7. Choosing Wisely
Imagine each physician specialty and primary care society comes up with a list of five procedures or tests that their own members should avoid, and discourage if their patients request them. Keep in mind these services would have produced revenue and may have been performed under the assumption that more care is better care, however marginally beneficial.
That's exactly what the American Board of Internal Medicine Foundation has accomplished with its Choosing Wisely campaign, which ABIM officials say is "revolutionizing" healthcare. The initiative seeks to inform providers and patients on evidence based practice in an effort to avoid harm, needless interventions and waste, and reduce cost.
The effort began in 2011 and 2012 with nine practice organizations, but took off in 2013 with some 46 primary and specialty societies putting in their lists of five or more procedures, and more expected in 2014.
Tomorrow: Part 2