Call to Action

The Medical Officer Collaborative offers the necessary opportunity for physician leaders from hospitals and medical groups to work collaboratively to improve care and make Washington known for its patient safety achievements.

The Medical Officers of Washington state collaborate on agreed upon Call to Action initiatives, which are health care quality and safety initiatives that will improve patient lives and healthcare delivery. The medical officers participate in work groups comprised of several organizations and associations, developing statewide strategies and implementation plans.

Call to Action initiatives:

      • Diagnostic Excellence: Improve diagnostic process to ensure patients receive accurate and timely diagnoses.
      • Health Equity: Reduce disparity in health outcomes and promote diversity, inclusion, and equity in the workforce to improve health equity.
      • Healthy Doctors, Healthier Patients: Reduce administrative burden and promote evidence-based interventions to address the drivers of burnout.


To combat the growing epidemic of physician burnout, WSHA and WSMA have embraced the “Quadruple Aim,” which builds on the Institute for Healthcare Improvement’s Triple Aim of improving the care quality, improving population health and lowering costs by adding a fourth component: Improving the quality of life and work of health care clinicians.

The WSMA has introduced Healthy Doctors, Healthier Patients, an initiative campaign aimed at improving physician satisfaction with a strong focus on decreasing administrative burden. Healthy Doctors, Healthier Patients also provides programs and resources to help physicians manage stress and burnout in their practices, many of which you can find on this page. The WSMA Foundation for Health Care Improvement, the WSMA’s not-for-profit 501(c)(3) organization formed to help improve the health and well-being of all Washingtonians is developing related programs in the near future.


Prior Call to Action Initiatives



Designed by physicians, Better Prescribing, Better Treatment is a peer-to-peer, non-punitive initiative aimed at ensuring physicians and other prescribers who see Medicaid patients in Washington state are not overprescribing addictive medications while keeping appropriate pain treatments accessible for patients who need them. The initiative was launched in partnership between the Washington State Hospital Association (WSHA), the Washington State Medical Association (WSMA), and the Washington State Health Care Authority, the agency responsible for administering the state’s Medicaid program (Apple Health). Better Prescribing, Better Treatment is a component of the state opioid response plan.

Launched in 2017, Better Prescribing, Better Treatment has resulted in significant reductions (-55% non-compliant prescriptions, -65% for the first health systems to join the program) in acute opioid prescriptions to Apple Health (Medicaid) enrollees. The program continues to expand, with over 20,000 prescribers enrolled at over 40 health systems and group practices.

Looking ahead, the Better Prescribing, Better Treatment reports will leverage Prescription Drug Monitoring Program data to include all payers, not just Medicaid clients. The new reports will replicate prior reports on acute prescribing pill targets, and they will be expanded to include two new metrics related to high MED patients and co-prescribing.

Vision: Everyone in Washington will receive care that honors personal values and goals at the end of life.

Honoring Choices® Pacific Northwest (Honoring Choices PNW) is an unprecedented, region-wide advance care planning initiative to inspire early conversations about the type of care people want if they cannot decide for themselves. As a joint initiative of the Washington State Hospital Association (WSHA) and the Washington State Medical Association (WSMA) Foundation for Health Care Improvement, Honoring Choices PNW aims for universal adoption in our communities over the next six years. Its philanthropic approach will ensure that providers of all sizes and financial capacities will be given the resources and tools to participate and succeed.

Through the leadership and guidance of the Medical Officer Collaborative; Honoring Choices PNW is working with health care organizations and communities to implement a team-based advance care planning program to ensure patients’ wishes are known and honored.

More Information: Honoring Choices Pacific Northwest



Partnership for Patients is a nationwide effort sponsored by CMS to reduce the number of hospital-acquired conditions by 40 percent and hospital readmissions by 20 percent by the end of 2014. By joining this initiative, hospitals and health care providers across the nation are pledging to make health care safer, more reliable and less costly – ultimately saving thousands of lives and millions of dollars.

Washington State Hospital Association (WSHA) is one of 26 health care organizations in the U.S. to be awarded a Hospital Engagement Network (HEN) contract by the U.S. Department of Health and Human Services in 2011.  Based on their success in the first two years of the initiative, WSHA was awarded an extended contract for an additional year, from December 2013 to December 2014. As a Partnership for Patients HEN, WSHA and the Washington State Medical Association have partnered to support hospitals and medical practices in Washington, Alaska and Oregon in their efforts to reduce patient harm.

Reduce Readmissions

Prevent Surgical Site Infections


Choosing Wisely

Sometimes, less health care is the best health care.

According to the Institute of Medicine, up to 30% of health care spending, or approximately $750 billion dollars, is wasted on unnecessary health care services.

A national initiative of the American Board of Internal Medicine (ABIM) Foundation, Choosing Wisely has enlisted more than 70 medical specialty societies to create lists of “Things Physicians and Patients Should Question” which provide specific evidence-based recommendations for conversations on the risks and benefits of various medical tests.

Choosing Wisely aims to promote conversations between physicians and patients by helping patients choose care that is:

  • Supported by evidence
  • Not duplicative of other tests or procedures already received
  • Free from harm
  • Truly necessary

Under the leadership of the Medical Officer Collaborative; the Washington State Hospital Association, the Washington State Medical Association and the Washington Health Alliance convened a task force to develop a pragmatic process to implement Choosing Wisely across the state, with a focus on changing behaviors, driving results and creating measurable improvement.

The Washington State Choosing Wisely Task Force is comprised of more than 20 physician leaders from clinics and hospitals across the state who are leading efforts within their organizations to integrate the Choosing Wisely “Five Things Physicians and Patients Should Question” recommendations into practice.

Washington State Choosing Wisely Task Force Reports:

Choosing Wisely Action Manual

Choosing Wisely Action Manual

2018 Report: First, Do No Harm

2018 Report: First, Do No Harm

2016 Report: Less Harm. Less Waste. Choosing Wisely® in Washington State

2016 Report: Less Harm. Less Waste. Choosing Wisely® in Washington State

WSMA Resources:

ABIM Foundation Resources: