• Amanda Kost, Inginia Genao, Jay W Lee, and Stephen R Smith.
• From the Department of Family Medicine, University of Washington, Seattle (AK); Department of Internal Medicine, Yale University School of Medicine, New Haven, CT (IG); Long Beach Memorial Family Medicine Residency, Long Beach, CA (JWL); and the Department of Family Medicine, Warren Alpert Medical School, Brown University, Providence, RI (SRS). akost@uw.edu.
• J Am Board Fam Med. 2015 Jul 1; 28 (4): 471-4.

BackgroundThe Choosing Wisely campaign encourages physicians to avoid low-value care. Although widely lauded, no study has examined its impact on clinical decisions made in primary care settings.MethodsWe compared clinical decisions made for 5 Choosing Wisely recommendations over two 6-month time periods before and after the campaign launch and an educational intervention to promote it at 3 primary care residency clinics.ResultsThe rate of recommendations adherence was high (93.2%) at baseline but did significantly increase to 96.5% after the launch. These findings suggest primary care physicians respond to training and publicity in low-value care, though further research is needed.ConclusionGiven that even small decreases of physician test ordering can produce large cost savings, the Choosing Wisely project may help achieve the health care triple aim.© Copyright 2015 by the American Board of Family Medicine.

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