September 10, 2020

GRID: New Quality Measures and TAT Reporting

Launched in 2008 under the ACR® National Radiology Data Registry (NRDR®) umbrella, the General Radiology Improvement Database (GRID) allows imaging facilities to compare their turnaround times (TATs), patient wait times, incident rates and other measures with their peers.

GRID now offers participants additional quality measures to fulfill reporting requirements for the Merit-based Incentive Payment System (MIPS). In January, GRID added 11 new quality measures, referred to as GRID 2.0.

Like other GRID measures, the new measures cover a broad array of topics for quality and performance in the practice of radiology. While seven of the 11 new measures are currently available as Qualified Clinical Data Registry (QCDR) measures for MIPS reporting, the ACR plans on submitting the new measures to the Centers for Medicare and Medicaid Services (CMS) for potential use as MIPS measures (rather than as solely QCDR measures). For CMS to consider the measures for use as such, the ACR must acquire performance data to demonstrate the success of further implementation at the practice level.

The NRDR team invites current GRID users and others to serve as early adopters to begin reporting data on the new quality measures as soon as possible. With the seven new measures already included in the NRDR QCDR portal, current QCDR users can earn MIPS quality performance points while acting as early adopters of the measures.

Potential early adopters are encouraged to review the measure submission guidelines, view the GRID 2.0 submission webinar or contact the NRDR team at for more information.

New! GRID Measures — Aggregate TAT Report

The GRID Measures — Aggregate TAT Report is an interactive tool that allows you to benchmark radiology report turnaround-time (TAT) performance data, updated weekly, against facilities of the same region, facility type and location as well as against the entire registry. The benchmark comparisons can help GRID participants identify areas for improvement and track quality improvement efforts over time. The report also provides performance insight for facilities reporting TAT measures for the CMS MIPS program.

GRID Measures – Aggregate TAT Report  Image
The GRID Measures – Aggregate TAT Report is an interactive tool to benchmark radiology report turnaround-time performance. Click the image to view a larger version.

GRID User Perspective

I have explored the new GRID reporting platform for both exam level and aggregate reports. I also had an opportunity to share with one of my physicians (Joseph L. Whetstone, MD) who equally agrees the new GRID reporting tool is superior to the old format. Two of my groups (~75 radiologists) are using GRID TAT for MIPS. The groups combined, serve 10 facilities and interpret over 700K exams annually across all modalities.

Here are three ways I believe an organization can use the new GRID reports:

  • First, the agility of the new reporting platform will be easy to adopt and bring much-needed support to analytics — in particular, analyses that cut across facilities and physician group(s).
  • Second, the new GRID reports are an exciting addition that will support MIPS conversations near real time (e.g., benchmarking comparisons).
  • Lastly, obstacles in TAT workflows can be rapidly identified. The time from analytics to follow up will be reduced given the ease of use and the functionality to focus on outliers.

Vikki Casey, BSBA, CPHQ
Providence Health & Services, Portland, OR