In the second half of 2018, Choosing Wisely launched an expanded Learning Network on Workplace, which has allowed for greater interactivity among all network members as well as within affinity groups. One of the highlights has been monthly webinars, and there were some great instructive discussions about ways to implement high-value care. Here is a recap of four top webinars for the year. If you are interested in joining the Choosing Wisely Learning Network, contact firstname.lastname@example.org and indicate whether you are interested in clinical engagement, community engagement or both.
Kellie Slate Vitcavage of Maine Quality Counts and Laura Morris of the Connecticut Choosing Wisely Collaborative (CCWC) shared tools and methods that their organizations have used to empower patients to question their doctors about their clinical recommendations, from prescribing medications to ordering tests and procedures. Morris also reported on CCWC research conducted on the “Five Questions to Ask Your Doctor” wallet cards for consumers, exploring how Choosing Wisely can be leveraged to achieve health equity.
Michael Parchman, MD, MPH, a nationally recognized scholar in chronic illness care research and Director of Kaiser Permanente Washington Health Research Institute’s MacColl Center for Health Care Innovation, explained using complexity science to explore how diverse health care teams can work together to achieve high-quality care. Parchman also discussed the Robert Wood Johnson Foundation-funded project Taking Action on Overuse, which focuses on engaging primary care teams to ‘de-implement’ needless tests and treatments and thereby reduce the risk of harm inherent in overused low-value care.
Behavioral Economics and Interventions – September
Jason Riis, PhD, a lecturer and research scholar in the Marketing Department at the Wharton School at the University of Pennsylvania, discussed the ways in which behavioral economics theory can inform efforts to combat overuse in health care. His research focuses on consumer behavior, and Riis explained how the human brain functions can influence how consumers make choices that impact their health. He is part of Penn’s Behavior Change for Good Initiative and the founder of Behavioralize.
Why More Isn’t Always Better – October
Susie Dade from the Washington Health Alliance discussed the findings of its “First Do No Harm” report, which outlined medical overuse in the state based on 47 common treatment approaches, and the Alliance’s plan to focus on five key points to improve healthcare value. Dade was joined by Neil Goldfarb of the National Alliance of Healthcare Purchaser Coalitions, a business association that has adopted a national strategy to spread Choosing Wisely by promoting local examples of implementation by employer groups.