2016 Winners of the Choosing Wisely Challenge at University of Chicago Medicine
Around the world, the capabilities of modern medicine are being delivered inside of health systems with staggering complexity. Too often this complexity contributes to avoidable harm and unsustainable cost. Moreover, clinicians rarely have the support necessary to deliver value–defined as the best possible care at the lowest possible cost.
To help address this gap, and mirroring the Costs of Care (an American nonprofit) and the ABIM Foundation, the University of Chicago Medicine launched the Choosing Wisely® Challenge to identify promising bright ideas for implementation at the medical center.
The following Bright Ideas were awarded operational support for implementation:
- An integrated approach to influenza vaccination for pediatric subspecialty patients. This project aims to ensure every patient seen in Comer subspecialty outpatient clinics have documentation of influenza vaccination status by implementing best practice alerts and smart order sets in the EMR and identifying immunization champions in each clinic. (PI: Emily Obringer, MD & Allison H Bartlett, MD, supported by a multidisciplinary team)
- SEE DIFF: Screening, Education, and Empowerment to Diagnose and Isolate c. diff For the Forefront of medicine. This project aims to provide clinical decision support to providers to: (1) identify pre-existing infections and carriers of C. difficile within the first three days of admission, and (2) encourage mindful testing practices throughout the admission. (PI: Chris Rishel, MD, supported by a multidisciplinary team)
Improving the Disparity in Breast Feeding Rates at The University of Chicago Medicine through the Maximize Mom’s Own Milk (MOM) Program. This project aims to improve rates of breastfeeding at UCM, fostering a Baby-Friendly environment, thought implementation of a rental program for hospital grade breast pumps. (PI: Grete Willstrom, RD, supported by a multidisciplinary team).