Performance Measures

Performance measures are a key component in health care quality. They serve as a mechanism to evaluate quality and cost-of-care performance. They drive improvement, allow patients to make informed decisions, and are used to influence provider payment. Measures can also provide an objective assessment of how well and how appropriately health care is delivered compared to recognized standards. 

The Gordon and Betty Moore Foundation’s Diagnostic Excellence Initiative

The American College of Radiology (ACR) is honored to receive an award from the Gordon and Betty Moore Foundation (Moore Foundation), a philanthropic entity that supports measurable, durable solutions to important problems, including those in health care. Specifically, the Moore Foundation’s Diagnostic Excellence Initiative aims to reduce harm from erroneous or delayed diagnoses. 

Learn more about the initiative »

Diagnostic Imaging 2018 Quality Measures

Detailed Measure List 

These measures were finalized in May 2018.

  • Measure 1: Use of Structured Reporting in Prostate MRI
  • Measure 2: Follow-up Recommendations for Incidental Findings of Simple-Appearing Cystic Renal Masses
  • Measure 3: Surveillance Imaging for Liver Nodules < 10 mm in Patients at Risk for Hepatocellular Carcinoma (HCC)
  • Measure 4: Use of Quantitative Criteria for Oncologic FDG PET Imaging
  • Measure 5: Use of Low Dose Cranial CT or MRI Examinations for Patients with Ventricular Shunts
  • Measure 6: Use of Low Dose CT Studies for Adults with Suspicion of Urolithiasis or Nephrolithiasis
If your radiology practice would like to help test these measures, please fill out a volunteer form or email Karen Orozco at

Diagnostic Imaging 2017 Quality Measures

Detailed Measure List

  • Measure 1: Recommended Follow-up for Imaging Findings
  • Measure 2: Appropriateness: Follow-up Computed Tomography (CT) Imaging for Incidentally-Detected Pulmonary Nodules According to Recommended Guidelines
  • Measure 3: Appropriate Follow-up Imaging for Benign Adrenal Masses
  • Measure 4: Interpretation of CT Pulmonary Angiography (CTPA) for Pulmonary Embolism (PE)
  • Measure 5: Incidental Coronary Artery Calcification Reported on Chest CT
The ACR is looking for radiology practices to help us test and validate this set of quality reporting measures. To volunteer, please fill out a volunteer form or email Karen Orozco at

MACRA Resources


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