Choosing Wisely ®

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Choosing Wisely® An initiative of the ABIM Foundation Overview of the MiHIA Regional Campaign

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Choosing Wisely ®. An initiative of the ABIM Foundation Overview of the MiHIA Regional Campaign . The Issues. Waste in Health Care Spending* $750 Billion 30% Unnecessary Care Americans Living Longer, Quality of Life Decreasing U.S.A . ranks 26 out of 34 OECD** Nations - PowerPoint PPT Presentation

Transcript of Choosing Wisely ®

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Choosing Wisely®An initiative of the ABIM Foundation

Overview of the MiHIA Regional Campaign

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The Issues

Waste in Health Care Spending*o $750 Billiono 30% Unnecessary Care

Americans Living Longer, Quality of Life Decreasingo U.S.A. ranks 26 out of 34 OECD** Nations

*Estimates from the Institute of Medicine of the National Academies and the Congressional Budget Office**Organizations for Economic Cooperation and Development

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The Modern Patient…

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Choosing Wisely Overview

Choosing Wisely is an initiative of the ABIM Foundation to help physicians and patients engage in conversations about the overuse of tests and procedures and support physician efforts to help patients make smart and effective care choices.

Choosing Wisely recommendations should not be used to establish coverage decisions or exclusions. Rather, they are meant to spur conversation about what is appropriate and necessary treatment. As each patient situation is unique, physicians and patients should use the recommendations as guidelines to determine an appropriate treatment plan together

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Physician Focus Groups

Focus groups with physicians revealed they:

Recognize there are a lot of unnecessary tests and procedures

Do not see themselves as the problem - responding to patient requests for more tests and procedures

Do not consider themselves “stewards” of resources

Want to do the right thing for their patients - deliver the best care possible and not cause undue harm

Want to be part of the solution, and terms like “wise choices” resonated

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Choosing Wisely Partners

http://www.abimfoundation.org/Initiatives/Choosing-Wisely.aspx

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Choosing Wisely GranteesRegional Collaboratives Better Health Greater Cleveland HealthInsight Utah Institute for Clinical Systems

Improvement and Minnesota Health Action Group 

Iowa Healthcare Collaborative Maine Quality Counts Massachusetts Health Quality

Partners Michigan Health

Information Alliance Puget Sound Health Alliance Wisconsin Collaborative for

Healthcare Quality

Specialty/State Medical Societies American Academy of Hospice and

Palliative Medicine American Academy of Ophthalmology American College of Physicians American Society for Clinical Pathology American Society of Echocardiography American Society of Nuclear

Cardiology and Massachusetts Medical Society

Minnesota Medical Association Oregon Medical Association Society of Hospital Medicine Tennessee Medical Association Texas Medical Association Washington State Medical Association

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ABOUT MiHIA

Michigan Health Information Alliance, Inc.

Regional community collaboration working to achieve a community of health excellence for the 14-county region it serves Based on a core belief that solutions to our health and health care problems can be found and designed at a regional level, accelerating regional competitive advantage and sustainability.

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Our Committed Local Partners Aetna Blue Cross Blue Shield Central Michigan University College of Medicine Central Michigan University Public Radio Covenant HealthCare The Dow Chemical Company Ezekiel Project Gratiot Family Practice Health Delivery, Inc. Hospital Council of East Central Michigan Midland Medical Society MidMichigan Health Public Health Departments – Midland, CMDHD, Saginaw, and Bay Saginaw County Medical Society Saginaw Valley State University School of Nursing

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Implementation Plans: Targets

Providers

Employers

Consumers

o Hospitals, FQHC’s, Independent

o Local Medical Societieso State Medical Specialty

Associationso Health planso Human Resourceso Occupational Healtho Public Affairso Community organizationso Faith-based organizationso Mediao Health Planso Public Health Departmentso Patients

* Specific materials and tactics will be determined for each group and for each organization

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Implementation Plans: Measures

Number of Physicians who receive Choosing Wisely materials

Number of patients/consumers who receive Choosing Wisely materials

Number of organizations/institutions contacted Amount of media coverage Effective solutions to identified barriers Physicians knowledge of Choosing Wisely guidelines

(pre/post) Number of Physicians actively referring to the

Choosing Wisely guidelines in practice (pre/post) Number of CW identified tests/procedures

administered by specialty (pre/post)

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Implementation Plans: Resources MiHIA Resources

o Choosing Wisely Micrositeo LINK: http://consumerhealthchoices.org/mihia/o Presenters, Custom Resources as Needed

ABIM Foundation Resourceso LINK: www.choosingwisely.orgo LINK: www.abimfoundation.org o The Medical Professionalism Blog: blog.abimfoundation.org

Consumer Reports Resourceso LINK:

http://consumerhealthchoices.org/campaigns/choosing-wisely/

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Materials From Consumer Reports

Websitehttp://consumerhealthchoices.org/campaigns/choosing-wisely/

84 pamphlets for consumers in English and Spanish:http://consumerhealthchoices.org/campaigns/choosing-wisely/#materials

5 videoshttp://www.youtube.com/user/consumerhealthchoice

2 Posters (revised “5 Questions” poster coming on July 15!)http://consumerhealthchoices.org/?s=poster

Wallet cardhttp://consumerhealthchoices.org/catalog/when-to-say-whoa-wallet-card/

Newsletterhttp://consumerhealthchoices.org/connect/our-email-newsletter/

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Choosing Wisely Microsite

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The Sermon in 5 Seconds Choosing Wisely is not about cost. First and

foremost, Choosing Wisely is about quality and patient safety, not dollars and cents.

Our Action Item is simple and non-threatening – have a conversation! – and it positions

us for tremendous impact across our region.

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Thank You For Your Support!

For more information:Project Leader

Gary [email protected]

Internet Links: Choosing Wisely: www.choosingwisely.org ABIM Foundation: www.abimfoundation.org The Medical Professionalism Blog:

blog.abimfoundation.org