ESR announces new ESR iGuide portal to support its quality and safety mission

Monday, December 11, 2017 (ESR, Vienna) – The European Society of Radiology (ESR) announces the launch of a new ESR iGuide web portal to widen access to the ESR imaging referral guidelines. To be launched by the European Congress of Radiology 2018 (February 28–March 4), the stand-alone version of the ESR iGuide clinical decision support system is designed to help ESR members, referring physicians, healthcare organisations and EU and IAEA member states comply with European and international radiation protection standards. By making this announcement during the IAEA International Conference on Radiation Protection in Medicine, where the ESR is a cooperating organisation, the ESR hopes to raise awareness in Europe and beyond of the importance of the appropriate use of medical imaging.

As a cooperating organisation of the IAEA International Conference on Radiation Protection in Medicine, the ESR has the opportunity to present its radiation protection activities under the umbrella of the EuroSafe Imaging campaign. EuroSafe Imaging translated the IAEA-WHO 2012 Bonn Call for Action into a European perspective, focusing on developing guidance and practical tools to support ESR members with the implementation of the European Basic Safety Standards Directive (2013/59/Euratom) as well as the international basic safety standards for radiation protection and safety of radiation sources, published by the IAEA in 2014.

In this context, the ESR is proud to announce the launch of a new, publicly accessible ESR iGuide portal solution, offering access to the ESR’s imaging referral guidelines based on the American College of Radiology Appropriateness Criteria, through the stand-alone clinical decision support (CDS) tool provided by National Decision Support Company (NDSC).


ESR iGuide is a clinical decision support system for European imaging referral guidelines developed by the European Society of Radiology (ESR) in cooperation with the American College of Radiology (ACR).

Efficiently managing medical imaging utilisation has become essential in an environment of ever increasing demands on healthcare services in general, and radiology departments in particular. Following an evidence-based approach to providing healthcare, ESR iGuide enables providers to Maintain patient safety and improve quality of service by ensuring that imaging is used appropriately and unnecessary exams are avoided.

National Decision Support Company (NDSC) Europe is the exclusive distributor of the ESR's referral guidelines through ESR iGuide, delivering actionable CDS based on evidence-based appropriate use criteria directly into clinical workflows at the point of care.


Features and benefits

Founded on guidelines developed over past 25 years

ESR iGuide is founded on guidelines that have been developed over the past 25 years by the American College of Radiology, leveraging the experience of thousands of volunteer physicians working on 12 expert panels grading nearly 6,500 peer-reviewed published articles. ACR Select covers over 1,000 individual imaging CPT codes and contains over 15,000 individual Appropriate Use Criteria covering all of medical imaging, and has been adapted by a panel of European experts covering every specialty of radiology for in ESR iGuide in Europe.

Based on feedback from thousands of providers

The content in ESR iGuide includes feedback from the thousands of providers who interact with and localise the guidelines. Uniquely captured by NDSC, this user feedback is rigorously reviewed by the ESR expert panels and incorporated into ESR iGuide, balancing the rigour of the publishing process with delivery at the speed of information technology to ensure a vibrant set of evidence based Imaging Referral Guidelines that fits with the requirements of healthcare professionals.

Over 3,000 search-enabled clinical scenarios mapped to ICD-10

Over 3,000 search-enabled clinical scenarios mapped to ICD-10 cover the universe of plausible reasons for imaging exams. Enabling sites to code the ICD 10 order diagnosis, at the time the order is placed with the EHR. ESR iGuide helps reduce retrospective analysis and coding errors and ensures that all medical imaging requests are correctly coded and placed.

Eliminate up to 15 percent of imaging volume, reduce change requests by up to 50 percent

Delivering actionable guidelines to requesting physicians, the ACR criteria have been proven to eliminate up to 15 percent of imaging volume in the United States. ESR iGuide is integrated with major EMR systems and the ACR criteria have been proven to reduce the number of changed requests after the initial referral by 50 percent in US case studies.

Complete analytics and reporting capabilities

Complete analytics, integrated with the EHR data set, provide specific reporting capabilities to enable provider benchmarking and continuous improvement based on clinical area, line of service and provider. ESR iGuide embeds all decision support data into the EHR to enable Clinical Quality Metrics.

Actionable criteria delivered natively in EHR workflow

Actionable criteria, delivered natively in EHR workflows and other physician access points. Providers interact with the imaging referral guidelines in their native, EHR-based workflows. Configurable guidance informs providers only when a selected test does not conform to guidelines. Providers can select the suggested alternate pathway directly from within their EHR user interface. The source evidence is always available, allowing the referring provider to reference the source criteria for complex patient conditions and continuous learning.

Localisation capabilities

Complete localisation capabilities allow sites to author and publish their own criteria derived from the extensive content in ESR iGuide to match local care protocols or requirements. For the introduction in national European markets, ESR iGuide is translated into the local language.

Guidelines accessible from any web browser

The ESR iGuide Portal provides access to the full functionality of ESR iGuide within any web browser, allowing providers without EHR access to interact with the guidelines, comply with requirements to consult with guidelines and avoid the overhead of manual prior authorisations.

Trusted partner

NDSC is trusted by EHR vendors to deliver credible, standard content into provider workflows. We work closely with the EHR vendor to ensure that the guidelines are delivered into the workflow in a non-disruptive manner within the native EHR user interface.

Supporters, Partners, and Integrators

Our solutions are supported by healthcare provider organizations, healthcare payers, medical societies, and healthcare IT vendors.