an invitation to kanawha county medical, nursing, and health care organizations and providers
TRANSCRIPT
An Invitation to Kanawha County Medical, Nursing, and Health Care Organizations and Providers
Choosing WiselyA Physician Led Reform
Begun by the National Physicians Alliance
Three physician organizations each submitted 5 procedures in their area of expertise that are felt to be of questionable value
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Choosing Wisely – 2014
American Board of Internal Medicine Foundation
60 physician specialty groups and health care organizations involved
250 low-value procedures have been identified
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System Improvements: Why It’s Needed
30% of care is for unnecessary tests, procedures, medical appointments, hospital stays that may not improve people’s health
$102 billion in failure of delivery of care (e.g., lack of widespread adoption of best care practices)
$158 billion in overtreatment (e.g., overuse of antibiotics)
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Source: Berwick & Hackbarth, JAMA, 2012;307(14):1515-1516 & Congressional Budget Office
System Improvements: Why It’s Needed
“The current (payment) system, based on volume and intensity, does not disincentivize, but rather pays more for overuse and fragmentation.” Mark McClellan
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Choosing WiselyExamples of selected procedures
include:
◦Using antibiotics for a viral infection is ineffective and potentially harmful
◦Don’t order imaging for uncomplicated low-back pain
◦Use Pap test appropriately
◦Imaging for headaches is ineffective
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Consumer Reports Five Questions to Ask Your Physician
Do I really need this procedure?
What are the risks?
Are there simpler, safer options?
What happens if I don’t do anything?
How much does it cost? 7
Choosing Wisely
Consumer Reports has written 31 two-page summaries for consumers on these low-value services plus other helpful discussion guides for consumers
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Antibiotic Use
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Antibiotics for Pink Eye
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Imaging tests for lower-back pain
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Delivering your baby
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Major National Partners Include:
Consumer ReportAARPNational Business Group on Health
Puget Sound Health AllianceNational Hospice and Palliative Care Organization
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Challenges
Reaching the subset of 1.8 million West Virginia consumers who may use low-value services is difficult.
Messaging that more health care is not necessarily better health care is counter-intuitive. 14
Choosing Wisely in Kanawha County
WE INVITE YOU to take a leadership role
◦We are seeking medical, nursing and health care organizations as Partners.
◦We are seeking Participating Providers
◦We hope to gain insights to help further a statewide - Choosing Wisely in West Virginia initiative
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Choosing Wisely InKanawha County
Choosing Wisely in Kanawha County, a program of (WVAHC), has partnered with Consumer Reports for the Choosing Wisely initiative
Our first goal is to engage Provider Organizations as Partners.
Our second goal is engage 100 Kanawha County physicians - clinicians as Participating Providers.
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Funding from Greater Kanawha Valley Foundation
12 month initiative
Encourage physicians and clinicians to take a leadership role.
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Partner Organizations WillReceive Choosing Wisely materials
useful for engaging conversationsEncourage membership to be engaged
in Choosing WiselyBe listed as a Partner Organization of
Choosing Wisely in Kanawha County on materials, website, news releases, media
Receive and post 3 prepared articles on Choosing Wisely
Members of partner organizations may asked to serve as a spokesperson 18
Participating Providers Will
Receive materials useful for engaging consumers in conversations about low value medical treatments
Be recognized as a Participating Providers in our materials, web site, media
May be asked to serve as a spokesperson about Choosing Wisely
Receive and complete a short online survey about their experience
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Your Participation
Is extremely important to this initiative
In fact, your participation is essential
Can help us identify the best methods to be used for a future WV state-wide initiative 20
Partner Organizations as of September 5, 2014
WV Primary Care Association Kanawha-Charleston Health Department WV Nurses Association WV Perinatal Partnership
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