This page contains a Flash digital edition of a book.
coming quality improvement, patient safety, and performance measurement challenges. The TMA House of Dele- gates in 2013 voted for TMA to advo- cate the adoption of the campaign. At TexMed 2014, the Council on Health Care Quality led a continuing medi- cal education (CME) track to educate physicians on the program. Choosing Wisely, TMA, the TMA Foundation, Blue Cross and Blue Shield of Texas, and TMF Health Quality Institute sponsored the CME. In what is quickly evolving into


a value-based care system, council member Cliff Fullerton, MD, says the campaign encourages physicians and patients to weigh various treatment options, not only to address escalating costs but also to ensure patients get high-quality care. He is chief medical officer for the Baylor Scott & White Quality Alliance, which incorporated Choosing Wisely into its quality im- provement and population health management initiatives. “We know there are significant in- efficiencies in the health care system, and we talk about physicians wanting to be in the middle of making these kinds of decisions. Here’s an opportu- nity to do that,” Dr. Fullerton said.


PHYSICIAN-DRIVEN The Choosing Wisely campaign’s physician-driven focus has attracted widespread participation, says Har- ris County Medical Society (HCMS) then-President Elizabeth Torres, MD, who authored an open letter to HCMS members and blog entry promoting the initiative in TMA’s Me and My Doctor (www.meandmydoctor.com). HCMS is one of nine Texas county medical societies and six state medi- cal specialty societies, along with the Texas Osteopathic Medical Associa- tion, participating in the program with TMA. As an internist, Dr. Torres was


readily familiar with Choosing Wise- ly because her specialty society, the American College of Physicians, was a founding member. She says the initia-


March 2015 TEXAS MEDICINE 53


Chiari Malformation


Not a rare disease, just rarely diagnosed on a timely basis Learn more at


Shannons-Hope.org/Physicians


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68