Choosing Wisely Utah's Top 5*:In Utah, we are working to advance the ABIM Foundation's national Choosing Wisely campaign, created to help patients and healthcare professionals work together to make "wise" choices about care. This partnership between HealthInsight, medical providers, employers, consumers, and health systems is focusing on raising awareness around five common procedures and tests that are unnecessary, and provide little value to patients, in most cases:
1. Antibiotics for head and chest colds caused by a virus in childrenIf your child has a sore throat, cough, or runny nose, you might expect the doctor to prescribe antibiotics. But most of the time, children don't need antibiotics to treat a respiratory illness. In fact, antibiotics can do more harm than good. Click here to find out why.
2. Imaging (CT scan or MRI) for headaches that occur without any other major symptomsMany people who experience severe headaches want a CT scan or MRI to see if they're caused by a brain tumor or other serious problem. But most of the time neither test is necessary. Click here to find out why.
3. Routinely prescribing antibiotics or an x-ray for mild or moderate sinus infectionsMillions of people are prescribed antibiotics each year for sinusitis, a frequent complication of the common cold, hay fever, and other respiratory allergies. In fact, 15 to 21 percent of all antibiotic prescriptions for adults in outpatient care are for treating sinusitis. Unfortunately, most of those people probably don't need the drugs. Click here to find out why.
4. Imaging tests for back pain in the first six weeks of symptomsBack pain can be excruciating. So it seems that getting an X-ray, CT scan, or MRI to find the cause would be a good idea. But that's usually not the case, at least at first. Click here to find out why.
5. CT scans as an initial step for evaluating minor head injuries in childrenMinor head injuries occur commonly in children and adolescents. Approximately 50% of children who visit hospital emergency departments with a head injury are given a CT scan, many of which may be unnecessary. Click here to find out why.
*We had 395 survey completions from 140 organizations to develop Choosing Wisely Utah's Top 5 areas of focus.
How can physicians and patients have the important conversations necessary to ensure the right care is delivered at the right time? Choosing Wisely® aims to answer that question.
Read more on this initiative
30% of health care spending is wasted on unnecessary services, including some that may not improve people's health!
An initiative of the ABIM Foundation, Choosing Wisely is focused on encouraging physicians, patients and other health care stakeholders to think and talk about medical tests and procedures that may be unnecessary, and in some instances can cause harm. Visit www.choosingwisely.org to find out more.
Recognizing that patients need better information, Consumer Reports is developing patient-friendly materials and is working with consumer groups to disseminate them widely. For more information, visit consumerhealthchoices.org
HealthInsight recently received a grant from the ABIM Foundation to advance the Choosing Wisely® campaign. Support for this program comes from the Robert Wood Johnson Foundation.
Ways to Get Involved
- Come to our UPV meetings (Utah Partnership for Value)
- Come to one of our upcoming Town Hall meetings (more information coming soon)
- Distribute Choosing Wisely materials (see Resources tab)
- Consumer Reports Health - In Depth: Antibiotics
- 5 Questions to Ask Your Doctor Before You Get Any Test, Treatment, or Procedure
- Antibiotics for a sore throat, cough, or runny nose
- Imaging tests for lower-back pain
- CT scans for children with head injuries
- Imaging tests for headaches
- Treating sinusitis
- Choosing Wisely Campaign Presentation by David Shute
- Choosing Wisely wallet card
- Choosing Wisely at Intermountain - Adult
- Choosing Wisely at Intermountain - Pediatric
- Employer Toolkit
- The ABIM Foundation's Medical Professionalism Blog
- Training medical providers to deliver high value care-ACP tools
- Avoid Unnecessary Treatments in the ER: A discussion with the doctor can help you make the best decision.
Early Childhood Resources
|Antibiotics for a sore throat, cough, or runny nose||Download/View|
|When children need them—and when they don’t|
|Don’t rush to antibiotics|
|Choosing Wisely Wallet Cards||Download/View|
|A stuffed up nose and headache are no fun. But, antibiotics rarely work for a cold. 5 questions to ask your doctor about tests or treatments.|
|5 QUESTIONS to Ask Your Doctor Before You Get Any Test, Treatment, or Procedure||Download/View|
|Use the 5 questions to talk to your doctor about which tests, treatments, and procedures you need - and which you don't need.|
Note: You can print these materials for your own use.
Utah Campaign in the News
- Professionals unite for health care efficiency, Utah Valley University Review - 4/12/2014
- My view: Is more always better? Not in health care, Deseret News Op-Ed feat. board member Brian Jackson - 3/27/2014
- Health Campaign Encourages Utahns to Question Their Doctors, KUER, featuring board member Alan Ormsby - 3/27/2014
- Open houses hope to help Utahns make wise health care choices, Fox13 TV, feat. board members Robin Betts and Saskia Spiess - 3/23/2014
- Utahns warned: Unneeded medical tests do more harm than good, Salt Lake Tribune featuring panelists Alan Ormsby and Wayne Cannon - 3/27/2014
- Choosing Wisely Utah, KUED TV, feat. board member David Clark - 3/25/2014
- Univision TV news story in Spanish - 3/26/2014
- The Hinckley Institute Radio Hour, KCPW: Live at Hinckley Forum - 4/9/2014
- Group wants to educate public about unnecessary procedures, KTVX, featuring board member Jennifer Dailey - 3/26/2014
- Group encourages wisdom in health care, Provo Daily Herald - 4/9/2014
- Study shows many health care decisions not wise, Daily Herald - 4/8/2014
- Choosing Wisely Press Release
Hinckley Institute Radio Hour: Healthcare Panel - When Less Is More, KCPW.org - 4/9/2014