Choosing Wisely - Consumer Health Choices

An initiative of the ABIM Foundation
Overview of the MiHIA Regional Campaign
 Waste
in Health Care Spending*
o $750 Billion
o 30% Unnecessary Care
 Americans
Living Longer, Quality of Life Decreasing
o 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
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
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
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”
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
 Michigan
Information Alliance
Puget Sound Health Alliance
Wisconsin Collaborative for Healthcare
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
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.
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
 Providers
o Hospitals, FQHC’s, Independent
o Local Medical Societies
o State Medical Specialty Associations
o Health plans
 Employers
o Human Resources
o Occupational Health
o Public Affairs
o Community organizations
 Consumers
o Faith-based organizations
o Media
o Health Plans
* Specific materials and tactics
will be determined for each group
and for each organization
o Public Health Departments
o Patients
Number of Physicians who receive Choosing Wisely materials
Number of patients/consumers who receive Choosing Wisely
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)
MiHIA Resources
o Choosing Wisely Microsite
o Presenters, Custom Resources as Needed
ABIM Foundation Resources
o The Medical Professionalism Blog:
Consumer Reports Resources
84 pamphlets for consumers in English and Spanish:
5 videos
2 Posters (revised “5 Questions” poster coming on July 15!)
Wallet card
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.
For more information:
Project Leader
Gary Billotti
[email protected]
Internet Links:
 Choosing Wisely:
 ABIM Foundation:
 The Medical Professionalism Blog:

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