Evidence-based Medicine

Evidence-based Medicine

Care Systems > Health Care Advocacy > Evidence-based Medicine

Purchasers of health care – employers, consumers and public agencies – for decades have experienced record growth in spending. Yet evidence does not support that there has been a corresponding improvement in quality and a return on these investments. The Congressional Budget Office estimates that up to 30 percent of care delivered in the United States goes toward unnecessary tests, procedures, doctor visits, hospital stays and other services that may not improve people’s health – and, in fact, may actually cause harm.

It is urgent that physicians and patients work together to make wise treatment decisions – that means helping patients choose care that is supported by evidence that it works on patients like them, it is not duplicative (meaning that it isn’t a test or procedure that they already received from another doctor), it won’t harm them, and that it is truly necessary. It is equally important that more evidence-based guidelines are developed to ensure that health care providers can practice evidence-based medicine.

Highlighted below are several efforts underway to address treatment decisions between patients and doctors, as well as developing evidence-based guidelines and making research based information accessible to patients and the public.

Choosing Wisely


Choosing Wisely is an initiative of the ABIM Foundation (American Board of Internal Medicine) designed to help physicians, patients and other health care stakeholders think and talk about overuse of health care resources in the United States. Click here for no-cost employer materials, designed to educate consumers and put care back in the hands of patients and providers.


Institute for Clinical Systems Improvement

Also known as ICSI, they influence and make change happen in the health care industry, driven by their mission to building evidence-based, innovative solutions that address today’s toughest challenges.

ICSI is a non-profit organization formed in 1993 in direct response to the Minnesota Health Action Group’s stipulation that providers participating in The Action Group’s new preferred provider organization developed in 1992 have continuous quality improvement programs in place. Founding organizations were HealthPartners, Mayo Clinic, and Park Nicollet Health Services. Today, ICSI is a membership organization comprised of 50 medical groups representing about 8,500 clinicians in Minnesota and surrounding areas. Its demonstrated collaborative and innovative processes enable ICSI to unite diverse stakeholders in the health care system to deliver patient-centered and value-driven care. For more information, click here.

Patient Centered Outcomes Research Institute

Authorized by Congress as part of the Accountable Care Act, the mission of the Patient Centered Outcomes Research Institute, more commonly referred to by the acronym PCORI, is to conduct research to provide information about the best available evidence to help patients and their health care providers make more informed decisions. PCORI’s research is intended to give patients a better understanding of the prevention, treatment and care options available, and the science that supports those options.

PCORI funds research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed health care decisions. For more information about PCORI, click here.