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 Recommendations Follow-Up Loop
As proposed, the patient-centered Closing the Recommendations Follow-Up Loop (formerly titled Closing the Results Follow-Up 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 include 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 Recommendations Follow-Up Loop Measure Development Project
Become a Measure Tester
Currently, under development, the Closing the Recommendations 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 Recommendations 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 Recommendations 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.
Many revisions were made to the measure set since the first public comment period ended on January 7, 2021. As a result of the first public comment period, ACR collected and incorporated the public’s input on the measure set’s feasibility in practice, data capture, and ability to measure the intended actions. Thank you to all stakeholders who provided their feedback on the measure set during the first public comment period.
We are now pleased to invite you to participate in the second public comment period! This is an opportunity to share comments on the measures specified for beta testing implementation. As an open-ended comment period, the measures will be made available on an ongoing basis, with revisions of the measures posted iteratively according to input from the beta testing sites and the public’s comment. The draft measurement set for public comment is available here.
Submit your comments
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.