Root Causes | Potential Interventions |
---|---|
Misinformation available to the public and patients | • Increased development of evidence-based patient educational materials |
Convenience of ordering a wide variety of diagnostic and monitoring tests | • Implementation of electronic clinical decision support tools based on standards of care |
Inefficient use of endocrinologists and/or clinical visit encounters | • Training and greater use of mid-level providers with disease-specific tasks (i.e. skilled nurse practitioners to monitor DXA scans and/or laboratory results between clinical visits) • Deployment of telemedicine to assist with laboratory follow-up not requiring a visit |
Fee-for-service system, which favors frequent follow-up visits, radiology studies, and laboratory tests | • Proper implementation of value-based care • Development of low-value care metrics |