Choosing Wisely:
What Do Consumers Think
About Laboratory Purchases?
This symposium is made possible by the Choosing
Wisely campaign with support from
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Beccah Rothschild, MPA
Senior Outreach Leader
Consumer Reports
www.consumerhealthchoices.org
CSP Annual Meeting – December 2013
Choosing Wisely: The Consumer Perspective
IN PARTNERSHIP WITH
Consumer Reports, in conjunction with the ABIM Foundation,
has developed 99 two-page pamphlets for consumers,
covering 54 topics.
• Of the 99, there are 54 in English and 45 in Spanish.
• All are available for your use, including distribution, at:
http://consumerhealthchoices.org/campaigns/choosing-wisely/#materials
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Clinically Meaningful
IN PARTNERSHIP WITH
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Sample of Choosing Wisely
Topics for Consumers
IN PARTNERSHIP WITH
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Lab Tests Before Surgery (ASCP)
Most healthy people don't need blood or urine tests done before surgery,
especially low-risk surgery.
Lyme Disease Tests (ACR)
There are two blood tests for Lyme
disease, but usually you don't need
them.
Medical Tests Before Eye Surgery (AAO)
Most people don't need to have their
blood tested or their heart checked
before they have eye surgery.
Painkiller Choices with Kidney or Heart
Problems (ASN)
If you suffer from high blood pressure,
heart failure, or kidney disease, steer
clear of some pain relievers.
Pap Tests (AAFP)
Many teenage girls and some women
have the test when they don’t need it.
Spirometry for Asthma (AAAAI)
Many people who need the test don’t
receive it.
Stress Tests After Procedures (ASNC)
Unless you're experiencing symptoms,
this test usually isn't helpful in the first
few years after heart bypass surgery or a
stent procedure.
Testosterone for Erection Problems
(AUA)
Unless you have other symptoms of low
testosterone, you should think twice
about the treatment.
Stress Tests After Procedures (ASNC)
Treating Blocked Leg Arteries (SVM)
Most people with Peripheral Artery
Disease won't benefit from surgery or
angioplasty.
Unless you're experiencing symptoms,
this test usually isn't helpful in the first
few years after heart bypass surgery or a
stent procedure.
Stress Tests Before Surgery (SVM)
If you’re having surgery, you will probably
not need a heart stress test beforehand
if you are healthy, active, and feeling
well, or if you’re having minor surgery.
Stress Tests for Chest Pain (ASNC)
If you’re at low risk for having a heart
problem, even if you have symptoms,
you usually don’t need this imaging test.
Treating Heartburn and GERD (AGA)
In most cases of heartburn a PPI isn't
necessary.
Treating Sinusitis (AAAAI and AAFP)
Millions of people who don’t need them
are prescribed antibiotics each year for
sinusitis.
Sample of Medical Societies & Associations
IN PARTNERSHIP WITH
SOCIETIES WHICH HAVE RELEASED A LIST
American Academy of Allergy, Asthma & Immunology
American Academy of Family Physicians*
American Academy of Hospice and Palliative Medicine
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Otolaryngology–
Head and Neck Surgery
American Academy of Pediatrics
American College of Cardiology
American College of Obstetricians and Gynecologists
American College of Physicians
American College of Radiology
American College of Rheumatology
American Gastroenterological Association
American Geriatrics Society
American Society of Clinical Oncology
American Society for Clinical Pathology
American Society of Echocardiography
American Society of Nephrology
American Society of Nuclear Cardiology
American Urological Association
Society of Cardiovascular Computed Tomography
Society of Hospital Medicine
Society of Nuclear Medicine and Molecular Imaging
Society of Thoracic Surgeons
Society for Vascular Medicine
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SOCIETIES RELEASING A LIST IN THE FALL 2013
American Academy of
American Psychiatric Association
American Society of Anesthesiologists
Clinical Toxicology
American Society of Clinical Oncology*
American Academy of Dermatology
American Society of Hematology
American Academy of
American Society for
Family Physicians**
Radiation Oncology
American Academy of
American Thoracic Society
Orthopaedic Surgeons
Commission on Cancer—
American Association for Pediatric
a multidisciplinary program of the
Ophthalmology and Strabismus
American College of Surgeons
American College of Chest Physicians
The Endocrine Society
American College of
Heart Rhythm Society
Emergency Physicians
North American Spine Society
American College of
Society of Cardiovascular
Medical Toxicology
Magnetic Resonance
American College of Rheumatology*
Society of Critical Care Medicine
American College of Surgeons
Society of General Internal Medicine
American Geriatrics Society*
Society of Gynecologic Oncology
American Headache Society
AMDA – Dedicated to Long
Term Care Medicine
Main Usability Test Findings
IN PARTNERSHIP WITH
To get consumer feedback on the pamphlets, we conducted
usability tests to enhance the participatory design
methodology of creating them as well as a post-creation
evaluation before expanding dissemination.
• One word descriptors to describe the content included
informative, excellent, condensed, educational,
interesting, and useful.
• One word descriptors to describe the look included clean,
organized, slick, specific, discreet, and pleasant.
• The blue boxes on page two were the highlight:
 Engaging
 Clear
 Specific
 Relevant
 Actionable
 Trustworthy
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Post-Creation Pamphlet Evaluation
IN PARTNERSHIP WITH
We were interested in learning:
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What are consumers taking away from the materials?
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Are the materials successful in changing consumer
behavior?
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Will it prompt a conversation with their health provider?
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Will it prompt the consumer to research further?
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Are the materials trustworthy?
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Are the materials written in an appropriate language?
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Are the results consistent across pamphlet topics?
•
Do results differ by analytical subgroups?
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Main Post-Creation Pamphlet
Evaluation Findings
IN PARTNERSHIP WITH
1. Theoretical and realistic interest in seeing the pamphlets differed greatly.
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Initial interest in seeing the pamphlets was low (11% - 16%)
After reading the pamphlets, over 50% of the respondents indicated they would
be interested in receiving this type of information in the future
72% became interested in the pamphlets when the topic is relevant to their life
2. The pamphlets are written in clear & understandable language for consumers.
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•
•
•
85% felt the materials were clear and uses language they can understand
75% felt the pamphlets had enough information to help them make a decision
65% indicated that the materials taught them new information
43% were persuaded to change their opinions based on what they read
3. Participants are willing to change behavior/take action.
•
•
•
64% indicated they are likely to have a conversation with provider
61% indicated they are likely to research the topic themselves further online
47% agreed that the materials prompted them to ask their HCP more questions
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The Grantees: Advancing Choosing Wisely
in Clinical Practices & Communities
IN PARTNERSHIP WITH
REGIONAL COLLABORATIVES
Better Health Greater Cleveland
HealthInsight Utah
Institute for Clinical Systems Improvement and the Minnesota Health Action Group
Iowa Healthcare Collaborative
Maine Quality Counts
Massachusetts Health Quality Partners
Michigan Health Information Alliance, Inc.
Puget Sound Health Alliance
Wisconsin Collaborative for Healthcare Quality
SOCIETIES/STATE MEDICAL ASSOCIATIONS
American Academy of Hospice and Palliative Medicine
American Academy of Ophthalmology
American College of Physicians
American Society for Clinical Pathology
American Society of Echocardiography
American Society of Nuclear Cardiology
Minnesota Medical Association
Oregon Medical Association
Society of Hospital Medicine
Tennessee Medical Association
Texas Medical Association
Washington State Medical Association
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Sample of Consumer-Oriented Partners
IN PARTNERSHIP WITH
AARP
Alliance Health Networks
Covered California
National Business Group on Health
National Center for Farmworker Health
National Hospice & Palliative Care Organization
National Partnership for Women & Families
Pacific Business Group on Health
SEIU
Union Plus
Wikipedia
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Materials from Consumer Reports
IN PARTNERSHIP WITH
99 pamphlets for consumers in English and Spanish:
http://consumerhealthchoices.org/campaigns/choosing-wisely/#materials
5 videos
http://www.youtube.com/user/consumerhealthchoice
2 Posters
http://consumerhealthchoices.org/?s=poster
Customized TV, web-optimized, and radio PSAs
(Request one-step access to server site)
Wallet card
http://consumerhealthchoices.org/catalog/when-to-say-whoa-wallet-card
Newsletter
http://consumerhealthchoices.org/connect/our-email-newsletter
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Thank you!
Beccah Rothschild, MPA
[email protected]
415.431.6747 x 120
This symposium is made possible by the Choosing
Wisely campaign with support from
+