once, we ask that you register either with a social networking account (easiest, only requires one click) or by registering with your email address (this will require you to click on a verification email that we will send you).
You only need to register once.