De-implementation - The Science of Reducing Low Value Care

Chair(s)

• RQ

  Ricardo Quinonez, MD (he/him/his)

  Associate Professor
  Pediatric Hospital Medicine
  Baylor College of Medicine - Texas Children's Hospital
  Houston, Texas, United States

Session

Description: De-implementation is the discontinuation of practices that have been proven to be ineffective, less effective or less cost-effective than an alternative practices, and are potentially harmful. In healthcare, many practices are often adopted before high-quality evidence supports their implementation. De-implementation efforts often become necessary once evidence is available that highlights the futility of these practices. This session will introduce participants to the concept of de-implementation and highlight current, active and successful efforts including national collaboratives focused on de-implementation of low-value practices. Panelists will highlight the incremental importance of de-implementation in the COVID era, as well as how it relates to other critical issues facing modern healthcare such as health disparities and climate change. Panel participants are experts in the field of de-implementation science with extensive publications highlighting low-value care practices in pediatrics. They have led and designed national efforts including grant-funded multi-center collaborations to rigorously study best practices for de-implementation of low-value practices.

Presentations:

• 1:00 PM – 1:10 PM ET

  Introduction - what is de-implementation and why is it important?
  

  Speaker: Ricardo Quinonez, MD (he/him/his) – Baylor College of Medicine - Texas Children's Hospital
• 1:10 PM – 1:25 PM ET

  Prioritizing De-implementation Post-pandemic - getting back to value
  

  Speaker: Samantha House, DO, MPH – Children's Hospital at Dartmouth-Hitchcock
• 1:25 PM – 1:40 PM ET

  The De-implementation Loop - why medical interventions are harder to stop than to start
  

  Speaker: Corrie E. McDaniel, DO (she/her/hers) – University of Washington
• 1:40 PM – 1:55 PM ET

  The Science of De-implementation - writing grants and running de-implementation clinical trials
  

  Speaker: Chris Bonafide, MD, MSCE (he/him/his) – Children's Hospital of Philadelphia
• 1:55 PM – 2:30 PM ET

  Safely and Equitably Doing Less: the complicated relationship between de-implementation and health disparities - Q&A
  

  Speaker: Alan Schroeder, MD – Stanford University School of Medicine