The North Carolina Healthcare Quality Alliance (NCHQA), a non-profit health collaborative, will work to reduce unnecessary care in central North Carolina and the rest of the state. Partnering with the North Carolina Medical Society (NCMS), Duke Medicine, Cornerstone Health Care, Blue Cross Blue Shield of North Carolina and the State Health Plan for Teachers and State Employees, NCHQA will focus on reducing the use of:
- antibiotics to treat viral infections in adults;
- DEXA scans to measure bone density in women younger than 65 and men younger than 70;
- carotid artery stenosis screening in asymptomatic patients; and
- annual Pap tests for women between the ages of 30 and 65.
The partners plan to achieve reductions through an array of interventions focused on patient education, provider education, electronically integrated clinical decision-making tools and changes to the health system culture.
The project partners will reach consumers through placing posters and patient brochures in all primary care and urgent care sites of the provider partners and linking Choosing Wisely materials to online reminders that patients receive before their visits.
More broadly, organizations with statewide reach—such as BlueCross BlueShield of North Carolina (3.8 million customers) and the North Carolina State Health Plan for Teachers and State Employees (more than 685,000 members and dependents)—will disseminate information about Choosing Wisely to their networks. Meanwhile, the NCMS will continue to disseminate Choosing Wisely messaging to state and regional medical societies and health care organizations.
** In a video interview, NCHQA Chair Don Bradley discusses efforts to advance the Choosing Wisely campaign. **