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 Loop Stakeholder Survey

Survey Information for Physicians, Nurse Practitioners, and Other Clinical and Administrative Staff

On behalf of the American College of Radiology (ACR), you are invited to participate in the "Closing the Results Follow-up Loop" Stakeholder Survey. Data collected from survey respondents, like you, will support two initiatives that seek to improve the delivery of evidence-based follow-up care for patients with radiologic incidental findings.

The survey results will 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.

Your responses will augment the evidence found in the literature by illustrating current practices, policies, and procedures and will assist the initiatives’ experts in their decision-making. Broadly, the survey questions posed address 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

Thank you for contributing your experiences in support of these initiatives.

Click here to take the survey

Please note: Survey performance may be best using Chrome browser version 18 or later.

Survey Information for Patients

On behalf of the American College of Radiology (ACR), you are invited to complete the “Closing the Results Follow-up Loop” Stakeholder Survey. Your responses will help physician-experts working on two projects to learn more about patients’ preferences when learning about an “unexpected finding” found on their imaging exam (e.g., an x-ray, CT scan, or MRI exam). Doctors and other healthcare professionals call these unexpected findings, “incidental findings.”

An incidental finding is something a radiologist sees when reviewing an imaging exam that has nothing to do with the reason the exam was ordered. Incidental findings are common, and they may not be serious. However, after a radiologic exam radiologists may report that an incidental finding is something to keep an eye on or something that requires immediate attention.

Experts working on these projects want to understand how best to improve communication for you and your other clinicians so that patients receive recommended follow-up care regarding their incidental findings. As mentioned above, two initiatives that will benefit from your participation in this survey. ACR received a financial award from the Gordon and Betty Moore Foundation’s Diagnostic Excellence Initiative to develop tools that are intended to help support the communication regarding patients’ incidental findings and follow-up care. You can learn more about the “Closing the Results Follow up Loop” project on

ACR is also writing a medical paper with the American College of Emergency Physicians (ACEP) about how radiologists and emergency medicine clinicians work together to ensure patients receive recommended imaging follow-up as a result of a visit to the emergency room.

Thank you for contributing to this effort. Your responses will help you – and others – receive the best possible medical care.

Click here to take the survey

Please note: Survey performance may be best using Chrome browser version 18 or later.

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: Web Meeting #2
  • May 15, 2020, 1:00pm-3:00pm: Web Meeting #3
  • July 10, 2020, 2:00pm-4:00pm: Web Meeting #4
  • September 2020: In-Person Meeting #1 (Reston, VA)
  • January 2021: Web Meeting #5
  • April 2021: In-Person Meeting #2 (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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