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 works with 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.
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.
The American Society of Echocardiography (ASE) is looking forward to being actively engaged as a member of the Choosing Wisely® campaign and is dedicated to working with our campaign partners to foster the safe, effective and appropriate use of ultrasound. ASE believes that highlighting the proper application of appropriate use (AUC) guidelines will enable referring physicians and their patients to make more informed decisions, and enable a more cost-effective use of health care resources. Since 1976, ASE has been leading the field in urging quality in cardiovascular imaging through the development of clinical guidelines, professional education and patient outreach. As the largest global organization for cardiovascular ultrasound imaging, ASE is comprised of over 15,000 physicians, sonographers, nurses and scientists. ASE provides guidance, expertise and education to its members to improve the practice of ultrasound of the heart and cardiovascular system for better patient outcomes. Publishing over 80 guidelines on best practices and standards for clinical decision-making, ASE is committed to providing resources to health practitioners to facilitate the incorporation of quality and appropriateness into the practice of cardiovascular medicine.
ASHP (American Society of Health-System Pharmacists) strongly supports the Choosing Wisely campaign and its efforts to advance a national dialogue on avoiding wasteful or unnecessary medical tests, treatments, and procedures. For nearly 75 years, ASHP has been at the forefront of efforts to improve medication use and enhance patient safety, and participating in the Choosing Wisely campaign furthers ASHP’s vision of ensuring that medication use is optimal, safe, and effective for all people all of the time. ASHP represents pharmacists who serve as patient care providers in acute and ambulatory settings. The organization’s more than 43,000 members include pharmacists, student pharmacists, and pharmacy technicians. For more information about the wide array of ASHP activities and the many ways in which pharmacists advance healthcare, visit ASHP’s website, www.ashp.org, or its consumer website, www.SafeMedication.com
Representing approximately 14,000 members from nearly 100 countries, the American Society of Hematology (ASH) is the world’s largest professional society of clinicians and scientists dedicated to furthering the understanding, diagnosis, treatment and prevention of disorders affecting the blood. For more than 50 years, the Society has led the development of hematology as a discipline by promoting research, patient care, education, training and advocacy in hematology. One of ASH’s core values is to promote the highest quality care of patients with hematologic diseases. Accordingly, ASH ensures that the practice of hematology is characterized by high professional standards, reliance on evidence and promotion of awareness and appreciation of the contribution of hematologists to the health care system. As part of this effort, ASH supports the Choosing Wisely® campaign and applauds its evidence-based approach to creating a dialogue about the use of health care resources in the United States.
The American Society of Nephrology (ASN) is pleased to join other leading societies in participating in the ABIM Foundation’s Choosing Wisely® campaign. ASN is a not-for-profit organization of nearly 14,000 physicians, scientists and other health professionals dedicated to leading the fight against kidney disease. Foremost among ASN’s goals is ensuring the highest quality of care for the nearly 30 million Americans with kidney disease. Achieving this goal requires that clinicians, scientists and patients work together to determine appropriate, patient-centered treatments. ASN believes that highlighting tests and procedures that are seldom useful — or even potentially harmful — will enable nephrologists and their patients to make more informed decisions, and promote the most cost-effective use of health care resources. ASN is proud to partner with the ABIM Foundation to reduce unnecessary tests and procedures, improve the quality of care for all patients and lower health care costs nationwide.
The American Society of Nuclear Cardiology (ASNC) is pleased to announce its support of the Choosing Wisely® campaign. Representing more than 4,500 nuclear cardiology professionals from around the world, ASNC is committed to ensuring patients receive the right test at the right time in the right place. Since 1993, ASNC has been establishing the standard for excellence in cardiovascular imaging through the development of clinical guidelines, professional education and research development. As the first cardiovascular subspecialty organization to develop and promote appropriate use criteria for cardiac imaging, ASNC understands the imperative of providing a patient-centered approach to imaging. The Choosing Wisely campaign aligns with ASNC’s initiatives to promote optimal use of nuclear cardiology testing. ASNC looks forward to working with our campaign partners to continue this critical dialogue about high-quality, cost-effective, patient-centered care.
The American Society for Radiation Oncology (ASTRO) is proud to be a partner in the Choosing Wisely® campaign. As the leading organization in radiation oncology with more than 10,000 members who specialize in treating patients with radiation therapies, our highest priority continues to be to provide our members with tools and professional guidance to ensure patients receive the safest, most effective treatments. ASTRO has been developing and refining our quality improvement and safety programs for a number of years, and they have had a significant and positive impact on the value of cancer patient care. One of the five goals in our strategic plan is to shape the framework for the delivery of safe, high-quality, high-value health care to all patients by the radiation oncology team. In 2010, ASTRO launched Target Safely, a six-point patient protection plan to improve safety and quality and to reduce the chances of medical errors during radiation treatments. By committing to Choosing Wisely, ASTRO reinforces our dedication to improving patient care through education, clinical practice and the advancement of science and advocacy.
The American Society for Reproductive Medicine (ASRM), founded in 1944, is the oldest and largest society devoted to reproductive medicine in the world with approximately 8000 members. ASRM is proud to partner with the Choosing Wisely® campaign and its focus on encouraging a dialog between health care providers and patients. As the leading multidisciplinary organization dedicated to the advancement of the art, science, and practice of reproductive medicine worldwide, ASRM attempts to educate both the public and its members about the best practices in the field and views this campaign as consistent with its goals. The Society views this campaign as complementary to its development of evidence-based practice guidelines for its members and the translation of these guidelines into patient information materials for the public.
The American Thoracic Society’s mission is to improve health worldwide by advancing research, clinical care, and public health in respiratory disease, critical illness, and sleep disorders. Founded in 1905 to combat tuberculosis, the ATS is the world’s oldest respiratory society. While the scope of the Society’s activities have expanded greatly, its founding philosophy–that disease is vanquished faster when knowledge is shared–remains a touchstone for its programs and people, including 15,000 members. For more information, please visit www.thoracic.org.
The American Urogynecologic Society (AUGS) is proud to partner with the Choosing Wiselycampaign. Founded in 1979, AUGS is the premier non-profit organization representing more than 1,800 members including practicing physicians, nurse practitioners, physical therapists, nurses and health care professionals, as well as researchers from many disciplines, all dedicated to treating female pelvic floor disorders.
As the leader in Female Pelvic Medicine and Reconstructive Surgery, AUGS promotes the highest quality patient care through excellence in education, research and advocacy. Participation in Choosing Wisely® complements AUGS’ commitment to quality improvement, and improving patient care practices and outcomes.
Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association (AUA) is a leading advocate for the specialty of urology and has more than 18,000 members throughout the world. The AUA is a premier urologic association, providing invaluable support to the urologic community as it fosters the highest standards of urologic care through education, research and formulation of health policy. Participating in Choosing Wisely® affirms the AUA’s belief of providing the finest care possible while adhering to the highest standards of medicine. Through our well-regarded guidelines process and burgeoning measure development, the AUA strives to instruct urologists and other health care providers on the proper way to provide urologic care. Choosing Wisely is another venue to share this philosophy with both health care professionals and patients.
Details coming soon.
The Congress of Neurological Surgeons (CNS), with 8,700 members worldwide, is a leader in education and innovation, and is dedicated to advancing neurosurgery by providing members with the educational and career development opportunities they need to become leaders and innovators in the field. The CNS exists to enhance health and improve lives worldwide through the advancement of neurosurgical education and scientific exchange. Neurological surgery is the medical specialty concerned with the prevention, diagnosis, treatment and rehabilitation of disorders that affect the entire nervous system including the spinal column, spinal cord, brain and peripheral nerves. Participating in the Choosing Wisely® campaign aligns with AANS’ commitment to evidence-based medicine, informed decision-making and quality improvement initiatives focusing on patient-centered care. For more information, find the Congress of Neurological Surgeons (CNS) on Facebook, Twitter and Neurosurgery Blog.