Choosing Wisely - Consumer Health Choices
An initiative of the ABIM Foundation
Overview of the MiHIA Regional Campaign
Waste in Health Care Spending*
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$750 Billion
30% Unnecessary Care
Americans Living Longer, Quality of Life Decreasing
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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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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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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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http://www.abimfoundation.org/Initiatives/Choosing-Wisely.aspx
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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Mi chigan
H ealth
I nformation
A lliance, 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.
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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Providers
Employers
Consumers
* Specific materials and tactics will be determined for each group and for each organization o o o o o o o o o o o o o
Hospitals, FQHC’s, Independent
Local Medical Societies
State Medical Specialty Associations
Health plans
Human Resources
Occupational Health
Public Affairs
Community organizations
Faith-based organizations
Media
Health Plans
Public Health Departments
Patients
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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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MiHIA Resources o
Choosing Wisely Microsite o o
LINK: http://consumerhealthchoices.org/mihia/
Presenters, Custom Resources as Needed
ABIM Foundation Resources o o
LINK: www.choosingwisely.org
LINK: www.abimfoundation.org
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The Medical Professionalism Blog: blog.abimfoundation.org
Consumer Reports Resources o
LINK: http://consumerhealthchoices.org/campaigns/choosing-wisely/
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Website http://consumerhealthchoices.org/campaigns/choosing-wisely/
84 pamphlets for consumers in English and Spanish: http://consumerhealthchoices.org/campaigns/choosing-wisely/#materials
5 videos http://www.youtube.com/user/consumerhealthchoice
2 Posters (revised “5 Questions” poster coming on July 15!) http://consumerhealthchoices.org/?s=poster
Wallet card http://consumerhealthchoices.org/catalog/when-to-say-whoa-wallet-card/
Newsletter http://consumerhealthchoices.org/connect/our-email-newsletter/
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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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For more information:
Project Leader
Gary Billotti
989-486-9454
GMBillotti@aol.com
Internet Links:
Choosing Wisely: www.choosingwisely.org
ABIM Foundation: www.abimfoundation.org
The Medical Professionalism Blog: blog.abimfoundation.org
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