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.

The Moore Foundation’s Initiative also addresses the need to improve diagnostic performance; reduce costs and redundancy in the diagnostic process; improve health outcomes; and save lives. Under this award, ACR will develop a clinical quality measure to improve adherence to evidence-based recommended follow-up imaging for incidentally detected abnormal findings. ACR's announcement of the award may be found here.

Closing the Results Follow-Up Loop


As proposed, the patient-centered Closing the Results Follow-Up Loop (Closing the Loop) quality measure concept will assess diverse practices’ adoption of systematic tracking and care coordination to encourage the delivery of evidence-based radiologist-recommended follow-up care. Results of successful performance in this proposed measure includes a greater volume of patients benefiting from early detection of cancer or other treatable conditions and ensuring treatment as appropriate.

Participate in the Closing the Results Follow-Up Loop Measure Development Project


Currently, under development, the Closing the Results Follow-Up Loop Measure Set will undergo testing for validity and reliability. The measure set will be included in the ACR National Radiology Data Registry’s (NRDR) General Radiology Improvement Database (GRID). Under the Moore Foundation’s measure development award and to support the measures’ potential use in accountability programs like those of the Centers for Medicare and Medicaid Services’ (CMS), ACR must acquire testing data that demonstrate that they can be successfully implemented into programs according to their specified measurement level (e.g., physician, group, facility, or system level). The Closing the Results Follow-Up Loop measure development and NRDR teams invite current GRID users and others to serve as measure testers to begin reporting data on the new quality measures as soon as they become available.

To learn more about this measure testing opportunity or to sign up to become a measure testing facility, please share your facility’s name, staff contact name, and email address in this form. ACR’s measure development staff will maintain this list and communicate with the staff contact listed with more information when it becomes available.

Closing the Loop Stakeholder Survey Results

Survey Results of Physicians and Other Healthcare Professionals

On behalf of the American College of Radiology (ACR), thank you for your interest in the survey summary results of the "Closing the Results Follow-up Loop Physicians and Other Healthcare Professionals Stakeholder Survey.” The data displayed was collected from survey respondents during a one-month time frame that ended on July 3, 2020 supports two initiatives that seek to improve the delivery of evidence-based follow-up care for patients with radiologic incidental findings.

The survey results establish what constitutes routine practice for the initiatives’ leaders, thereby, helping them make decisions that will improve common clinical workflows. Through an award from the Gordon and Betty Moore Foundation's Diagnostic Excellence Initiative, an ACR-convened technical expert panel is developing quality measures that will assess diverse practices' adoption of systematic tracking and care coordination. And through a collaboration with the American College of Emergency Physicians, radiology and emergency medicine physician-leaders are drafting the “Incidental Findings Care Coordination in the Emergency Department” white paper to document the current and proposed ideal state of incidental findings follow-up care.

The data summarized will augment the evidence found in the literature by illustrating current practices, policies, and procedures and will supplement the initiatives’ experts in their decision-making. Broadly, the survey questions posed addressed the following.

  1. The current state of radiology-recommended follow-up care in practice
  2. Radiologist- and other clinician-use of evidence-based practice guidelines when determining follow-up treatment recommendations
  3. Tracking adherence to radiology recommendations for the follow up of incidental findings

To download the survey questions and results, please click here.

Survey Results from Patients and Caregivers

On behalf of the American College of Radiology (ACR), thank you for your interest in the survey summary results of the "Closing the Results Follow-up Loop Patient and Caregiver Stakeholder Survey.” The data displayed was collected from survey respondents during a one-month time frame that ended on July 3, 2020 and supports two initiatives that seek to improve the delivery of evidence-based follow-up care for patients with radiologic incidental findings. The survey results sought to establish patient-preference when learning about incidental findings discovered on imaging exam for the initiatives’ leaders, thereby, helping them make decisions that will improve common clinical and communication workflows.

Through an award from the Gordon and Betty Moore Foundation’s Diagnostic Excellence Initiative an ACR-convened technical expert panel is developing quality measures that will assess diverse practices' adoption of systematic tracking and care coordination. And through a collaboration with the American College of Emergency Physicians, radiology and emergency medicine physician-leaders are drafting the “Incidental Findings Care Coordination in the Emergency Department” white paper to document the current and proposed ideal state of incidental findings follow-up care.

The data summarized will augment the evidence found in the literature by illustrating preferences in communication practices, policies, and procedures and will supplement the initiatives’ experts in their decision-making. Broadly, the survey questions posed addressed the following.

To view the survey questions and the results, please click here.

Meeting Dates


  • March 3, 2020, 11:00am-12:00pm ET: Orientation Webinar
  • April 17, 2020, 12:00pm-2:00pm ET: Web Meeting #1
  • April 28, 2020, 3:00pm-5:00pm ET: Web Meeting #2
  • May 15, 2020, 1:00pm-3:00pm ET: Web Meeting #3
  • July 10, 2020, 2:00pm-4:00pm ET: Web Meeting #4
  • September 22, 2020: 11:00am-1:00pm ET: Web Meeting #5
  • January 2021: Web Meeting #6
  • April 2021: In-Person Meeting #1 (Reston, VA)

Project Time Line and Announcements


Please check back regularly for updated project information.

About the Project

Supported by Grant Number 9053 from the Gordon and Betty Moore Foundation. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of the Moore Foundation.

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