More on MPrOVE's approach and methods:
The MPrOVE Insights Core uses a two-pronged approach of quantitative and qualitative analytics to identify and assess targets of low-value care at Michigan Medicine. Together, this mixed-methods framework guides the MPrOVE team and operational partners in development of interventions and implementation or deimplemetation plans. MPrOVE faculty statisticians, clinicians, and methodology experts use a systematic process in their work. A summary of our approach includes:
- Identifying potential low-value targets using MPrOVE’s prioritization framework.
- Completing broad analyses and descriptive statistics of utilization and variation in selected Michigan Medicine clinical areas to identify best areas of opportunity.
- Comparing Michigan Medicine cost and utilization data to our peers to identify any outlying areas of concern.
- Constructing appropriateness measures and opportunity estimates.
- Developing in-depth qualitative approaches to assess barriers and facilitators to low-value care.
- Our participants in qualitative interviews or focus groups often include physicians ordering tests or providing care, nurses, technical or administrative staff, and patients.
- Work in this area is informed by early and/or concurrent quantitative results and drives development and refinement of implementation and intervention plans.
- Producing statistical models that predict the impact that an intervention or implementation plan may have within our health system.
- Disseminating results locally across our health system and nationally via academic products.