Description
The session led by Rohit Kulkarni delves into the topic of Evidence Based Interventions (EBI), which was launched in 2018 with the aim of enhancing patient care quality and minimizing harm. Kulkarni acknowledges the initial concerns regarding harm caused by unnecessary medical procedures and emphasizes the importance of providing the right treatment at the right time. He outlines the principles and objectives of the EBI program, detailing how it was conceived to accommodate variations in treatment practices across regions. The session also highlights the launch of statutory guidance in November 2018, outlining various medical procedures classified under EBI.
Kulkarni explains the categorization of interventions, with some procedures recommended to be ceased unless specific patient criteria are met. He discusses the challenges faced during the implementation of the EBI, including engagement from clinicians and structural changes within the NHS. Notably, an Expert Advisory Committee was introduced to provide independent clinical leadership for the program.
Followers of EBI 1 include statistical data collection efforts and monthly reports published on the EBI dashboard, while an expansion to EBI 2 introduced additional procedures and problems associated with poor data quality in outpatient settings. As the session progresses, it addresses the transition to EBI 3, emphasizing the urgent need for careful allocation of resources in light of increasing patient waitlists and the continuous pursuit of clinical excellence.
Overall, Kulkarni concludes on a positive note, reflecting on the journey of the EBI program, remaining optimistic about its potential benefits for both clinicians and patients.