Navigation Links
Healthcare Providers, Technology Experts Call for Use of Existing Decision Support Tools to Promote Diagnostic Imaging Appropriate Use
Date:4/11/2011

WASHINGTON, April 11, 2011 /PRNewswire-USNewswire/ -- In response to Thursday's Medicare Payment Advisory Commission (MedPAC) recommendation that medical practitioners who use substantially higher levels of advanced diagnostic imaging services receive Centers for Medicare and Medicaid Services (CMS) approval before being able to provide those services, the Imaging e-Ordering Coalition encourages Medicare officials to instead look to existing clinical decision support tools to reduce costs, increase efficiency, support appropriate use, and improve quality of care in diagnostic imaging.

"By referencing proven imaging clinical decision support systems, physicians are able to quickly and effectively recommend the most appropriate course of treatment for their patient at the point of order, rather than having to rely upon prior authorization in advance of treatment," said Liz Quam, co-founder of the Imaging e-Ordering Coalition, representing leading healthcare providers, technology companies, and diagnostic imaging vendors. "Not only is this approach more efficient for patient care delivery, its provision of immediate clinical feedback and alternative imaging suggestions based on established medical professional society appropriateness guidelines encourages informed decision-making and significantly lowers administrative costs."

MedPAC's recommendation – which targets the top 10 percent of providers who account for more than half of imaging services – was opposed by Commissioner Ronald Castellanos, M.D., who represents physician specialists on the panel. In his dissent, Castellanos noted that CMS does not have a structure in place to implement prior authorization, and that MedPAC should not institute such a policy that would be burdensome to both physicians and beneficiaries.

With the use of clinical decision support systems, once a physician requests an imaging procedure, specific clinical indicators are identified within the patient's electronic medical record (EMR) or the computerized physician order entry (CPOE). From there, an appropriateness score is generated, and if deemed medically appropriate, the diagnostic order is placed and the procedure is conducted. Following the procedure, advanced analytics are captured and returned to the physician along with ordering feedback, thereby helping to build data on what tests are worthwhile in certain patient situations and deliver input to affect future physician behavior.

Following a three-year pilot program on the use of clinical decision support tools in medical imaging involving four large health systems and four large payers in Minnesota, all participating medical groups reported that use of the point-of-order decision support systems was more efficient than calling in for prior authorization, had greater capacity for shared decision-making with patients, and could serve as a useful patient and provider education tool. In addition, the use of clinical decision support systems over prior authorization was found to generate monthly administrative savings of 303 hours or annual savings of $18,000 - $24,000 in salary/benefits.

"Rather than relying on prior authorization of care – which some physicians have reported as being inconsistent, resulting in unnecessary delays in treatment, and requiring justification of medical decisions to outside parties not familiar with the patient at hand – we urge MedPAC to take another look at smart technology systems such as clinical decision support tools that are already capable of supporting more efficient, cost-effective and appropriate imaging care," said Quam. "As shown in real-world settings, these systems provide reliable, immediate decision-making support and maintain medical decisions where they belong – between patients and their physicians."

About the Imaging e-Ordering Coalition

The Imaging e-Ordering Coalition is an alliance of healthcare providers, technology companies, and diagnostic imaging vendors promoting clinical decision support to assure that all patients receive the most clinically appropriate, high-tech diagnostic imaging test for their specific condition. The coalition's goal is to reduce costs, increase efficiency, and simultaneously and continuously improve the quality of patient care through the use of decision support.

Imaging e-Ordering Coalition members include Advanced Radiology Consultants, American College of Radiology (ACR), Association for Quality Imaging, Carestream, Center for Diagnostic Imaging, Connecticut State Medical Society-IPA, GE Healthcare, HealthBASE, Insight Imaging, MedCurrent Corporation, Medicalis, Merge Healthcare, Nuance Healthcare, Radiology Business Management Association and RadNet.


'/>"/>
SOURCE Imaging e-Ordering Coalition
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. EXTENDED HEALTH: Noverca Enters the World of Healthcare
2. Bayer HealthCare Selects the State of New Jersey for East Coast Site Consolidation
3. NeoStem to Present at 10th Annual Needham Healthcare Conference on Tuesday, April 5
4. GSK Publishes Payments for Research, Consulting and Advising by U.S. Healthcare Professionals
5. ICU Medical to Launch MicroCLAVE® Clear Needlefree Connector at the Annual Scientific Meeting of the Society for Healthcare Epidemiology of America (SHEA) April 1-4 in Dallas
6. Amarin to Present at the 10th Annual Needham Healthcare Conference
7. Telik Announces Presentation and Webcast at 10th Annual Needham Healthcare Conference
8. Neurocrine Biosciences to Present at the 10th Annual Needham Healthcare Conference
9. Cantel Medical Corp. to Present at the Needham & Company 10th Annual Healthcare Conference
10. VirtualScopics to Present at the 10th Annual Needham Healthcare Conference
11. Regado Biosciences to Present at the Needham & Companys 10th Annual Healthcare Conference in New York City
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... , June 24, 2016   Bay Area ... Network,s Dean Center for Tick Borne Illness ... and Rehabilitation, MIT Hacking Medicine, University of California, ... today announced the five finalists of Lyme ... disease.  More than 100 scientists, clinicians, researchers, entrepreneurs, ...
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical ... the "Company"), which develops, markets and sells medical devices ... , signed a strategic cooperation agreement with Hongyuan ... "Hongyuan Supply Chain") on June 20, 2016, to develop ... the strategic cooperation agreement, Dehaier will leverage Hongyuan Supply ...
Breaking Medicine Technology:
(Date:6/25/2016)... ... ... of Bruton Memorial Library on June 21 due to a possible lice infestation, as reported ... head lice: the parasite’s ability to live away from a human host, and to infest ... in the event that lice have simply gotten out of control. , As lice are ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/25/2016)... ... 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s ... setting the bar too high can result in disappointment, perhaps even self-loathing. However, those ... goal. , Research from PsychTests.com reveals that behind the tendency to ...
(Date:6/24/2016)... , ... June 24, 2016 , ... June 19, 2016 ... dangers associated with chronic pain and the benefits of holistic treatments, Serenity Recovery ... are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
Breaking Medicine News(10 mins):