News from the ACR and Beyond

White House Leadership Fellowship Awarded to Radiologist

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Michelle L. Dorsey, MD, is pictured in the Eisenhower Executive Office Building with Richard Skokowski, a White House Leadership Development Program Fellow.

Michelle L. Dorsey, MD, chief of radiology at the Phoenix Veterans Affairs (VA) Health System, has been named a recipient of the White House Leadership Fellowship. Dorsey, the first VA physician fellow, will spend a year in Washington, D.C., working in the White House Office of Management and Budget to provide programmatic leadership for the federal government’s customer experience cross-agency priority goal. According to Dorsey, “This fellowship will prepare me to develop transformative, collaborative programs that can make a genuine difference in the lives of veterans. In particular, I anticipate that my work in ‘customer experience’ will translate into actionable initiatives here in Phoenix to enhance veterans’ satisfaction with the delivery of care.”

To read more, visit acr.org/WHLF_Rad.

Wellness Visits Linked to Other Preventive Health Services

According to a new Harvey L. Neiman Health Policy Institute® study published online in Preventive Medicine, annual wellness visits increase a Medicare patient’s likelihood of receiving eight key preventive health services, including mammography. “Promoting preventive care among the Medicare population is essential to enable the elderly to stay healthy, avoid or delay the onset of disease, and live productive lives,” said Danny R. Hughes, PhD, executive director of the Neiman Institute. “Given recent efforts to trim covered healthcare benefits as a mechanism to control rising costs, it’s clear that the annual wellness visit is an important benefit that provides real value to patients, providers, and payers by effectively facilitating preventive care to this population.”
Read the full study at bit.ly/AWV_NHPI.

Tell Us How Patients Make Your Day

Do you have a patient who has touched your heart or motivated you to make a change? The ACR is proud to offer our members a new platform to share stories. Tell us how ACR has helped you provide your patients with quality care. Visit acr.org/WeAreACR, upload a photo (it can be a headshot, a case — with identifiers removed, or a photo with you and your patient) and your written story or a brief video, and we’ll do the rest. We also welcome patient and patient advocate stories.
For more information, contact This email address is being protected from spambots. You need JavaScript enabled to view it..

Showcase Your Chapter: Award Submissions Due Jan. 15, 2019

The ACR Chapter Recognition Program, created in 2003, recognizes successes, innovative ideas, and work to facilitate the sharing of ideas among chapters. Chapters can earn awards in four categories: Government Relations, Meetings & Education, Membership, and Quality & Safety. Chapters that have demonstrated excellence in all four categories can earn the Overall Excellence Award. The submission process has been revamped to better meet the goals of the program and to streamline the process for applicants. The 2018 Chapter Recognition Awards submissions are due Jan. 15, 2019.

Learn more at acr.org/CRA2018.

ACR DSI Releases First Use Cases to Guide AI Development

The ACR Data Science Institute™ (DSI) has publicly released more than 50 use cases in a TOUCH-AI Directory as the first step in creating a framework that enables the efficient creation, implementation, and ongoing improvement of AI tools in medical imaging and radiological sciences. The freely available use cases in ten subspecialty areas will help ensure that algorithms are created to address relevant clinical
questions, can be implemented across multiple electronic workflow systems, enable ongoing quality assessment, and comply with applicable legal, regulatory, and ethical requirements. According to DSI Chief Medical Officer Bibb Allen Jr., MD, FACR, “It’s important for the medical imaging community to work with AI developers on solving healthcare problems in a comprehensive way. The TOUCH-AI Directory presents a vital pathway to help turn promising AI concepts into safe and effective AI tools to help radiologists provide better care.” The use cases in the TOUCH-AI Directory are open for public comment for 60 days after release.

Visit acrdsi.org to view cases, comment, or submit a new use case concept.

ACR Appropriateness Criteria Releases New and Revised Topics

The College has released an update to the ACR Appropriateness Criteria®, a bank of 179 diagnostic imaging and IR topics that are meant to provide the most comprehensive evidence-based guidelines for diagnostic imaging selection and image-guided IR procedures. The update includes three new and nine revised topics, as well as a revamped, easier-to-use online feedback portal. “These evidence-based guidelines, created and updated by an expert panel of radiologists and multispecialty teams, are recognized across the medical field as a national standard,” said Frank J. Rybicki, MD, PhD, FACR, chair of the ACR Committee on Appropriateness Criteria. “They provide the backbone to support the College’s commitment to ensure that our patients get the right care for their medical conditions and that our patients avoid unnecessary care.”
For more information and to view the new and revised topics, visit acr.org/ac.

Imaging 3.0 Case Study: Battling Blind Spots

As part of its efforts to make diversity and inclusion intentional, the radiology department at Vanderbilt University Medical Center (VUMC) has implemented ongoing unconscious bias training — achieving 100
percent participation thanks in part to offering CME credit and tapping into the variable compensation plan. The medical center recruited radiology leaders to participate in its efforts to train all faculty, residents, and staff to recognize and respond to unconscious bias. Now radiology leaders will lead a series of workshops over the next several years to help staff across VUMC recognize and respond to unconscious bias.
Read the case study at acr.org/battlingblindspots.

Chat With the Chair

ACR BOC Chair Geraldine B. McGinty, MD, MBA, FACR, invites you to attend the annual Chapter Town Hall meeting online on Wednesday, Jan. 9, from 8:00 to 9:00 p.m. EST, to receive an update on the state of the College, the challenges the specialty is facing, and plans for meeting these challenges while continuing to grow and prosper. The Chapter Town Hall will provide opportunities for member participation and questions.
For more information and to register, visit bit.ly/ChapterTownHall.

New 2018 DMQC Manual Now Available

The ACR has published the 2018 Digital Mammography Quality Control (DMQC) Manual, which now includes quality control (QC) materials for digital breast tomosynthesis (DBT). Using the new edition will promote uniformity throughout quality control processes and enable facilities to use a single manual for 2D imaging and DBT QC, regardless of system manufacturer or model. The ACR will provide all accredited mammography facilities a link to download a free PDF of the manual.

ACR Accreditation Launches “We Are Patients” Campaign

The new “We Are Patients” campaign presents diverse patient perspectives on various health issues and positive patient-care experiences at ACR-accredited facilities. The campaign offers a toolkit with downloadable customized ads and videos that ACR chapters and members can share via their newsletters and websites.
Visit acraccreditation.org to access the materials.

JACR Round Up

Price Transparency: It Pays to Be Clear
According to a new study published in the JACR® , inaccurate or confusing pricing information leads to patient dissatisfaction as well as lost revenue. Authors found that “some charges and fees associated with complaints citing ‘unexpected’ charges and noncovered services result in the waiving of such fees or charges and hence in revenue losses by the department.” However, when given accurate estimates of out-of-pocket costs prior to imaging, “cost estimates at our institution resulted in fewer billing-related complaints, decreased revenue losses, and increased overall patient satisfaction,” according to authors.
To read the study, visit bit.ly/JACR_Cost-Transparency.
JACR Launches New Quality and Safety Collection
The JACR® has developed a new collection of journal articles specifically geared towards quality and safety. The collection, curated by Sara K. Meibom, MD, and Nadja Kadom, MD, addresses the growing need for the establishment of safe healthcare systems which, according to the curators, “requires a multifactorial approach including a culture focused on safety, the ability to recognize and address human error and system failures, the ability to identify root causes, and tools for improving the status quo.” Within this collection, readers will find information on imaging appropriateness, structured reporting, peer learning, waste, and patient outreach. There are also subcollections surrounding the six aims for quality healthcare from the Institute of Medicine.
To access the collection, visit jacr.org/quality-safety.
Study Finds Breast Density Reporting Laws Help Patients
The JACR® and non-profits Are You Dense, Inc. and Are You Dense Advocacy, Inc., recently teamed up to conduct a study on breast density reporting laws and how they impact women’s awareness levels and
conversations with providers about risks associated with breast density. Despite support from patient advocates, the laws have been criticized for their readability levels and “potential for additional costs and
overdiagnosis, physician unpreparedness, and patient and provider confusion.” Study results showed, however, that state-level density reporting laws are associated with increased breast density awareness and increased likelihood of conversations between women and their providers regarding supplemental screening.
“Women and their physicians should talk about the woman’s breast density and its impact on breast cancer screening and diagnosis,” said Dana H. Smetherman, MD, MPH, FACR, chair of the ACR Commission
on Breast Imaging. “At the ACR’s urging, inclusion of breast density information in mammography reports to physicians began long ago based on the ACR’s BI-RADS® classification system. In states without
legislation, women may not automatically receive density information but should be aware that it is generally available in the mammography report. This information is helpful for both radiologists and referring
providers as they discuss density status with their patients.”
Visit acr.org/JACR_BreastDensity for more information.

Here's What You Missed

The Bulletin website is home to a wealth of content not featured in print. You’ll find blog posts, extra articles, and other updated multimedia content at acrbulletin.org.
Resources for Young Radiologists
The 2018 Valerie P. Jackson Fellow discusses how her fellowship afforded her the opportunity to explore educational content generation, design, and implementation. Read more about her experience at bit.ly/2018VPJ_Fellowship.
The Future of Medical Imaging
Top quality and data science experts convened to share the latest tools and insights on how AI can be used to optimize business efficiencies and high-level patient care at the 2018 ACR Conference on Quality and Safety. Read more at bit.ly/QandS_10thAnnualConference.
The Spirit of Collaboration
A radiology resident shares her learnings from the 2018 Radiology Leadership Institute® Summit — and why her focus as a leader has shifted from an emphasis on results to relationship building. Read more at bit.ly/RFS_RLI2018.

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