The following tools can help you integrate Choosing Wisely's evidence-based best practices into your practice or organization.
Choosing Wisely Action Manual
For physicians or other health care leaders struggling with how to integrate Choosing Wisely's evidence-based best practices into their practices or organizations, the Choosing Wisely Action Manual takes a step-by-step approach to making system-level changes. The manual was created by the Washington State Choosing Wisely Task Force, a group of more than 20 medical leaders from the largest health care organizations in the state. The task force is co-sponsored by the WSMA, the Washington Health Alliance and the Washington State Hospital Association.
Download the Choosing Wisely Action Manual
Measuring Choosing Wisely recommendations in Washington state
In 2014, the first statewide study in the nation to measure Choosing Wisely recommendations was published by the Washington Health Alliance in conjunction with the Washington State Choosing Wisely Task Force. The study, based upon claims data representing 3.3 million lives in Washington state, finds that patients in Washington may be exposed to care that they don't need—and potential harm. A second report, published in 2016, showed improvement on six recommendations. The reports offer county-by-county results for nine different Choosing Wisely recommendations, and are based on the Choosing Wisely Claims-Based Technical Specifications (email email@example.com to request a copy).
Less waste. Less harm. Choosing Wisely in Washington state, September 2014
Less waste. Less harm. Choosing Wisely in Washington state, August 2016
First Do No Harm: Calculating Health Care Waste in Washington State, February 2018
First Do No Harm: Calculating Health Care Waste in Washington State, December 2018
Help us spread the word
Drop the pre-op!
Physicians agree: All patients need pre-op evaluation, but a low-risk patient having a low-risk procedure does not need pre-op testing. Providing high-quality care to patients includes eliminating unnecessary tests, treatments and procedures. Based on results from the 2018 "First Do No Harm" report, the Washington State Choosing Wisely Task Force focused efforts on unnecessary pre-op testing and developed resources you can use to improve your practice and educate your colleagues.
"5 Questions" poster for your exam or waiting room
The "5 Questions to Ask Your Doctor Before You Get Any Test, Treatment or Procedure" single-page flyer is a simple and effective way to encourage shared decision making. Post one in your exam room, or have them available in your waiting room. Any one of these five questions can help start the conversation for both the patient and physician to ensure the right care is delivered at the right time:
- Do I really need this test or procedure?
- What are the risks?
- Are there simpler, safer options?
- What happens if I don't do anything?
- How much does it cost?
Download the 5 Questions poster
Web-based education for physicians
Interactive instructional modules, based on specialty society recommendations from the Choosing Wisely campaign, are available. By completing the modules, physicians will learn strategies to build trust and address patient attitudes and beliefs.
Access the modules here.