A consequential outcome of the Transforming Clinical Practice Institute (TCPI) is the Centers for Medicare and Medicaid Services (CMS) heightened recognition that the American College of Radiology® (ACR®) and other participating medical associations serve as valued partners to engage clinicians in value-based care and clinical practice transformations.
The clinician engagement strategies and positive results of the ACR’s TCPI-funded work, and those of the American College of Emergency Physicians and the American Psychiatric Association, were highlighted at last week’s 2020 CMS Quality Conference in Baltimore. In two conference sessions, representatives of the three medical societies also reported how they are leveraging their TCPI work to promote ongoing value-base patient care.
Greg Nicola, MD, FACR, from Hackensack (NJ) Radiology Group, represented the ACR and described his experience as a participant in the TCPI-funded Radiology Support, Communication and Alignment Network (R-SCAN). He noted how the communication that ensued around the conduct of an R-SCAN program enhanced relationships and spawned other strategies for improved radiologic care.
Nicola reported that R-SCAN supported more than 100 project collaborations between radiologists and referring clinicians to improve the ordering of evidence-based imaging exams in a wide range of clinical settings across the country. These efforts led to a 25% percent reduction, on average, in low-value imaging across all projects.
“TCPI participation experience enabled the ACR to showcase radiology’s role in value-based care to CMS and to the larger audience involved in practice transformation,” Nicola said. “CMS partnerships with medical societies has provided insight into the possibility of new pathways to transform their practices.”
In addition, Nicola noted the ACR’s R-SCAN program included the launch of the Clinical Decision Support Registry (CDSR) and opportunities to use the CDSR interactive report to carry out R-SCAN projects going forward. He also reminded the more than 100 persons attending the CMS Quality Conference about the CMS Appropriate Use Consultation program and how R-SCAN helps prepare clinicians by familiarizing them with the ACR Appropriateness Criteria® and clinical decision support technology.