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
Become a Measure Tester
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.
If you would like 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.
Public Comment Period Information
Supported by the Gordon and Betty Moore Foundation Diagnostic Excellence Initiative, the Closing the Results Follow-up Loop Quality Measure Set focuses on the follow-up of treatable incidental findings and includes use-case measures for pulmonary nodule and abdominal aortic aneurysm incidental findings. Also contained within the set are communication measures applicable to radiologists, ordering clinicians, and patients.
The first public comment period began in December 2020 and ended on January 7, 2021. During this public comment period, ACR collected input on the measures’ feasibility in practice, data capture, and ability to measure the intended actions, among other measure-specific questions. Thank you to all stakeholders that submitted comments on the measure set. The comments are currently undergoing careful consideration by the TEP to make updates to the draft measure specifications accordingly. Public comments will be made available sometime in mid-February.
Please plan to participate in future on-going comment periods.
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.