Discussion Questions

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  1. Which lever of intrinsic motivation described by Tom Lee and Toby Cosgrove do you think might be most effective in decreasing the use of a low-value care service and why?
  2. What are “sense-making conversations” and how can the four ‘catalysts’ described in the TAO framework enhance their effectiveness? Can you provide an example of such a conversation from your own experience?
  3. Of the three types of cognitive biases described by Ubel & Asch, which one have you seen most often in your clinical setting and why? What key change or key activity described in the Taking Action on Overuse change package might be useful to overcome that bias?

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