June 13, 2019

Clinical Decision Support: Avoid PAMA Drama

This past week at the 2019 Annual Meeting of the American Medical Association (AMA) House of Delegates meeting in Chicago, radiologists and referring colleagues joined together to showcase the value of clinician-empowering clinical decision support (CDS) for medical imaging over intrusive prior authorization.

In a session titled “Avoiding PAMA Drama,” Jacqueline Bello, MD, FACR, chair of the American College of Radiology (ACR) Commission on Quality and Safety, and ACR CEO William T. Thorwarth Jr., MD, FACR, presented the history and basics of CDS along with implications for referring clinicians and radiologists as the 2020 PAMA education and training year kicks off.

A reactor panel featuring radiologists, a family practice physician and an internal medicine doctor describing their experience with CDS in a variety of practice setting and implementations followed the overview. Terence A.S. Matalon, MD, FACR, FSIR, shared a short video of Einstein Medical Center’s successful CDS launch with EHR integration. Molly Craven, DO, described her practice’s use of a freestanding CDS tool and its positive impact on her relationships with her patients through shared access to the evidence base for appropriate imaging for over three years. Mike Cheng, MD, provided insight into a novel educational program to help radiologists and internists work together to prepare for PAMA, and as a PGY3, ‘simulated’ the process for first and second year internal medicine residents, to reinforce the importance of high-value imaging ordering.

The session concluded with a lively Q&A series from an engaged audience, anxious to sideline prior authorization as CDS provides a better method to ensure high-value imaging is being performed.