In 2015, the Radiology Support, Communications and Alignment Network (R-SCAN) was formed thanks to a grant by the CMS Transforming Clinical Practice Initiative. After four years of R-SCAN projects that have resulted in significant improvements in utilization and high-value imaging, the grant is coming to an end on Sept. 30, 2019
The R-SCAN program achieved the grant commitments by improving the ordering of high-value imaging across all R-SCAN projects by more than 20 percent, while reducing unnecessary imaging and lowering the cost of care. Manuscripts are underway to publish results about both the improvements in imaging care and the cost savings associated with the program.
R-SCAN will continue to serve the radiology community as it transitions to an ACR-supported initiative. Using the CDS R-SCAN Registry and the R-SCAN Web Portal, radiologists and referring clinicians can continue to collaborate to improve imaging appropriateness based on critical Choosing Wisely® topics. With R-SCAN tools, users can optimize imaging care, reduce unnecessary imaging exams and lower the cost of care.
Project Content Transitioning to the ACR Website
Beginning this fall, clinicians will have access to all the R-SCAN tools and resources on the ACR® website platform. Be on the lookout for revised, streamlined content about how you can conduct an R-SCAN project in the Practice Management, Quality, Informatics section of the ACR website.
Already Using CDS at Your Practice?
Facilities with the CareSelect™ Imaging CDS platform can now participate in the CDS R-SCAN Registry. The registry provides facilities with access to their image-ordering clinical decision support data that utilize the ACR Appropriateness Criteria® and corresponding Choosing Wisely topics and CMS Priority Clinical Areas.
The registry data can 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. Participation in the CDS R-SCAN Registry is free of charge through December 2019.
Facilities and practices already participating in the National Radiology Data Registry (NRDR®) — specifically the GRID and DIR registries — can participate in the CDS R-SCAN Registry at no additional cost. Learn more about NRDR registration and participation fees.
The CDS R-SCAN Registry Steering Committee (chaired by Ryan K. Lee, MD, MBA) will continue to 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.
Using the R-SCAN Web Portal
The R-SCAN Web Portal will continue to be available for practices that want to conduct an R-SCAN project but do not have access to an EHR-integrated CDS platform. Additionally, the portal version can be used to measure adherence to imaging recommendations based on other evidence-based guidelines — such as any of the “ACR RADS” (like Lung-RADS® or TI-RADS™) or white papers on incidental findings (e.g., for thyroid nodules). The portal is also a valuable tool to implement a unique, practice-defined topic or other areas of imaging not covered by ACR Appropriateness Criteria.
With the portal, you can either enter data into the online CareSelect portal tool or upload data to generate baseline and post-education reports. The R-SCAN Web Portal will remain available to users at no charge.
Benefits of R-SCAN
Whatever path you choose, the benefits of R-SCAN remain:
- Offers up to 20 Practice Improvement (PI)-CME for practices engaged in an R-SCAN project as of April 1, 2019
- Satisfies MOC Part IV requirements
- Fulfills Improvement Activity requirements for practices participating in the CMS Merit-based Incentive Payment System
- Earns clinicians no-cost CME for completing podcast and simulation activities related to value-based imaging — especially intended for referring clinicians
If you need help starting a project or navigating the R-SCAN website to see what resources are available to participants, see the Web Portal Guide or the CDS R-SCAN Registry Guide for tips on how to get started.