Table 1 Behavioral economic strategies and associated module opportunity examples
BE strategy | Module opportunity | Utilization measure |
|---|---|---|
Suggest alternatives [48] | Alert suggests metformin when trying to prescribe other diabetes medication in CW eligible patient | Percentage of eligible alerts where alternative is selected |
Accountable justification [48] | Subcomponent of alert asking for justification if prescribing diabetes medication other than metformin | Percentage of eligible alerts where justification is provided (vs. only “clicked through”) |
Default all diabetes management order sets to suggest metformin in eligible patients | Percentage of order sets where clinician changes the default option | |
Anchoring [50] | Update HbA1c lab reports for CW eligible patients to show less aggressive treatment goals | Qualitative feedback and percentage of CW compliant patients pre- and post implementation update |
Modify clinician quality and safety dashboard to visualize diabetes management peer comparisons with color codes to indicate relative performance | Number of views of the peer comparison dashboard | |
Availability bias [30] | Medication preference list prioritizes metformin | Number of prescriptions for metformin initiated from preference list |