Choosing Wisely Champions
The Choosing Wisely Champions program launched in March 2016 to recognize clinicians who are leading efforts to reduce overuse and waste in medicine. The program was created to acknowledge the work of those dedicated to providing appropriate care and encourage others to follow their lead.
Champions are selected by participating societies and include clinicians or teams of clinicians whose work in their respective specialties represents significant contributions to advancing the goals of the campaign. Such contributions can include:
- creation of an intervention to implement Choosing Wisely in their clinical practice;
- designing local initiatives to educate colleagues; or
- playing a leadership role in developing society recommendations.
AMDA – The Society for Post-Acute and Long-Term Care Medicine
Anuj Bhatnagar, MD, CMD – Dr. Bhatnagar teaches nursing and front-line staff about the fundamentals of assessing urinary tract infections (UTIs) in older adults.
David Smith, MD, CMD – Dr. Smith educates prescribers about acute UTIs and the use of antibiotics.
American Academy of Allergy Asthma and Immunology
Kristin Sokol, MD – Dr. Sokol works to improve care for asthma patients and reduce overtesting for food allergies.
American Association for Pediatric Ophthalmology and Strabismus
Sean Donahue, MD – Dr. Donahue’s efforts include initiatives to ensure children don’t get glasses they don’t need.
Jean Ramsey, MD – Dr. Ramsey has led efforts to defeat state legislation mandating pediatric comprehensive eye exams, instead requiring that all children undergo vision screening prior to starting kindergarten.
American College of Radiology
Jeffrey P. Kanne, MD – Dr. Kanne helped create multiple ACR Appropriateness Criteria and reduced routine ordering of daily chest radiographs for patients in intensive care, and routine pre-operative chest radiographs for asymptomatic, low-risk patients.
American Geriatrics Society
Ariel Green, MD – In addition to incorporating Choosing Wisely in her practice, Dr. Green has helped educate her colleagues, patients and families through local, national and international meetings.
Heidi Ann Courtney – Courtney’s work has resulted in more than a thousand drug adjustments for patients, including an effort aimed at delirium prevention that decreased incidence from 20.8 to 15.1 percent in the first year.
Eric Anthony Lee, MD – As co-chair of the High Risk Drugs in the Elderly Committee for Kaiser Permanente, Southern California, Dr. Lee is a recognized authority on appropriate prescribing for older men and women.
American Medical Society for Sports Medicine
Anuruddh Kumar (A.K.) Misra, MD — An early adopter of Choosing Wisely, Dr. Misra incorporates regularly uses Consumer Reports’ Choosing Wisely materials to help educate patients on a one-on-one basis in his clinical practice.
American Society for Clinical Pathology
Massachusetts General Hospital, Department of Pathology — The Division of Laboratory and Molecular Medicine within the Department of Pathology hosts a highly active, division-wide laboratory utilization management program that includes participation from all division faculty.
Cedars-Sinai Health System — Cedars-Sinai has seen an annualized cost savings of more than $6 million and improved the quality and safety of care from implementing Choosing Wisely recommendations across the health system.
Geisinger Health System — The Geisinger Medical Laboratories has tackled various test utilization opportunities in anatomic and clinical pathology using a variety of modalities to effect change.
Dana Altenburger, MD, FASCP, FCAP — Dr. Altenburger has decreased inpatient blood product usage by 46% over three years.
Ilan Rubinfeld, MD, MBA — Dr. Rubinfeld has spearheaded several laboratory-related initiatives and projects.
American Society of Echocardiography
Patrick Hughes, MD – Dr. Hughes and his colleagues developed a tool called The Guide to Ordering Stress Tests to help referring physicians recognize when a stress test may not be appropriate for a patient – either because the patient was too low-risk for the test to be helpful or the patient was at such high-risk that a stress test might actually be harmful.
American Society of Hematology
Maria Juarez, MD – To address variability in blood utilization across Baylor Scott & White Health’s hospitals, Dr. Juarez and her colleagues developed an institutional clinical practice recommendation, modified transfusion workflow in the electronic health record (EHR), and launched an educational campaign (“Why Give 2 When 1 Will Do?”), resulting in single-unit transfusions increasing by approximately 17 percent.
Javier Munoz, MD – Dr. Munoz and his colleagues at Banner MD Anderson Cancer Center implemented an intervention designed to test whether an automatic alert in an EHR could remind clinicians to carefully weigh the anticipated benefits against the risks of post-treatment imaging scans for patients with lymphoma, and resulted in reducing the overall number of imaging studies from 48.3 to 25.3 scans per month.
Ravi Sarode, MD – After discovering approximately 85 percent of thrombophilia tests at UT Southwestern’s two teaching hospitals were ordered incorrectly or incompletely, Dr. Sarode’s team developed local guidelines and implemented them in the EHR via a series of cascading questions that providers must answer before ordering tests. After implementation of the intervention and an associated education campaign, UT Southwestern has reduced thrombophilia testing for inpatients in the university hospital by more than 90 percent.
American Society of Nuclear Cardiology
Felix Krainski, MD, Besiana Liti, DO and William Lane Duvall, MD, MASNC – Drs. Krainski, Liti, and Duvall were selected as winners of ASNC’s Choosing Wisely Challenge for their submission “An Outpatient Pathway for Chest Pain Visits to the Emergency Department Reduces Length of Stay, Radiation Exposure and Is Patient-Centered, Safe and Cost-Effective” that proposed a novel testing algorithm for low-risk patients presenting to the emergency department.
American Urological Association
Danil Makarov, MD – Dr. Makarov has conducted research on physician adherence to clinical practice guidance documents that demonstrate the need for educational tools to inform appropriate care.
Mitchell Humphreys, MD, Peter Black, MD and Ithaar Derweesh, MD – As part of their participation in the AUA Leadership Program, Drs. Humphreys, Black and Derweesh conducted a membership survey focused on adherence to Choosing Wisely statements, with a focus on the AUA’s first list of recommendations, and worked with electronic medical record vendors to incorporate clinical decision support into systems to alert providers to the AUA’s recommendations.