Doing What Works
The public’s perspectives on reducing the use of unnecessary, harmful or wasteful healthcare services.
Solving the problem of overuse is not easy, and the public is understandably wary when policy leaders claim that “too much” health care is provided, rather than not enough. To assure that California healthcare policy takes into account the views and values of the public, Doing What Works (DWW) held ten half-day deliberative group discussions with 117 residents, all low-to-moderate income Medi-Cal, Covered California and CalPERS members.
The DWW results are informing the work of the Statewide Work Group on Reducing Overuse, a purchaser-led multi-organizational body committed to improving the quality and affordability of health insurance throughout the public and private sectors. DWW is also integral to a project led by Integrated Healthcare Association, which is implementing Choosing Wisely ® through healthcare organizations in northern and southern California.
The project was funded by the California Health Care Foundation and Kaiser Permanente National Community Benefit Fund.
A webinar held May 19, 2016 and moderated by Jill Yegian, Ph.D., IHA Senior Vice President for Programs and Policy, provided an overview of the Doing What Works project's findings and discuss implications for provider, purchaser and payer efforts to reduce unnecessary care.
• Beccah Rothschild, M.P.A., Senior Outreach Leader, Health Impact Team, Consumer Reports
• Marge Ginsburg, M.P.H., Executive Director, Center for Healthcare Decisions
• Julia Logan, M.D., M.P.H., Chief Quality Officer, California Department of Health Care Services
• Lance Lang, M.D., Chief Medical Officer, Covered California
Kevin Rodondi, PharmD and associate director of leadership at Healthforce Center refers to Doing What Works in his blog Patient-centered Care: Five Ways Clinicians Can Reduce Costs and Achieve Better Outcomes.
Jeff Rideout, MD and CEO of Integrated Healthcare Association writes in his blog Patient Trust in Physicians and Reducing Harmful or Wasteful Care, “But patients in the exam room do trust their physicians, and because of that sacrosanct trust, I’m more convinced than ever that without physician buy-in and leadership, we’ll make little headway in reducing unnecessary care”.
Jill Yegian, Ph.D., IHA SVP for Programs & Policy writes in her blog, The Art of the Possible: Getting Thoughtful and Constructive Public Views on Thorny Health Policy Issues, “The results of the Doing What Works project will help inform both the Workgroup on Reducing Overuse and IHA’s Choosing Wisely project to identify ways to balance patient choice and physician autonomy against the larger societal concerns of preventing harm and wasting finite resources.”
Alwyn Cassil, writes in her blog, Large California Purchasers Use Deliberation to Engage Public in Reducing Unnecessary Care, “While participants recognized that patients sometimes insist on unnecessary care, they believe physicians have a responsibility to say ‘no,’ when care is inappropriate."
Susan Perez, Postdoctoral Fellow, University of California, Davis, writes in her blog People are Talking" target="_blank">"...engaging consumers through a process called (public) deliberation has been eye-opening. It has fired my interest in how the public's voice can be brought to bear on health care policy issues that affect individuals as patients, taxpayers, and members of society."
One of our partners in the Choosing Wisely campaign, the National Hospice and Palliative Care Organization, has written an article about the DWW report on their "eHospice/USA" site. You can find it by clicking here: