The following post was contributed by Geraldine McGinty, MD, MBA, FACR.
It’s been 3 years since the ACR initiated the Imaging 3.0 initiative and the recent Institute of Medicine (IOM) report “Improving Diagnosis in Healthcare” resonates strongly with where Imaging 3.0 has brought us as a profession.
It’s not surprising since ACR leadership engaged the IOM on this project, but it is encouraging to see an influential voice in health care like the IOM advocate so strongly for the role of the radiologist in improving the quality of care our patients receive.
As I have written previously, an ACR workgroup has been convened around the new payment models created by the MACRA legislation that replaced the flawed SGR payment update formula for Medicare.
The IOM’s recommendations will reinforce our commitment to making sure that the radiology-specific performance metrics and Alternative Payment Models that we propose to Medicare are congruent with the report’s goals – especially those around engaging our patients.
We’ve always talked about the 3 facets of Imaging 3.0: culture change, informatics infrastructure and tools, and incentive alignment.
The IOM report suggests that the often challenging culture change we have undergone, and continue to undergo, will take us in the right direction. It supports our oft-stated view that informatics must support patient care and engagement. Lastly, this IOM report will undoubtedly be a part of the ongoing conversation about how to value and pay for care.
Therefore, the fact that it is so well-aligned with our efforts to incentivize the delivery of high-value imaging care is a cause for optimism about our ability to influence the process.