National medical specialty societies as well as organizations representing other members of the clinical care team are working with the ABIM Foundation and Consumer Reports to help providers, patients and other health care stakeholders think and talk about overuse of health care resources in the United States.
Participating clinician groups are asked to:
- Create list of practices that are overused, following these guidelines:
- Practices should be used frequently and/or carry a significant cost.
- There should be generally-accepted evidence to support each recommendation.
- Each item should be within the purview and control of the organization’s members.
- The process should be thoroughly documented and publicly available upon request.
- Review and update list on an annual basis to ensure that it continues to reflect the best evidence; in addition, review and update list as needed upon publication of new evidence that contradicts one or more society recommendations.
Consumer Reports also works with many of the specialty society partners to develop patient-friendly materials from the lists of recommendations and disseminate them to consumers through a network of Choosing Wisely consumer partners.
The American Dental Association (ADA) is the nation’s largest not-for-profit dental association, representing 157,000 dentist members. The premier source of oral health information, the ADA has advocated for the public’s health and promoted the art and science of dentistry since 1859. The ADA is proud and honored to participate as the only dental and one of the first nonmedical participants in the Choosing Wisely® campaign, as advancing the oral health of the public is part of the ADA’s mission. Oral health is an integral part of overall health. Evidence-Based Dentistry is an approach to oral health care that combines scientific evidence, the dentist’s clinical expertise and the patient’s treatment needs and preferences to make personalized health care decisions. The ADA’s Center for Evidence Based Dentistry (EBD) helps dentists identify the most current scientific evidence by providing clinical practice guidelines, critical appraisal of the evidence through our critical summaries and plain language summaries of scientific evidence for the general public. The Center also helps dentists learn about EBD and develop strategies and skills to identify clinically relevant scientific evidence. The Choosing Wisely campaign complements EBD and other ongoing ADA efforts to provide dentists and consumers with valuable oral health resources, including The Journal of the American Dental Association (JADA), the ADA’s monthly flagship publication and best-read scientific journal in dentistry; and the ADA’s Seal of Acceptance program, a valuable and respected guide to consumer dental care products. Health professionals can visit the American Dental Association web site, ADA.org, for information about dental standards, ongoing dental research, evidence-based dentistry, advocacy programs and more. The ADA’s consumer web site, MouthHealthy.org features videos, quizzes and articles to help educate people about the basics of good oral health, including prevention, care and treatment of dental disease.
The American Epilepsy Society believes in the importance of engaging patients and providers in conversations that empower patients and lead to improved care. People living with epilepsy, a complex spectrum of disorders, connect with our health system in many different ways and across multiple areas. Assuring not only that appropriate tests, procedures and treatments are offered but also that unnecessary interventions are avoided is critical to those living with one of the most common neurological disorders.
In support of our 16,000 members who are committed to high-quality patient care, the American Gastroenterological Association (AGA) is pleased to join the ABIM Foundation and many other esteemed medical societies in the Choosing Wisely® campaign. By developing clinical guidelines and quality measures, the AGA ensures that the patient care decisions made by gastroenterologists are guided by scientific evidence. Through the Choosing Wisely campaign, we hope to further increase physician and patient understanding of which tests and procedures will benefit which patients, and in doing so minimize the misuse of costly screening and diagnostic tests.
The American Geriatrics Society (AGS) is pleased to be participating in the Choosing Wisely® campaign. The campaign complements AGS efforts to improve the quality and safety of health care through initiatives focused on quality measures, clinician competency and guidance for clinicians in other specialties. Founded in 1945, AGS is the leading not-for-profit organization representing over 6,000 health professionals devoted to improving the health, independence and quality of life of all older people. The Society is committed to providing guidance that will help individual clinicians to provide the highest quality care to older adults. The Society pursues its mission through a variety of activities, including development of evidence-based guidelines, educating clinicians and the public, and advancing public policy that supports high-quality, patient-centered health care.
The American Headache Society (AHS) is delighted to be part of the ABIM Foundation’s Choosing Wisely®campaign. AHS is a professional society of physicians, scientists and health care providers who are dedicated to the study of headache and facial pain. Chronic headache and facial pain disorders are highly prevalent, disabling and costly conditions that often require complex long-term management. Educating physicians, health professionals and the public and encouraging scientific research are the primary functions of this organization. AHS activities include an annual scientific meeting, an annual comprehensive headache symposium, regional symposia for neurologists and family practice physicians, publication of the journal Headache and sponsorship of the AHS Committee for Headache Education (ACHE) and our patient organization, the American Headache and Migraine Association (AHMA). Our participation in the Choosing Wisely campaign is a natural extension of AHS efforts to discourage the use of low-value, non-evidence-based approaches to the evaluation and treatment of headache and facial pain disorders.
AMDA — The Society for Post-Acute and Long-Term Care Medicine (AMDA) is proud to be a partner in the Choosing Wisely® campaign. AMDA, the national professional association of medical directors, attending physicians, and other professionals practicing long term care medicine, is dedicated to excellence in patient care. AMDA provides education, advocacy, information, and professional development to enable its 5,000-plus members to deliver quality long term care.
AMDA and its members are committed to practicing quality person-centered care that considers individuals’ need, choices, preferences, financial resources, spiritual beliefs, and other issues in care. Such care involves physicians and patients (and their families) working together to make individualized, informed, and wise choices regarding diagnostic tests, treatments, and procedures. AMDA believes that the physicians and other interdisciplinary team leaders are important allies for patients and families, and the need is great for the providers, patients, and families to work as partners in decision-making regarding care planning and end-of-life decision making. AMDA understands that elders and their families need support, guidance, information, and compassion as they face frailty, illness, loss of independence, and even death. AMDA is committed to providing excellent, appropriate, and cost-effective care and to ensuring that patients have the best possible quality of life that includes dignity, respect, compassion, and choice.
The American Medical Society for Sports Medicine (AMSSM) is proud to be a partner in the Choosing Wisely® campaign. Founded in 1991, AMSSM is a multi-disciplinary organization of 2,500 sports medicine physicians dedicated to education, research, advocacy and the care of athletes of all ages. The majority of AMSSM members are primary care physicians with fellowship training and added qualification in sports medicine who then combine their practice of sports medicine with their primary specialty. AMSSM includes members who specialize solely in non-surgical sports medicine and serve as team physicians at the youth level, NCAA, NFL, MLB, NBA, WNBA, MLS and NHL, as well as with the U.S. Olympic Team. By nature of their training and experience, sports medicine physicians are ideally suited to provide comprehensive medical care for athletes, sports teams, or active individuals who are simply looking to maintain a healthy lifestyle. This partnership with the Choosing Wisely campaign aligns with AMSSM’s dedication to providing the highest standard of comprehensive care of the athlete, while reducing unnecessary use of health care resources.
The American Orthopaedic Foot & Ankle Society (AOFAS) promotes quality, ethical and cost-effective patient care through education, research and training of orthopaedic surgeons and other health care providers. It creates public awareness for the prevention and treatment of foot and ankle disorders, provides leadership in the treatment and understanding of these conditions. The AOFAS serves as a resource for government, industry and the national and international health care community. The 2,000+ AOFAS members are orthopaedic foot and ankle surgeons (MD and DO) who specialize in the diagnosis, care, and treatment of patients with disorders of the musculoskeletal system of the foot and ankle. AOFAS is proud to partner with the Choosing Wisely® campaign, as it complements the AOFAS public education, evidence- based medicine and patient outcomes initiatives to improve the quality of patient care.
The American Physical Therapy Association (APTA) is pleased to be one of the first non-physician organizations to join the Choosing Wisely® campaign. APTA is undertaking the “Integrity in Practice” campaign, a new, multifaceted initiative to educate patients and health care professionals to streamline health care, eliminate waste and ensure people are receiving the highest quality care possible. Choosing Wisely is an outstanding effort, and its mission to foster better, more efficient care through informative dialogue between patient and health care providers dovetails perfectly with the goals of our campaign. APTA represents more than 88,000 physical therapists, physical therapist assistants, and students of physical therapy nationwide. Physical therapists apply research and proven treatment to help people reduce pain and restore movement after injury, illness, or surgery; prevent injury; and achieve fitness, health, and wellness. No matter what area of the body, physical therapists have an established history of helping individuals improve their quality of life.
The American Psychiatric Association (APA), founded in 1844, is the world’s largest psychiatric organization. It is a medical specialty society representing more than 33,000 psychiatric physicians from the United States and around the world. Its member physicians work together to ensure humane care and effective treatment for all persons with mental disorders, including intellectual disabilities and substance use disorders. APA is the voice and conscience of modern psychiatry. Participating in the Choosing Wisely® campaign furthers APA’s mission to promote the highest quality care for individuals with mental disorders (including intellectual disabilities and substance use disorders) and their families.
The American Society of Anesthesiologists (ASA) is proud to be a partner in the Choosing Wisely® campaign. Founded in 1905, ASA is an educational, research and scientific society with more than 50,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves. For more information on the field of anesthesiology, visit ASA’s website at www.asahq.org. For patient information, visit www.LifeLineToModernMedicine.com. Connect with ASA on LinkedIn, Facebook, Twitter and YouTube. Through our strategic partnership with the Choosing Wisely campaign, ASA will encourage ongoing dialogue between patients and physician anesthesiologists to eliminate unnecessary tests and procedures, improve patient safety and deliver quality outcomes.
The American Society for Apheresis (ASFA) is an organization of physicians, scientists, and allied health professionals whose mission is to advance apheresis medicine for patients, donors and practitioners through education, evidence-based practice, research and advocacy. ASFA represents a broad range of professionals involved in: donor apheresis, apheresis in transplantation, and therapeutic apheresis. ASFA is proud to join the Choosing Wisely campaign and advance efforts to reduce waste and overuse in health care.
Fueled by the increasing cost of new technology and prescription drugs, health care costs are rising and oncology is no exception. The American Society of Clinical Oncology has identified rising health care costs as a critical barrier to high-quality care for many cancer patients. To address this issue, ASCO’s Cost of Care Task Force is defining the challenges related to the cost of cancer care and developing strategies to address these challenges. ASCO is committed to providing practical educational tools and resources to assist both oncologists and patients in addressing and discussing the cost of treatment as a component of high-quality care. Resources developed specifically for patients are available on ASCO’s consumer website, www.Cancer.Net. ASCO is further committed to addressing the fundamental policy issues related to the rising cost of cancer care at the national level.
The American Society for Clinical Pathology (ASCP) supports the Choosing Wisely® campaign, which complements and builds on ASCP’s efforts to raise awareness about reducing unnecessary or inappropriate use of laboratory testing practices. As health care reform evolves, ASCP is committed to ensuring evidence-based practices, underscored by the axiom, “right test, right patient, right time, at the right cost.” Founded in 1922, ASCP is the world’s largest society representing the entire laboratory team. ASCP’s more than 100,000 members include pathologists, pathologists’ assistants, clinical laboratory scientists and certified laboratory professionals. ASCP is working strategically on collaborative projects, including Choosing Wisely, with like-minded medical association partners to heighten the awareness of cost-prohibitive poor practices and eventually garner the attention of government and third-party payers. The Society is dedicated to developing sustainable solutions to stop the overuse or misuse of medical tests and procedures that provide little or no benefit to patients.
The American Society for Colposcopy and Cervical Pathology (ASCCP), representing a multi-disciplinary network of over 2500 health professionals, is proud to partner with the Choosing Wisely® campaign. ASCCP is committed to improving health through the study, prevention, diagnosis, and management of lower genital tract disorders. ASCCP’s goals include improving clinician competence, performance and patient outcomes through educational activities focused around the study, prevention, diagnosis, and management of lower genital tract disorders. ASCCP believes that the efforts of the Choosing Wisely campaign will directly contribute to these goals by promoting adherence to evidence-based guidelines to ensure that women receive appropriate screening and treatment for the prevention of cervical cancer.