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Invited Commentary
October 2016

From Choosing Wisely to Practicing Value—More to the Story

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
  • 2Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
JAMA Intern Med. 2016;176(10):1571-1572. doi:10.1001/jamainternmed.2016.5034

Since 2012, the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely initiative has targeted low-value care by creating lists of wasteful interventions and disseminating them to physicians and patients. Its original goal was to promote conversation about risks and benefits to prevent unnecessary tests and procedures.1 In practice, we have witnessed integration of Choosing Wisely principles into hospital-wide quality improvement projects to reduce blood draws, electronic medical record (EMR) alerts about stress ulcer prophylaxis, individualized data about use of telemetry, and even bonuses for achieving high-value goals. Will these efforts be enough to change the culture of how we practice?

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