Helping Employees Choose Wisely Dominic Lorusso, Director, Consumer Reports December 6, 2016

“Approximately 30% of healthcare costs (more than $750 billion annually) are spent on wasted care.“ - Institute of Medicine What are the causes?

Patients are requesting tests, treatments, & procedures that they don’t need

Providers are performing services that are unnecessary and may be harmful In today’s health marketplace, being a compliant patient isn’t good enough any more

Cultural norms and misleading advertising can lead to inappropriate care

An initiative to spark conversation between patients and providers about overly used medical tests, treatments, and procedures to ensure the right care is delivered at the right time. Consumer Reports is a partner in Choosing Wisely and supports the effort by creating patient-friendly materials based on the society recommendations and engaging a coalition of consumer communication partners to disseminate content and messages about appropriate use to the communities they serve.

Original Nine Specialty Societies (April 2012) American Academy of Allergy, Asthma & Immunology American Academy of Family Physicians American College of Cardiology American College of Physicians American College of Radiology American Gastroenterological Association American Society of Clinical Oncology American Society of Nephrology American Society of Nuclear Cardiology 7

Sample of 70+ Participating Medical (and other) Societies & Associations American Academy of Allergy, Asthma & Immunology American Academy of Family Physicians American Academy of Hospice and Palliative Medicine American Academy of Neurology American Academy of Nursing American Academy of Ophthalmology American Academy of Otolaryngology–Head and Neck Surgery American Academy of Pediatrics American College of Cardiology American College of Obstetricians and Gynecologists American College of Physicians American College of Radiology American College of Rheumatology American Gastroenterological Association American Geriatrics Society American Society of Clinical Oncology American Society for Clinical Pathology American Society of Echocardiography American Society of Nephrology American Society of Nuclear Cardiology American Urological Association Society of Cardiovascular Computed Tomography Society of Hospital Medicine Society of Nuclear Medicine and Molecular Imaging Society of Thoracic Surgeons Society for Vascular Medicine American Academy of Clinical Toxicology American Academy of Dermatology American Academy of Orthopaedic Surgeons American Association for Pediatric Ophthalmology and Strabismus American College of Emergency Physicians American College of Medical Toxicology American College of Surgeons American Headache Society AMDA – Dedicated to Long Term Care Medicine American Physical Therapy Association American Psychiatric Association American Society of Anesthesiologists American Society of Hematology American Society for Radiation Oncology American Thoracic Society Commission on Cancer—a multidisciplinary program of the American College of Surgeons Critical Care Societies Collaborative Heart Rhythm Society Society of Cardiovascular Magnetic Resonance Society of Critical Care Medicine Society of General Internal Medicine Society of Gynecologic Oncology 8

Consumer Reports develops resources to inform and empower consumers in their healthcare decisions: Posters (6+) Videos and TV/Radio PSAs (14+) Wallet cards Brochures (100+) E-hubs (5) Microsites Newsletter And more… Most are available in Plain English & Spanish. Some can be co-branded. All are free to use and distribute!

5-Questions to ask your Doctor: Multiple resources – designed for easy access and multiple access points Wallet Card Video Rack Card Flyer / Poster 10

Several resources available for employers Consumer Reports has worked with several partners to develop solutions geared to fit your work force. Making Healthy Choices Co-Branded Microsites Co-Branded collateral All are available at no cost. All can be implemented simply, with minimal effort. 11

Making Healthy Choices: The Issue & The Solution The Issue: Patients are faced with many healthcare choices. Employers are interested in helping their employees make smart healthcare decisions. Note: IBM initiated the project The Solution: Consumer Reports created Making Healthy Choices, a toolset including a video series, mobile app, and website – utilizing Choosing Wisely materials – a med at helping employees understand how to make the right healthcare choices and what questions to ask. ConsumerHealthChoices.org/Healthy 12

Making Healthy Choices: 13

Preliminary Integration Methods IBM: Hosted on health intranet site and employee wellness tools; offered incentives including CR subscriptions Case Western Reserve: Included in university-wide newsletter and wellness intranet site; distributed posters and wallet cards at campus wide summer-event; offered $100 Visa gift cards via lottery system Bath Iron Works: Included in employee newsletter and announcements to employees at staff meetings; offered iPad Air 2 via lottery system

Making Healthy Choices Videos: Lessons Learned from Employees “That it is ok to ask your doctor the reason for specific treatments. I think the patient can feel at a disadvantage in these situations and it's good to have the background to ask "why" questions.” “That some tests or procedures could actually have a negative impact on the patient.” “Sometimes the best treatment is no treatment.” “Antibiotics should not be used for viral infections.” “I'll review those questions before going to my doctor appointment next time.” “To not rely on one source of information.” “We (generationally) over-depend on the ever expanding technology and decrease the use of common sense. These MHC series are making us more aware of common sense practices that need to be revitalized.” 15

Co-Branded Microsites A place to send your audience (employees and their dependents, HR colleagues, on-site clinic providers, etc.) to read, watch, or download a subset of our Choosing Wisely materials. No cost Co-branded Analytics provided Flexible format 16

Samples: 17

Co-Branding Opportunities Consumer Reports can co-brand certain pieces of collateral Examples are below 18

Turning Ideas to Action 2017 Campaign for Minnesota employers High value; turnkey execution; no cost! Watch for monthly messaging from The Action Group Curated content from Choosing Wisely: actionable, newsworthy (e.g., opioid crisis), and aligned with national calendar (e.g. heart month, breast cancer awareness month, etc.) Brief “feature” paragraph, then link to Choosing Wisely content—can be used on website or online/print newsletter Will be sent via email to members by 15th of month for upcoming month 19

Final Thoughts Thanks for joining us today! We hope to see you at The Action Group’s December member meeting: Looking Back With Our Eyes on the Future December 15, 2016; 8 a.m.-9:30 a.m. (Networking begins at 7:30); Hilton Airport/MOA Delicious breakfast; fun ice breaker; recap and look ahead Plus: special innovator’s showcase! Please contact sjesseman@mnhealthactiongroup.org to register

Questions? Choosing Wisely: ConsumerHealthChoices.org/Choosing Getting Started with Making Healthy Choices: ConsumerHealthChoices.org/Starting Implementation Guide: ConsumerHealthChoices.org/Implementation Twitter: @DomL_Health; @Beccah_Health; @ConsumerDavid Facebook: https://www.facebook.com/ConsumerHealthChoices Vimeo: http://vimeopro.com/consumerhealthchoices/portfolio Email: Dom Lorusso Dlorusso@consumer.org 21