The Choosing Wisely RI campaign promotes productive conversations between patients and doctor--conversations that research shows produce the right level of care and go a long way towards eliminating tests, procedures and medications that provide, little, if any benefit. The campaign is organized and promoted by the Rhode Island Business Group on Health (RIBGH) and draws on the expertise of the American Board of Internal Medicine Foundation. While we provide materials that enable patients to have informed conversations with their doctors and other health care providers, we do not provide any individual medical advice.

Choosing Wisely provides employees free-of-charge access to online tools developed by ABIMF and their 80+ Specialty Society partners.

  • Over 110 online, easy to read, evidence-based materials that can be downloaded and printed.
  • 550+ medical recommendations for tests and procedures to avoid.
  • 5 Questions to Ask Your Doctor Wallet Cards to remind employees of the important question to ask when being prescribed a test or treatment.

· Choosing Wisely Videos

     

The Choosing Wisely Mobile Phone App for Apple and Android phones gives employees the chance to view the Choosing Wisely materials and recommendations on their phones -  possibly when they are in their physician's office!

Get daily updates from Choosing Wisely RI on our Facebook page!

Join the more than 40 organizations who have already adopted Choosing Wisely. Launching the campaign for Your Employees is Easy!

Getting Started 

1. Schedule a Choosing Wisely Orientation Meeting: Contact Joanne Bilotta, RIBGH Choosing Wisely-RI Campaign Manager, at jbilotta.RIBGH@gmail.com to schedule an orientation meeting and sign the participation agreement.
 
2. Get the Word Out from the Top: Send out a companywide notice from senior leadership supporting the Choosing Wisely campaign to demonstrate the company’s commitment to the health and safety of your employees. 
 
3. Launch the Campaign:
 
a. Start by introducing the 5 Questions. Place the 5 Questions Poster in areas of high visibility throughout your company office(s) and distribute the 5 question cards in new employee orientation kits, open enrollment packages, and at company wellness activity events
 
b. Pick themes throughout the year starting with health issues that matter most to you.
 
c. Distribute the theme matching Choosing Wisely materials utilizing tools such as the Choosing Wisely App and Website, and your internal employee communications.
 
d.  Incorporate Choosing Wisely techniques to help your employees use their health care dollars effectively. 
 
e. Be creative and host fun activities to keep your employees thinking about making better health care choices.
 
f. Track and report your results.
 
4. Keep the Campaign Going:  Incorporate the Choosing Wisely Campaign into your Wellness and Workers Comp programs, activities and budgets so that the campaign will continue.
 

Choosing Wisely RI Materials

Choosing Wisely RI in the News

Five Things Physicians and Patients Should Question

From the American Society of Hematology and the American Society of Pediatric Hematology/Oncology

September is Childhood Cancer Awareness Month. In honor of this observance, we have included Choosing Wisely’s recommendations on five treatments physicians and patients should question, from the American Society of Hematology and the American Society of Pediatric Hematology/Oncology:
 
  1. Do not perform routine pre-operative hemostatic testing (PT, aPTT) in an otherwise healthy child with no prior personal or family history of bleeding.

According to the American Society of Hematology and the American Society of Pediatric Hematology/Oncology, hemostatic testing adds cost and may introduce additional stress, either due to blood sampling or if a child has “abnormal” results. 

 

  1. Do not transfuse platelets in an asymptomatic pediatric patient with a platelet count greater than 10,000/mcL unless other signs and/or symptoms for bleeding are present, or if the patient is to undergo an invasive procedure.

The risk of spontaneous bleeding is low at platelet counts greater than 10,000/mcL.  According to the American Society of Hematology and the American Society of Pediatric Hematology/Oncology, unnecessary transfusions put patients at risk for transfusion reactions, alloimmunization, blood borne infections, and refractoriness to future platelet transfusions.

 

  1. Do not order thrombophilia testing on children with venous access associated thrombosis in the absence of a positive family history.

Results of testing on children with venous access have not shown to either predict recurrence of venous thrombosis or inform the intensity or duration of anticoagulant therapy.  Thrombophilia testing has substantial financial cost, and a positive result has the potential for misinterpretation of risk assessment, leading to undue psychological distress or impact on possible life insurance discrimination for affected patients.

 

  1. Do not transfuse packed red blood cells (pRBC) for iron deficiency anemia in asymptomatic pediatric patients when there is no evidence of hemodynamic instability or active bleeding.

Asymptomatic pediatric patients with iron deficiency anemia do not transfuse packed red blood cells (pRBC) in the absence of hemodynamic instability or active bleeding. Unnecessary pRBC transfusions put patients at risk for complications, such as transfusion reactions, blood borne infections, and volume overload.

 

  1. Do not routinely administer granulocyte colony stimulating factor (G-CSF) for empiric treatment of pediatric patients with asymptomatic autoimmune neutropenia in the absence of recurrent or severe bacterial and/or fungal infections.

According to the American Society of Hematology and the American Society of Pediatric Hematology/Oncology, there is insufficient evidence to support the routine use of granulocyte colony stimulating factor (G-CSF) as a prophylaxis strategy to improve health outcomes in pediatric patients.  The use of G-CSF in this population should be guided by clinical evaluation.

 
Choosing Wisely Mailing List 
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