Exploring Drivers of Medical Overuse Through Transformation of Grand Rounds Into "Right Care Rounds".

This challenge of medical overuse has been recognized by the Lown Institute in Brookline, Massachusetts, as well as by educators at the Cambridge Health Alliance in Cambridge, Massachusetts, and has given rise to a new educational conference format called ‘‘Right Care Rounds.’’ This conference uses the familiar format of a case presentation to explore and identify drivers of medical overuse and the associated harms in an individual patient case. Goals for Right Care Rounds include helping clinicians recognize and avoid overuse before it occurs, ensure that the whole patient and the entire continuum of care are considered, and identify opportunities for improving the quality of care. The Lown Institute provides a framework for the structure of Right Care Rounds (http:// lowninstitute.org/take-action/right-care-rounds) and encourages institutions to tailor them to their environment. The case presentation format can be fitted into existing educational time slots such as morning reports, noon conferences, or grand rounds.