This post was contributed by Gregory N. Nicola, MD, FACR, chair of the ACR Economics Committee on MACRA.
A couple of years ago, a multispecialty group of clinicians at my institution, including nurses, pharmacists and physicians representing multiple specialties including orthopedics, emergency medicine and radiology started a conversation about reducing low value imaging — particularly evaluation of non-traumatic pain in the ED.
The resulting We’ve Got Your Back program puts Choosing Wisely recommendations into practice. For this, our team was recently named Choosing Wisely “Champions” by the American College of Emergency Physicians (ACEP). This initiative has energized our organization; with subsequent widespread support for exploring other Choosing Wisely topics, expanding our collaboration and utilizing the tools provided by Radiology, Support, Communication and Alignment Network (R-SCAN).
The effort has also advanced care coordination and communication amongst all clinicians which will no doubt translate into high-value care for our patients. I invite you to reach out to referring providers in your hospital or community to work together to ensure that the most appropriate scans (if any are needed) are ordered before you see the patient.
Freely available R-SCAN resources make this easier than you may think. R-SCAN prepares you and your referring providers for the coming federal mandate that providers consult appropriate use criteria before ordering advanced imaging for Medicare patients. A key participation benefit is radiologists and collaborating referring doctors may earn seven medium-weight Improvement Activity (IA) Credits for completing an R-SCAN project this year.
It gets referring doctors familiar with clinical decision support technology at no cost. R-SCAN participants gain free access to a customized version the ACR Select® CDS tool, the web-based version of the ACR Appropriateness Criteria®. And, you and referring doctors can get complimentary CME credit.
If you’re participating in R-SCAN, tell us about your project.
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