International Perspectives on Low Value Care

Chair(s)

• 

  Jeremy Friedman, MB.ChB FRCP FAAP (he/him/his)

  Associate Paediatrician-in-Chief
  The Hospital for Sick Children
  Toronto, Ontario, Canada

Session

Description: As much as 30% of the tests and treatments currently prescribed for patients are unnecessary and do not add value. These low-value interventions drive excessive healthcare costs and can directly harm patients. The drivers of low-value care are complex and may include cultural factors and payment models. In the last decade there has been increasing activity to better understand and reduce low value care. For example, the 'Choosing Wisely' campaign which started in the US has rapidly spread to more than 35 countries around the world. However, unnecessary and wasteful care practices persist at unacceptable levels.

There are many lessons to be learned from the successes and failures in decreasing low value care across international healthcare systems. Additionally, by altering patterns around the pursuit of and access to healthcare, the pandemic has provided a natural experiment that may inform discussions around necessity of care for various conditions. In this session we will hear global perspectives from a hospitalist, intensivist, PEM specialists and a GI subspecialist from the US (AS, SJ), Canada (JF, OO) and Europe (KS), with 20 minutes for Q&A discussion at the end.

Jeremy Friedman: Introduction
Shabnam Jain: We know the evidence. What’s holding us back? A US perspective on overuse in pediatrics
Olivia Ostrow: From awareness to action; a Canadian perspective on overuse in pediatrics
Ketil Stordel: Finding common ground: Clinical challenges and drivers (for medical overactivity) across borders in Europe
Alan Schroeder: What the covid pandemic taught us about low value care
Jeremy Friedman: Moderator Q&A

Presentations:

• 2:00 PM – 2:05 PM ET

  Introduction
  

  Speaker: Jeremy N. Friedman, MB.ChB FRCP FAAP (he/him/his) – The Hospital for Sick Children
• 2:05 PM – 2:20 PM ET

  We know the evidence; What is holding us back? The US perspective on low value care in pediatric healthcare
  

  Speaker: Shabnam Jain, MD, MPH – Emory University School of Medicine
• 2:20 PM – 2:35 PM ET

  Finding common ground: Clinical challenges and drivers for medical overactivity across borders in Europe
  

  Speaker: Ketil Størdal, PhD (he/him/his) – University of Oslo
• 2:35 PM – 2:50 PM ET

  From awareness to action; a Canadian perspective on overuse in pediatrics
  

  Speaker: Olivia Ostrow, MD (she/her/hers) – Hospital for Sick Children
• 2:50 PM – 3:05 PM ET

  What the covid pandemic taught us about low value care
  

  Speaker: Alan Schroeder, MD – Stanford University School of Medicine
• 3:05 PM – 3:30 PM ET

  Q&A
  

  Speaker: Jeremy N. Friedman, MB.ChB FRCP FAAP (he/him/his) – The Hospital for Sick Children