Real-Time Nudges to Physicians Help Reduce Clinical Waste in Hospitals with G. T. LaBorde IllumiCare TRANSCRIPT

Empowered Patient Podcast

G.T. LaBorde, CEO and Co-Founder of IllumiCare, focuses on reducing hospital clinical waste. Doctors often make decisions about tests, medications, and procedures without knowing the actual cost to the hospital and the patient. The IllumiCare platform aims to nudge doctors to make cost-effective decisions without compromising the quality of patient care by providing cost information and clinical guidance at the point of care. Another benefit is the reduction in overtesting and overprescribing, supporting efforts to improve patient safety..

G.T. explains, "When doctors make decisions about what test to order and what medications to prescribe, particularly in the inpatient setting, they have no idea what the cost is. They don't know the relative cost of one drug or another, and it's not a knock on doctors. It's very difficult to know because there are, in our average hospital across hundreds of hospitals, something like 2,000 different medications on the formulary that are available to order if you're a provider."

"We self-impose a limit, on average, taking only 60 seconds of a provider's attention a day. We calculate when we nudge somebody, when we present something in their workflow, how much time is it on the screen? And it comes down to 60 seconds a day of attention that we take. So we take great pride in how much technology we use to figure out when not to say something or not. We try to figure out the person most likely to take action, and is this information germane to this person for this patient, such that there's a high probability they'll take action? And we measure how frequently people take the action we recommend, and it's several times higher than similar alerts within the electronic medical record."

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