Innovation Profile: Capital Health Plan Helps Patients Choose Wisely

The latest in ACHP’s series of Innovation Profiles describes Capital Health Plan’s (CHP) movement toward a culture of transparent, patient-centered care.

Step one: Partner with the physician community.

Up to 30 percent of care delivered in the U.S. goes toward unnecessary services. CHP, an HMO in Tallahassee, Fla., is participating in the national Choosing Wisely® campaign, which taps the expertise of specialty physicians’ societies to build lists educating patients and providers of the most commonly overused tests and procedures.

This ACHP report details how CHP has used the Choosing Wisely program to promote dialogue between physicians and patients so both parties choose care that is safe, supported by evidence and considerate of a patient’s specific circumstances.

CHP regularly measures its performance against the Choosing Wisely recommendations and tailors edits to the care being delivered locally. If a large portion of inefficient care is coming from a single practice, CHP works with that practice to modify its approach.

Physicians are inspired to identify unnecessary practice patterns beyond the Choosing Wisely guidelines and to change physician culture from within.

– Sophie Schwardron