Concurrent Sessions

AB5 Choosing Wisely Canada: Embedding its Principles Within Your Family Health Team

Theme 5. Optimizing use of resources

Presentation Details

  • Date: Wednesday, October 25, 2017
  • Concurrent Session A & B
  • Time: 2:30pm-4:15pm
  • Room:
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

Learning Objectives

  1. Gain familiarity with the principles and content of the Choosing Wisely Canada campaign, including resource stewardship and shared decision-making, and their relevance to important QI Pillars
  2. Consider how your team can “embed” the campaign into both clinical practice and QIP goals, applying an interprofessional approach to one or two recommendations relevant to your FHT
  3. Consider how to create partnerships with other FHTs to work jointly toward implementation goals, thus contributing to Choosing Wisely national measurement data


With its core concepts of resource stewardship and shared decision-making, the Choosing Wisely Canada campaign is immediately relevant to primary care. Its recommendations are best implemented within FHTs, where team members can apply their unique strengths to enhance patient safety and effectiveness of care. This is what we have done across six community academic FHTs in the GTA. We will describe our 2-year ARTIC project that has focused on efforts to enhance patient safety through deprescribing long-term PPIs, sedative-hypnotics in the elderly, and glyburide in the elderly. We will elaborate on key elements for success, such as having social workers offer CBT-Insomnia, and having pharmacists work closely with patients to taper off low-value, high-risk medications. We will also share our QIP entries for each of the deprescribing efforts. Implementation of CWC recommendations is meaningful to clinicians, and can flow directly and easily into QI Plans. As a key partner of CWC, Health Quality Ontario (HQO) is keen to have these measures implemented and reported.


  • Kimberly Wintemute, MD CCFP FCFP, North York Family Health Team
  • Sue Griffis, RN, MA, DBA, CHE, Executive Director, North York Family Health Team

Authors & Contributors

  • Kimberly Wintemute MD CCFP FCFP, North York FHT
  • Sue Griffis RN, MA, DBA, CHE, Executive Director, North York  FHT