1. Choosing Wisely® Minnesota: Targeting Clinicians and Consumers
Emily Mallen, MBA
ICSI Project Manager
© ICSI 2013

2. 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

3. 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

4. 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,

5. Affordability Advisory Council

7. 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

8. 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
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
© ICSI 2013

9. 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 and completed on SurveyMonkey
July 29 through August 5, 2013
39% response rate, over half were physicians
© ICSI 2013

10. Familiarity with Choosing Wisely:
© ICSI 2013

11. Implementing Choosing Wisely?
© ICSI 2013

12. Unnecessary tests or procedures?
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13. Discussion of unnecessary tests
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14. Barriers to discussing unnecessary tests or procedures
© ICSI 2013

15. 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