Join health care leaders, stakeholders and national Choosing Wisely® representatives for a day-long, in-depth look at how the Choosing Wisely initiative in Washington state is moving from education to implementation.

If your practice or organization is working to integrate Choosing Wisely recommendations into daily operations, this conference will give your team the tools and inspiration to implement change within your care setting.

Conference Agenda


8 a.m.
Check-in, Breakfast and Networking 
9 a.m.
Welcome and Opening Remarks  Randy Moseley, MD
9:15 a.m.
The Choosing Wisely® Campaign  Richard Baron, MD, president and CEO of the American Board of Internal Medicine (ABIM) and ABIM Foundation
10 a.m. Connecting the Dots: Choosing Wisely and the Quality Payment Program– Paul McGann, MD, chief medical officer of quality improvement at the Centers for Medicare & Medicaid Services (CMS)
10:45 a.m.  Networking Break
11 a.m.
Why Choosing Wisely Matters to Us – Beth Droppert, Allied Health Advocates; Michele Ritala, Puget Sound Energy; and Beccah Rothschild, Consumer Reports
11:45 a.m.
Lunch Served 
12:30 p.m.
Implementation Science – Matt Handley, MD, senior medical director of quality and safety at Kaiser Permanente Washington
1:15 p.m.
Clinical Education Strategies: Leveraging CME to Change Physician Behavior – Graham McMahon, MD, president and CEO of the Accreditation Council for Continuing Medical Education (ACCME)
1:45 p.m.
Networking Break – Move to Breakout Session I
2 p.m.
  • Medical Group Implementation – Marisa D’Angeli, MD, Washington State Department of Health; Jason Lempp, MPH, Qualis Health; Jae Sim, MD, Edmonds Family Medicine
  • Choosing Wisely to Reduce Harms of Overdiagnosis and Overtreatment – Randy Moseley, MD, Confluence Health
  • Team Communication Skill-Building to Improve Patient Experience – Larry Mauksch, MEd, UW Medicine
  • Measuring Success: Building Reports and Sharing Physician-Level Results – Angie Sparks, MD and Sharon Fuller, Kaiser Permanente Washington
  • Leading and Sustaining Change – Pete McGough, MD, UW Neighborhood Clinics
2:50 p.m.
Break – Move to Breakout Session II
3:10 p.m.
  • Hospital and Health System Implementation – Chris Dale, MD, Swedish and Kellie Hurley, MN, RN, Virginia Mason
  • The Harder Nut to Crack: Imaging for Uncomplicated Headaches – Cindy Burdick, MD, Kaiser Permanente Washington
  • Team Communication Skill-Building to Improve Patient Experience – Larry Mauksch, MEd, Clinical Professor Emeritus, Department of Family Medicine, University of Washington; Editor, Families, Systems and Health
  • Myth-Busting – David Buchholz, MD, Premera Blue Cross; and Susie Dade, MPA, Washington Health Alliance
  • Leading and Sustaining Change – Pete McGough, MD, UW Neighborhood Clinics
4:00 p.m.

Conference Objectives

Opening Remarks 

  • Outline the goals of the conference and commit to applying them when you return to work on Monday.
  • Describe the Washington State Choosing Wisely Task force and the partnership between WSMA, WHA and WSHA to spread this important initiative across the state. 

Choosing Wisely: A National Campaign

  • Review the mission and aims of the Choosing Wisely campaign
  • Outline the campaign's key accomplishments and goals for the future  

Implementation Science

  • Describe the importance of having a structured implementation plan in order to successfully make changes at the system level
  • Outline the eight steps needed to create change and discuss how to create a cross-walk between an organization’s existing process for leading change and the steps outlined in the Choosing Wisely Action Manual 

Why Choosing Wisely Matters to Us

  • Discuss why the Choosing Wisely campaign matters from a variety of perspectives
  • Describe how the campaign benefits areas of particular interest to each stakeholder

Connecting the Dots: Choosing Wisely and MACRA's QPP

  • Describe CMS' commitment to increasing value and reducing unnecessary tests, procedures and treatments
  • Outline how MACRA's QPP aligns with Choosing Wisely recommendations and outline how working on one benefits the other 

Clinical Education Strategies

  • Outline strategies to leverage continuing medical education activities to change physician behavior
  • Provide examples of clinical education strategies used around the country to support the Choosing Wisely campaign

Breakout Sessions

  • Outline specific implementation strategies used in medical groups, hospitals and health systems around the state
  • Describe how Choosing Wisely can be used to reduce potential harms from overdiagnosis and overtreatment
  • Build communication skills to improve the quality of conversations between physicians and patients about whether certain tests are procedures are necessary
  • Describe methods for incorporating Choosing Wisely metrics into quality improvement dashboards and performance measurement
  • Provide leadership and change management strategies that can support the implementation of Choosing Wisely within an organization 
  • Outline strategies to tackle the more challenging Choosing Wisely recommendations
  • Bust myths about risk management, patient satisfaction and medical/legal concerns related to the Choosing Wisely campaign  

Washington State Choosing Wisely Task Force and
Planning Committee

David Buchholz, MD – Premera Blue Cross
Christopher Dale, MD – Swedish Medical Group
Marisa D'Angeli, MD – Washington State Department of Health
Tanny Davenport, MD – Signal Health
Connie Davis, MD – Skagit Regional Health
Scott Foster, MD – PeaceHealth Medical Group
Matthew Handley, MD – Kaiser Permanente Washington 
Dale Hoekema, MD – Kadlec Health System
Camille Johnson, MD – Virginia Mason
Dan Kent, MD – United Healthcare Community Plan
Gary Knox, MD – Rockwood Clinic
Scott Kronlund, MD – Northwest Physicians Network
Pat Kulpa, MD – Regence Blue Shield
Jason Lempp, MPH – Qualis Health
Francis Mercado, MD – CHI Franciscan Health
Randy Moseley, MD – Confluence Health
Scott Ramsey, MD – Fred Hutchinson Cancer Research Center
John Robinson, MD – First Choice Health
Jae Sim, MD – Edmonds Family Medicine


Jessica Martinson – Washington State Medical Association
Laurie Kavanagh – Washington Health Alliance
Ryan Hosken – Washington State Hospital Association


The conference will be held at the DoubleTree by Hilton Seattle Airport SeaTac, Washington.

Registration Information

Register by October 2 to receive the early-bird rate of $200. After October 2, the rate is $225. Online registration ends October 24. Walk-in registrants are welcome on the day of the conference. If you have any questions, please contact WSMA at (206) 441-9762, (800) 552-0612 or

Cancellation policy: Refunds, minus a $50 administrative fee, can be issued if cancellation is received in writing by October 20, 2017. After this date, refunds cannot be issued.

CME Accreditation Statement

The WSMA is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The WSMA designates this live activity for a maximum of 5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

This activity meets the criteria for up to 5 hours of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

NOTE: WSMA offers ABIM MOC points for this activity for learners choosing to participate in the MOC program. Learners are NOT required to participate in any MOC activities in order to claim AMA PRA Category 1 Credits™ for this activity.

MOC Statement

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Thank you to our Sponsors




Date and Time
Friday, October 27, 2017
Check-in: 8 a.m.
Adjourn: 4 p.m. 

Event Location
DoubleTree by Hilton
18740 International Boulevard
Seattle, WA, 98188
Phone: (206) 246-8600
By October 2 Registration Fee: $200
After October 2: $225
Contact WSMA at
(206) 441-9762 or
(800) 552-0612 or