Choosing Wisely making inroads with health services

Professor Stacy Goergen, Director of Research, Monash Imaging 03 Feb 2016

With peak medical colleges, societies and associations leading the Choosing Wisely Australia initiative, one of our next steps is to encourage adoption of the Choosing Wisely principles within health services. Recently Victoria’s Monash Health provided an example of the implementation of appropriate imaging practice across its service. 

The Royal Australian and New Zealand College of Radiology (RANZCR), in support of its six Choosing Wisely Australia recommendations, developed clinical decision rules to help clinicians, patients, parents and carers come to a shared decision about when imaging may or may not be needed.

The tools to implement these clinical decision rules included a booklet, app, posters and web-based learning modules, which have now been embedded into education programs and routine clinical practice at Monash Health.

‘We are now the only health service in Australia to integrate web-based educational modules for appropriate imaging on our Learning Management System with policy documents on PROMPT and now bedside point-of-care electronic decision support,” says Professor Stacy Goergen, Director of Research, Monash Imaging, and Adjunct Clinical Professor, Departments of Medical Imaging and Surgery.

‘This will improve the safety, appropriateness and efficiency of patient care across our health service. We plan to research the effect of this approach to appropriate imaging education on imaging utilisation and test positivity rates in 2016. 

‘Completion of the web-based education modules will be a prerequisite for our interns and advanced trainees from 2016, to ensure they have the knowledge base to enable them to make wise decisions about imaging referrals. The app will reinforce this training at the bedside.’

To download the app visit the RANZCR Choosing Wisely Australia recommendations at

Last reviewed 03 February 2016