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Category Archives: Choosing Wisely®
This post was written by Amy Berman, BS, RN and first appeared on the John A. Hartford Foundation blog. I live with stage IV cancer—cancer that has spread to the far reaches of my body, an incurable disease, a terminal diagnosis. But if you saw me—if our carts randomly bumped into each other in the [...]
Help Light the Path from Volume to Value: The Second Annual Teaching Value and Choosing Wisely Challenge
Clinicians are increasingly accountable for delivering better care at lower cost. Despite the rapid evolution of the health care system, many of us still feel left in the dark. Fortunately, there are beacons of light scattered across the United States.
Since the Choosing Wisely campaign launched in 2012, there have been definitive moments when it felt like what we’re doing is really moving the needle and that change is on the horizon. Never have I felt that more strongly than at the Henry Ford Physician Network (HFPN)’s annual summit, “Collaboration for the Future.”
I received a call from a colleague affiliated with one of the specialty society partners of the Choosing Wisely® campaign who wanted to vent about Jeanne Whalen’s Wall Street Journal piece entitled, “Hospitals Cut Costs by Getting Doctors to Stick to Guidelines: ‘Choosing Wisely’ Campaign Has Physicians Weigh in on Standardizing Care.”
I recently received an e-mail from a frustrated physician who expressed his concerns to me about HealthFair, a company providing screening services at his local academic medical center. Tuned into the Choosing Wisely® campaign, the physician claimed the cardiovascular screenings HealthFair was offering (echocardiograms and electrocardiograms) went against the specialty societies’ recommendations.
“In every job that must be done, there is an element of fun. You find the fun and – SNAP – the job’s a game!” Who knew that Mary Poppins’ advice could apply to reducing waste in health care? Apparently, the Society of Hospital Medicine (SHM) and the Minnesota Medical Association (MMA) did. To get [...]
This past April, the Choosing Wisely campaign celebrated its second anniversary. As is the case with the passing of any milestone, I have been reflecting on what the campaign has achieved and what we have yet to accomplish. It also made me take stock of the environment in which we incubated this concept and launched [...]
As noted in a previous blog post, Choosing Wisely is gaining traction abroad. Global initiatives include Choosing Wisely Canada, Choosing Wisely Netherlands and “Slow Medicine” in Italy. I am fascinated by the different ways other countries are promoting the campaign to physicians and patients, and leveraging it to tackle issues prevalent in their particular health systems.
I recently spoke to several health system/hospital quality experts and physician groups in Upstate New York about the Choosing Wisely campaign. I was looking forward to speaking about the campaign to a hometown crowd (I was born and raised in Syracuse) and an audience that included my former next-door neighbor, the regional president of Excellus. [...]
A number of specialty organizations have identified preoperative testing (i.e., lab tests, x-rays and cardiac testing) in healthy patients undergoing low-risk surgery as a frequently overused service and have included it on their Choosing Wisely® lists of tests and procedures that may be unnecessary. As preoperative testing may be ordered or requested by a multiple [...]