Iowa Healthcare Collaborative

Choosing Wisely® Campaign

The Iowa Healthcare Collaborative recently received a two year grant from the ABIM Foundation to advance the Choosing Wisely® campaign. Support for this program comes from the Robert Wood Johnson Foundation.


The Choosing Wisely campaign encourages patient and provider communication about the overuse of medical tests and procedures.  This crucial interaction will help to eliminate unnecessary medical testing and ultimately reduce associated healthcare costs. 

The Iowa Healthcare Collaborative will work to educate healthcare professionals, provide tools and resources about the Choosing Wisely campaign, and work to align current quality improvement strategies, with campaign strategies, to improve patient care statewide.

Learn more about the Choosing Wisely campaign.

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Choosing Wisely "Iowa 5"

Collaborating with the Iowa Medical Society, physicians identified the top 5 recommendations most important to Iowa physicians.

The "Iowa 5" are:

  1. Don’t obtain imaging studies in patients with non-specific low back pain; and don’t do imaging for low back pain within the first six weeks, unless red flags are present.

  2. Don’t do imaging for uncomplicated headache. Imaging headache pains absent specific risk factors for structural disease is not likely to change management or improve outcomes.

  3. In the evaluation of simple syncope and a normal neurological examination, don’t obtain brain imaging studies (CT or MRI).

  4. Avoid unnecessary use of computed tomography (CT) scans in the immediate evaluation of minor head injuries.

  5. Don’t order sinus CT or indiscriminately prescribe antibiotics for uncomplicated acute rhinosinusitis.

The "Iowa 5" recommendations are also available in a printable PDF format.


Choosing Wisely Work Group

  • Tom Evans, MD, Iowa Healthcare Collaborative

  • Clare Kelly, Iowa Medical Society 

  • Ed Whitver, Iowa Medical Society 

  • Tim Gutshall, MD, Wellmark Blue Cross and Blue Shield 

  • Jason Kessler, MD, Iowa Medicaid Enterprise

  • Don Skinner, MD, McFarland Clinic PC

  • John Yost, MD, UnityPoint Health

  • Michael Miller, MD, University of Iowa Hospitals and Clinics

  • Jeff Maire, DO, Mercy Health Network 

  • Kady Hodges, MPH, Iowa Healthcare Collaborative


Choosing Wisely Work Plan (Word Doc)
This document presents information on the current work group and strategies of the Choosing Wisely campaign 
in Iowa. 


Provider Educational Resources 

All About Choosing Wisely (Video)
Providers and healthcare facilities can use this video to start conversations with patients about the campaign and current waste in the healthcare system. This video length is 2:59 and was developed by Consumer Reports in cooperation with the ABIM Foundation. 

Choosing Wisely Clinical Decision Support (PDF)
This presentation by Cedars-Sinai provides information on the Choosing Wisely campaign and the use of an electronic alert system to help physicians improve treatment interventions. 

Choosing Wisely Why Minnesota Physicians Should be Choosing Wisely (PDF)
This webinar presentation by the Minnesota Medical Association, describes the implementation of the Choosing Wisely campaign in Minnesota. 

Communication Skills Modules (PDF)
This webinar presentation from the Drexel University College of Medicine presents key communication skills that can be used by healthcare providers when interacting with patients. 

EKGs and Exercise Stress Tests (Video)
Providers and healthcare facilities can use this video to engage patients in conversations about heart health and necessary testing associated with heart health. This video is 2:23 in length and was developed by Consumer Reports in cooperation with the ABIM Foundation.

IHC Choosing Wisely 101 (PDF)
The Iowa Healthcare Collaborative created this presentation to inform healthcare providers about the Choosing Wisely campaign. This presentation provides information on planned strategies and objectives for campaign implementation in Iowa. 

Media and Marketing (PDF)
This presentation from the ABIM Foundation learning network provides information on communication support, using social media as a form of communication, and using traditional media to provide information on Choosing Wisely to the public. 

More Medicine is Not Always Better (Video)
Providers and healthcare facilities can use this video to describe current testing procedures and open the conversation about necessary testing with patients. This video is 2:55 in length and was developed by Consumer Reports in cooperation with the ABIM Foundation.

Talking With Your Doctor (Video)
Providers and healthcare facilities can use this video for patient education about being prepared, being specific about symptoms, and knowing it’s ok to speak up about their health concerns when talking with their doctor. This video is 2:47 in length and was developed by Consumer Reports in cooperation with the ABIM Foundation. If you would like to see a copy of the 5 Questions to Ask Your Doctor handout mentioned in the video, click this link

Treating Sinusitis (Video)
Providers and healthcare facilities can use this video to discuss current treatment options for sinusitis with patients. Consumer Reports developed this video in cooperation with the ABIM Foundation.

Free Smart Phone Application (PDF)
This is a free smart phone application for physicians considering ordering an echocardiogram.  The application is available for apple and android devices, through an application store. 
 


Printable Resources 

5 Questions to Ask Your Doctor Before You Get Any Test, Treatment, or Procedure (PDF)
Providers and healthcare facilities can use this poster to help engage patients in their care.

The "Iowa 5" Choosing Wisely Recommendations (PDF)
Five things that providers and patients in Iowa should reconsider.

Choosing Wisely Pre-Project Survey (PDF)
Providers and healthcare facilities can use this survey to collect baseline information on current physician and patient interactions. 

CME Evaluation Form (PDF)
This is an example of a CME evaluation form used in a Choosing Wisely presentation. Provider and healthcare facilities can use this form as a template for new evaluation forms. 

Know Your Choices, Ask Your Doctor (PDF)
The Washington State Medical Association created this poster to help educate patients on the Choosing Wisely campaign, the use of the emergency room, and end-of-life care choices. 

Minnesota Medical Association (PDF)
The Minnesota Medical Association created this poster to help educate patients on the Choosing Wisely campaign. 
 


Articles

A Teaching Framework for Cross-cultural Healthcare (PDF)
This article presents information on healthcare and cultural diversity in the family practice setting using the LEARN model. 

Campaign Asks Physicians and Their Patients to Choose Wisely (PDF)
This is a press release discussing the Choosing Wisely campaign and grant awardees, including the Iowa Healthcare Collaborative. 

Choose Wisely Campaign Brings Together Physicians and Patients (PDF)
This press release written by Dr. Jeff Maire, Iowa Healthcare Collaborative Board Chair and Surgeon in Polk County, discusses the deployment of the Choosing Wisely campaign in the state of Iowa. 

Encouraging Patients to Ask Questions: How to Overcome “White-Coat Silence” (PDF)
This article provides information on communication barriers between healthcare providers and patients. 

Enhancing Patient-Centered Communication (PDF)
This article provides information on patient and provider communication when using electronic health records in the examination room. 

List of Choosing Wisely Journal Articles – 2013 (PDF)
Provider and healthcare facilities can use this list of journal articles to expand knowledge of the Choosing Wisely campaign. 

Patient Communication References (PDF)
Healthcare providers can use this list of references to help engage patients in healthcare decisions.


Created: January 2014
Updated: December 2014

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