This is a rapidly evolving situation that requires reevaluation daily. We recommend following the United States Centers for Disease Control and Prevention (CDC) for the most up-to-date information on the virus.
Read Dr. Baron and Daniel Wolfson’s letters to the Choosing Wisely Community.
Supporting Frontline Physicians through #GetUsPPE
As part of our support for the internal medicine community, the American Board of Internal Medicine and the ABIM Foundation have each contributed funds to #GetUsPPE to facilitate the delivery of more than 50,000 pieces of personal protective equipment (PPE) to frontline physicians. This grassroots movement founded by emergency physicians is the largest coalition of PPE donor projects and seeks to ensure that as many medical professionals as possible have the equipment they need to protect themselves and their patients. We’re all trying to find ways we can help, no matter how big or small. If you or your organization are looking for ways to get involved, check out #GetUsPPE’s website.
During this time of great stress, Choosing Wisely is providing information from partner societies and medical associations about appropriate tests and treatments that are relevant to addressing the impact of the COVID-19 outbreak on the health care system:
- American College of Physicians
- American Medical Association
- The American Society for Clinical Pathology
- American Society of Hematology & American Association of Blood Banks
- American Society for Health-System Pharmacists
- Infectious Disease Society of America
- Society of Hospital Medicine
- High Value Practice Academic Alliance
American College of Physicians
Our Choosing Wisely partner, The American College of Physicians, is committed to doing everything possible to prevent and slow the spread of the virus to ensure that our patients get the care they need.
ACP has gathered updated resources, including an easily accessed physicians guide to assist internists seeking to prepare and manage their response to COVDID-19.
The American Medical Association
The American Medical Association (AMA) compiled a COVID-19 Health Equity resource hub aimed at shining a light on structural issues contributing to and exacerbating health inequities amid the COVID-19 pandemic. These carefully curated resources, assembled by the AMA Center for Health Equity, build upon ongoing AMA efforts to ensure physicians have the support and tools necessary to navigate the changing landscape posed by the COVID-19 pandemic while providing critical care for patients.
The new tools for physicians include:
- A curated list of health equity resources
- Health equity considerations and frequently-asked-questions
- Demographic data and its implications
The AMA will also continue to release other information and tools in response to the urgent public health crisis to support physicians and the patients they care for, which can be found on the AMA’s COVID-19 Resource Center.
American Society of Hematology & American Association of Blood Banks
There has already been an impact on the blood supply as blood donations have dipped due to the cancellation of blood drives and people remaining home to avoid crowded areas. It is therefore important for hospital systems to take special care to follow Choosing Wisely recommendations from the American Society of Hematology (ASH) and the American Association of Blood Banks (AABB) which discourage inappropriate transfusion of blood products (e.g., transfusing more than medically necessary or transfusing when other treatment options, including observation, are available). Though Choosing Wisely recommendations are intended to guide decision making under normal working conditions, by closely adhering to these recommendations clinicians can help ensure there are sufficient stores of blood available for those patients that truly need them during the COVID-19 crisis.
American Society for Health-System Pharmacists
The American Society for Health-System Pharmacists (ASHP), a Choosing Wisely partner, has made resources available that may be helpful as you address COVID-19. ASHP maintains a drug information resource called AHFS. The ASHP team evaluated the evidence related to proposed treatments for people with COVID-19, and assessed the evidence around supportive treatments and selected chronic medications that may be used in this population. ASHP will continue to update this table as new evidence becomes available.
ASHP is also providing free access to its AHFS Clinical Drug Information app, which includes access to drug shortages information. Access information is provided below:
AHFS Drug Information® – Open Access for 60 Days Effective March 16, 2020
Infectious Disease Society of America
The Infectious Disease Society of America, a Choosing Wisely partner, has gathered tools and resources to help members make informed decisions related to COVID-19.
Resources include developments, guidelines, protocols, policies, and tools for practitioners provided by the U.S. Centers for Disease Control and Prevention, the Food and Drug Administration, the Centers for Medicare & Medicaid Services and the World Health Organization, as well as COVID-19 reports in IDSA journals, and the IDSA/HIVMA Science Speaks blog.
Society of Hospital Medicine
Many hospitalists provide critical care services, often without adequate support or training. Our Choosing Wisely Partner, the Society of Hospital Medicine, is actively monitoring the evolving outbreak of COVID-19 and is dedicated to supporting hospitalists with a library of COVID-19 blogs, articles, publications, videos, and webinars from hospitalists and thought leaders in the space.
High Value Practice Academic Alliance
A multi-institutional group from the High Value Practice Academic Alliance proposed this Top 5 list of overused practices in hospital medicine that can lead to harm of both patients and health care workers in the COVID-19 era.
During the course of the COVID-19 pandemic, the American Society for Clinical Pathology (ASCP), an active member in the Choosing Wisely initiative, has been working aggressively to provide up-to-date resources for pathologists, laboratory professionals and the general public, including the development of a curated Coronavirus Disease (COVID-19) resource page. Early on, ASCP helped initiate discussions on the need for a National COVID-19 Testing Strategy as well as the establishment of a COVID-19 Testing Task Force.
ASCP has been working with the Administration, Congress, the states, and cities to address testing supply and personnel shortages, which are constraining test capacity at a time when the nation desperately needs more tests. And ASCP has been promoting patient-centric strategies in its regular contact with the federal agencies and with its membership to provide crucial scientific input on issues the optimal use of certain laboratory tests and test accuracy.
During this time of great stress, Choosing Wisely is providing relevant information from organizations about addressing the impact of the COVID-19 outbreak :
National Alliance of Healthcare Purchaser Coalitions
This Action Brief from the National Alliance of Healthcare Purchaser Coalitions discusses the role of shared decision making and the value of the “5 Questions” in helping people make decisions about treatment for COVID-19.