Measuring low-value care in routine data: methods and implications
Location:Seminar Room, Level 6 D17 Charles Perkins Centre University of Sydney
Tim Badgery-Parker and Kelsey Chalmers
Reducing low value practices in routine clinical care should improve patient safety and health care efficiency. Robust and accurate methods to measure low-value care are necessary to establish the extent of low value practice and to monitor the effectiveness and the consequences of policies and campaigns (such as Choosing Wisely) aimed at reducing low-value care. In this talk we will present our proposed methods for measuring low-value practices in routine data collections of private health insurance claims and whole of state public hospitalisations, along with their strengths and limitations. We will discuss our approach to operationalising published, clinical recommendations into a measurable indicator, and the challenges this has presented. Results of example low-value services measured in the data sets mentioned above will also be shown.
Morning Tea will be provided by the Charles Perkins Centre from 11 am.
Tim Badgery-Parker is a PhD candidate in the Value in Health Care division of the Menzies Centre for Health Policy, supported by a scholarship from the Capital Markets CRC. He is working with the NSW Ministry of Health to measure use of low value health care in the NSW public health system and identify patterns of use, with the ultimate aim of improving health system efficiency and patient outcomes.
Tim has a Master of Biostatistics degree through the University of Sydney and the NSW Health Biostatistical Officer Training Program, and has previously worked as a biostatistician in the Surgical Outcomes Research Centre at Royal Prince Alfred Hospital and the Cancer Epidemiology and Services Research Group in the School of Public Health.
Kelsey Chalmers is a PhD candidate at the Menzies Centre for Health Policy, University of Sydney (Value in Health Care Division) and the Capital Markets CRC. She is working with the Hospital and Medical Benefits System Ltd group on identifying low value health care use by privately insured patients within Australia. Kelsey has a University Medal from the University of Queensland awarded with her degree in Mathematics and Statistics. She has previously worked at the Queensland Brain Institute on statistical patterns in developing neurocircuitry.