Framework & Change Package

Taking Action on Overuse Framework and Change Package

Your roadmap to improving value in health care

The Taking Action on Overuse Framework and Change Package provide a practical approach to engaging clinicians in reducing the use of services for which the potential for harm is greater than the benefit.

The Framework

The Taking Action on Overuse Framework provides guidance on strategic areas of work that catalyze change and is strongly grounded in theory. It is designed specifically for use in the safety net and has been tested in primary care, specialty clinics, and hospital settings.

Our vision is for the framework to spread through clinical value champions who see the need for positive change in the local settings where they provide care. After training the first group of value champions working in safety-net settings, we created learning modules and a project workbook. These are available to train and support any clinician who wishes to reduce overuse in their health system.

The Change Package

The Taking Action on Overuse Change Package includes a deep dive into each element of the framework as an action-planning tool and a full guide to implementing improvement concepts based on activities that predicate key changes. It helps users identify the specific key changes and suggested activities that support the conversations necessary to sustainably reduce medical overuse. Here are definitions of terms used in the change package:

Change package: An evidence-based set of change concepts and key changes determined to be critical to the improvement of an identified care process.
Change concept: A general approach or idea used as a framework for developing the kinds of activities and changes that lead to improvement.
Key changes: The specific changes or activities you can use to achieve the intended improvement.

Use the assessment to guide your use of the change package
A good starting point for using the change package is to ask care team members to complete the assessment to identify specific areas where there are opportunities for change and improvement. This assessment is most effective when it is completed individually and then teams convene to discuss their responses to individual items and assess where and why they differ in their response. Use the results of the assessment to select focal areas and activities within the change package.

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Taking Action on Overuse