How Can I Implement Choosing Wisely in My Community?

implement-cw-communityAn important part of Choosing Wisely is educating patients about overuse and the potential harm from unnecessary treatment. The resources below can help community organizations and employers engage consumers in the campaign.

Getting Started

  • The report “Lessons Learned from Patient Engagement” shares insights from project directors of grantee organizations about engaging patients, families and caregivers in Choosing Wisely conversations.
  • These first-hand accounts shine a spotlight on the effects of overuse and overtreatment on patients and their caregivers.
  • Email Washington State Health Alliance to request technical specifications that include 11 claims-based measures of Choosing Wisely recommendations and three clinical-based measures. All are updated to ICD-10. If you are interested in implementation, these measures are all Choosing Wisely-specific.

Guides and Toolkits

  • This resource from North Carolina Healthcare Quality Alliance includes a clinician implementation plan, activities to consider for your community and examples specific to reducing antibiotic use.
  • The American College of Radiology and the Radiological Society of North America’s RadiologyInfo.org provides information to help patients understand how radiation therapy and various radiology procedures are performed.
  • A summary of the 2017 Connecticut Choosing Wisely Collaborative‘s “Call To Action” Summit details insights and recommendations around implementing Choosing Wisely to empower and engage underserved populations. Topics include ways to engage the care team, empower consumers and target campaign marketing.
  • This document guides community organizers through the process of planning a town hall meeting on Choosing Wisely.
  • The Centers for Disease Control and Prevention’s “U.S. Antibiotics Awareness Week” campaign addresses the dangers of unnecessary antibiotics. This information can be used in conjunction with the Choosing Wisely materials to help inform providers about the push to reduce antibiotics prescriptions.
  • For physicians or other health care leaders struggling with how to integrate Choosing Wisely‘s evidence-based best practices into their practices or organizations, this guide from the Washington State Choosing Wisely Task Force provides a step-by-step approach to making system-level changes.
  • This brief guide, “How to Engage Your Group/Business with Choosing Wisely – 3 Things You Can Do“, is meant to help you get started in sharing useful information to help others engage in conversations about the overuse of tests and procedures and support health care providers efforts to help patients/consumers make smart and effective health care choices.
  • This guide from Baby Boomers for Balanced Health Care helps facilitate small group community conversations about overuse in medical care and counter the idea that more is always better. The guide includes a one-page orientation for facilitators, followed by a process guide, handouts and videos.

Learn From Others

  • These stories offer practical examples of efforts to reduce overuse across a wide range of topics, and can be helpful learning tools for your own implementation strategies. They can aid practices and systems in:
    • assessing which tools, engagement strategies and quality improvement techniques might work in your home settings,
    • addressing implementation barriers,
    • anticipating unexpected consequences and
    • identifying strengths you can build on.
  • The Center for Healthcare Decisions conducted 10 intensive half-day deliberative sessions from September to December 2015 with 117 California residents with Medi-Cal coverage, as well as lower- to middle-income health plan members from Covered California and CalPERS, to answer this question: What strategies are most acceptable for reducing the use of medical care that is harmful and/or wasteful?
  • Advancing the Choosing Wisely campaign in Clinical Practices and Communities” details the stories of success and lessons learned from the first round of Choosing Wisely grantees, 21 projects that sought to educate physicians about the campaign.
  • This report details alignment to Choosing Wisely recommendations in Washington state county-by-county. The goal of the report is to inform local discussions about appropriate health care.
  • Stories from community organizations that are spreading the campaign among patients and consumers can serve as a guide for those looking to get involved in their community.
  • Email us to join our Choosing Wisely Learning Network, which includes a bi-monthly webinar series highlighting the work of past and current grantees who are implementing the campaign in their community or system and expert guests sharing best practices for reducing overuse. Learning network members also have access to a shared virtual space and receive a monthly resource email and the Choosing Wisely Connect email.

Resources

  • This infographic from Sharp Reese Stealy outlines how patients make healthcare decisions, including most and least frequent reasons why patients visit their healthcare providers.
  • These videos can be used on your website, social media or in your waiting room to raise awareness about Choosing Wisely.
  • These public service announcements help patients understand when antibiotics may not be necessary, as well as how to engage in conversations with their provider about appropriate care. (Available in English and Spanish)

 


Learn More:

Where Should I Start?
Information on the origins of the campaign, accounts from early adopters, and anecdotes from patients on the effects of overtreatment

Am I Choosing Wisely?
Learning modules for clinicians that help hone communication skills, avoid unnecessary testing and overcome barriers to delivering high-value care

How Can I Implement Choosing Wisely in My Practice or Health System?
Information for clinicians or health system leaders looking to start a program at their organization

How Can I Implement Choosing Wisely in My Workplace?
Resources for employers to educate their employees about avoiding overuse