Research
Peta Alexander, MBBS, FRACP, FCICM
Boston Children's Hospital
Disclosure(s): No relevant financial relationship(s) to disclose.
Building on an existing quality improvement process with demonstrated impact
SCAMPs process applied to 30-40 different condition and procedures last decade
Results reported in over 45 peer-reviewed publications
Evaluation found reduced costs on average by 15-25% with a high clinician acceptance
Several features are behind these successful implementations:
Community-executed: the community agrees to standardize “sound” practice
EHR-informed: targeted data extracted on pre-defined “plausible” outcomes
“Positive diversions”: clinician diversions permitted, but the reasons documented
SCAMPs: after 2-3 iterations the result is standardized practices designed and updated by clinicians