INCREASING CONVERSATIONS ABOUT OVERUSE CHANGING AWARENESS AND ATTITUDES ENGAGING CLINICIANS AND PATIENTS ACTIVE CHOOSING WISELY CAMPAIGNS 2016 SOCIAL MEDIA ENGAGEMENT 56,195,896 IMPRESSIONS 19,288 TWEETS 9,523 PARTICIPANTS (not unique) Launched in 2012 by the ABIM Foundation and Consumer Reports, Choosing Wisely is a leading effort to encourage conversations aimed at reducing unnecessary tests and treatments in health care. Here are some ways the campaign is helping influence these conversations: United States Brazil Wales Denmark Switzerland Austria Italy Israel England Germany Netherlands France India Australia New Zealand South Korea Japan Canada 145,360 ANTIBIOTICS FOR PINK EYE 1,271 AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS 11,147 AMERICAN GERIATRICS SOCIETY MOST VISITED PAGE MOST VISITED SOCIETY LIST MOST VISITED RECOMMENDATION 0 500,000 1,000,000 1,500,000 2,000,000 2012 2013 2014 2015 2016 0 2,000 2010 2011 2012 2013 2014 2015 2016 4,000 6,000 Visits to www.choosingwisely.org Mass Media Articles Referencing Choosing Wisely 200,000 “FIVE QUESTIONS TO ASK” wallet cards distributed working with 14 29 GRANTEES HEALTH CARE SYSTEMS * Including 7 current grantees * Support for this program was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. TO MILLIONS OF CONSUMERS 50 110 + PATIENT-FRIENDLY MATERIALS CONSUMER ORGANIZATIONS recognized 40 + CLINICIANS as Choosing Wisely Champions “75.1% of primary care physicians reported they agreed or somewhat agreed that Choosing Wisely empowered them to reduce use of unnecessary tests and procedures compared with 64.4% of medical specialists and 54% of surgical specialists.” “The number of articles on overuse nearly doubled from 2014 to 2015, indicating that awareness of overuse is increasing…” As a result of the Choosing Wisely campaign: • Most respondents (64.5%) felt more comfortable discussing low-value services with patients; • 54.5% reported reducing utilization; and • 52.5% were aware of local efforts to promote the campaign. • A majority (62.9%) of respondents were able to identify at least 4 out of 5 recommendations. Physicians Perceptions of Choosing Wisely and Drivers of Overuse Carrie H. Colla, PhD; Elizabeth A. Kinsella, BA; Nancy E. Morden, MD, MPH; David J. Meyers, MPH; Meredith B. Rosenthal, PhD; and Thomas D. Sequist, MD, MPH 2016 Update on Medical Overuse A Systematic Review Daniel J. Morgan, MD, MS; Sanket S. Dhruva, MD; Scott M. Wright, MD; Deborah Korenstein, MD Emergency Physician Knowledge, Attitudes and Behavior regarding ACEP’s Choosing Wisely Recommendations: A Survey Study Michelle P. Lin, Thomas Nguyen, Marc A. Probst, Lynne D. Richardson, Jeremiah D. Schuur THE AMERICAN JOURNAL OF MANAGED CARE ACADEMIC EMERGENCY MEDICINE JAMA INTERNAL MEDICINE 0 300 600 900 1,200 1,500 2012 2013 2014 2015 2016 Based on a Google Scholar search of “Choosing Wisely and health” 75 PARTNERS 490 RECOMMENDATIONS published distributed www.choosingwisely.org | #choosingwisely 40 + webinars Featuring implementations as part of the health systems leaders presentations and grantee learning network. published 71 newsletter articles Highlighting Choosing Wisely implementation efforts.