The Choosing Wisely STARS program is based on a simple idea: activate medical students to lead change within their own medical schools, by providing them with support and resources.
Costs of Care, in partnership with the ABIM Foundation, has sought innovative ideas and projects for teaching and implementing high value care among collaborative teams of clinicians, educators, quality improvement specialists, and health system administrators.
Health care professionals from any discipline and level of training were invited to submit short abstracts that either described a project they had already implemented or an idea for a project they believed could have promise in delivering better care at a lower cost.
“Across the country, healthcare providers are finding creative ways to address the growing challenges Americans face in affording care. We’re excited to learn from these innovators and help share their insights broadly,” says Neel Shah, MD, Founder and Executive Director of Costs of Care. “Through the Value Challenge we hope to inspire and share innovations about what works in improving value in health care.”
Pictured Left to Right – Neel Shah, MD, Executive Director of Costs of Care, Gary S. Kaplan, MD, Chairman and CEO of Virginia Mason Health System, Steven A. Schroeder, MD, Distinguished Professor of Health and Health Care UCSF, Leah Binder, President and CEO of The Leapfrog Group.
will recognize clinicians who have implemented, or plan to implement, innovative ideas and projects that improve the clinical learning environment in the area of low value care.
will recognize teams of clinicians who have implemented, or plan to implement, innovative ideas and projects that improve value on the frontlines of healthcare.
will be awarded to a CEO of a hospital or health care system who has demonstrated courageous and ethical leadership addressing the twin issues of affordability and quality of health care in their community. The award will recognize leadership in measurably reducing patient harm and saving dollars at the same time.
The Value Challenge builds on the ABIM Foundation’s Choosing Wisely® campaign, a national effort led in conjunction with Consumer Reports that encourages clinicians and patients to have conversations about avoiding unnecessary tests and treatments. While the campaign is helping change the way many clinicians practice, it is equally important for clinicians in training to learn how Choosing Wisely can serve as a foundation for providing appropriate care throughout their careers. To support this work, Costs of Care created the Teaching Value in Healthcare Podcast series to convene leaders in medical education and training to develop engaging curriculum and spread health systems innovations that improve value.
Two previous Challenges – then known as the Teaching Value and Choosing Wisely Challenge – generated more than 150 entries and 12 winners, including the following innovations:
A team of medical educators, Drs. Eileen Moser and Susan Glod from Penn State Milton S. Hershey Medical Center; Drs. Sara Fazio and Grace Huang from Harvard Medical School; and Dr. Clifford Packer from Case Western Reserve University and the Louis Stokes Cleveland VA Medical Center, modified the traditional SOAP note template to include a discussion of value. By embedding value consideration into a routine practice, students reported greater comfort with initiating discussions about overuse with their clinical teams.
Dr. Robert Fogerty, a faculty member at the Yale School of Medicine, created “I-CARE” (Interactive Cost-Awareness Resident Exercise). This exercise engages faculty and trainees in a friendly competition to create effective, lower cost care plans using traditional Morning Report structure and institutional charge data.
Costs of Care sponsors #JHMChat on a recently published article, often on value-based care, in Journal of Hospital Medicine (JHM), with a moderator who guides discussion for an hour-long conversation across Twitter. CME is available for participants immediately following the chat.