choosing wisely: starting a new conversation lynn weekes ceo nps medicinewise
Post on 17-Jan-2016
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CHOOSING WISELY:STARTING A NEW CONVERSATIONLynn Weekes
CEO NPS MedicineWise
Join the conversation @ChooseWiselyAU #ChoosingWisely
CHOOSING WISELY AUSTRALIA
GOAL: Enhanced quality care reducing unnecessary care
Led by clinicians, patient-care at the centre
Evidence-based
Premise: good communication is central to quality health care
‘Recommendations’ start the conversation
Language is intentional – ‘things you should question’
Canada, US, Denmark, Germany England and Australia
NPS MEDICINEWISE
Independent, non-government, not-for-profit
Empowers people through evidence-based knowledge to make better health choices, informed decisions
Mission driven: improve use of medicines and other health technologies for better health and economic outcomes
Multifaceted programs for health professionals and consumers at a national level
Programs deliver better health outcomes and PBS & MBS savings
NPS MEDICINEWISE’S ROLE
Facilitation role, supporting colleges and societies
Communications strategy
- raising awareness
- stakeholder engagement
- key opinion leaders
- media, website and social media
Implementation
- Synergy with NPS MedicineWise therapeutic programs including reducing use of Proton Pump Inhibitors, opioid use and blood pressure program.
Evaluation
COLLEGE RECOMMENDATIONS
TOP FIVE LIST OF TESTS, TREATMENTS
AND PROCEDURES TO AVOID
CONSUMER RESOURCES
FACILITATING CONVERSATIONS
Consumer resources to match college and support college recommendations
Education campaign
• Raise awareness, main stream media campaign, website
• Strong media coverage; TV, radio, magazines, public service messages
• Public awareness of the issue of unnecessary care
• Social media campaign • Consumer resources (includes decision aids), website
• Consumer organisations actively support resource development & implementation
• Develop partnerships with consumer organisations to engage groups in implementation activities
• Features in partner newsletters, websites, social media
• Consumers and general public gain confidence in the initiative
• Promote increased shared decision making
• Increased frequency of discussion on unnecessary care
• Incorporation of shared decision making in practice
• Promote adoption of l ists in cl inical practice
• Better fit between need and care • Reduced unnecessary care
• Promote patient activation • Use of decision aids • Consumer initiation of conversation, “do I really need that test?’
Consumer engagement and acceptance
Consumer activation and change in cl inical practice
COLLABORATION IS KEY
Advisory group
- Associate Professor Richard King, AM, Senior Medical Director at Monash Health (Chair)- Associate Professor Meera Agar, Director of Palliative Care, Braeside Hospital, HammondCare- Dr Matthew Anstey, Staff Specialist Intensive Care Physician, Sir Charles Gairdner Hospital - Melissa Cadzow, Consumer Representative- Darlene Cox, Consumer Representative - Associate Professor Adam Elshaug, Health Care Policy, Menzies School of Public Health- Dr Rob Hosking, General Practitioner, The Elms Family Medical Centre - Associate Professor Richard King, AM, Senior Medical Director at Monash Health- Elizabeth Koff, A/Deputy Secretary, Strategy and Resources, NSW Health - Sally Marotti, Clinical Pharmacy Team Leader & Intensive Care Specialist Pharmacist, The Queen
Elizabeth Hospital- Dr John Slavotinek, Consultant Radiologist, Repatriation General Hospital, Flinders Medical Centre
Regular college representative panel discussions
SECTOR WIDE COLLABORATION
WHY WE NEED CHOOSING WISELY
Not all tests add value
Clinical experts leading debates about budget allocations
Decisions based on best evidence available
Consumers need resources to assist the conversation with health professionals
There is pressure on practitioners to cover all clinical possibilities
Long term sustainability of the health care budget
Greater accountability
CRITICAL SUCCESS FACTORS
Health profession-led: establishes credibility and trustworthiness
Development and ownership of lists is driven by colleges
Arms length from payers and government
Consumers are part of the discussion
Language: Quality and reducing risk of harm and waste resonate with clinicians and consumers
‘One message but many voices’
NEXT STEPS
Wave II: more recommendations, more resources, more colleges, more supporters
Colleges onboard for wave II so far:
- The Royal Australian and New Zealand College of Ophthalmologists (RANZCO)
- Australian College of Nursing (ACN)- College of Intensive Care Medicine (CICM)- Australian and New Zealand Intensive Care Society (ANZICS)
To find out more or become involved:
twitter.com/ChooseWiselyAu
choosingwisely@nps.org.au
http://www.choosingwisely.org.au
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