Nudge Unit to support five new projects for advancing care

Penn Medicine’s Nudge Unit has announced support for five new projects aimed at using nudges to improve care delivery and patient outcomes. The projects were selected from the Nudge Unit’s request for proposals, which brought in more than 70 ideas targeted at increasing evidence-based practices in care delivery through technology-based nudges. Selected projects will receive guidance and support from the Nudge Unit on design, implementation, and evaluation.

A nudge to increase use of an evidence-based calculator to predict risk of cesarean delivery after labor induction

Team: Rebecca Hamm, Assistant Professor, Obstetrics and Gynecology
Goal: Implement a nudge that will increase the use of an evidence-based calculator and provide clinical decision support to reduce potentially unnecessary cesarean deliveries and reduce maternal morbidity.

An automated screening approach to make it easier to identify and treat hyperparathyroidism

Team: Jeremy Flood, Associate Professor, Clinical Medicine; Douglas Fraker, Professor, Surgery; Daniel Herman, Assistant Professor, Pathology and Lab Medicine; Jasmine Hwang, General Surgery Resident; Rachel Kelz, Professor, Surgery; David Nicklin, Associate Professor, Family Medicine; Jesse Passman, General Surgery Resident; MaryAnne King Peifer, Associate Professor, Family Medicine
Goal: Implement a nudge to default screen patients with subtle lab abnormalities concerning for hyperparathyroidism and to guide treatment, as needed.

An automated screening approach to make it easier to identify and treat uncontrolled hypertension from primary aldosteronism

Team: Jordana Cohen, Assistant Professor, Medicine; Daniel Herman, Assistant Professor, Pathology and Lab Medicine; Jasmine Hwang, General Surgery Resident; Jesse Passman, General Surgery Resident; MaryAnne King Peifer, Associate Professor, Family Medicine;  Heather Wachtel, Assistant Professor, Surgery
Goal: Implement a nudge to default screen patients with uncontrolled hypertension and criteria concerning for primary aldosteronism and to guide treatment, as needed.

Changing default prescription length to increase adherence to medications for the prevention of atherosclerotic cardiovascular disease

Team: Mili Mehta, Cardiology Fellow; Alexander Fanaroff, Assistant Professor, Medicine
Goal: Implement a nudge that will default statin medication prescriptions to a 90-day supply to increase medication adherence by reducing the burden of needing to obtain more frequent refills.

Default conditional orders for improving time to breast biopsy for patients with breast imaging abnormalities

Team: Sara Ginzberg, Surgery Resident; Christine Edmonds, Assistant Professor, Radiology; Lola Fayanju, Associate Professor, Surgery
Goal: Implement a nudge that defaults comprehensive conditional orders along the breast evaluation pathway to reduce EHR burden, wait times, patient anxiety and inconvenience, time to diagnosis, and disparities.