Choosing Wisely®/Other Resources

Ensuring the Right Care at the Right Time

Integrated ACO supports the Choosing Wisely initiative to ensure patients receive high-quality care.

Choosing Wisely is an initiative of the ABIM Foundation that aims to promote conversations between providers and patients by helping patients choose care that is:

  • Supported by evidence
  • Not duplicative of other tests or procedures already received
  • Free from harm
  • Truly necessary

National health care provider organizations developed lists of Things Physicians and Patients Should Question to promote conversations between providers and patients to improve care. Choosing Wisely lists include evidence-based recommendations for commonly treated conditions and frequently ordered tests and treatments. Each list includes a description of the methodology used in its creation and a list of sources.

“This is about delivering the right care at the right time to enhance the quality of care, and it’s an ongoing partnership between the physician and the patient,” Integrated ACO Board Chairman Nick Shroff, MD, recently told Texas Medicine magazine.

Dr. Shroff, a Plano urologist, says “the initiative aligns with his ACO’s goal of patient-centered accountable care because it centers care on the patients individual needs, and that’s how we improve outcomes.” 

Excerpt from “Professionalism in Action,” March 2015 Texas Medicine (http://www.texmed.org/Template.aspx?id=33015). First published by Texas Medical Association (March 2015). Reprinted with permission.

Texas is Choosing Wisely, thanks to the Texas Medical Association’s efforts to promote the national initiative, which aims to improve quality and reduce waste by encouraging physicians and patients to discuss medical tests and procedures that may be unnecessary and possibly harmful.

March marks the conclusion of a $50,000 grant TMA and its philanthropic arm, the TMA Foundation, won to advance Choosing Wisely by raising awareness and helping physicians build its tenets into daily practice. The American Board of Internal Medicine (ABIM) Foundation, Choosing Wisely‘s creator, awarded the grant in 2013, with support from the Robert Wood Johnson Foundation (RWJF).

Since its inception in 2012, more than 60 national specialty societies have joined Choosing Wisely to identify and develop evidence-based recommendations for the top five tests and procedures they say are overused and have not always demonstrated benefits to patients.

With the grant, TMA mobilized a consortium of county and specialty medical societies across the state to call attention to what now add up to more than 300 recommendations. TMA’s online Choosing Wisely resource center has a suite of tools to help physicians understand and implement relevant recommendations at the practice level. (See “Start Choosing Wisely.”)

Meanwhile, TMA partnerships have helped Choosing Wisely gain traction at the state level with adoption by the state Medicaid program and the Texas Institute of Health Care Quality and Efficiency, established to implement Texas’ own version of health reform.

Although the grant is coming to an end, the work continues as physicians exercise what TMA Foundation Advisory Council member Nick Shroff, MD, describes as a less wasteful approach to improving the quality and efficiency of health care. “This is about delivering the right care at the right time to enhance the quality of care, and it’s an ongoing partnership between the physician and the patient.”

His accountable care organization (ACO), Integrated ACO, strives to provide the right care at the right time by sharing the specialty societies’ recommendations with the roughly 30 practices across the state that make up the organization. The physicians, care coordinators, and care teams, in turn, discuss the information with their patients, encouraging them to review patient-friendly Choosing Wisely resources accessible via the ACO’s website.

Dr. Shroff, a Plano urologist, says the initiative aligns with his ACO’s goal of patient-centered, accountable care because it “centers care on patients’ individual needs, and that’s how we improve outcomes.”

As more physicians and health care organizations adopt Choosing Wisely, the campaign is contributing to what ABIM Foundation Executive Vice President and Chief Operating Officer Daniel B. Wolfson describes as an overall shift in the culture of health care. “We are increasing awareness, and we are changing attitudes toward overuse. That has been the first order of business, and TMA has been an incredible leader.”

– See full article here

The TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO) recently launched three physician-focused educational networks on immunizations, behavioral health, and value-based improvements. All three programs were developed to help you navigate the Centers for Medicare & Medicaid Services requirements for the Physician Quality Reporting System, meaningful use, and Value-Based Payment Modifier programs. 

·  Value-Based Improvement and Outcomes Network participants get free access to consultants and support tools to help them understand and meet the goals of Medicare’s value-based payment modifier and quality reporting programs. In addition to one-on-one assistance, participants can attend webinars and conferences, and participate in online forums. 

·  The Immunizations Network aims to boost vaccination rates for Medicare beneficiaries while improving payment. Physicians can receive help tracking and reporting immunizations via certified electronic health records, as well as assistance with reviewing practice workflows to identify opportunities to enhance revenue. 

·  TMF’s Behavioral Health Network offers tools and training to increase screening rates for Medicare beneficiaries receiving care at primary care practices. With depression screenings and annual behavioral assessments now covered because of the Affordable Care Act, primary care physicians can receive adequate payment for providing these essential services.

All three programs were developed to save you time, improve patient care, and reduce costs associated with Medicare requirements. Most important, participants can learn how to benefit from — and not be penalized by — these mandates. For more information on participating in these networks, visit the TMF QIN-QIO website, or download and complete the network participation agreement

The TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO) recently launched three physician-focused educational networks on immunizations, behavioral health, and value-based improvements. All three programs were developed to help you navigate the Centers for Medicare & Medicaid Services requirements for the Physician Quality Reporting System, meaningful use, and Value-Based Payment Modifier programs. 

·  Value-Based Improvement and Outcomes Network participants get free access to consultants and support tools to help them understand and meet the goals of Medicare’s value-based payment modifier and quality reporting programs. In addition to one-on-one assistance, participants can attend webinars and conferences, and participate in online forums. 

·  The Immunizations Network aims to boost vaccination rates for Medicare beneficiaries while improving payment. Physicians can receive help tracking and reporting immunizations via certified electronic health records, as well as assistance with reviewing practice workflows to identify opportunities to enhance revenue. 

·  TMF’s Behavioral Health Network offers tools and training to increase screening rates for Medicare beneficiaries receiving care at primary care practices. With depression screenings and annual behavioral assessments now covered because of the Affordable Care Act, primary care physicians can receive adequate payment for providing these essential services.

All three programs were developed to save you time, improve patient care, and reduce costs associated with Medicare requirements. Most important, participants can learn how to benefit from — and not be penalized by — these mandates. For more information on participating in these networks, visit the TMF QIN-QIO website, or download and complete the network participation agreement