1. CHOOSING WISELY: STARTING A NEW CONVERSATION Lynn Weekes CEO NPS MedicineWise

2. Join the conversation @ChooseWiselyAU #ChoosingWisely

3. CHOOSING WISELY AUSTRALIA GOAL: Enhanced quality care reducing unnecessary care Led by clinicians, patient-care at the centre Evidence-based Premise: good communication is central to quality health care ‘Recommendations’ start the conversation Language is intentional – ‘things you should question’ Canada, US, Denmark, Germany England and Australia

4. NPS MEDICINEWISE Independent, non-government, not-for-profit Empowers people through evidence-based knowledge to make better health choices, informed decisions Mission driven: improve use of medicines and other health technologies for better health and economic outcomes Multifaceted programs for health professionals and consumers at a national level Programs deliver better health outcomes and PBS & MBS savings

5. NPS MEDICINEWISE’S ROLE Facilitation role, supporting colleges and societies Communications strategy - raising awareness - stakeholder engagement - key opinion leaders - media, website and social media Implementation -Synergy with NPS MedicineWise therapeutic programs including reducing use of Proton Pump Inhibitors, opioid use and blood pressure program. Evaluation

6. COLLEGE RECOMMENDATIONS

7. TOP FIVE LIST OF TESTS, TREATMENTS AND PROCEDURES TO AVOID

8. CONSUMER RESOURCES

9. FACILITATING CONVERSATIONS Consumer resources to match college and support college recommendations Education campaign

10. COLLABORATION IS KEY Advisory group -Associate Professor Richard King, AM, Senior Medical Director at Monash Health (Chair) -Associate Professor Meera Agar, Director of Palliative Care, Braeside Hospital, HammondCare -Dr Matthew Anstey, Staff Specialist Intensive Care Physician, Sir Charles Gairdner Hospital -Melissa Cadzow, Consumer Representative -Darlene Cox, Consumer Representative -Associate Professor Adam Elshaug, Health Care Policy, Menzies School of Public Health -Dr Rob Hosking, General Practitioner, The Elms Family Medical Centre -Associate Professor Richard King, AM, Senior Medical Director at Monash Health -Elizabeth Koff, A/Deputy Secretary, Strategy and Resources, NSW Health -Sally Marotti, Clinical Pharmacy Team Leader & Intensive Care Specialist Pharmacist, The Queen Elizabeth Hospital -Dr John Slavotinek, Consultant Radiologist, Repatriation General Hospital, Flinders Medical Centre Regular college representative panel discussions

11. SECTOR WIDE COLLABORATION

12. WHY WE NEED CHOOSING WISELY Not all tests add value Clinical experts leading debates about budget allocations Decisions based on best evidence available Consumers need resources to assist the conversation with health professionals There is pressure on practitioners to cover all clinical possibilities Long term sustainability of the health care budget Greater accountability

13. CRITICAL SUCCESS FACTORS Health profession-led: establishes credibility and trustworthiness Development and ownership of lists is driven by colleges Arms length from payers and government Consumers are part of the discussion Language: Quality and reducing risk of harm and waste resonate with clinicians and consumers ‘One message but many voices’

14. NEXT STEPS Wave II: more recommendations, more resources, more colleges, more supporters Colleges onboard for wave II so far: -The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) -Australian College of Nursing (ACN) -College of Intensive Care Medicine (CICM) -Australian and New Zealand Intensive Care Society (ANZICS) To find out more or become involved: twitter.com/ChooseWiselyAu choosingwisely@nps.org.au http://www.choosingwisely.org.au