Top-quality radiology teams can receive recognition for outstanding diagnostic imaging and patient care by achieving the ACR Diagnostic Imaging Center of Excellence™ (DICOE) distinction. To achieve DICOE status, radiology practices must demonstrate achievement of the highest levels of efficiency, safety and quality of patient care.
Updates to Eligibility
Beginning Jan. 1, 2021, program requirements for DICOE are changing to allow eligibility of more facilities with respect to the DICOE requirements for participation in the National Radiology Data Registry (NRDR®). Three current eligibility requirements will remain — with the NRDR participation requirement taking effect on Jan. 1, 2021:
- ACR accreditation in all modalities provided (only if ACR offers accreditation in those modalities)
- A pledge to Image Gently® and Image Wisely®
- Agreement to an onsite survey by DICOE team
- Participatation in at least two NRDR registries based on facility’s offered services (effective Jan. 1, 2021):
- Sites with CT service must participate in the ACR Dose Index Registry (DIR) and a second NRDR registry (see options below).
- Sites without CT service must participate in the General Radiology Improvement Database (GRID) and a second registry (see options below).
NRDR Registries Available for Participation
The ACR currently offers the following NRDR registries:
- Clinical Decision Support (CDS) registry. The ACR CDS registry provides facilities with access to image-ordering clinical decision support data that correspond to CMS Priority Clinical Areas and several other imaging areas.
- CT Colonography (CTC) registry. The ACR CTC registry helps participants promote quality of care for patients undergoing CT Colonography.
- Lung Cancer Screening registry (LCSR). The ACR LCS registry helps clinicians monitor and demonstrate the quality of CT lung cancer screenings in their practices through periodic feedback reports, which include peer and registry benchmarks.
- National Mammography Database (NMD). The ACR NMD registry is a quality improvement tool that uses data already collected under MQSA federal mandate to create reports that benchmark facility and physician performance and exceed the FDA’s audit data collection requirements.
- DIR. Since 2011, the ACR 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.
- GRID. The ACR GRID is a robust dataset of process measures (e.g., turnaround times, wait times) and outcomes (e.g., adverse incidents) that helps participants pinpoint problems.
With more NRDR registries from which to choose for DICOE eligibility, each site can select the registries that best suit its business model.
Updates to Program Requirements
Also effective Jan. 1, 2021, the DICOE program requirements document will be updated with several changes.
The DICOE site survey will now include review of routine diagnostic imaging (X-ray) and fluoroscopy. The survey will focus on the following areas:
- Equipment safety
- Radiation safety
- Use of protocol
- Documenting fluoroscopy dose
In addition, each facility must assign a radiologist to provide consultation to ordering providers during the referrers’ working hours.