Clinical decisions made in primary care clinics before and after choosing wisely™

Background: the choosing wisely™ campaign encourages physicians to avoid low-value care. although widely lauded,no study has examined its impact on clinical decisions made in primary care settings. methods: we compared clinical decisions made for 5 choosing wisely recommendations over two 6-month time periods before and after the campaign launch and an educational intervention to promote it at 3 primary care residency clinics. results: the rate of recommendations adherence was high (93.2%) at baseline but did significantly increase to 96.5% after the launch. these findings suggest primary care physicians respond to training and publicity in low-value care,though further research is needed. conclusion: given that even small decreases of physician test ordering can produce large cost savings,the choosing wisely project may help achieve the health care triple aim. © 2015,american board of family medicine. all rights reserved.