At their meeting on Dec. 7, 2012, the AAOS Board of Directors agreed to join the Choosing Wisely® campaign, a project initiated by the American Board of Internal Medicine (ABIM) Foundation to promote appropriate medical decision making and the wise use of healthcare resources. The campaign is designed to help consumers and physicians engage in conversations about the overuse of particular tests and procedures and to help patients make smart and effective care choices.
Participation from specialty societies such as the AAOS is crucial to the campaign’s success, according to Daniel B. Wolfson, MHSA, executive vice president and chief operating officer of the ABIM Foundation, who first addressed the AAOS on this topic in December 2011. “Specialty societies offer the expertise and the trusted voice that can capture the attention and confidence of the physician community,” he noted. “The Academy’s participation in this process demonstrates its commitment to playing a constructive role in eliminating waste in health care and its support for evidence-based practice.”
The AAOS is joining more than 30 other medical specialty organizations, as well as Consumer Reports and a coalition of 14 consumer groups, in the campaign to help improve the quality and safety of health care in the United States by promoting wise choices to improve healthcare outcomes. Each organization is asked to provide a list of five commonly used tests or procedures whose necessity should be questioned and discussed. The goal is to enable physicians to provide patient-centered care that avoids unnecessary or even harmful interventions and to reduce the rapidly expanding costs of health care.
“As a partner in the Choosing Wisely campaign, the AAOS will develop five evidence-based recommendations drawn from our current clinical practice guidelines,” explained Kevin J. Bozic, MD, MBA, chair of the AAOS Council on Research and Quality. “This document is meant to be used as a tool to facilitate dialogue between patients and physicians about appropriately using diagnostic and therapeutic interventions and avoiding those that are unnecessary.”
Included among the participating specialty societies are the American Academy of Allergy, Asthma & Immunology, the American Academy of Family Physicians, the American College of Cardiology, the American College of Physicians, the American College of Radiology, the American Gastroenterological Association, the American Society of Clinical Oncology, the American Society of Nephrology, and the American Society of Nuclear Cardiology.
The first set of recommendations was announced in 2012. A second set of lists will be announced on Feb. 21, 2013. The AAOS, along with eight additional societies, has committed to developing and releasing lists in mid 2013.
For more on the campaign, visit the website www.choosingwisely.org