Have you ever wondered how your facility’s imaging utilization rates compare across different specialties, departments or clinics? Or perhaps you want to know the level to which your referring providers adhere to evidence-based guidelines or to what extent your imaging trends compare with others in your region and across the nation?
The CDS R-SCAN Registry, part of the ACR National Radiology Data Registry®, provides facilities with access to image-ordering clinical decision support (CDS) data that correspond to imaging Choosing Wisely recommendations in the R-SCAN program, CMS Priority Clinical Areas and several other imaging topics.
Initiated as part of the Radiology Support, Communication and Alignment Network (R-SCANTM) quality improvement project, the goal of the CDS R-SCAN Registry is to further develop CDS resources for sites to identify opportunities to improve the ordering of high-value imaging through the use of registry comparative feedback reports and data. Since its recent introduction, the CDS R-SCAN Registry now has nearly 20 healthcare systems submitting CDS data to analyze imaging exam ordering patterns for some of the most commonly ordered exams.
Using the CDS R-SCAN Registry interactive report, New York City’s Jamaica Hospital was one of the first facilities to significantly improve high-value CT ordering in its ER. As a result, the radiology and ER teams quickly identified the potential to implement a more judicious use of CT for evaluating minor head trauma. The R-SCAN champions deployed an educational intervention that resulted in a 38% improvement in the ordering of high-value exams. Read case study for the full story.
On the Horizon
The recently established CDS R-SCAN Registry Steering Committee — led by Ryan K. Lee, MD, MBA, Vice Chair of Quality and Safety at Einstein Healthcare Network — will guide the next phases of the registry’s development. Over the coming year, the committee’s work will include establishing measures and benchmarking reports to help facilities spot imaging trends over time and gain insight about how their performance compares with other facilities regionally and nationally.
According to Lee, “The CDS R-SCAN Registry can be a meaningful tool to help referring providers adhere to the mandate to consult appropriate use criteria as required by the Protecting Access to Medicare Act. The registry can also be a valuable tool to assess adherence to high-priority clinical areas, which CMS has indicated will be scrutinized for assessment of providers whose ordering patterns position them as outliers to evidence-based guidelines.”
He adds, “What’s more, conducting a retrospective analysis and benchmarking of imaging orders using the registry brings radiologists into the conversation about appropriate imaging and enhances their role in patient care.”
The committee will also guide the evolution of the registry as a quality improvement tool for participating sites, primarily by recommending new features and content to the interactive report and identifying and specifying measures for comparative performance feedback reports.
“We think that CDS is a robust and transparent way of giving clinicians point-of-care information about the best study to do for a patient’s condition,” says Lee. “At Einstein, we believe it may also have benefits on the inpatient side to improve appropriateness, and that is why we have enabled it for all providers in our network.”
During the period of measure and benchmark report development planned for 2020, the ACR will continue to provide participation in the CDS R-SCAN registry at no cost. Learn more about participating in the CDS R-SCAN Registry.
Join the CDS R-SCAN Registry participation momentum and take the lead to demonstrate how this resource can produce improvements in high-value imaging for patients.