National Decision Support Company (NDSC) provides solutions to deliver national standard, evidence-based guidelines into physician workflows that enable healthcare providers to achieve greater stewardship over delivery of care and to benchmark and improve quality and compliance.

NDSC is a globally recognized provider of innovative clinical decision support (CDS) solutions widely adopted by healthcare providers and integrated with leading Electronic Health Record (EMR) vendors. We offer a scalable, cloud-based architecture for delivering actionable CDS based on nationally recognized guidelines into provider workflows. Through production and delivery of its flagship solution, ACRselect, NDSC has developed a proven process for digitizing consensus medical guidelines and delivering them at the point-of-care.

Healthcare is evolving and so is National Decision Support Company. As part of our commitment to making medicine safer, more effective, and accessible, we have launched CareSelect to better reflect our company's scope, competency, and mission. With CareSelect we have broadened the current solutions portfolio in diagnostic imaging and extended its reach into lab and care pathways with the CareSelect content community.

  • 25 years in the making, 6.5k peer reviewed articles, 3k discrete clinical scenarios, and 15k clinical end-points.

  • Guiding nearly 1 million medical imaging decisions every month.

  • Proven to reduce imaging utilization by up to 15% and change orders by 50%.

  • Supporting Imaging 3.0 to create a redefined and vital role for radiology in new delivery and payment models.

  • ACRselect is part of the Epic foundation system.

  • Cerner delivers ACRselect as part of the EMR workflow.

  • Single solution to manage the actionable delivery of the ever-growing library of clinical guidelines.

Explore CareSelect Solutions for Imaging, Lab and Enterprise


CareSelect Imaging, including ACRselect, and its European counterpart ESR iGuide, offers a wide range of qualified appropriate use criteria (AUC) from medical specialty societies and nationally recognized content sources—ACR, ACC, MRI Safety—to enable compliance with value-based incentive programs and provisions of the Protecting Access to Medicare Act of 2014 (PAMA 2014).
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Lab and Pathology

CareSelect Lab is a comprehensive set of consumable high cost clinical and genetic lab Appropriate Use Criteria (AUC) based on nationally recognized criteria from clinical laboratory and pathology experts. Delivered through EMRs, CareSelect Lab ensures providers are aware of more appropriate and/or lower cost test alternatives for specific conditions.
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CareSelect Foundation integrates with EMRs to deliver a wide range of actionable and nationally recognized, evidence-based criteria and local quality guidelines into provider workflows using a single platform. It includes best practice advisories and care pathways covering a wide range of high impact health conditions from respected content sources including Choosing Wisely (an initiative of the ABIM) and from
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Platform Components

Learn more about the NDSC platform components for storing and maintaining AUC, delivering content, and providing data and insights.
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RSNA 2016

November 27 - December 2, 2016, McCormick Place, Chicago, IL

Whether you're looking for more information about NDSC solutions and services, have specific questions about workflows and integrations, have some thoughts to share, just want to get social or stay in the loop, we encourage you to connect with us!

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  • Paul H. Ellenbogen, MD, FACR Former Chair of the ACR Board of Chancellors

    "ACRselect will have a substantial impact on the healthcare community by bridging the gap between medical providers and the ACR AC guidelines. The commitment from major EMR technology providers to integrate these standards is a testament to the importance of promoting appropriate medical imaging use."

  • Liz Quam Executive Director, CDI Quality Institute

    "When it was time to update our approach, it was a natural evolution for us to contract directly with National Decision Support Company."

  • Dr. James McDonald Interim Chair of the Department of Radiology, University of Arkansas for Medical Sciences

    "With ACRselect, our radiologists become an integral part of the patient care process by augmenting the decision support with focused, traceable consultations based on an understanding of the patients condition and requested procedure."

  • David Miller, MHSA, FHIMSS, CHCIO Chief Information Officer, Optimum Healthcare IT

    "ACRselect provides the platform for us to position against the current quality metrics mandated by the state's initiative and helps us prepare for broader risk-based payment models in the future. The nationally recognized evidence-based criteria in ACR Select provide ordering physicians real-time decision support as to the most appropriate imaging test."

  • Lluis Donoso Bach, PhD President, European Society of Radiolog

    "For over a year we have been testing ACRselect in Spain with positive results. The agreement between the American College of Radiology and National Decision Support Company enables us to develop Europe-wide criteria without reinventing appropriate use criteria and let's us leverage NDSC's vast experience."

  • Dr. Brian Patty VP and CMIO at Rush University Medical Center

    "With ACRselect, our radiologists become an integral part of the patient care process by augmenting the decision support with focused, traceable consultations based on an understanding of the patients condition and requested procedure."

Supporters, Partners, and Integrators

CareSelect are ACRselect are supported by healthcare provider organizations, healthcare payers, medical societies, and healthcare IT vendors.