Teaming up with referring providers can preserve reimbursement and boost quality of care. To ensure success under PAMA, radiologists need to take the lead in educating physicians and other referring providers on the importance of adopting an approved CDS in their workflow.
News & Insights
One health system changed CDS from a top-down mandate to a team-based, patient-centered goal. When Cambridge Health Alliance (CHA) set out to introduce clinical decision support (CDS), leaders carefully planned the logistics for its implementation. However, they also started early, getting buy-in from referring clinicians and radiologists — the ones who would actually be using the tools. Two CHA physicians (one radiologist and one family medicine physician) explain how it all came together and how CDS benefits both patients and clinicians.
The PAMA requirement has been reconfirmed for referring providers to consult AUC for advanced diagnostic imaging services starting Jan. 1, 2020. Following the implementation dates and guidelines for Appropriate Use Criteria (AUC) is both important and confusing. Here are the most current mandates to maintain your reimbursement status.
CareSelect™ solutions for Laboratory, Patient Blood Management and Choosing Wisely®+ unleash millions of dollars in savings for Cerner EHR users.
Madison, WI (September 25, 2018) – National Decision Support Company (NDSC) announces first of kind capabilities for Cerner EHR users that include CareSelect solutions focused on laboratory services, patient blood management, and the ABIM Foundation’s Choosing Wisely. These expanded capabilities enable healthcare organizations to identify and eliminate unnecessary and wasteful services.
CareSelect combines evidence-based guidelines from nationally respected publishers with advanced analytics capabilities to enable healthcare organizations to identify and address variations in care, reduce inappropriate utilization and save money. The CareSelect guideline library and associated clinical standards represent millions of dollars in savings for healthcare providers. In Washington State alone, the Washington Health Alliance (WHA) examined 47 common treatment approaches and identified over $282 million dollars in unnecessary services furnished over twelve months.1 This represents 1.52 million total services, of which 44% were deemed unnecessary. All the measures examined in the WHA report are covered by the expanded CareSelect guidelines.
NDSC’s flagship CareSelect Imaging solution is already in widespread use by Cerner clients. More than 140 organizations that use Cerner have contracted and installed CareSelect Imaging to drive imaging stewardship programs and support compliance with federal legislation that requires Appropriate Use Criteria consultation for Medicare Advanced Imaging Services by January 1, 2020. CareSelect Lab and CareSelect Blood, now available to Cerner EHR users, feature guidelines from Mayo Clinic. Guidelines for high-value procedures from Choosing Wisely are also available.
CareSelect’s advanced analytics guide progressive organizations on their clinical transformation journey. Measurement against clinical standards, built on evidence-based guidelines, establishes the foundation of CDS governance programs that identify and empower targeted practice improvement opportunities to increase appropriate utilization and quality, and decrease cost.
Until now, healthcare providers have lacked the combination of comprehensive, robust clinical standards and the ability to deliver and measure provider interactions within the EHR. CareSelect provides empirical evidence of utilization and waste. This data enables organizations to create and monitor targeted practice improvement initiatives in the areas of highest yield.
The expanded CareSelect solutions are immediately available to Cerner users and initial client implementations are already underway.
About National Decision Support Company
National Decision Support Company’s CareSelect™ Clinical Decision Support and Analytics solutions influence clinician ordering to manage utilization and control costs while reducing administrative burden and streamlining the payor-provider data exchange. CareSelect delivers medical guidelines at the point-of-care and measures provider interaction to foster dynamic clinical transformation and revenue cycle optimization programs across the enterprise. CareSelect has been adopted by over 500 health systems covering over 3,500 facilities which process over 5 million decision support transactions monthly.
Join NDSC at Cerner Health Conference 2018
National Decision Support Company will be at Cerner Health Conference 2018 in Kansas City from October 8-11, 2018. Join us in booth #733 to learn more about the expanded CareSelect capabilities now available.
- Washington State’s Health Care Waste: https://www.acsh.org/news/2018/09/17/washington-states-health-care-waste-13279
ROCHESTER, Minn. — Mayo Clinic implemented a patient blood-management program in 2010 on its Rochester campus and has since experienced a 35-percent reduction of blood transfusions, improving patient outcomes and achieving significant savings. Using best practices from the program, Mayo Medical Laboratories, the global reference laboratory of Mayo Clinic, collaborated with National Decision Support Company (NDSC) to combine Mayo’s clinical knowledge with NDSC’s industry-leading expertise in electronic health record (EHR) clinical-decision support.
Dr. Ryan Lee and Einstein Healthcare Network incrementally implement the CareSelect™ Platform to to both provide patients with better quality care at a lower cost and provide clinicians with evidence-based knowledge at the point of care.