• Does the Choosing Wisely 5 Questions campaign help promote conversations between care teams/practitioners and patients/families?
  • How can the 5 Questions campaign best be woven into the practice work flow?
  • What changes would patients and care teams recommend to the campaign developers that would make the tools more effective and supportive of historically underserved patient populations?
  • How can the campaign promote patient/family engagement and reduce cost?

Overview


The CCWC received a grant from the Connecticut Health Foundation entitled Enhancing Patient/Clinician Communication: Leveraging Choosing Wisely┬« as a Tool for Achieving Health Equity.  The purpose of the grant which ran from 2015-2016 was to review, critique, and adapt Choosing Wisely materials to support the empowerment of underserved consumers, including persons of color, newly-insured, and uninsured consumers. The grant began with a literature review and environmental scan of relevant materials and a series of 4 focus groups with healthcare providers, community health workers and navigators, and consumers.  One of the consumer focus groups was conducted in Spanish to elicit the perspectives of Hispanic and Latino consumers. The scan and the focus groups revealed particular challenges of patients who have experienced disparities in access to and experiences when receiving care. Using these insights, a pilot was designed and conducted using Choosing Wisely materials in two federally-qualified health centers (FQHCs) in Connecticut. The Community Health Center Association of CT (CHCACT) partnered with the CCWC to recruit sites and conduct the pilots. The pilots addressed questions such as:

Each pilot ran for two weeks, and included staff orientations training, Patients were handed materials at check-in and 5 Questions posters were hung in each exam rooms. Patients were encouraged to discuss these questions with members of their care team.  Staff were provided scripts and video examples of a Choosing Wisely conversations.  Each site collected survey data from patients and staff surveys. Patient surveys and Choosing Wisely materials were provided in English and in Spanish.  To learn more about the project, click HERE to read the brief. 

Phase 1

Click picture to view the brief