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A provincial hub for advancing appropriate care.

We coordinate efforts to reduce unnecessary care in alignment with Choosing Wisely recommendations. Together, we promote safe care delivered through a more sustainable and effective health system, in partnership with an advisory group of clinical leaders, health authorities, Doctors of BC and the Ministry of Health.

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Better for patients. Better for the system. Better for the planet.

Not all tests and treatments are appropriate and may even cause harm when overused. By reducing unnecessary tests and treatments, we’re working to:

  • Prevent patient exposure to potential harm
  • Reduce unnecessary costs and delays
  • Reduce administrative and patient burden
  • Limit health care’s impact on the climate crisis

Together, these efforts support more meaningful, appropriate care for everyone in BC.

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Appropriate Care is High-Quality Care.

Appropriateness is one of the seven dimensions of quality in the BC Health Quality Matrix.

Appropriate care is informed by evidence and best practice to optimize care for a person’s specific health and wellness goals. It weighs the benefits and risks of interventions to avoid the overuse or underuse of tests, treatments or services.

Choosing Wisely BC advances this dimension by working with partners to reduce unnecessary care and align clinical decisions with what matters most to patients.

Who is Choosing Wisely Canada?

Working in collaboration with Choosing Wisely Canada to advance appropriate care that matters to people in BC.

In 2025, HQBC established the Choosing Wisely BC Hub through a formal collaboration with Choosing Wisely Canada. This aligns the BC Hub with other provinces and territories working to advance appropriate care through coordinated national efforts.

Choosing Wisely Canada is a national initiative that partners with clinicians and patients to reduce unnecessary care. With more than 400 evidence-based recommendations across specialties, it offers a strong foundation for improving clinical decision-making.

You can explore the full list of Choosing Wisely Canada recommendations to see how these efforts are grounded in evidence across the country.

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How We’re Advancing Appropriate Care in BC

We’re leading provincial initiatives that focus on appropriate care in ways that reflect BC’s priorities, care settings and population needs.

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Appropriate Use of Antipsychotics in Long-Term Care

Improving resident quality of life through practices and strategies to reduce the potentially inappropriate use of antipsychotics in long-term care across BC.

Environmental Sustainability in Clinical Service Delivery

Supporting the adoption of low-carbon alternatives that support both patient care and the environment, with two current areas of focus being perioperative and respiratory care.

Choosing Wisely BC is Just Getting Started

We know there’s a lot of great work happening across the province! We’re continuing to build out this BC Hub alongside our clinical partners, quality teams, system leaders and Choosing Wisely Canada. We invite you to get in touch if you’re interested in partnering or learning more.