ACR Bulletin April 2019

AUC: A Brief History

With PAMA, the radiologist’s challenge now centers on implementation.


The congressional mandate for CMS to require Appropriate Use Criteria (AUC) consultation during the ordering of advanced diagnostic imaging is upon us. This year is a voluntary reporting period, 2020 is an educational and operations testing period, and
2021 is the formal start date with payments at risk. This program is a major policy change, requiring significant effort by our profession. For many radiology professionals, the new law has prompted a first introduction into AUC and clinical decision support (CDS) for practices. In this column, I discuss the origins of AUC, how it has evolved, and how it became a component of payment policy.

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Notes From the Road

Three radiology residents look back on their experience with the ACR Foundation’s Goldberg-Reeder Travel Grant.

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The ACR Foundation’s Goldberg-Reeder Travel Grant Program is designed to facilitate knowledge sharing, while assisting patients in 
low- and middle-income countries. The latest group of recipients brought their skills, expertise, and energy to Botswana and Zimbabwe, where they worked with local colleagues and patients to advance radiological care. Fresh from their travels, the recipients shared their insights and experiences with the Bulletin.

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New Chapters in Leadership

RLI scholarships offer access to resources and training opportunities.

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“The Radiology Leadership Institute® (RLI) has evolved to support leadership training at every level and for all pivot points in your career,” ACR BOC Chair Geraldine B. McGinty, MD, MBA, FACR, told state chapter officers, councilors, and staff at the annual Chapter Town Hall meeting in January. The chapter leaders who support their members’ attendance at RLI-sponsored events, she said, play an important role in shaping the future of ACR members.

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Changing the Culture of Thyroid Nodule Workup

ACR TI-RADS is shifting the way radiologists provide care to their patients.

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The ACR Thyroid Imaging Reporting and Data System (TI-RADS) is the latest addition to the College’s growing library of reporting and data system documents, which promote standardization in terminology, report organization, classification and management, and data collection in imaging findings.

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The New Face of Mentorship

Radiologists are moving into sponsorship roles to foster thriving mentor-mentee relationships.

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When most people envision a typical mentormentee relationship, they imagine a fairly onesided exchange, in which an older, wiser mentor takes a younger, less experienced mentee under their wing — providing limited guidance and advice when needed. Some are fortunate to have systems in place at their institutions to facilitate these relationships. Others find them harder to come by. How can radiologists and radiology departments work to make mentor-mentee relationships more accessible and rewarding for all involved?

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The Value of Research

We need data to determine appropriate use for reimbursement purposes and to inform health policy decisions.

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The ACR’s core purpose is to serve patients and society by empowering members to advance the practice, science, and professions of radiological care. Research and innovation is the foundation on which our radiology clinical practice is built.

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Within Reach

Life-saving screening starts locally, with radiologists leading outreach efforts


If an ounce of prevention is worth a pound of cure, a population health approach to delivering care is worth a bundle to radiology and the patients it serves. Connecting patients to appropriate healthcare screening may be the touchstone of widespread population health management (PHM), and at-risk patients in underserved communities need an investment in outreach.

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