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- Allergy Tests (AAAAI)
- Alzheimer’s Disease Testing (SNMMI)
- Antibiotics for Respiratory Illness in Children (AAP)
- Bone-Density Tests (AAFP)
- Cancer Tests and Treatments (ASCO)
- Cancer Treatments at the End of Life (ASCO)
- Cardiac Imaging (ASNC)
- Chest X-rays (ACR)
- Colonoscopy (AGA)
- Drugs for Migraine Headaches (AAN)
- Drugs to Prevent Infection During Chemotherapy (ASCO)
- Early Delivery (ACOG, AAFP)
- Echocardiogram Before Surgery (ASE)
- Echocardiograms for Valve Disease (ACC)
- EKGs and Exercise Stress Tests (AAFP)
- Feeding Tubes for People with Alzheimer’s (AGS, AAHPM)
- Heart Imaging Before Surgery (ACC)
- Heart Tests Before Surgery (ASNC)
- Imaging and Blood Tests in Early Breast Cancer (ASCO)
- Imaging Tests After a Heart Procedure (ACC)
- Imaging Tests for Back Pain (AAFP)
- Imaging Tests for Early Prostate Cancer (ASCO)
- Imaging Tests for Headaches (ACR)
- Imaging Tests for Heart Disease (ACC)
- Imaging Tests for Ovarian Cysts (ACR)
- Immunoglobulin Replacement Therapy (AAAAI)
- Kidney Disease (ASN)
- Lab Tests Before Surgery (ASCP)
- Lyme Disease Tests (ACR)
- Medical Tests Before Eye Surgery (AAO)
- Painkillers (ASN)
- Pap Tests (AAFP)
- Spirometry for Asthma (AAAAI)
- Stress Tests After Procedures (ASNC)
- Stress Tests Before Surgery (SVM)
- Stress Tests for Chest Pain (ASNC)
- Testosterone for Erection Problems (AUA)
- Treating Blocked Leg Arteries (SVM)
- Treating Heartburn and GERD (AGA)
- Treating Sinusitis (AAAAI)
- Treating Sinusitis (AAFP)
- Choosing Wisely: When to say ‘Whoa!’ to doctors
About the campaign
Recognizing that patients sometimes ask for tests and treatments that are not necessarily in their best interest, and that physicians often struggle with decisions about prescribing tests and procedures as a way of covering all possible bases, the ABIM Foundation has joined with leading medical specialty societies to develop evidence-based lists of tests and procedures for patients and physicians to question as part of Choosing Wisely®. The goal of this campaign is to help physicians, patients and other health care stakeholders think and talk about overuse of health care resources in the United States. The campaign is part of the ABIM Foundation’s goal of promoting wise choices by clinicians in order to improve health care outcomes, provide patient-centered care that avoids unnecessary and even harmful interventions, and reduce the rapidly-expanding costs of the health care system.
Consumer Reports has joined the Choosing Wisely® campaign to provide resources for consumers and physicians to engage in these important conversations about the overuse or misuse of medical tests and procedures that provide little benefit and in some cases harm. Consumer Reports is excited to be able to reach millions of consumers with important health care information in its role as the “consumer communicator” in the campaign.
First launched with the contributions of nine medical societies in April 2012, the campaign was joined by more than a dozen additional societies in February 2013, each with their own lists of tests and procedures that physicians and patients should question.
Here is a single PDF containing the complete list of Choosing Wisely recommendations.
Physician organizations initially participating in Choosing Wisely® include:
- American Academy of Allergy, Asthma & Immunology
- American Academy of Family Physicians
- American College of Cardiology
- American College of Physicians
- American College of Radiology
- American Gastroenterological Association
- American Society of Clinical Oncology
- American Society of Nephrology
- American Society of Nuclear Cardiology
The following Choosing Wisely® specialty society partners released their lists in early 2013:
- American Academy of Hospice and Palliative Medicine
- American Academy of Neurology
- American Academy of Ophthalmology
- American Academy of Otolaryngology–Head and Neck Surgery
- American Academy of Pediatrics
- American College of Obstetricians and Gynecologists
- American College of Rheumatology
- American Geriatrics Society
- American Society for Clinical Pathology
- American Society of Echocardiography
- American Urological Association
- Society for Vascular Medicine
- Society of Cardiovascular Computed Tomography
- Society of Hospital Medicine
- Society of Nuclear Medicine and Molecular Imaging
- Society of Thoracic Surgeons
Here is the full updated list of specialty medical society partners.
As part of Choosing Wisely®, each participating specialty society has identified its own list of five common tests or procedures whose use in their profession should be discussed or questioned. The societies were given the following parameters to develop the lists:
- Each item should be within the specialty’s purview and control;
- Procedures should be used frequently and/or carry a significant cost; and
- There needs to be evidence to support each recommendation.
Consumer Reports then is creating consumer education materials for each item, intended for patients and their families.
These organizations are joining Choosing Wisely® to help disseminate information and educate patients on making wise decisions.
Consumer Communication Partners
AARP is a nonprofit, nonpartisan organization with a membership that helps people 50+ have independence, choice and control in ways that are beneficial and affordable to them and society as a whole.
Alliance Health Networks
Alliance Health Networks is an innovative social networking company whose mission is to enable a more consumer-centric health-care industry. With a growing portfolio of social networks built around distinct disease states and health interests, Alliance Health today connects more than one million registered members across 50 different conditions. Alliance Health’s platform unlocks meaningful opportunities for patients and caregivers to connect with each other, to personalized information, and to products and services.
Midwest Business Group on Health
The Midwest Business Group on Health is a non-profit, Chicago-based business coalition comprised primarily of human resources and health benefits professionals from over 100 large, self-insured public and private employers as well as other health care stakeholders. Members represent over 3 million lives and spend more than $3 billion on health care benefits on an annual basis. MBGH serves as one of the nation’s leading employer-focused coalitions and is a recognized leader in offering education, research and community-based activities that increase the value of health benefits and health care services.
Minnesota Health Action Group
The Minnesota Health Action Group is a not-for-profit coalition of public and private employers committed to reshaping Minnesota’s health-care landscape by introducing innovative programs and solutions that address cost, quality, outcomes, and access for health-care purchasers; convening leaders from private and public-sector business, health care suppliers, and government to find solutions to health-care challenges while building Minnesota communities (and ultimately, a healthy workforce); and engaging health-care consumers so they better manage their health and begin to purchase health-care services based on cost and quality data. Established in 1988 as the Buyers Health Care Action Group, the organization has served as a catalyst for the development of new models of care delivery, aligned payment strategies and consumer engagement.
National Business Coalition on Health
The National Business Coalition on Health is a national, non-profit, membership organization of purchaser-led health care coalitions. NBCH and its members are dedicated to value-based purchasing of health care services through the collective action of public and private purchasers. NBCH seeks to accelerate the nation’s progress towards safe, efficient, high-quality health care and the improved health status of the American population.
National Business Group on Health
The National Business Group on Health is the nation’s only nonprofit organization devoted exclusively to representing large employers’ perspective on national health policy issues and providing practical solutions to its members’ most important health care and health benefits challenges. Business Group members are primarily Fortune 500 companies and large public-sector employers—representing the nation’s most innovative health-care purchasers—that provide health coverage for more than 55 million U.S. workers, retirees and their families. The Business Group fosters the development of a safe, high-quality health-care delivery system and treatments based on scientific evidence of effectiveness. Business Group members share strategies for controlling health care costs, improving patient safety and quality of care, increasing productivity, and supporting healthy lifestyles.
National Center for Farmworker Health
The National Center for Farmworker Health (NCFH), established in 1975, is dedicated to improving the health status of farmworker families by providing technical assistance, information services and provider and patient education products to a network of 700+ migrant health center service sites in the United State as well as academic institutions, researchers, and individuals involved in farmworker health.
National Hospice and Palliative Care Organization
The National Hospice and Palliative Care Organization (NHPCO) is the largest leadership and membership organization representing hospice and palliative care programs and professionals in the United States. The organization is committed to improving end-of-life care and expanding access to hospice and palliative care with the goal of profoundly enhancing quality of life for people dying in America and their loved ones. NHPCO’s innovative programs include Caring Connections, a national consumer and community engagement initiative to improve care at the end of life. Caring Connections provides free resources and information to help people make decisions about end-of-life care and services before a crisis and brings together community, state and national partners working to improve care.
National Partnership for Women & Families
The National Partnership for Women & Families is a non-profit, non-partisan advocacy group dedicated to promoting fairness in the workplace, access to quality health care and policies that help women and men meet the dual demands of work and family. The organization has fought for every major policy advance that has helped women and families over the last 40 years. The National Partnership runs the Campaign for Better Care, a multi-faceted national effort to protect vulnerable older patients with multiple health problems and ensure they can access well-coordinated, quality health care. The Campaign has built a broad-based consumer coalition with more than 150 organizations, and has mobilized tens of thousands of online activists across the country to advance this work. It is funded by The Atlantic Philanthropies.
Pacific Business Group on Health
Pacific Business Group on Health is one of the nation’s leading non-profit business coalitions focused on health care. PBGH helps leverage the power of its 50 large purchaser members who spend 12 billion dollars annually to provide health care coverage to more than 3 million employees, retirees and dependents in California alone. PBGH works on many fronts to improve the quality and affordability of health care,often in close partnership with health insurance plans, physician groups, consumer organizations, and others concerned about the health care system.
Puget Sound Health Alliance
The Puget Sound Health Alliance is a nonprofit organization where the people who get, provide and pay for health care come together to improve health care quality and affordability in a five-county region in Washington State. Alliance participants include employers, physicians, hospitals, patients, health plans, and others from throughout the region. The alliance measures the quality of health care and produce publicly available reports designed to help improve health care decision-making.
SEIU is the fastest-growing union in North America. Focused on uniting workers in three sectors to improve their lives and the services they provide, SEIU is the largest health-care union, with more than 1.1 million members in the field; the largest property services union, with 225,000 members in the building cleaning and security industries; and the second largest public services union, with more than 1 million local and state government workers.
The Leapfrog Group
The Leapfrog Group is a coalition of public and private purchasers of employee health benefits founded over ten years ago to work for improvements in health-care safety, quality, and affordability. Leapfrog conducts the annual Leapfrog Hospital Survey, the gold standard for comparing hospitals’ performance on the national standards of safety, quality, and efficiency that are most relevant to consumers and purchasers of care.
Union Plus is brought to you by Union Privilege, established by the AFL-CIO in 1986 to deliver Union Plus consumer benefit programs uniquely designed for working families. Union Plus benefits are exclusively for participating union members, retirees and their families. Union Plus uses the collective buying power of more than 13 million union members to offer over 40 discounts and services to working families.
In just over a decade, Wikipedia has become the world’s largest, most widely-read general information resource. Its success is built on a dedication to clear, factual, neutral information, and a novel production process that permits any individual to play a role in fighting bias. Wikipedia’s 90,000 active contributors have applied the collaborative practices pioneered in free/open source software development to the world of knowledge production and public education. Wikipedia’s non-profit, volunteer-driven model, unique among the world’s top 25 web sites, empowers citizens and consumers with knowledge and with the ability to contribute directly to a world-class publication. Wikipedia volunteers specializing in health and medicine will work closely with the medical experts of Choosing Wisely, building on each other’s skills to inform consumers about over-prescribed medical procedures. Choosing Wisely worked with Wiki Strategies consulting agency to recruit a Wikipedian in Residence, based on successful programs at the British Museum, the U.S. National Archives, and the Children’s Museum of Indianapolis. This Wikipedia expert will connect Choosing Wisely with the dedicated volunteer community that has produced 23,000 medical articles on Wikipedia.
Outreach Network Partners
Washington State Medical Association
The Washington State Medical Association represents over 9,800 physicians throughout Washington state. Its vision is to make Washington state the best place to practice medicine and to receive care. The WSMA is promoting Choosing Wisely as part of its Know Your Choices – Ask Your Doctor campaign, a statewide effort to give patients the tools they need to make informed choices about their care — whether that’s a CT scan for a headache, understanding choices other than the emergency room when unexpected care is needed, or making informed end-of-life choices. For more information about the WSMA, please visit www.wsma.org.
Choosing Wisely guides prepared by Consumer Reports will reach many consumers through the 11 communications collaborators, each an organization with the potential to reach at least 1 million consumers.
These collaborators have expressed strong support for the goals and message of this campaign.
Cheryl Mathies, Senior Vice President, Strategy & Internal Affairs, AARP: “AARP encourages individuals to be active partners in their care and to ask questions before they make health decisions. We’re pleased to be part of the Choosing Wisely campaign that identifies specific treatments and tests that should be questioned by physicians and patients before they are undertaken. We commend the participating specialty societies for their efforts to improve health care outcomes and their commitment to strengthening physician/patient partnerships.”
Stead Burwell, CEO, Alliance Health: “This partnership with Consumer Reports underscores our shared commitment to helping consumers gain the knowledge and insights they need to navigate their health care choices. Too often a consumer’s health journey is fraught with anxiety, isolation and uncertainty. This helps gives patients the power to make better decisions inside a caring community of friends and loved ones.”
Larry Boress, President and CEO, Midwest Business Group on Health: “Since the publication of our study on ‘the cost of poor quality,’ our employer members have been concerned about the overuse, underuse, misuse and inefficiencies in the health care market. This project will go a long way toward making consumers part of the decision-making process.”
Andrew Webber, CEO, National Business Coalition on Health: “The National Business Coalition on Health, representing 56 employer-based health coalitions, is excited to join the national Choosing Wisely campaign as a active partner. We look forward to activating the communication channels of our coalition members and the national network of 7,000 participating employers so we can help bring the important message to employees and their dependents that more care is often not better or necessary care and can be harmful to your health.”
Helen Darling, CEO, National Business Group on Health: “Every patient wants to fully understand the benefits and risks of all their health care options. Speaking for large employers, we believe that consumers fully informed with objective, evidence-based information, will make different decisions about their health care than they would otherwise. And, they will be best served if their physicians, whom they trust the most, also are committed to helping patients “choose wisely.” We are thrilled that the thought leaders of medicine are committed to leading the nation to a more rational, evidence-based approach to health care. We appreciate the opportunity to work together on the challenging problems of overuse and misuse in health care. There is no better group to lead this initiative than ABIM and the specialty societies committed to this campaign. We are grateful for their leadership and vision.”
Bobbi Ryder, President and CEO, National Center for Farmworker Health: “The purpose of health education is to positively influence the health behavior of individuals and communities as well as the living and working conditions that influence their health. We believe that the best way to do this is through the development of health education programs that involve the farmworker community from point of inception to point of implementation. We are pleased to be part of the Choosing Wisely campaign that identifies specific treatments and tests that should be questioned by physicians and patients before they are undertaken. We are looking forward to working with Consumer Reports to create materials that include culturally sensitive components and deliver the most effective messages to encourage behavior change within the communities we serve.”
Debra L. Ness, President, National Partnership for Women & Families: “We are very pleased that the Campaign for Better Care (CBC) has the chance to join and support the new Choosing Wisely campaign. Fragmented, uncoordinated care is a huge and debilitating problem in this nation; it plagues our health care system and causes enormous harm to patients and their family caregivers. We cannot solve that problem unless clinicians make wise choices, and patients have solid information and are empowered to ask questions and make smart choices about their care. We thank Consumer Reports and the ABIM Foundation for organizing Choosing Wisely, and plan to promote it aggressively with our members and our 150-member Consumer Coalition.”
David Lansky, CEO, Pacific Business Group on Health: “At the Pacific Business Group on Health, we have a 2015 vision of a health care system where consumers are empowered, where they have the right information to choose care based on cost and quality. We are so pleased to be a part of this innovative effort that gets us closer to that goal.”
Kirk Adams, Executive Vice President, SEIU: “When it comes to health care, knowledge truly is power. The 1.2 million nurses, doctors and health-care workers of the Service Employees International Union (SEIU) are committed to ensuring that everyone in America has access to the right information to make the best health-care decisions for themselves and their families. We are very proud to support the Choosing Wisely campaign.”
Leah Binder, CEO, The Leapfrog Group: “The Leapfrog Group, an employer-led coalition advocating improvements in hospital safety and quality, recognizes that patients place their lives in the hands of health-care providers every day. With the Choosing Wisely campaign, medical societies can earn the public’s trust by proving that they will provide the right care at the right time. Through Choosing Wisely, we hope to advocate for shared responsibility between patients and providers to obtain the best care and outcomes.”
Pete Forsyth, Principal, Wiki Strategies: “The opportunity to bring Wikipedia volunteers together with medical and consumer researchers and journalists in a project like this is tremendous. Wikipedia and Consumer Reports share important values, but very different histories. Both projects provide useful information independent of the influence of advertising and monied interests. Both empower the public through access to information, and through opportunities to shape the way information is presented. The Choosing Wisely initiative will allow us explore the best ways to pursue our shared values, following the Wikipedian in Residence model, which has flourished in the museum and archive communities.’