Clinical Decision Support
Starting Jan. 1, 2020, PAMA will require referring providers to consult AUC prior to ordering advanced diagnostic imaging services (including CT, MR, nuclear medicine exams, and PET scans) for Medicare patients. To do this, physicians must use clinical decision support (CDS), which guides ordering physicians to the most appropriate imaging according to the AUC. CDS exists either as a stand-alone unit or through software embedded into the institution’s EHR. Although several CDS systems exist, the ACR and the National Decision Support Company have developed CareSelect® Imaging, which uses the AC and other guidelines to advise providers ordering imaging for patients.
CDS holds a lot of benefits for radiologists — as long as they lead efforts within their health system.
How does CDS implementation support patient- and family-centered care?
Radiologists need to take the lead in educating referring providers on the importance of adopting an approved CDS mechanism in their workflow.
Radiologists need to understand the most current PAMA mandates to maintain their reimbursement status.
With help from the ACR and the American Board of Family Medicine, the Cambridge Health Alliance is now disseminating best practices like CDS to its family medicine and radiology colleagues.
Radiologists in rural western North Carolina are strengthening their relationships with local physicians and reducing inappropriate imaging via R-SCAN®.