Thursday, April 7th Choosing Wisely: An Idea Worth Spreading, from North York General Hospital, was announced at InnovationEX 2016, Markham Stouffville Hospital, as one of the projects that will receive ARTIC funding for contributing to the theme of Improved Quality through Reducing Unnecessary Care, the 2015 call for project proposals. The goal of the Choosing Wisely : An Idea Worth Spreading project is to enable the adoption of hospital-specific Choosing Wisely Canada recommendations among the Joint Centres for Transformative Health Care Innovation, and recommendations targeted to primary care teams across the associated Departments of Family and Community Medicine.
North York General Hospital was an early adopter of the Choosing Wisely Canada program, and supported the Toronto East Health Network with the adoption of Choosing Wisely recommendations. Through ARTIC, the project team will further accelerate the adoption of Choosing Wisely Canada recommendations at Markham Stouffville Hospital, St. Joseph’s Health Centre Toronto and Southlake Regional Health Centre, and several associated primary care teams also serving those communities. As part of the project, specific implementation tool kits will be developed for Emergency Departments, Pre-Operative Clinics and for broader spread and sustainability that will be shared with health care organizations across Ontario and Canada. The project duration will be from 2016-2018, to read more about it visit HQO’s website.
On Wednesday, March 30th, 2016 Choosing Wisely Canada held its Inaugural National Meeting at the Bram & Bluma Appel Salon in the Toronto Reference Library.
In attendance were almost 300 representatives from all campaign stakeholders across Canada including leaders from national organizations (CMA, CHFI, CADTH, RCPSC, CFPC etc.) and provincial representation (almost every province, including Yukon and the North West Territories), Clinical Leaders, Early Adopters (implementing campaign recommendations), physician specialty societies, measurement groups, medical students, residents and patient representatives.
Testimonials from the day include:
“Great energy in the room, variety of topics, speakers and discussion. Great thought leaders in attendance.”
“Speakers were polished and the content thought provoking and relevant”
“Very interesting day, and very well organized meeting; great networking opportunity”
In summary, attendees heard:
- What and how different groups, organizations and provinces are doing to implement and scale Choosing Wisely Canada recommendations:
- How the Brokered Dialogue method can be used to start the conversation between physicians and patients about quality of care and overuse
- An inspiring keynote address by André Picard, Health columnist at The Globe and Mail, about how Choosing Wisely Canada has been instrumental in addressing some of the challenges facing health care in Canada
- The progress the Choosing Wisely Canada campaign has made since it was launched 2 years ago
- Province-wide in Alberta
- A resident-led quality improvement project at Dalhousie University
- Organizational Leadership in Choosing Wisely: College of Family Physicians of Canada (CFPC)
- In a hospital setting at North York General Hospital
- The launch of the DIY toolkits to help with implementing Choosing Wisely Canada in different settings
- Shared challenges and lessons learned during the breakout sessions featuring the majority of the over 70 projects in the Choosing Wisely Canada National Meeting Abstract Book
- How different organizations are measuring low-value care and the impact of Choosing Wisely Canada: Canadian Institute For Health Information, Canada Health Infoway, Canadian Partnership Against Cancer, Alberta Physician Learning Program and Mount Sinai Hospital
- The Executive Vice President of the ABIM Foundation and a leader of Choosing Wisely in the United States, Daniel Wolfson, provided a rousing and humorous summary of the day.
A special thank you to the Sponsors of the National Meeting:
Thank you to all who came and made the day a real success!
The Department of Pediatrics at Toronto’s Sick Kids Hospital has created its own Choosing Wisely list, specific to a tertiary care children’s hospital. The list was developed involving clinicians and trainees at the organization, and the final five recommendations were chosen using a scoring system considering expected value, ease of implementation and measurement. A physician champion has been appointed to lead each recommendation. This list was spearheaded by Associate Pediatrician in Chief at Sick Kids, Dr. Jeremy Friedman. Read his blog ‘As Health Care Providers the Time Has Come to Choose More Wisely’ and check out the final list of five recommendations here.