Development and Implementation of Expected Practices to Reduce Inappropriate Variations in Clinical Practice.

The authors discuss a clinician- and health care organization-informed approach to reduce clinical practice variation across the Los Angeles Department of Health Services (LADHS) by developing and implementing expected practices (EPs). They enumerate several steps involved in the approach to reducing variation in clinical practice, such as the establishment of Specialty-Primary Care work groups. They also elaborate on the use of EPs.