A Community Roundtable Discussion on Health Care Priorities

The Going Below The Surface Community Roundtable serves as a forum to identify problem areas in health care spending and possible solutions that can lower growth in health care costs within a local community. Our goal is to generate interest from the community to recognize the need to consider how much and how best to spend our scarce health care dollars and be willing to take action steps toward addressing barriers that prevent us from doing so.


Roundtable #1: To convene various stakeholder groups in a community to explore health care spending. We will discuss challenging questions, e.g., How much is too much? How does cost affect innovation, access to care, and quality of care? What are our health care priorities? What trade-offs are you willing to make to bring healthcare spending down? By the end of the program, we hope to have ignited interest in the health care spending dialogue, so those who attended will want to continue to engage in these discussions within their community.

Roundtable #2: To build on the discussion and conclusions from the first meeting and identify action steps that could lead to further awareness and change in a community.

1. Identify what types of interventions could occur in your community.

2. Establish relationships and convene with specific groups with whom to expand the discussion and who are willing to discuss these issues, e.g.:

  • Social services agencies and organizations
  • Educational institutions (e.g., schools, daycares)
  • Health care facilities (clinics, hospitals, etc.)
  • State and local health care associations
  • Clubs (e.g., Kiwanis, Rotary, Senior Centers)
  • Local Businesses
  • Religious (church, synagogue, mosque)

3. Identify what materials or resources (see below) you will need to help stakeholder awareness and education.

Continued Engagement: To enable conversations, raise awareness and educate about health care priorities and health spending in the local community.

Suggested list of resources to help with stakeholder awareness and education:

  • Intervention Considerations for Improvements in Health Spending: Examples of potential interventions with various stakeholders where communities can address issue areas such as unnecessary care, low-value care, end-of-life care.
  • Choosing Wisely: Advancing a national dialogue around avoiding unnecessary medical tests and treatments
    • “5 Questions to Ask Your Doctor Before You Get Any Test, Treatment or Procedure” – Handouts, wallet cards.
    • Resources and advice for clinicians, health care professionals, community organizations, and employers looking to implement Choosing Wisely and engage patients.
  • Understanding How Insurance Works: A brief introduction to the basics of health insurance for consumers/patients.
  • GBTS Roadmap for Addressing Low-value Care: The Roadmap is designed to serve as a reference guide to help organizations think about the questions, considerations and potential goals they need to implement an intervention or program to address low-value care. Serving a broad constituency of stakeholders, the Roadmap provides stakeholder-specific examples for possible interventions.