Evidence-Based Practice: The Numbers Say It All

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Karen Utterback By Karen Utterback 
Former Vice President, Product Marketing and Strategy, McKesson (Retired)

Evidence Based Practice - Home Health AgencyNo matter how many times I see it, this number always astounds me: an estimated 30% of healthcare spending goes toward ineffective or redundant care. In dollars, that’s $750 billion per year in the United States that may not be well spent. These figures indicate a strong need for healthcare to move as quickly as possible to evidence-based practice (EBP).

Our latest white paper looks at the role of EBP in emerging home care models. We begin by looking at how EBP can help agencies stay competitive by aligning clinical outcomes with payment. To succeed in the changing healthcare arena, home health agencies must be viewed as high-value partners that are essential in achieving the Triple Aim of health reform (better care for individuals, better health for populations and reduced per-capita costs).

We argue that home health providers must act as change agents—not merely cooperating with providers and others, but taking the lead in the move to EBP. The benefits are clear: diminished variability across clinicians and offices, fewer adverse events, reliable benchmarking and more transparent accreditation and regulatory standards.

The paper details how EBP incorporates current evidence from well-designed studies, the expertise of clinicians and patient preferences. It also outlines detailed strategies for transitioning to EBP.

We address several potential barriers, including people who believe EBP will interfere with an organization’s ability to adhere to Medicare regulations, those who are fearful of conflicts with physician orders, and those who feel that EBP has not been scientifically proven. We suggest several approaches for overcoming each potential barrier, helping homecare professionals develop an effective plan for transitioning to EBP.

Click here to read “The role of evidence-based clinical practice in emerging care models of homecare,” by Caroline J. Humphrey, RN, of CJ Humphrey Associates and myself. Stay up to date with the latest news and insight from the home health and hospice industry by subscribing to the McKesson Homecare Talk blog or liking us on Facebook.

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