Goal 3: Advance Translational Research

Interventions to Reduce Low-Value Care

In 2010, the IOM issued a report stating that waste accounted for 30% of health-care spending, or some $750 billion dollars annually, approximately 25 times the annual NIH budget. How can we address and avoid waste and low-value care? Like any complex problem, there are myriad causes and no simple solutions. Defensive medicine, financial incentives, and physician knowledge deficits all contribute and represent potential targets for action. Recent efforts to delineate the most common low-value practices may help physicians and consumers avoid them (e.g., Choosing Wisely campaign). An evidence-based of proven-effective effective practices is critically needed to address these issues for the disorders NHLBI is most concerned about.

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Idea No. 597