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Category Archives: Choosing Wisely®
In his recent BMJ feature article, “The challenge of doing less,” Owen Dyer points out that the process employed by the Choosing Wisely® campaign has attracted criticism. In the article, Russell Harris, Director of University of North Carolina’s Center for Excellence in Clinical Preventive Services, states, “We did a systematic review and found that overall, [...]
Earlier this year, we launched the Teaching Value and Choosing Wisely Competition in conjunction with Costs of Care and the ABIM Foundation. Why a competition? Not surprisingly, traditional “literature review” yielded little by way of promising strategies for educators who wished to learn how to teach about value. However, we had all learned of isolated [...]
In Owen Dyer’s recent BMJ article on the Choosing Wisely® campaign, “The challenge of doing less,” I was quoted as saying, “We think that professionalism should trump financial concerns, particularly as this involves potential harm to the patient and sacrifices quality and safety.” In response to this and my assertion that the campaign is about [...]
I had the honor of speaking at the American Society for Radiation Oncology’s (ASTRO) annual meeting in Atlanta, Georgia on September 23. One of the goals of my session was to announce ASTRO’s Choosing Wisely list of five tests and procedures that patient and physicians should question. Actually, Michael Steinberg, MD, chair of the board [...]
I read Atul Gawande’s recent article in The New Yorker (07.29.13), “Slow Ideas,” with great interest. In it, Gawande asks, “Why do some innovations spread so swiftly and others so slowly?” I immediately harkened back to the Choosing Wisely campaign.
In the past few months I have spoken about the Choosing Wisely® campaign to a large single hospital, academic medical centers at their grand rounds, a faith-based multi-site health system and a physician executive learning organization. What often surprises these audiences is hearing me say that Choosing Wisely is largely about professionalism and the social [...]
I was turning a ripe old age and wanted to improve my physical conditioning. My program included hoisting two 15-pound dumbbells and two sets of twenty sit-ups. This exercise, intended to preserve my last trace of youth, resulted in a self-inflicted injury of my left elbow. After a very uncomfortable month, I relented and sought [...]
In rural Maine, Choosing Wisely brought primary care and specialists together to discuss the recommendations – a positive, unintended consequence of the campaign.
My long- time friend and colleague, Steve Schoenbaum, MD, at Macy Foundation (formerly at the Commonwealth Fund and Harvard Community Health Plan), recently called me to discuss the ramifications of Bruce Landon, MD’s article in JAMA on the Choosing Wisely® campaign. In the article, the authors point to the “red flags”—patient indicators which warrant a [...]
It’s been over 20 years since the Healthcare Effectiveness Data and Information Set (HEDIS) was created by the National Committee for Quality Assurance (NCQA) and to date, it only includes approximately six appropriateness of care measures. It’s not NCQA’s fault – it’s difficult to measure appropriateness for many reasons, including the lack of available clinical [...]