What is Choosing Wisely Manitoba
In 2012 the American Board of Internal Medicine Foundation launched Choosing Wisely® with a goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures. Choosing Wisely® is focused on supporting conversations between patients and providers, with the intention of facilitating wise decisions about the most appropriate care based on a patients’ individual situation.
In the summer of 2013, Diagnostic Services Manitoba (DSM) undertook a review of the then over 350 recommendations from Choosing Wisely® to identify diagnostic tests that that may be inappropriate and may lead to unnecessary treatments and follow-ups. Thus began Phase 1 of what is now Choosing Wisely Manitoba:
In early 2014 Diagnostic Services Manitoba (DSM) partnered with the George and Fay Yee Centre for Healthcare Innovation (CHI) to form Choosing Wisely Manitoba (CWM), an initiative to improve health outcomes, patient and provider experiences and health system efficiencies and sustainability. In the summer of 2014, Choosing Wisely Canada (CWC) initiated its “Early Adopter Collaborative”; and with the advance work done by DSM/CHI, Manitoba became one of the earliest of adopters in Canada. CWC is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments and make smart and effective choices to ensure high-quality care.
In January 2015, CWM hosted its inaugural Physician engagement session/thinktank (view the Summary Report); thus beginning Phase 2 of Choosing Wisely Manitoba:
Choosing Wisely Manitoba is now entering into Phase 3: Patients, Public, Business:
The first phase of Choosing Wisely Manitoba was to identify “made-in-Manitoba” opportunities for improving the appropriate and effective use of health services, focusing on diagnostic services. The intent was to develop tools, approaches and evidence as “proof-of-concept” that this was something we could do in Manitoba. In Phase 2 we engaged with physicians and other health practitioners to raise awareness and create a “grass-roots, front-line, physician-championed” movement.
We have been very successful in Phases 1 and 2, in fact, we can conservatively estimate that $1-3 million dollars has already been reinvested back into the health care system from just a few proof-of-concept initiatives; and we have dozens more lining up. Choosing Wisely Manitoba has been so successful, recognized as one of the leaders in the country, because of the 3 phase approach we are taking and because we have focused on doing the right thing, not letting costs or savings be our driver.
Providing quality care – doing the right thing for Manitobans and delivering value for money
To leverage this success and continue the work we need to engage patients, the public and the business community (Phase 3) so we can change the conversation in health care.
About our Partners
The Centre for Healthcare Innovation
CHI is a joint venture between the Winnipeg Regional Health Authority and the University of Manitoba. CHI works to ensure that the latest research and evidence are translated into improved patient outcomes, enhanced patient experiences and improved access to care for Manitobans.
Diagnostic Services Manitoba
DSM is Manitoba’s public sector diagnostic health care service provider responsible for provincial laboratory services and rural diagnostic imaging services. DSM delivers the ‘Results that Matter’ to patients and their physicians every day.