Less is really more: How to reduce low-value care


Workshop session 4: Thursday, 11:00-12:30

Workshop category: 

  • Design and evaluation of dissemination and implementation programs


Date and Location


Thursday 14 September 2017 - 11:00 to 12:30


Contact persons and facilitators

Contact person:


Lotty Hooft
Pauline Heus
Simone Van Dulmen


Kool T1, Naaktgeboren C2
1 Radboudumc, Netherlands
2 UMC Utrecht, Netherlands
Target audience

Target audience: 

Researchers, health care providers or quality improvement employees that are interested in learning how to set up a project to reduce low-value care.

Level of difficulty: 

Type of workshop

Type of workshop : 



Objectives: Reducing low-value care improves quality of care and reduces waste of resources. However, achieving successful and sustainable de-implementation is difficult as several factors impede it. In this interactive workshop, participants will receive the tools to start their own de-implementation project. We will share knowledge based on two systematic reviews of de-implementation studies, and our experience from the Dutch national programme ‘To do or not to do? Reducing low-value care’. Participants will become aware of the challenges they might encounter when designing and executing a de-implementation project and how to deal with those challenges.

Description: After an introduction on low-value care and de-implementation, participants will work on a de-implementation project in subgroups. For each of the stages of a de-implementation project the groups will receive a question or assignment to work on. The findings of each group will be discussed and we will share our own experiences.

Topics covered during this workshop are:
- Identifying and measuring low-value care in current practice;
- Analysing reasons why low-value care persists and what potential barriers and facilitators to de-implementation may be;
- Developing a tailored de-implementation strategy keeping identified barriers and facilitators in mind;
- Executing a de-implementation strategy and evaluating its effectiveness;
- Integrating changes in routine care to achieve sustainable change.