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Statewide Initiative Launched to Help Ensure Patients Receive Appropriate High-Tech Diagnostic Imaging Exams
Date:11/10/2010

d to medical groups and hospital-based clinics across Minnesota using a broad "common" set of appropriate criteria licensed from Burlington, MA-based Nuance Communications, Inc. Nuance's RadPort software contains appropriateness criteria based on national standards created by ACR and other specialty organizations.  

Using RadPort, the physician can select an exam based on the patient's illness or indications, run it against the criteria, and receive a score on the computer screen ranging from low- to high-diagnostic utility (1-9).  If the physician selects a low-utility exam, the system offers evidence-based superior alternatives. This not only helps ensure the best exam is ordered the first time, but the interactive tool serves as an educational resource to improve physician ordering practices over time.  It can also enhance patient-physician relationships through shared decision-making, and help patients avoid unnecessary radiation exposure and imaging costs.

Medical groups adopting the ICSI solution might also be able to forego calling an RBM if the participating health plan accepts the electronic-based decision-support tool as an automatic form of prior notification.

Improving Patient Outcomes

The ICSI solution also includes Nuance's data intelligence tool, RadCube, which can collate and analyze the appropriateness of exams ordered so that participating medical groups can trend ordering patterns and correlate them to patient outcomes. ICSI will have access to de-identified data of the medical groups using the RadCube data warehouse so it can help improve the Minnesota health care community's knowledge of which diagnostic imaging exams obtain the best patient outcomes based on their individual medical conditions. ICSI will also help educate adopters on how to implement and maintain this decision-support option.

Potential National Impact

The ICSI solution is being viewed as a po
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SOURCE Institute for Clinical Systems Improvement
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