CDS increasingly important in struggle to manage imaging utilization – FierceMedicalImaging

CDS increasingly important in struggle to manage imaging utilization

The use of computerized physician order entry (CPOE) software supplemented by real-time clinical decision support (CDS) is becoming an increasingly important tool in efforts to manage imaging utilization, according to an article in RSNA News.

Radiology Benefit Management companies had been an important player in efforts to manage imaging utilization, but that’s changing.

“Traditionally, insurance companies have outsourced imaging utilization management to RBMcompanies,” Richard Duszak, chief medical officer of the Harvey L. Neiman Health Policy Institute and vice-chair for health policy and practice at the Emory University School of Medicine in Atlanta, said; Duszak also serves on FierceHealthIT‘s Editorial Advisory Board. “But the technology for CPOE with decision support has improved and the software has become more easily embedded into EHRs, which is spurring a shift away from using RBMs.”

The emphasis now being placed on CDS by the federal government suggests how important a tool CDS has become. Beginning in January 2017 ordering physicians will have to consult appropriateness guidelines when ordering procedures for Medicare patients using qualified CDS systems as identified by the U.S. Department of Health and Human Services.

Several recent studies have demonstrated the role CDS can play in reducing inappropriate imaging tests. For instance, as reported by FierceMedicalImaging in June 2013, use of a CDS tool based on American College of Cardiology Appropriate Use Criteria resulted in a reduction of inappropriate cardiac imaging tests from 22 percent to 6 percent.

What’s more, this past June, FierceMedicalImaging reported on a survey of emergency room physicians in which they said that overimaging with CT in their departments was a problem and that they would welcome the introduction of CDS tools in their departments in order to reduced inappropriate CT imaging.

“There’s obviously a growing interest around clinical decision support,” Anthony DeFrance, M.D., a clinical associate professor at the Stanford University School of Medicine,told FierceMedicalImaging in July. “And as we try to wring out waste and improve quality, and move towards metrics that are more quality-based, these clinical decision support systems are becoming more relevant to the practice of radiology and imaging.”

To learn more:
– see the article in RSNA News

Related Articles:
Clinical Decision Support’s role in radiology
ED docs want imaging clinical decision support
CDS tool cuts inappropriate heart imaging tests
EHR tool helps to reduce ED imaging overuse


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