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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
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 Grantees
Regional 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 Resourceso 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/
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 LeaderGary [email protected]
Internet Links: Choosing Wisely: www.choosingwisely.org ABIM Foundation: www.abimfoundation.org The Medical Professionalism Blog:
blog.abimfoundation.org
