Choosing Wisely® Minnesota: Targeting Clinicians and Consumers Emily Mallen, MBA ICSI Project Manager © ICSI 2013
Who is ICSI? The Institute for Clinical Systems Improvement is an independent, non-profit health care improvement organization that unites clinicians, health plans, employers, policymakers and consumers to bring innovation and urgency to improve population health, optimize the patient experience and make health care more affordable. Comprised of 50+ medical groups representing 9,000 physicians Sponsored by five Minnesota and Wisconsin non-profit health plans © ICSI 2013
Our Mission To champion the cause of health care quality and to accelerate improvement in the value of the health care we deliver to the populations we serve. © ICSI 2013
The Triple Aim improve the health of the population improve the patient experience, including quality improve the affordability of care by decreasing per capita costs. Better health Better care Lower costs The Triple Aim: Care, Health, And Cost. Berwick DM, Nolan TW and Whittington J., Health Affairs, May 2008, Vol. 27, No. 3, 759-769.
Affordability Advisory Council
ICSI Opportunities Possibilities exist to insert the Choosing Wisely® Campaign and specific recommendations into these ongoing initiatives: ICSI Guidelines Co-Creating a Sustainable, Healthy Tomorrow Decision Support (example: HTDI) Shared Decision Making Further work within the Affordability Advisory Council More to come… © ICSI 2013
ICSI support to members Quarterly webinars featuring specific Choosing Wisely® recommendations Co-branded Choosing Wisely ICSI website with active links to other web pages with helpful info & resources http://consumerhealthchoices.org/choosing-wisely-minnesota/ Handouts for the lobby Posters and tri-folds for exam rooms Sharing patient materials developed in conjunction with Consumer Reports Links to videos demonstrating how to have Choosing Wisely® conversations with patients http://www.abimfoundation.org/Resource-Center/Video/Choosing-Wisely.aspx © ICSI 2013
ICSI’s Choosing Wisely Survey Baseline assessment of awareness and interest regarding Choosing Wisely Randomized survey of over 200 physicians, APNs, PAs, nurses and clinic administrators who have worked on ICSI guideline workgroups or other initiative Distributed via email and completed on SurveyMonkey July 29 through August 5, 2013 39% response rate, over half were physicians © ICSI 2013
Familiarity with Choosing Wisely: © ICSI 2013
Implementing Choosing Wisely? © ICSI 2013
Unnecessary tests or procedures? © ICSI 2013
Discussion of unnecessary tests © ICSI 2013
Barriers to discussing unnecessary tests or procedures © ICSI 2013
Next Steps Continuing with our current plan to increase awareness of Choosing Wisely Webinars (next one: Wednesday 9/18 at noon!) ICSI Guidelines (next up: Palliative Care, Chronic Pain) Reaching Consumers/Patients Consumer press pieces Possible collaboration with TPT Partnering with local chapters of patient advocacy groups Working with ICSI member organizations to share best practices as they begin to implement Choosing Wisely © ICSI 2013