Application of Innovation Tournament methodology to inform de-implementation strategies: lessons learned in addressing mammography overscreening in older women
Rachel C. Shelton, Parisa Tehranifar, Savannah P. Alexander, Emmy Burroughs, Anita G. Karr, Nathalie Moise · 2026
Read Application of Innovation Tournament methodology to inform de-implementation strategies: lessons learned in addressing mammography overscreening in older women by Rachel C. Shelton, Parisa Tehranifar, Savannah P. Alexander, Emmy Burroughs, Anita G. Karr, Nathalie Moise (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13411346.txt.
Description
Rachel Shelton and colleagues tested a contest-style method in 2026 for cutting back routine mammograms in older women where guidelines no longer back them. Stopping low-value screening is harder than starting a new habit. The team ran an Innovation Tournament across two New York City health systems, inviting clinicians and managers to pitch and refine stop-doing strategies.
Early work surfaced a core snag, since staff disagreed about the guidelines and found the very idea of de-implementation hard to discuss. The paper hands implementation teams a frank account of how to shape such contests, from user-centered design to handling clashing views in the room.
Catalog record
| CREATOR | Rachel C. Shelton, Parisa Tehranifar, Savannah P. Alexander, Emmy Burroughs, Anita G. Karr, Nathalie Moise |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 60 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |