Standardized Clinical Assessment And Management Plans (SCAMPs) Provide A Better Alternative To Clinical Practice Guidelines
- 1 May 2013
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 32 (5), 911-920
- https://doi.org/10.1377/hlthaff.2012.0667
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.Keywords
This publication has 21 references indexed in Scilit:
- Resource Utilization Reduction for Evaluation of Chest Pain in Pediatrics Using a Novel Standardized Clinical Assessment and Management Plan (SCAMP)Journal of the American Heart Association, 2012
- Conflict of Interest in Clinical Practice Guideline Development: A Systematic ReviewPLOS ONE, 2011
- Provider Attitudes toward Standardized Clinical Assessment and Management Plans (SCAMPs)Congenital Heart Disease, 2011
- Deciding without DataCongenital Heart Disease, 2010
- A Novel Approach to Gathering and Acting on Relevant Clinical Information: SCAMPsCongenital Heart Disease, 2010
- To Close or Not to Close: The Very Small Patent Ductus ArteriosusCongenital Heart Disease, 2010
- Slowing the Growth of Health Care Costs — Lessons from Regional VariationThe New England Journal of Medicine, 2009
- Unhappy doctors: what are the causes and what can be done?BMJ, 2002
- Why Don't Physicians Follow Clinical Practice Guidelines?JAMA, 1999
- Clinical Practice GuidelinesQuality Management in Health Care, 1999