Introduction

When attempting to reduce the use of an overused service, engaging providers, patients and staff in these efforts is often the missing piece of the puzzle. This engagement needs to move from awareness that the potential for harm is greater than benefit, to ownership of the responsibility to change one’s beliefs and behaviors, and then to action at the point of health care delivery. An understanding of what motivates our behaviors, and the cognitive biases that influence those motivators is essential. This module will include readings that discuss levers of intrinsic motivation, a walk through the elements of the Taking Action on Overuse framework, and an exploration of key changes and activities employed by clinical value champions to engage colleagues, patients and team members in efforts to Take Action on Overuse.

Case Study

Maple City Health Care Center (MCHCC), is a community health center that was awarded federally qualified health center (FQHC) status in 2012. MCHCC serves about 3,000 patients in Goshen, a small mid-western town in North Central Indiana. It was founded in 1988, by a group of young Mennonite activists who had identified health care needs in the community as a vital social justice issue. The founders worked closely with community residents to identify their priorities and establish the clinic. Patients access specialty services through the local hospital’s charitable care program. MCHCC became a FQHC in 2012 after 25 years as a private non-profit 501 c3 organization.  Read more >

Case Study: Clinic-Community Connections at Maple City

For Instructors and Facilitators

Download the Instructors guide including agenda, facilitation notes and discussion questions.

Instructor's Guide - Engaging health care professionals

  1. Learning Objective #1

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  2. Learning Objective #1

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Case summariesVignettes, profiles and testimonial videos

  • Case summaries

    Case Study: Clinic-Community Connections at Maple City

    Learn how one LEAP site goes above and beyond to improving the well-being of the broader community beyond their patient population and helps patients gain resources that are not currently available elsewhere.

Instruction Guide

Required Reading

  • Required Reading

    Engaging physicians in the health care revolution

    Fixing health care will require a radical transformation, moving from a system organized around individual physicians to a team-based approach focused on patients.

    Attribution:
  • Required Reading

    First TAO publication

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  • Required Reading

    TAO Change Package

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  • Required Reading

    Summary of the role of cognitive biases from Phase I work

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Optional Reading

Additional Resources

  • Additional Resources

    TAO Model Talk video

    Doctors have forgotten what it means to take care of their patients. The status quo for primary care is harming our national economy and our individual people. But a group of courageous doctors are on a mission to save the profession and change health care for the better.

Assignment

  • Assignment

    Learning Objective #1 Assignment #1

    Downloadable pdf with readings for assignment #1

  • Assignment

    Learning Objective #2 Assignment #2

    Attached PDF for Assignment #2