About the Choosing Wisely campaign
Consumer Reports offers more than 70 Choosing Wisely brochures for patients.
Patients sometimes ask for tests and treatments that are not necessarily in their best interest. And physicians often struggle with decisions about prescribing tests and procedures as a way of covering all possible bases,. So 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: 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.
More than 60 specialty societies have joined the campaign since its inception in 2012. New lists will continue to be published through 2014.
Here is a single PDF containing the complete list of Choosing Wisely recommendations.
Choosing Wisely campaign brochures
Consumer Reports creates consumer resources based on many of the Choosing Wisely topics. The titles below connect to our growing catalog of brochures.
- Some tests and treatments won’t help older adults. They may even be harmful, especially near the end of life.
- If you don’t have symptoms or a medical evaluation that points to allergy, think twice about skin or blood tests.
- If you're having memory problems, your doctor should look for other causes before ordering a brain scan.
- In most cases of middle ear infection, antibiotics are not needed. Here's what to do instead.
- Antibiotic eye drops or ointments don’t usually help with conjunctivitis. In fact, they can do more harm than good.
- Antibiotics don’t help most respiratory infections. Here’s when you need antibiotics, and when you don't.
- Most of the time, children don't need antibiotics for sore throat, cough or runny nose.
- Many older people get antibiotic treatment for urinary tract infections when they don't need it.
- There are risks to using antibiotics needlessly on your skin. And there are better ways to control eczema and help your skin heal.
- When and how to use antibiotics to help you and your loved ones avoid drug resistance.
- Do you really need antibiotics? They can help you. But they also can harm you.
- Powerful antipsychotic drugs should not be the first choice for people with dementia. Here's why.
- You may not need some common forms of imaging, screening tests, monitoring and drug therapy for cancer.
- Studies show that staying in bed longer than 48 hours won’t help with lower-back pain.
- Blood tests for thrombophilia often are not needed, even if you have had a pregnancy problem.
- In the hospital, if your blood test results stay the same after a day or two, you may not need them again.
- Anemia is usually not urgent. Usually you don’t need a lot of blood. Or you may not need any blood at all.
- If you’re not at higher risk for weak bones, you should think twice about the bone-density test. Here’s why.
- Brain scans are usually not helpful for a concussion.
- In contrast with surgical or "open" biopsy, a needle biopsy is easier on the body.
- Some tests, treatments, and procedures are not only unnecessary, they can even prove harmful.
- In some cases, especially in healthy people without chest pain, you should be cautious about the tests.
- Although it is hard to accept, the best thing for you may be to stop treatment for the cancer.
- Having some blockage in a carotid artery doesn't automatically mean you should have artery-clearing surgery.
- If you don’t have signs or symptoms of heart or lung disease, think twice about having a pre-operative X-ray.
- If you are age 75 or older and you haven’t had symptoms of heart disease, statins may be a bad idea.
- CMR is an imaging test for heart disease. But it may not be the best test for you.
- Even a very good test can be done too often.
- For children with head injuries, a CT scan often is not needed.
- The CT scan, used to look for early signs of lung cancer, is not useful for many smokers.
- It's not necessary to replace fillings that contain mercury.
- Research shows that most people don't benefit from taking supplements to prevent heart disease or cancer.
- Think twice about treating migraine attacks with opioids or butalbital.
- The older, "non-biologic" drugs are a better first choice for treating rheumatoid arthritis.
- When do you need CSFs? When don't you need them?
- To hurry a baby’s birth can increase the risk of serious problems for both you and your baby.
- If you’re having surgery, you may wonder if you need an echocardiogram first.
- When do you need an echocardiogram?
- Sometimes the echocardiogram imaging test is done very soon after heart valve surgery, while you are still in the hospital. Usually that's not useful.
- EKGs or exercise stress tests usually aren't necessary for people without symptoms.
- Feeding tubes sometimes do more harm than good. Here’s why.
- Five common physical therapy treatments can lead to harm, more tests, and greater costs.
- You probably don't need that yearly checkup. In fact, it can do more harm than good.
- If you’re having surgery, you may wonder if you need a heart imaging test first to make sure it is safe.
- Stress tests usually aren’t helpful if you don’t have heart problems.
- If you don't have heart problems, you probably don't need a heart test before an operation.
- Home apnea monitors give little or no protection from Sudden Infant Death Syndrome.
- Many people who use long-term home oxygen therapy don’t need it.
- The American Academy of Nursing has identified four hospital practices that are usually unnecessary and may harm you.
- When do cancer experts recommend imaging tests and tumor marker tests?
- If you’ve had bypass surgery or a stent inserted to open a blocked artery, do you need regular imaging tests?
- It seems like getting an X-ray, CT scan or MRI to find the cause would be a good idea.
- It's not always a good idea to get all the tests that are available. You may not need them.
- Many with severe headaches want a CT scan or MRI to see if they have a tumor or other serious problem.
- If you are a healthy person without symptoms, you should think twice about having these tests.
- Repetitive ultrasound exams may not be necessary.
- Some people receive the treatment even though they don’t need it.
- An ICD helps the heart beat normally. But if you are near death, those shocks can make things worse.
- Here are four important tests and treatments you should carefully discuss with your family and doctor
- Most healthy people don't need blood or urine tests done before surgery, especially low-risk surgery. Here's why.
- There are two blood tests for Lyme disease, but usually you don't need them. Here's why.
- Sometimes a genetic test is not the best way to find an inherited condition or disease risk.
- Most women don’t need mammograms before elective breast surgery.
- Most people don't need to have their blood tested or their heart checked before they have eye surgery. Here's why.
- Often, pre-operative tests are not necessary. It is not a good idea to get them just because you’re having surgery.
- Opioids (narcotics) usually are not the best way to treat long-term pain like arthritis, back pain or headaches.
- Drugs used to treat cancer can also cause harm, and some are very expensive. Here's what to discuss with your doctor.
- During labor and birth, the type of fetal heart rate monitoring called IA, for intermittent auscultation, is often the better choice.
- Sometimes antibiotic eardrops are safer and more effective than oral antibiotics.
- If you suffer from high blood pressure, heart failure, or kidney disease, steer clear of some pain relievers.
- With palliative care, you can get physical, emotional, and spiritual support at any stage of a serious illness.
- Many teenage girls and some women have the test when they don’t need it. Here’s why.
- You usually don’t need a Pap test and pelvic exam before getting birth control pills.
- If you've been treated for cancer, you may not need PET scans to check for a return of the cancer.
- Watch out for two overused hospital medical practices, urinary catheters and ulcer drugs.
- Anti-seizure medicine is not usually necessary after an ischemic stroke.
- The PSA screening test is widely used, but often is not needed.
- Radiation therapy can help treat cancer and the painful symptoms from tumors. But it's not always needed.
- When it comes to radiation therapy, sometimes less is more. Use this advice to start a conversation with your doctor about the benefits and risks.
- Here is advice for talking with your doctor about whether to use radiation as part of cancer treatment.
- Screening healthy people for weak areas in the brain's blood vessels can do more harm than good.
- Ultrasound and the CA-125 blood test are not useful for screening low-risk women for ovarian cancer.
- It’s important to know which tests you need, and how often you need them.
- If you have breast cancer, there is a newer, simpler surgery to check your lymph nodes.
- Sleep drugs aren’t made for children. There are no prescription drugs approved in the U.S. to treat childhood insomnia.
- Sleeping pills are often not the best option for insomnia. Here's what you need to know.
- Older adults usually should try other non-drug treatments first, for insomnia and anxiety.
- Many people who need the test don’t receive it.
- You may not need an angiogram if your heart disease is stable. Here's why.
- Stress tests usually aren’t helpful after a stent procedure, unless you have symptoms of heart disease.
- Unless you're experiencing symptoms, this test usually isn't helpful in the first few years after heart bypass surgery or a stent procedure.
- If you’re having surgery, you will probably not need a heart stress test beforehand if you are healthy, active, and feeling well, or if you’re having minor surgery.
- If you’re at low risk for having a heart problem, even if you have symptoms, you usually don’t need this imaging test.
- The popular supplements glucosamine and chondroitin sulfate do not help relieve arthritic knees.
- Unless you have other symptoms of low testosterone, you should think twice about the treatment. Here's why.
- Employers should consider these guidelines when sending workers or job candidates to the doctor.
- Before heart surgery, you probably don't need a breathing test or carotid ultrasound test, unless you have breathing problems or symptoms.
- If you have a deep blood clot, you probably don't need a device called an IVC filter. They don't work better than blood-thinning drugs.
- Most people with Peripheral Artery Disease won't benefit from surgery or angioplasty.
- It is easy to use too much pain medicine. This can make headaches worse and cause other medical problems.
- In most cases of heartburn a PPI isn't necessary.
- If you have prostate cancer, but it poses a low risk to you, consider "watchful waiting."
- Some doctors recommend surgery. But that can lead to complications, and it doesn’t always work.
- Millions of people are prescribed antibiotics each year for sinusitis.
- Millions of people are prescribed antibiotics each year for sinusitis.
- If you have insomnia, antipsychotic drugs should not be the first choice of treatment.
- Three procedures commonly used in the emergency room are unnecessary in many cases.
- Older adults are often tested for UTIs. But if you don’t have symptoms, the tests are not very useful.
- There are several common vision tests and procedures that many children do not need.
- Doctors often order a blood test to measure your vitamin D, but the results are unlikely to change their advice.
- No medical society recommends whole-body scans. There is no evidence that they are a good screening tool.
- A guide to common tests and treatments you probably don't need.
Consumer Reports has created about a dozen videos about the Choosing Wisely campaign and about its popular topics. We urge you to share them with anyone who could use this information.
Here are some examples:
Physician organizations participating in Choosing Wisely® include:
- American Academy of Allergy, Asthma & Immunology
- American Academy of Clinical Toxicology
- American Academy of Dermatology
- American Academy of Family Physicians
- American Academy of Hospice and Palliative Medicine
- American Academy of Neurology
- American Academy of Ophthalmology
- American Academy of Orthopaedic Surgeons
- American Academy of Otolaryngology–Head and Neck Surgery
- American Academy of Pediatrics
- American Association of Blood Banks
- American Association of Clinical Endocrinologists
- American Association of Neurological Surgeons
- American Association for Pediatric Ophthalmology and Strabismus
- American College of Cardiology
- American College of Chest Physicians
- American College of Emergency Physicians
- American College of Medical Toxicology
- American College of Obstetricians and Gynecologists
- American College of Occupational and Environmental Medicine
- American College of Physicians
- American College of Radiology
- American College of Rheumatology
- American College of Surgeons
- American Gastroenterological Association
- American Geriatrics Society
- American Headache Society
- AMDA—Dedicated to Long Term Care Medicine
- American Psychiatric Association
- American Society of Anesthesiologists
- American Society of Clinical Oncology
- American Society for Clinical Pathology
- American Society of Colon and Rectal Surgeons
- American Society of Echocardiography
- American Society of Hematology
- American Society of Nephrology
- American Society of Nuclear Cardiology
- American Society of Plastic Surgeons
- American Society for Radiation Oncology
- American Society for Reproductive Medicine
- American Thoracic Society
- American Urological Association
- Commission on Cancer
- The Endocrine Society
- Heart Rhythm Society
- National Physicians Alliance
- North American Spine Society
- Society for Cardiovascular Angiography and Interventions
- Society of Cardiovascular Computed Tomography
- Society for Cardiovascular Magnetic Resonance
- Society of Critical Care Medicine
- Society of General Internal Medicine
- Society of Gynecologic Oncology
- Society of Hospital Medicine
- Society for Maternal-Fetal Medicine
- Society of Nuclear Medicine and Molecular Imaging
- Society of Thoracic Surgeons
- Society for Vascular Medicine
Here is the full updated list of specialty medical society partners.
Our partners are organizations that have discussed methods of content development, assisted in dissemination strategies, or have set up distribution campaigns in coordination with Consumer Health Choices.
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.
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 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.
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.
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.
National partners and specialty societies
Lamaze International, founded in 1960, is a not-for-profit organization whose mission is “to advance safe and healthy pregnancy, birth and early parenting through evidence-based education and advocacy.” Members include health care professionals, providers and, parents, and Lamaze Certified Childbirth Educators who carry the internationally respected LCCE certification credential. Knowing that pregnancy, childbirth and a good start to parenting can be demanding on a woman’s body and mind, Lamaze serves as a resource for information about what to expect and what choices are available. Working closely with their families, health care providers and Lamaze certified educators, millions of pregnant women have achieved their desired childbirth outcomes using Lamaze practices.
National CooperativeRx is a not-for-profit, member-owned cooperative made up of employers and coalitions. Together, its member-owners leverage their collective purchasing power to access the best discounts and cutting edge clinical programs from a Pharmacy Benefits Manager (PBM) chosen via a competitive bid process. The goal is high quality, cost-effective pharmacy benefits management with honest, transparent pricing.
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.
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.
The Alliance moves health care forward by controlling costs, improving quality and engaging individuals in their health. As a not-for-profit, employer-owned cooperative, we exist to help our members manage their health care dollars while positively impacting their employees’ health. Our members include more than 200 self-funded employers and insurance trusts covering more than 90,000 individuals in Wisconsin, Illinois and Iowa.
Baby Boomers for Balanced Health Care
Baby Boomers for Balanced Health Care is a group of citizen Baby Boomers in Minnesota who are focusing on changing the cultural belief that more health care is better health care. Believing that health care spending is out of control, they aim to stimulate a grass-roots conversation about overdosing on health care by calling for a new mindset to restore balance in health care to smarter health care – not more health care. To learn more, visit www.boomers4balancedcare.org.
California Grower Foundation
California Grower Foundation is a non-profit membership organization serving agricultural employers in Napa, Sonoma and surrounding counties. The organization was formed in 1972 by local growers to administer fringe benefit programs for field workers. It specializes in providing employee benefit programs designed to meet the unique needs of the agricultural industry.
Chamber Insurance Trust
After observing the need for cost-effective benefit solutions for the local business community, the Chamber Insurance Trust was founded in 1992. Created to combine the buying power of thousands of chamber members, CIT’s complete range of insurance options is designed with input from local Chamber of Commerce executives and members to offer small, mid-sized and large businesses competitively priced benefit packages. Currently, Chamber Insurance Trust is a voluntary alliance of all participating Chambers of Commerce across Connecticut.
Coalition for Compassionate Care of California
The Coalition for Compassionate Care of California promotes high-quality, compassionate care for all who are seriously ill or nearing the end of life. Together with its partners, CCCC is shaping the future of palliative care at the local, state and national level. As the voice of palliative care in California, it continuously incubates and disseminates models and ideas to improve access to quality care for all people. CCCC is a collaboration of thought-leaders in healthcare systems, providers, government agencies and individuals. Through advocacy, education and resource development, it is working to ensure that organizations and communities have the information, knowledge and tools to create the future of palliative care.
Connecticut Choosing Wisely Collaborative
Newly established in 2014, the Connecticut Choosing Wisely Collaborative (CCWC) is a multi-stakeholder group working to promote widespread adoption of Choosing Wisely in Connecticut as a vehicle for improvement in healthcare practice and culture. The CCWC aims to bring together multiple stakeholders from diverse organizations and perspectives to work together on efforts that will help physicians and patients engage in conversations that encourage smart and effective care choices. CCWC invites individuals representing community, consumer and patient groups; employer, labor and payer organizations; health systems and medical practices; health professions training and education programs; and government programs and policy organizations to connect, share and learn about our Choosing Wisely Campaign.
California was the first state to create a health benefit exchange following the passage of the federal health care law. Covered California is charged with creating a new insurance marketplace, in which individuals and small businesses can get access to health insurance. With coverage starting in 2014, Covered California will help individuals compare and choose a health plan that works best for their health needs and budget. Financial help will be available from the federal government to help lower costs for people who qualify on a sliding scale. Small businesses will be able to purchase competitively priced health plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits. Covered California is an independent part of state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the governor and legislature. For more information on Covered California, please visit www.CoveredCA.com.
Detroit Regional Chamber
The Detroit Regional Chamber is a well-connected and influential force powering the economy for Southeast Michigan. Serving the business community for more than 100 years, the Detroit Regional Chamber is one of the oldest, largest and most respected chambers of commerce in the country. The Detroit Regional Chamber aims to educate its members and their employees in health care best practices and drive better health care value.
FrontPath Health Coalition
FrontPath Health Coalition offers a Preferred Provider Organization network that is used by its members, more than 120 self-funded plan sponsors, representing 125,000 covered lives. The FrontPath service area includes northwest Ohio, southeast Michigan and northeast Indiana. Within its core service area, FrontPath has contracts with more than 80 hospitals and 9,000 physicians, as well as hundreds of other healthcare providers.
Greater Detroit Area Health Council
GDAHC is the premier healthcare coalition that develops and evaluates innovative solutions to improve the health and wellbeing of people living in Southeast Michigan through multi-sector collaboration. As a healthcare leader that is recognized nationally and regionally, GDAHC represents everyone who gets care, gives care and pays for care. Dedicated to the cost-effective allocation, management and use of healthcare resources, the organization seeks to develop strong, strategic partnerships that improve the value of and increase access to healthcare.
Health Policy Corporation of Iowa
The Health Policy Corporation of Iowa (HPCI) is a coalition of employers and purchasers conducting joint initiatives, research, education and applying solutions to improve the quality and affordability of health care in Iowa. HPCI is addressing fundamental issues in the health care system through collaborative efforts and the use of sound purchasing and quality improvements principles. HPCI has two goals: Goal 1 – Employers (purchasers) receive the greatest value for the dollars invested in health care in local markets and providers receive economic and other incentives to improve performance; and Goal 2 – Contribute to improvements in the health of the community.
Healthcare Collaborative of Greater Columbus
The Healthcare Collaborative of Greater Columbus is a non-profit, public-private partnership. It serves as a catalyst, convener, and coordinator of healthcare transformation and learning in Greater Columbus. It builds collaborations with providers, purchasers, and consumers; catalyzes best practices; convenes diverse stakeholders; coordinates projects that transform healthcare delivery and value; measures actionable results; and applies collaborative learning.
Iowa Health Buyers Alliance
The IHBA is an association of health care consumers and purchasers working together for better health, better health care and better value. We support a patient-centered health system, improved care quality, wellness and increased transparency and public disclosure. The IHBA was formed in 2004. Our members include public and private employers, labor organizations and consumer groups. The IHBA is Iowa’s only consumer, labor and purchaser organization focused on health care.
Lancaster County Business Group on Health
The Lancaster County Business Group on Health is recognized as a resource and advocate for quality healthcare in Lancaster County, working to help local businesses adapt to the challenges of employer-sponsored healthcare. We share real time information employers can use and provide educational and networking forums for companies seeking to make intelligent decisions on health benefits for the local workforce.
Lehigh Valley Business Coalition on Healthcare
LVBCH is a non-profit employer alliance focused on access to quality and affordable healthcare. Founded in 1980, LVBCH membership comprises more than 150 employers ranging in size from those with less than 100 employees to those with several thousand employees. In addition, about 30 associate members represent hospitals, health plans, other healthcare providers, pharmaceuticals, insurance companies, benefit consultants and brokers. The majority of employer members are located in the Lehigh Valley and Greater Reading areas of Pennsylvania. However, an expanding footprint includes employers in both Pennsylvania and New Jersey. LVBCH strives to improve the delivery, cost and quality of health care in its communities through collective employer action, quality and data initiatives, value-based purchasing, and forums for the exchange of information, ideas and resources.
Los Angeles County Department of Public Health
The Los Angeles County Department of Public Health (LAC DPH) is responsible for protecting and improving the health of all residents of Los Angeles County. The county encompasses over 4,000 square miles, and is home to an ethnically diverse population of over 9.8 million. One of the department’s strategic priorities is to empower health care consumers to make informed choices about their health. For more information contact the LAC DPH Health Care Consumer Protection Program.
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.
Oregon Health Care Quality Corporation
The Oregon Health Care Quality Corporation is an independent, nonprofit organization dedicated to improving the quality and affordability of health care in Oregon by leading community collaborations and producing unbiased information. Q Corp works with community members – including consumers, providers, employers, policymakers and health insurers – to improve the health of all Oregonians. For more information, visit www.Q-Corp.org.
Pittsburgh Regional Health Initiative
The Pittsburgh Regional Health Initiative (PRHI) is a regional health improvement collaborative that unites clinicians, employers, health plans, policy makers, educators, and consumers to accelerate innovation in order to improve the quality and lower the costs of health and health care. Anticipating the impact of cutting-edge health technologies and big data on correcting the asymmetry of information between healthcare consumers and providers, PRHI launched the Center for Health Information Activation (CHIA).CHIA’s overarching goal is to help healthcare consumers and providers engage in meaningful, dynamic and goal-directed partnerships. Together with other cutting-edge consumer advocacy organizations and programs, creative policy makers, health information technology entrepreneurs and physician champions, CHIA will provide communication tools, skill-building support, guidance on finding and assessing the quality and relevance of the best health information sources and creative health apps, as well as access to online communities – for providers, patients and families.
Rhode Island Business Group on Health
The Rhode Island Business Group on Health (RIBGH) assists Rhode Island employers of all industries and sizes in navigating the ever-changing healthcare marketplace and in getting the most from their healthcare investment. RIBGH strives to promote better care delivery, transparency and healthier outcomes at affordable, predictable costs. RIBGH leads the effort –- on behalf of Rhode Island employers and in collaboration with other interested stakeholders –- to promote sound healthcare investment and well workforces in the Rhode Island business community.
VNA Community Healthcare
VNA Community Healthcare is a non-profit, community based home healthcare agency based in Guilford and Hamden Connecticut. Beyond nursing; physical, occupational and speech therapies; mental health; and maternal child health, it offers free or low cost wellness, health and family caregiver support programs in 35 towns throughout greater New Haven and Middlesex counties.
Washington Health Alliance
The Washington Health Alliance brings together those who give, get and pay for health care to create a high-quality, affordable system for the people of Washington state. The Alliance is a nonprofit, nonpartisan organization that shares the most reliable data on health care quality and value in the state to help providers, patients, employers and union trusts make better decisions about health care. We set expectations for community performance on evidence-based practices that improve health while reducing waste and cost.
Washington State Hospital Association
The Washington State Hospital Association is a membership organization representing 99 community hospitals and several health-related organizations. WSHA’s mission is to advocate on behalf of and support members in achieving their missions and improving the health of their communities. WSHA works collaboratively with members and partners to improve the health of the people of the state by becoming involved in all matters affecting the delivery, quality, accessibility, affordability and continuity of health care. Working in partnership with the Washington State Medical Association, WSHA convenes the medical officers of Washington state to collaborate on agreed-upon Call to Action initiatives, which are health-care quality and safety imperatives to promote the betterment of patient lives and health-care delivery. One of the Call to Action imperatives identified by the medical officers is the Choosing Wisely campaign. The WSHA supports the Choosing Wisely campaign through promotion and education in a variety of venues.
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.
WellOK, the Northeastern Oklahoma Business Coalition on Health, is a nonprofit group of businesses coming together to advocate for highest quality and value for the healthcare they purchase. The coalition comprises private and public employers, government and philanthropic organizations. WellOK works to achieve better care for each of our employees and families and better health for all in our community, all at the best possible cost. We strive to make our community more attractive to growth by offering high-value healthcare.
West Virginians for Affordable Health Care
West Virginians for Affordable Health Care (WVAHC) is a statewide, nonpartisan, nonprofit (501c3) organization that represents the interests of consumers on health care issues. WVAHC’s niche is health care public policy research, analysis and public education. WVAHC is governed by an outstanding board of directors, including Dr. Dan Foster a former surgeon and former state senator who is chairman of the board. Other notable board members include Beth Baldwin, former president of the West Virginia Nurses Association and Kathleen Stoll, deputy executive director of Families USA.
Westchester Library System
Westchester Library System collaborates with 38 libraries in Westchester County to provide access to resources and services that enhance and support library service for the county’s more than 940,000 residents. In addition to providing critical, efficient technical services, WLS delivers programs that engage underserved populations, including low-income adults, seniors, the disabled, and disconnected youth.
Choosing Wisely grantees
In spring 2015, the ABIM Foundation—with continued funding from the Robert Wood Johnson Foundation (RWJF)—awarded a second round of grants to organizations that promote the goals of the Choosing Wisely campaign.
These new grants support seven initiatives focused on reducing utilization of inappropriate tests and treatments. Each initiative includes delivery systems, hospitals and/or medical groups collaborating with multi-stakeholder community-based groups and physician-led organizations.
Greater Detroit Area Health Council
The Greater Detroit Area Health Council (GDAHC) has 70 years of experience leading multi-stakeholder projects on health care cost, quality, utilization and access. GDAHC will work with the Michigan State Medical Society (MSMS), the Detroit Medical Center Physician Organization, The Henry Ford Physician Network and others to reduce unnecessary care in the Detroit region.
Integrated Healthcare Association
California’s Integrated Healthcare Association (IHA), a nonprofit multi-stakeholder group focused on promoting quality improvement, accountability and affordability, will lead a project designed to promote appropriate care in both northern and southern California. IHA will partner with provider organizations Sharp Rees-Stealy Medical Group (San Diego County) and Sutter Health (Sacramento/Central Valley/San Francisco Bay), the California chapter of the American College of Physicians (ACP-CA), the Center for Healthcare Decisions (CHCD) and Blue Shield of California (BSC).
Maine Quality Counts
Maine Quality Counts (MQC), a multi-stakeholder regional health improvement collaborative and previous Foundation grantee, will lead an effort focused on Maine’s Midcoast and Greater Bangor regions. MQC will work with local partners and statewide organizations: Maine Medical Association, Maine Osteopathic Association, Consumers for Affordable Healthcare, Maine Area Agencies on Aging, and providers Mid Coast Health System, Martin’s Point Health Care, Penobscot Community Health Care, and Joseph Healthcare.
North Carolina Healthcare Quality Alliance
The North Carolina Healthcare Quality Alliance, a non-profit health collaborative, will work to reduce unnecessary care in central North Carolina and the rest of the state. NCHQA will partner with the North Carolina Medical Society, Duke Medicine, Cornerstone Health Care, Blue Cross Blue Shield of North Carolina and the State Health Plan for Teachers and State Employees.
University of California, Los Angeles
The UCLA Department of Medicine will lead a coalition of six partners working toward a dramatic reduction in low value care. The coalition includes: the Los Angeles County Department of Health Services, the Los Angeles County Department of Public Health, the Los Angeles County DHS Primary Care Practice Based Research Network, The Wellness Center at Historic General Hospital, and the Society of General Internal Medicine.
Washington Health Alliance
The Washington Health Alliance (WHA), a purchaser-led regional health improvement collaborative and previous grantee, will continue to partner with the Washington State Medical Association (WSMA), another former grantee, to use Choosing Wisely to shape the state’s health care system. They will be joined by two provider organizations, Group Health Cooperative and Swedish Health Services.
Wisconsin Collaborative for Healthcare Quality
The Wisconsin Collaborative for Healthcare Quality (WCHQ), a regional healthcare collaborative and past ABIM Foundation grantee in advancing Choosing Wisely, will partner with provider organizations Froedtert & the Medical College of Wisconsin, Monroe Clinic, the Wisconsin Academy of Family Physicians and the Wisconsin Medical Society.
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.