Unnecessary testing and treatment is a pervasive problem in health care and is present in virtually every hospital, department and clinic, irrespective of size or how diligent the clinicians are who work there.
Although clinicians ultimately make decisions about which tests and treatments to order, many of these decisions can often be influenced by existing hospital systems that, if outdated or poorly designed, can nudge clinicians toward ordering tests and treatments that do not reflect evidence-based guidelines and practices.
Your hospital can join the global Choosing Wisely movement by making changes, small or large, to reduce overuse. Hospitals that have done so to date have made better use of resources and created more efficient processes resulting in safer and higher quality care for patients and the health care system.
To recognize these participating hospitals, we have established the Choosing Wisely Canada Hospital designation at Levels 1, 2 or 3.
Level 1: Cornwall Community Hospital | Hôpital Montfort | Headwaters Health Care Centre | McGill University Health Centre | Jewish General Hospital | Women’s College Hospital | Georgian Bay General Hospital | St. Joseph’s Healthcare Hamilton | Windsor Regional Hospital | Ross Memorial Hospital | Orillia Soldiers’ Memorial Hospital | Royal Alexandra Hospital | Muskoka Algonquin Healthcare | Dryden Regional Health Centre | Middlesex Hospital Alliance | St. Mary’s Hospital, MWIIUHSSC | Vancouver Island Health Authority | Temiskaming Hospital
Level 2: Calgary Zone | Peterborough Regional Health Centre | Sinai Health System | Niagara Health | Royal Alexandra Hospital
Level 3: Sunnybrook Hospital | The Hospital for Sick Children | London Health Sciences Centre | William Osler Health System
If you need help getting started, the Diving into Overuse in Hospitals Start Kit provides practice advice and guidance on implementing Choosing Wisely Canada recommendations.
Hospitals must complete a checklist and submit to Choosing Wisely Canada for review. Once the checklist is received, applications are reviewed by a national committee of quality improvement experts. Applicants can expect to wait 4-6 weeks for feedback or to receive notice of the Choosing Wisely Canada Hospital designation.
To download examples of successful submissions from our Level 3 designated hospitals, please see below:
Hospitals are designated “Choosing Wisely Canada Hospital” at Level 1, 2, or 3. Hospitals will receive a certificate of designation and gain national recognition as a leader in tackling overuse.
It is the responsibility of your hospital to uphold the projects submitted as part of the original application. On a two-year cycle, you will be asked to resubmit data to ensure your hospital is sustaining efforts to reduce overuse.
Diving into Overuse in Hospitals: A Starter Kit for Reducing Unnecessary Tests and Treatments provides practical advice and guidance on implementing Choosing Wisely recommendations into hospital settings. It was developed with the support of the Ontario Hospital Association and Health Quality Ontario as part of the Choosing Wisely Ontario campaign. However, the document is intended to be relevant to hospitals across Canada.
Upon implementation of this Starter Kit, and assuming all actions have been completed, hospitals can become designated “Choosing Wisely Canada Hospitals” (at either Levels 1, 2 or 3). These groups of hospitals will receive a certificate of completion, be recognized on the Choosing Wisely Canada website, and gain national profile for their leadership in tackling overuse.Download Starter Kit