CareSelect Imaging enables benchmarking, clinical interventions, and reporting to impact acute areas of over-utilization for advanced imaging.
Recognized. Respected. Validated.
CareSelect Imaging is the most comprehensive CDS solution available for advanced imaging. CareSelect Imaging delivers Appropriate Use Criteria (AUC), authored by leading medical specialty societies, directly into the EHR workflow at the point of order. This empowers enterprise-wide quality improvement efforts and compliance with the Protecting Access to Medicare Act (PAMA) AUC consultation requirements.
The Result? Reliable standards, reduced variation of care, and the data you need to improve performance. These factors lead to better patient care, improved population health, increased provider efficiency and lower cost of care.
CareSelect Imaging is built on NDSC’s CareSelect Platform – a proven enterprise-wide CDS solution that is fully qualified as a Clinical Decision Support Mechanism (qCDSM) under PAMA. CareSelect Imaging is the preferred solution of major EHR vendors, including Epic, Cerner, MEDITECH and Allscripts.
Currently in use in over 380 health systems nationwide, CareSelect Imaging has facilitated over 30 million AUC consultations that result in tangible cost-savings and quality improvement:
Impact of a Commercially Available Clinical Decision Support Program on Provider Ordering Habits
CDS software designed around the ACR Appropriateness Criteria assists health care providers in choosing appropriate imaging studies at the time of order entry. The goal of this study was to determine the impact of commercially available CDS on the ordering habits of inpatient and emergency providers.
Priority Clinical Areas & Your Organizational Initiatives
PAMA mandates that consultation of a qCDSM for Medicare Advanced Imaging is required to generate a payable claim. Beginning January 1, 2020, consultation of AUC will be required across all advanced imaging. Your local environment will drive your implementation efforts and focus the change management process. To help focus your initial implementation, CMS has defined eight Priority Clinical Areas (PCAs) that feature significant opportunities for savings and quality improvement within advanced imaging. These are the initial areas where change management should occur.
Priority Clinical Areas
Cancer of the Lung
Cervical or Neck Pain
Coronary Artery Disease
Low Back Pain
Suspected Pulmonary Embolism
Connecting Compliance, Quality & Savings
Meaningful change requires measurement. The sooner hospitals begin to track and report on key performance metrics including imaging performance, the better. Opportunities to reduce waste, lower the cost of care, and increase patient care quality go far beyond PAMA compliance. In fact, organizations that focus solely on compliance will miss important cost savings and quality improvement opportunities.
A mid-sized health system in Wisconsin successfully mitigated the over-ordering of CT scans for uncomplicated headache through the targeted use of guidelines delivered through CareSelect Imaging.
A Strategic Approach to Implementation:
Start Early & Build Success
Our experience can inform your implementation and bridge the gap between quality, savings, and compliance. Across hundreds of health systems, NDSC has refined an expert CDS implementation approach to:
- Include focused imaging efforts that cover the PCAs and organizational initiatives
- Collect performance and benchmarking data without intervention to identify high-value opportunities specific to your organization
- Focus implementations to create early wins with opportunities to include R-SCAN, a CMMI funded practice-improvement activity
Reporting & Analytics for ImagingOptimize the impact of CareSelect Imaging by using built in, easy-to-use reports designed to track critical success factors. CareSelect Imaging includes a set of reporting tools that allow users to collect and analyze decision support data including benchmarking, impact data and quality improvement. Three baseline reports are designed to benchmark critical success metrics for the implementation of decision support and feature data on order appropriateness, CDS impact, and provider red-rate.
- Benchmark imaging appropriateness and provider ordering patterns linked to institutional wide objectives, value-based payment models, quality improvement initiatives and other clinical quality measures
- Track provider-system interaction
- Target provider/provider populations that consistently deviate from guidelines
- Ensure continuous improvement in the appropriateness and quality of imaging services
Comprehensive Clinical Content
Our guideline sets are developed by leading medical specialty societies and respected sources including the American College of Radiology (ACR), the American College of Cardiology (ACC), the National Comprehensive Cancer Network (NCCN), and the Society of Nuclear Medicine and Molecular Imaging (SNMMI). These comprehensive sets of interventions ensure that criteria are available to leverage against your local practice imperatives.
The SNMMI Guidance Oversight Committee has identified several high priority areas for AUC development ranging from Bone Scintigraphy for Prostate and Breast Cancer to Thyroid Imaging.
SPR Imaging criteria has been developed by leading pediatric experts through the American College of Radiology’s Rapid Response Committee process with the support of the Society for Pediatric Radiology.
Meaningful change requires measurement. The sooner you begin to track and report on key
performance metrics including imaging performance, the better.
Our recommendation is that organizations implement CareSelect Imaging as soon as possible to enable immediate financial impact through MIPS Performance Categories and set the stage for a compliant PAMA implementation.
2. Large outpatient health system decrease in low utility imaging orders
3. Decrease in modified diagnostic imaging orders / departmental service line