As summer begins, we wanted to help you catch up on some recent articles that focus on the Choosing Wisely® campaign. Stay up-to-date by following @ABIMFoundation and #ChoosingWisely on Twitter.
JAMA viewpoint: Choosing Wisely Campaigns: A Work in Progress
Choosing Wisely Canada leaders Wendy Levinson and Karen Born and ABIM Foundation EVP and COO Daniel Wolfson recently wrote about the use of diffusion of innovation science to explore factors that facilitated the spread of Choosing Wisely and how these enabling factors can address challenges in dissemination and implementation. They describe how the campaign can continue to align with professional values, share simple messages, inspire “reinvention,” leverage peer connections and shift toward broader adoption.
Business Journal: Opinion: Washington needs transparency in health care services, testing
Nancy Giunto, Executive Director of the Washington Health Alliance, and Steve Mullin, a Washington Health Alliance board member, review the recent report “First, Do No Harm” that outlined medical overuse in the state based on 47 common treatment approaches. Based on the report, which captured the attention of media and politicians, the authors outline successful efforts to combat the issue, including the work of the Washington State Choosing Wisely Task Force, and the Alliance’s plan to focus on five key points to improve healthcare value in the coming year.
Peter Aran, MD, incoming dean of clinical affairs and chief medical officer at the University of Oklahoma School of Community Medicine, focuses on differences in the meaning of risk from a clinical versus financial perspective. He writes about confusion around the terminology and concepts underpinning risk and cost of care, and about how clinical risk analysis helps caregivers design patient care. He notes that Choosing Wisely is a resource that incorporates concerns related to waste and inappropriate utilization of healthcare resources. He recommends talking about risk related to clinical care only and including different voices in the design of care improvement initiatives and efforts to reduce costs.
Pittsburgh Post Gazette: AHN to push doctors to follow guidelines for reducing unneeded medical tests
This story provides details about how Highmark Health and its subsidiary, Allegheny Health Network (AHN), will share Choosing Wisely information with 2,800 doctors and provide patient education throughout Highmark locations in Pennsylvania, West Virginia and Delaware. Many organizations came together for the announcement, and the article notes it is part of the ABIM Foundation’s efforts to accelerate improvements in value-based care by activating a network of employers and business coalitions.
News and Advocate (Virginia): Cardiologist now positioned to reduce health care costs for Virginians
Newly appointed Virginia Secretary of Health and Human Resources Dr. Daniel Carey, a cardiologist and Centra’s former chief medical officer, said his office is looking to decrease healthcare costs by decreasing low-value care. Carey mentions routine echocardiograms, routine stress testing before non-cardiac surgeries and vitamin D screening as tests that offer little value. The story outlines how “Carey will be advocating for the implementation of Choosing Wisely principles, which help patients and physicians avoid duplication of testing and determine if tests are truly necessary and supported by evidence while keeping patients free from harm.”