title: Standardized Clinical Assessment And Management Plans (SCAMPs) provide a better alternative to clinical practice guidelines.
abstract: Variability in medical practice in the United States leads to higher costs without achieving better patient outcomes. Clinical practice guidelines, which are intended to reduce variation and improve care, have several drawbacks that limit the extent of buy-in by clinicians. In contrast, standardized clinical assessment and management plans (SCAMPs) offer a clinician-designed approach to promoting care standardization that accommodates patients' individual differences, respects providers' clinical acumen, and keeps pace with the rapid growth of medical knowledge. Since early 2009 more than 12,000 patients have been enrolled in forty-nine SCAMPs in nine states and Washington, D.C. In one example, a SCAMP was credited with increasing clinicians' rate of compliance with a recommended specialist referral for children from 19.6 percent to 75 percent. In another example, SCAMPs were associated with an 11-51 percent decrease in total medical expenses for six conditions when compared with a historical cohort. Innovative tools such as SCAMPs should be carefully examined by policy makers searching for methods to promote the delivery of high-quality, cost-effective care.
authors: Boston Children's Hospital, Massachusetts, USA. michael.farias@childrens.harvard.edu
authors: Michael
authors: M
authors: Farias
authors: Kathy
authors: K
authors: Jenkins
authors: James
authors: J
authors: Lock
authors: Rahul
authors: R
authors: Rathod
authors: Jane
authors: J
authors: Newburger
authors: David W
authors: DW
authors: Bates
authors: Dana G
authors: DG
authors: Safran
authors: Kevin
authors: K
authors: Friedman
authors: Josh
authors: J
authors: Greenberg
mesh_terms: D057186:Comparative Effectiveness Research; D017046:Cost Savings / Q000379:methods; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D006291:Health Policy; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration / Q000592:standards; D014481:United States
keywords: Children’s Health; Evidence-Based Medicine; Health Reform; Organization And Delivery Of Care; Variations
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