Abstract
Background: Unwarranted practice variation is an issue for most health care systems and is sometimes caused by external factors. We examined the peer group Variation Reduction (VR), a program in which clinicians are shown data about their treatment patterns alongside other clinicians and are usually surprised by the variation. The information drives a desire to understand the variation in how they care for their patients and can lead to a change in clinician behavior. We sought to evaluate VR projects aimed at reducing brand name prescribing and increasing appropriate documentation of end-of-life (EOL) wishes in a large integrated health care system.
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