Table 1.

Stewardship intervention examples by strength.

GentleMediumStrong
Posting guidelines on the requisitionUtilization report cardsUtilization report cards with peer or leadership review
Computerized reminders regarding utilization guidelinesChanges to manual requisitionsPrivileging specific tests to specialty providers
Educational lecturesHiding tests in CPOE systemsLaboratory formulary including send-out formulary
Consensus reference laboratory preselection for specialized testingPeriodically reviewing and updating physician preferencesRequirement for high-level approval or consultation
Providing relative cost information in CPOERules requirement
CPOE: Hard stops