Choosing Wisely International

Será com muita satisfação que participarei, junto com meu amigo Luis Claudio, do Blog Medicina Baseada em Evidências, de evento fechado da Choosing Wisely International:

2nd International Roundtable on Choosing Wisely, taking place in London, UK, on Thursday, May 28 and Friday, May 29, 2015.

Luis representará a Sociedade Brasileira de Cardiologia, enquanto representarei a Sociedade Brasileira de Medicina de Família e Comunidade, a quem agradeço fortemente pela oportunidade e confiança. SBC e SBMFC serão pioneiras ao inserir o Brasil na Choosing Wisely International (bastidores podem ser conhecidos aqui). Já estamos em tratativas com outras especialidades.

Os propósitos principais do evento, que reunirá lideranças de 16 países, são:

1. Compartilhar experiências sobre iniciativas “choosing wisely” nos diversos países;

2. Compartilhar estratégias de sucesso e desafios para implantação da Choosing Wisely, através dos cases norte-americano e canadense;

3. Discutir formas de melhor avaliar efeitos da campanha e, se possível, padronizar isto entre os países envolvidos.

Representantes da Organisation for Economic Co-operation and Development (OECD) and The Commonwealth Fund estão também envolvidos na iniciativa.

Abaixo a programação preliminar do evento:

2nd International Roundtable on Choosing Wisely

AGENDA

THURSDAY, MAY 28

Royal College of Anaesthetists, Second Floor Gallery

35 Red Lion Square, London

9:00 – 9:15am	Welcome and Framing of the Meeting	Wendy Levinson
9:15 – 10:00am	Participants Identify Major Challenge Description: Each person will introduce themselves and one representative from each country will name the main challenge they would like help with.	All

10:00 – 10:30am	Underlying Principles of Choosing Wisely and Application to Recommendations Development and Implementation Description: Identify cultural shifts in society and business that are in play with Choosing Wisely including Self-Determination Theory and Complexity Theory.	Daniel Wolfson
10:30 – 10:50am	Break
10:50 – 11:20am	Challenges and Successes in Implementation in Canada and US Description: Using a structured format, identify strategies that have been employed and the challenges.	Wendy Levinson Tai Huynh
11:20am – noon	Part 1 of Open Space Description: Small groups will have the opportunity to work on topics of specific interest. The question “what do you want help on during this meeting” might form the basis of topics.	Daniel Wolfson
Noon – 12:45pm	Lunch
12:45 – 2:00pm	Part 2 of Open Space Description: Each group develops strategies and immediate actions steps. Each group reports out.	Daniel Wolfson
2:00 – 2:30pm	The Top Ten List Description: We will revisit the list of top ten tests/treatments/procedures from last year and revise based on previous and current work. This list will form the basis for a later discussion with OECD.	Wendy Levinson
2:30 – 2:45pm	Break
2:45 – 3:30pm	Framing Evaluation and Measurement Description: Review of key evaluation efforts to date and challenges and barriers in evaluation.	Sacha Bhatia

3:30 – 4:30pm	OECD and Measurement of Overuse Description: Explore cross-country comparisons of a limited set of recommendations.	Niek Klazinga
4:30 – 7:00pm	Break
7:00pm	Social Dinner Royal College of Anaesthetists, Council Chamber 35 Red Lion Square, London

FRIDAY, MAY 29

Royal College of Anaesthetists, Second Floor Gallery

35 Red Lion Square, London

9:00 – 9:30	Summary of Prior Day’s Discussion	TBD
9:30 – 10:30am	Evaluation and Measurement – What is Next? Description: What’s currently happening in other countries? Is there agreement on a framework to measure Choosing Wisely impact? How do we want to collaborate?	Small groups
10:30 – 10:45am	Break
10:45 – 11:30am	Evaluation and Measurement – Continued	Large group
11:30am – 12:30pm	Patient/Public Engagement Description: Discussion of strategies for patient/public engagement. What’s working and what are challenges?
12:30 – 1:30pm	Lunch
1:30 – 3:00pm	Working Together Between Annual Meetings Description: Discuss how this group wants to work together (i.e., small groups); how to organize the work and how we support each other.	Sam Shortt
3:00 – 4:00pm	Conclusion and Final Thoughts Description: Identification of group goals and who will lead components.	Wendy Levinson

APPENDIX

Suggested Readings

1. Academy of Royal Colleges. Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care. 2014 Nov.
2. Coronini-Cronberg S, Bixby H, Laverty AA, Wachter RM, Millett C. English National Health Service's Savings Plan May Have Helped Reduce The Use Of Three 'Low-Value' Procedures. Health Aff (Millwood). 2015 Mar 1;34(3):381-9.
3. Gliwa C, Pearson SD. Evidentiary rationales for the Choosing Wisely Top 5 lists. JAMA. 2014 Apr 9;311(14):1443-4.
4. Gupta S, Detsky AS. Development of Choosing Wisely Recommendations for an Inpatient Internal Medicine Service. JAMA Intern Med. 2015 Feb 23.
5. Kerr EA, Chen J, Sussman JB, Klamerus ML, Nallamothu BK. Stress Testing Before Low-Risk Surgery: So Many Recommendations, So Little Overuse. JAMA Intern Med. 2015 Feb 9.
6. Levinson W, Kallewaard M, Bhatia RS, Wolfson D, Shortt S, Kerr EA; Choosing Wisely International Working Group. 'Choosing Wisely': a growing international campaign. BMJ Qual Saf. 2015 Feb;24(2):167-74.
7. Mason DJ. Choosing wisely: changing clinicians, patients, or policies? JAMA. 2015 Feb 17;313(7):657-8.
8. Selby K, Gaspoz JM, Rodondi N, Neuner-Jehle S, Perrier A, Zeller A, Cornuz J. Creating a List of Low-Value Health Care Activities in Swiss Primary Care. JAMA Intern Med. 2015 Feb 23.
9. Strech D, Follmann M, Klemperer D, Lelgemann M, Ollenschläger G, Raspe H, Nothacker M. When Choosing Wisely meets clinical practice guidelines. Z Evid Fortbild Qual Gesundhwes. 2014;108(10):601-3.