Choosing Wisely (04/18/18)
Froedtert & the Medical College of Wisconsin (F&MCW) and Monroe Clinic, Choosing Wisely grantee partners, have significantly reduced the use of antibiotics for adults with bronchitis, in-patient blood transfusions, and imaging for headaches and low back pain. Gregory Blommel, MD, Medical Director of Quality and Outcomes at F&MCW, says a key factor to success is the moment when the clinician places the order. A successful first step in promoting evidence-based care, according to the report, involves small-group continuing medical education discussions led by peers that includes real-world cases and provider level performance data. The report also notes that some physicians also earned Maintenance of Certification (MOC) credits. Physicians in that group had an increased improvement rate of about 50 percent compared with their peers. "We think the MOC improvement framework engaged clinicians, encouraged group problem-solving and led to a sense of ownership in terms of the outcomes," Blommel says.