Getting Started

Are you thinking about starting a project to reduce inappropriate use of tests and treatments in your clinical setting?

Since the launch of Choosing Wisely Canada in April 2014, over 175 recommendations have been published across a large number of clinical specialties. If you have a specific area of overuse you want to tackle, great!

If you’re still deciding on a focus, we’ve compiled all CWC recommendations into one simple spreadsheet. You can use the spreadsheet to sort, rank order and prioritize based on what’s important to you and your organization. Getting support and buy-in from your colleagues and stakeholders early will help make your project go smoothly; involve them in this process.

Once you have a specific area of focus, you’re ready for the hard part. Because local context, culture and capabilities vary widely from one setting to another, there is no single recipe book for you to follow. Choosing Wisely Canada encourages and supports local ingenuity in the implementation of the recommendations. We call this Choosing Wisely DIY (do-it-yourself).

If you are going to design your own intervention, the figure below gives a flavour of the types of interventions you might want to consider.

Implementation Spectrum

High leverage interventions are those that require organizational level changes; these changes are typically “hard coded” into the systems and policies of the organization and tend to be more difficult to implement, but the results are more likely to be sustained. Low leverage interventions, on the other hand, focus on change at the individual rather than organizational level, tend to be easier to implement, but are generally less sustainable (e.g. people move on). A robust implementation project tends to involve a combination of interventions.

If designing your own intervention seems daunting, check out our new collection of user-generated toolkits, which are simple to follow how-to guides developed by those who have successfully implemented specific Choosing Wisely Canada recommendations.