CareSelect

Eliminate Waste and Control Costs

Nicholas

About Nicholas

Nick provides digital market insights and manages NDSC's digital outreach and image.

MEDHOST – The 411: CareSelect® Imaging Integration Updates

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At MEDHOST, we’re committed to empowering your healthcare facility or hospital with the knowledge and tools you need to deliver the highest quality care available. In keeping with our promise to you, we recently announced our decision to enable integration with CareSelect® Imaging.

CareSelect Imaging is a clinical decision support mechanism that delivers advanced imaging guidelines at the point-of-order to help health systems improve overall quality, drive out waste and improve ordering appropriateness. This extension will deliver Appropriate Use Criteria (AUC)1 to applicable customers directly into their MEDHOST EHR solution and enable workflows for compliance with the AUC consultation mandate of the Protecting Access to Medicare Act (PAMA).

AUC: A Brief History

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With PAMA, the radiologist’s challenge now centers on implementation.

The congressional mandate for CMS to require Appropriate Use Criteria (AUC) consultation during the ordering of advanced diagnostic imaging is upon us. This year is a voluntary reporting period, 2020 is an educational and operations testing period, and
2021 is the formal start date with payments at risk. This program is a major policy change, requiring significant effort by our profession. For many radiology professionals, the new law has prompted a first introduction into AUC and clinical decision support (CDS) for practices. In this column, I discuss the origins of AUC, how it has evolved, and how it became a component of payment policy.

Engaging the Physician

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Using R-SCAN™, radiologists collaborate with family medicine clinics to enhance imaging appropriateness of lumbar spine orders. at Baylor College of Medicine. Sometimes the best patient care involves no imaging at all. So when the radiologists at Baylor College of Medicine noticed that some referring physicians were ordering more MRIs for low back pain than seemed appropriate, they took the lead to study the situation and deploy a solution for improved patient care.

Ahead of the Curve – CDS Pilot at Einstein Health

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Early adopters of CDS deliver more appropriate imaging and help ordering physicians prepare for PAMA’s impact on reimbursement.

When the radiology team at Einstein Healthcare Network in Philadelphia, Pa., first heard about the
Protecting Access to Medicare Act (PAMA) of 2014, which requires providers to consult clinical decision support (CDS) for advanced image ordering, they had an uncommon response: Bring it on!

At the time, Einstein’s chair of diagnostic radiology, Terence A. S. Matalon, MD, FACR, FSIR, was already evaluating the merits of CDS to enhance patient care at the network’s three hospitals and 11 outpatient centers. The legislation further bolstered these efforts.

Prepare Now for Appropriate Use Criteria Mandate With R-SCAN

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Free Online Tool Provides Access to Appropriate Use Criteria-Based Clinical Decision Support. Taking part in the Radiology Support, Communication and Alignment Network (R-SCAN) brings radiologists and referring clinicians together to improve imaging appropriateness based on Choosing Wisely topics and prepares them for the coming federal mandate that health care providers consult appropriate use criteria (AUC) before ordering advanced imaging for Medicare patients.