Partners HealthCare has implemented a program that helps surgeons and other clinicians easily apply best practice guidelines to a patient’s unique status, and quickly and accurately determine the appropriateness of a procedure. In this case study executives share how they’ve achieved success in boosting rates of appropriate use of high-cost, high-volume orthopedic, cardiovascular and GU/GI procedures – and eliminated payer prior authorization as a result. They also review how to overcome challenges such as reaching consensus on guidelines and physician adoption, and how they’ve improved the patient’s ability to participate in shared decision-making by delivering custom consent forms.
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