Navigation Links
Government Rule Designed to Limit CT Scans in ERs Is Unreliable, Invalid and Inaccurate, Says ACEP
Date:2/22/2012

WASHINGTON, Feb. 23, 2012 /PRNewswire-USNewswire/ -- A new imaging efficiency measure developed by the Centers for Medicare and Medicaid Services (CMS) to reduce CT scans in emergency departments does not accurately determine which hospitals are performing CT scans inappropriately, according to a new study published online today in Annals of Emergency Medicine ("Assessment of Medicare's Imaging Efficiency Measure for Emergency Department Patients with Atraumatic Headache"). 

(Logo: http://photos.prnewswire.com/prnh/20100616/DC22034LOGO-d )

"The measure, OP-15, was only 17 percent accurate in assessing which patients should receive a CT scan," said lead study author Jeremiah Schuur, MD, FACEP of the Department of Emergency Medicine at Brigham and Women's Hospital in Boston, Mass.  "Furthermore, hospitals' performance on the new measure as reported by CMS did not match the proportion of CTs with a documented clinical indication.  By using it, Medicare runs the risk of publicizing inaccurate information about clinical performance and rewarding hospitals based on unreliable data."

Dr. Schuur and colleagues at 21 hospitals reviewed medical records for 748 headache patients whom CMS labeled as having undergone an inappropriate brain CT.  Of those patients, 83 percent should not have been labeled as inappropriate based on either ACEP clinical policy guidelines or expert consensus standards.  The measure uses Medicare billing records to determine whether a CT was clinically appropriate. When the patients' medical records were reviewed, they showed that 65 percent of the CT scans actually complied with Medicare's measure and another 18 percent of patients had valid reasons for the CTs documented on their charts.

"It is important for physicians, hospitals and payers to develop systems to make sure that every CT that is performed is appropriate," said Dr. Schuur. "There are not evidence-based guidelines addressing which older adults with headaches can safely be evaluated without a CT."

CMS plans to publish the data from measure OP-15 on their internet site Hospital Compare.

"This could have the unintended consequence of pressuring physicians not to order otherwise appropriate CT scans in order to bolster their hospitals' performance on the CMS measure," said David Seaberg, MD, FACEP, president of the American College of Emergency Physicians.  "This has potential to put seniors – who are the most likely to have dangerous causes of headaches – at risk if serious conditions are missed."

Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, a national medical society. ACEP is committed to advancing emergency care through continuing education, research, and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. For more information visit www.acep.org.

Related Links:
Annals of Emergency Medicine
twitter.com/emergencydocs

To subscribe to Annals of Emergency Medicine RSS feeds: http://www.acep.org/xmlfeeds/rss.aspx?cid=8


'/>"/>
SOURCE American College of Emergency Physicians (ACEP)
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. Smith & Nephew Reaches Settlement With US Government
2. United Spinal Secures Leading Public Policy and Durable Medical Equipment Specialist: Alex Bennewith is New Director of Government Relations
3. Report: Brand Drug Copay Coupons Raise Health Costs for Employers, Unions, and State Governments by $32 Billion
4. PCAN Calls On Federal Government to Reconsider Preliminary Approval of Texas Medicaid Waiver Request
5. ActiveCare, Inc. Announces Government Reimbursement for Product and Services
6. GeoVax $3.6 Million Award Increased to $4.4 Million by U.S. Government
7. Astellas Expands Leadership Team With Senior Vice President of Corporate Strategy and Government Affairs
8. Government Report on Power Wheelchair Use in Medicare Triggers Misleading News Coverage, Says American Association for Homecare
9. I-Flow Corporation Enters into Exclusive Government Distribution Agreement With Buffalo Supply, Inc.
10. Tanzania Minister of Health, on Behalf of the Government, Promises Full Support to Vantage Health in the United Republic of Tanzania
11. Lilly CEO Calls for Improved Dialogue in Germany Between Industry and the Government and Health Care System
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... 2016 Bodycad announced it has been ... accuracy, reproducibility and speed for 3D constructs via ... bone orthopaedic applications. These patents are critical to ... restorations based on each patient,s distinct anatomy. ... harnesses the world,s first suite of orthopaedic CAD/CAM ...
(Date:12/8/2016)... DANVILLE, Pa. , Dec. 8, 2016  A ... physicians reports that the use of opioid therapy to ... actually increase the likelihood of more harmful consequences, including ... Davis , M.D., and Zankhana Mehta , M.D., ... current research on chronic opioid therapy. The study was ...
(Date:12/8/2016)... , December 8, 2016 Information products and ... metrics in Scopus , the world,s largest abstract and ... to comprehensive metrics for journals from over 5,000 publishers. The new ... journals to subscribe to and when to adjust a journal,s editorial ... , , ...
Breaking Medicine Technology:
(Date:12/8/2016)... ... 2016 , ... After enjoying record-breaking attendance at its last ... 33rd Annual Issues & Research Conference, March 2-3, 2017, at the Westin ... is “Persistent Challenges and New Opportunities: Using Research to Accelerate the Dialogue." 2016 ...
(Date:12/8/2016)... ... December 08, 2016 , ... CURE Media Group, the nation’s leading ... has aligned with Upstage Lung Cancer in efforts to combat lung cancer, announced CURE ... Hennessy, Jr said, “CURE Media Group is honored to team up with Upstage Lung ...
(Date:12/8/2016)... ... December 08, 2016 , ... Launching ... innovative Unified Instance Manager architecture, meeting the needs of multichannel growth and ... the unattended auto-dialing system without agents, Presence Robodialer, provides greater operational capacity, ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... as possible. With this in mind, SIGVARIS has created a new line of ... during bed rest and provide the benefits of graduated compression when transitioning from ...
(Date:12/8/2016)... (PRWEB) , ... December 08, 2016 , ... ... financial planning services from offices headquartered in Jefferson County, is announcing the launch ... Shelter in Birmingham. , The number of homeless women and children in Birmingham ...
Breaking Medicine News(10 mins):