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cess. Baylor Scott & White, for exam- ple, took a two-pronged approach to adopting Choosing Wisely: After en- dorsing and promoting the initiative among its specialty committees and choosing a handful of recommenda- tions to focus on, “our intent is to try to pick a subset of those that fit to try to measure so we can report that in- formation out to help our physicians improve.” For example, the Baylor Scott &


White quality committee can likely track how well doctors are abiding by the American College of Obstetricians and Gynecologists’ recommendation against scheduling elective, nonmedi- cally indicated inductions of labor or cesarean deliveries before 39 weeks gestational age. Mr. Wolfson says physicians can


use many methods to put Choosing Wisely into action, and doctors can find examples in the ABIM Founda- tion’s newsletter, Updates from the Field, available by email subscription or online at www.choosingwisely.org/ resources/updates-from-the-field. TMA and Texas Medicine also con- tinue to collect reports from Texas physicians, available in TMA’s online Choosing Wisely resource center, www


.texmed.org/choosingwisely. Now that physician practices and


health systems are moving in that di- rection, Mr. Wolfson says Choosing Wisely can once again follow physi- cians’ lead as it looks to collect data and offer feedback on physician per- formance and variations in care. “We thought that we needed carrots


and sticks, but this is saying we need the medical profession to stand up and be the force,” he said. “This is profes- sionalism in action.” n


Amy Lynn Sorrel is associate editor of Texas Medi- cine. You can reach her by phone at (800) 880- 1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at amy.sorrel@texmed.org.


CENTER FOR MEDICAL ETHICS & HEALTH POLICY


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1.800.667.9723 March 2015 TEXAS MEDICINE 57


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