Reducing Costs Through the Appropriate Use of Specialty Services | IHI

This IHI white paper describes efforts by the USA's Institute for Healthcare Improvement (IHI) to find ways to reduce overuse, with a focus on specialty services, by identifying the most promising change ideas from case examples and the literature, and by incorporating improvement methodology to implement these changes. 

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The resulting framework is a theory of the elements needed to reduce costs through the appropriate use of specialty services, focused primarily on changing professional practice culture by engaging physicians in developing and implementing practice standards that will work best in local circumstances.