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CHANGING AWARENESS, DRIVING ACTION ENGAGING CLINICIANS AND PATIENTS CHOOSING WISELY CAMPAIGNS WORLDWIDE MOBILE ENGAGEMENT Launched in 2012 by the ABIM Foundation and Consumer Reports, Choosing Wisely is a leading effort to encourage conversations aimed at reducing unnecessary tests and treatments in health care. Here are some ways the campaign is helping influence these conversations: United States Brazil Wales Denmark Switzerland Austria Portugal Italy Israel England Germany Netherlands Norway France India Australia New Zealand South Korea Japan Canada 200,000 “FIVE QUESTIONS TO ASK” wallet cards distributed working with 14 29 GRANTEES HEALTH CARE SYSTEMS * * Support for this program was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. TO MILLIONS OF CONSUMERS 70 110 + PATIENT-FRIENDLY MATERIALS CONSUMER ORGANIZATIONS recognized 45 + CLINICIANS as Choosing Wisely Champions A 2014 analysis of data for 44 low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently and cost nearly twice as much as than services that were high and very high cost ($539 or more). Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending John N. Mafi, Kyle Russell, Beth A. Bortz, Marcos Dachary, William A. Hazel Jr., and A. Mark Fendrick HEALTH AFFAIRS As a result of the Choosing Wisely campaign: Most respondents (64.5%) felt more comfortable discussing low-value services with patients; 54.5% reported reducing utilization; and 52.5% were aware of local efforts to promote the campaign. A majority (62.9%) of respondents were able to identify at least 4 out of 5 recommendations. Emergency Physician Knowledge, Attitudes and Behavior regarding ACEP’s Choosing Wisely Recommendations: A Survey Study Michelle P. Lin, Thomas Nguyen, Marc A. Probst, Lynne D. Richardson, Jeremiah D. Schuur ACADEMIC EMERGENCY MEDICINE The effectiveness of different types of interventions to reduce low-value care has been insufficiently summarized to allow for translation to practice. This article systematically reviews the literature on the effectiveness of interventions to reduce low-value care and the quality of those studies. It finds that multicomponent interventions addressing both patient and clinician roles in overuse have the greatest potential to reduce low-value care. Interventions Aimed at Reducing Use of Low-Value Health Services: A Systematic Review Carrie H. Colla, PhD; Alexander J. Mainor, Courtney Hargreaves, MEDICAL CARE RESEARCH AND REVIEW 80 + + PARTNERS 550 RECOMMENDATIONS published distributed www.choosingwisely.org | #choosingwisely 80 + webinars Featuring implementation strategies as part of the Choosing Wisely Learning Network 6,809 newsletter subscribers Highlighting Choosing Wisely implementation efforts. INCREASING CONVERSATIONS ABOUT OVERUSE 145,360 ANTIBIOTICS FOR PINK EYE 6,249 US PRESS 2,158 INTERNATIONAL PRESS 11,147 AMERICAN ACADEMY OF FAMILY PHYSICIANS MOST VIEWED PATIENT MATERIALS MOST VIEWED SOCIETY LIST MEDIA HITS IN 2017 (from Meltwater news and social tracking service) 9,294 (iOS and Android devices) App downloads/users

RECOMMENDATIONS 200,000 - choosingwisely.org · Michelle P. Lin, Thomas Nguyen, Marc A. Probst, Lynne D. Richardson, Jeremiah D. Schuur ACADEMIC EMERGENCY MEDICINE The effectiveness

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CHANGING AWARENESS, DRIVING ACTION

ENGAGING CLINICIANS AND PATIENTS

CHOOSING WISELY CAMPAIGNS WORLDWIDE

MOBILE ENGAGEMENT

Launched in 2012 by the ABIM Foundation and Consumer Reports, Choosing Wisely is a leading effort to encourage conversations aimed at reducing unnecessary tests and treatments in health care. Here are some ways the campaign is helping influence these conversations:

United States

Brazil

Wales

Denmark

Switzerland

Austria

Portugal

ItalyIsrael

England

GermanyNetherlands Norway

France

India

Australia

New Zealand

South Korea

Japan

Canada

200,000 “FIVE QUESTIONS TO ASK” wallet cards distributed

working with

1429GRANTEES

HEALTH CARE SYSTEMS*

* Support for this program was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

TO MILLIONS OF CONSUMERS

70110 +PATIENT-FRIENDLY MATERIALS

CONSUMERORGANIZATIONS

recognized45 +CLINICIANS

as Choosing Wisely Champions

A 2014 analysis of data for 44 low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently and cost nearly twice as much as than services that were high and very high cost ($539 or more).

Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health SpendingJohn N. Mafi, Kyle Russell, Beth A. Bortz, Marcos Dachary, William A. Hazel Jr., and A. Mark Fendrick

HEALTH AFFAIRS

As a result of the Choosing Wisely campaign: • Most respondents (64.5%) felt more comfortable discussing low-value services with patients; • 54.5% reported reducing utilization; and • 52.5% were aware of local efforts to promote the campaign. • A majority (62.9%) of respondents were able to identify at least 4 out of 5 recommendations.

Emergency Physician Knowledge, Attitudes and Behavior regarding ACEP’s Choosing Wisely Recommendations: A Survey StudyMichelle P. Lin, Thomas Nguyen, Marc A. Probst, Lynne D. Richardson, Jeremiah D. Schuur

ACADEMIC EMERGENCY MEDICINE

The effectiveness of different types of interventions to reduce low-value care has been insufficiently summarized to allow for translation to practice. This article systematically reviews the literature on the effectiveness of interventions to reduce low-value care and the quality of those studies. It finds that multicomponent interventions addressing both patient and clinician roles in overuse have the greatest potential to reduce low-value care.

Interventions Aimed at Reducing Use of Low-Value Health Services: A Systematic ReviewCarrie H. Colla, PhD; Alexander J. Mainor, Courtney Hargreaves,

MEDICAL CARE RESEARCH AND REVIEW

80+

+PARTNERS

550RECOMMENDATIONS

published distributed

www.choosingwisely.org | #choosingwisely

80 +webinarsFeaturing implementation strategies as part of the Choosing Wisely Learning Network

6,809newsletter subscribers

Highlighting Choosing Wisely implementation efforts.

INCREASING CONVERSATIONS ABOUT OVERUSE

145,360 ANTIBIOTICS FOR PINK EYE

6,249 US PRESS

2,158 INTERNATIONAL PRESS

11,147 AMERICAN ACADEMY OF

FAMILY PHYSICIANS

MOST VIEWED PATIENT MATERIALS

MOST VIEWED SOCIETY LIST

MEDIA HITS IN 2017

(from Meltwater news and social tracking service)

9,294 (iOS and Android devices)App downloads/users