Spreading Choosing Wisely® in Maine Initiative (2015-2018)
As part of Maine Quality Counts’ (QC) organizational commitment to meaningfully engage consumers in transforming care and to build patient-provider partnerships, QC has launched a multi-stakeholder effort to spread the Choosing Wisely (CW) initiative developed by the American Board of Internal Medicine (ABIM) Foundation.
“Spreading Choosing Wisely in Maine”, seeks to reduce unnecessary use of tests and treatments in the Brunswick/Bath (Mid Coast Region) and Greater Bangor Region to achieve a 20% utilization reduction for three high priority areas of utilization, over a three year period from August 2015 – February 2018.
- This effort is specifically focused on efforts to move beyond the walls of the clinical setting, using community partners to promote culture change within these two regions, and a multi-pronged strategy to raise awareness and foster CW conversations to promote quality of care and improve safety by reducing unnecessary care. These goals will be achieved by bringing together a powerful partnership of health care providers, health systems, hospitals, medical groups and community organizations, and leveraging existing CW efforts in the state.
- In the Mid Coast region, Mid Coast Hospital is serving as the lead health care provider/system and Spectrum Generations is serving as the lead community partner; In the Greater Bangor region, St. Joseph Hospital and Penobscot Community Health Care are serving as the lead health care provider/system and Eastern Area Agency on Aging is serving as the lead community partner, and network with additional community partners to promote culture change throughout the region.
Three high priority focus areas
- Use of antibiotics for acute bronchitis in older adults
- Advanced imaging for low back pain (LBP)
Advanced imaging for low back pain (LBP) Rack Card
- Use of benzodiazepines in older adults >65 years
The above focus areas have clinical evidence-based background information for clinicians, created by the related specialty societies, as well as patient information sheets developed by Consumer Reports, that help explain why you should question the use of a certain test, procedure or treatment in easy to understand language for patient.
Another important educational patient information sheet on the use of opioids:
Medicines for Chronic Pain Patient Information Sheet
Medicines for Chronic Pain Rack Card
Use of the Choosing Wisely 5 Questions - Click here to download the Rack Card
- The Choosing Wisely 5 Questions poster, along with the above patient information sheets help physicians/health care providers and patients engage in conversations about the overuse of tests and procedures and support efforts to help patients make smart and effective care choices.
- Display and use the Consumer Reports patient educational materials/5 questions poster throughout your organization (i.e. exam rooms, waiting areas, walk in clinics, etc.) where patients and members of the medical/practice staff team can view.
For More Information
- For Health Care Providers:
- For Providers & Consumers: