(on behalf of the Costs of Care and ABIM Foundation teams)
Clinicians are increasingly accountable for delivering better care at lower cost. Despite the rapid evolution of the health care system, many of us still feel left in the dark. Fortunately, there are beacons of light scattered across the United States.
- In New Haven, medical students, residents and faculty physicians compete in a friendly competition to diagnose an unknown case while using the least resources necessary.
- In Colorado, residents reflect on their own experiences to describe patients who suffered harm from medical overuse, providing “teachable moments” for us all.
- In New York, emergency medicine physicians, inspired after working under constrained resources during Hurricane Sandy, teach an ongoing program about effective stewardship.
- In Arizona, Banner Good Samaritan Medical Center held their own local “High Value Care” contest, which incorporated culture and oversight by embedding faculty and administrative champion role models, while committing to systems change and training by providing necessary resources to translate the winning ideas into action.
The first Teaching Value and Choosing Wisely Challenge made us confident that there is a way forward. This year, for our second challenge, we want to light the path from volume to value (see the Teaching Value Page for details). No matter where you are, what type of care you provide or how much experience you have, we want to hear your ideas. It doesn’t matter if you have already put these ideas into practice, or they’re still just “bright” ideas—we want to hear about them.
For all clinical educators and trainees interested in improving the system, the Challenge will allow us to share ideas beyond our own institutional and professional silos. Ideas hatched in a pediatric residency program in South Carolina may be quickly adapted to a surgical program in Oregon. To help ensure the best ideas are identified and carried forward, we’ve enlisted some of the biggest health care luminaries in the country to serve as judges: the presidents of the Robert Wood Johnson Foundation and the Association of American Medical Colleges, the CEO of a billion-dollar health system, a renowned physician educator and a leading nurse-patient advocate.
The drivers of overuse in training environments are pervasive. Only together can we build the campaign to overcome them. This imperative requires ambassadors at every level—students and faculty, specialists and generalists, physicians, nurses and allied health professionals. It also calls for approaches that integrate multiple strategies.
We hope to continue this momentum to create change and to stoke the flames of action. If you have an innovation or bright idea, please share it with us. Help spread the light.