June 13, 2019

NRDR Update: New Modules, New Topics, New Leaders

Comparing practice performance to regional and national benchmarks is an important tool for improving the quality of patient care. The ACR National Radiology Data Registry (NRDR®) is a critical tool to help your facility benchmark outcomes and process-of-care measures and develop quality improvement programs.

New Modules: NRDR Dose Index Registry

Since 2011, the ACR Dose Index Registry (DIR) has helped clinicians and facilities improve the quality of patient care by collecting CT dose indices through automated data transmission and leveraging that data to provide feedback to participants and establish national benchmarks.

The DIR has already helped improve patient care nationally through development of size-specific Diagnostic Reference Levels (DRLs) and Achievable Dose (AD) guidelines for the 10 most common adult CT examinations.

In addition to using DIR to analyze CT dose, the ACR is now piloting three new modules that will allow facilities to compare additional dose indices to regional and national values. The new DIR modules will also allow radiology practices to optimize radiation doses using advanced data visualization tools for:

Along with the current CT module, these three new modules will be available to DIR participants without increased fees.

New Topics, New Leaders: NRDR CDS R-SCAN Registry

The ACR CDS R-SCAN Registry can help radiology practices identify imaging exam ordering patterns for some of the most commonly ordered exams to pinpoint areas where best practices are being followed as well as areas in need of improvement.

As the newest NRDR registry, the CDS R-SCAN Registry provides facilities with access to image-ordering clinical decision support data that correspond to imaging Choosing Wisely® recommendations and CMS Priority Clinical Areas, including three new topics:

  • Shoulder pain (to include suspected rotator cuff injury)
  • Cervical or neck pain
  • Knee pain

At the 2019 ACR Annual Meeting, Ryan K. Lee, MD, MBA, MRMD, Section Chief, Neuroradiology, at the Einstein Healthcare Network, was confirmed as the new chair of the CDS R-SCAN Registry Steering Committee. After taking the helm, Dr. Lee issued a call for others to “join in shaping the focus of the registry as a quality improvement tool for participating sites, primarily by identifying and specifying measures for comparative performance feedback reports as well as the structure of those reports.”

The CDS R-SCAN Registry Steering Committee supports ACR NRDR staff as a clinical resource guiding registry operations and prioritization of ensuing activities.