A Framework for Evaluating Value of New Clinical Recommendations.

Our value analysis and decision-making framework is based upon 3 population-level comparisons: operational factors/ implementability, benefits, and costs/complications. We used the framework to scope new projects, to better target clinical recommendations, and to evaluate pathways postimplementation. From April through December 2015, we used this framework to prospectively analyze 19 pathway improvement proposals. The tool helped us to identify 16 improvements to implement (15 predicted to save costs), as well as identifying challenges facing 3 additional improvements.