The CDS R-SCAN (Radiology Support, Communication and Alignment Network) Registry provides facilities with access to their image-ordering clinical decision support data that correspond to imaging Choosing Wisely recommendations in the R-SCAN program, CMS Priority Clinical Areas, and several other imaging areas.
The registry data can identify imaging exam ordering patterns for some of the most commonly ordered exams to pinpoint areas where best practices are being followed as well as areas in need of improvement. Participation benefits include:
Access CDS data with no facility IT set up required – data are sent to the registry from the CDS vendor directly to the ACR.
Review interactive reports that provide quantitative data about improvements achieved and monitor how well achievements are maintained over time. Reports contain filtering and drill-down functionality by a variety of dimensions including R-SCAN topic, imaging clinical indications, ordering department/practice/groups, etc. to help draw insights from the data. Currently, reports are site-specific; registry comparison reports are not yet available.
Review image-ordering adherence to the ACR’s Appropriateness Criteria for a growing list of imaging areas, both facility-wide and by service line.
Gain insight into trends in imaging exam volume for a specific date range and over time.
Associate the CDS data with R-SCAN topics to conduct an R-SCAN practice quality improvement project -- a mechanism for radiologists and referring clinicians to collaborate on improving the ordering of imaging exams that add value to patient care. Completing an R-SCAN QI project affords clinicians:
Fulfillment of Improvement Activity credit requirements for practices participating in the MIPS track of the CMS Quality Payment Program.
Qualification for Practice Improvement CME (up to 20 CME credits).
Access to an archive of educational material for each R-SCAN topic including activities that award CME and provide hands on experience with clinical decision support.
Completion of an R-SCAN project can potentially fulfill requirements for the following MIPS Improvement Activities for 2018:
Participation and Fees
Participation at this time is open to facilities that have CareSelect Imaging/ACR Select provided by the National Decision Support Company (NDSC).
There are no participation fees through December 2019 through a CMS Transforming Clinical Practice Initiative grant, NDSC in-kind services, and additional ACR financial support.
To get started:
Have your NRDR corporate account administrator add the CDS R-SCAN Registry to facilities that would like to participate.
Contact us at firstname.lastname@example.org to request a demo of R-SCAN and to obtain an NDSC Data Transfer Authorization Form that authorizes NDSC to send data to the CDS R-SCAN registry.
Starting in 2020, the NRDR fee schedule will apply for CDS R-SCAN registry participation. Because the registry covers a wide variety of exams, starting in 2020 participation will qualify sites for Full registry access; that is, a facility that participates in CDS R-SCAN may also participate in any other registry, excluding the MIPS portal, at no additional cost.
How to Submit Data
Through the integration of CareSelect Imaging into a facility’s electronic health record (EHR), CDS transactional data are stored in the NDSC database and transmitted to the ACR using an NDSC-developed web service. No additional IT support is required.
Transmissions from NDSC to CDS R-SCAN include procedure-related data only, along with patient age; no Protected Health Information (PHI) is sent to the registry. Once data are stored in the database only facility-designated representatives are granted access to view their facility’s data.
Why a Registry?
As detailed in the table, below, the CDS R-SCAN registry provides distinct advantages by automating data collection and providing robust reporting tools, regardless of whether or not you participate in an R-SCAN QI project.
R-SCAN QI Project Participation without Registry
R-SCAN QI Project Participation with CDS R-SCAN Registry
CDS R-SCAN Registry Participation
Phase 1: Baseline Data Collection / Imaging Exam Ordering Assessment
Phase 1: Identify R-SCAN QI project parameters and baseline data
Review imaging exam ordering performance (through the NDSC/registry data submission process) using various report filters such as
Start an R-SCAN QI project or just use data to gain insight into site’s performance, including trends and adherence to Appropriateness Criteria.
*FUTURE* benchmark against other sites (national registry data) to highlight outliers and opportunities for improvement
Phase 2: Education
Phase 2: Education
Phase 3: Post-Education Data Collection / Ordering Assessment
Phase 3: Post-Education Data Review
No charge for QI project
NRDR fees for CDS R-SCAN registry participation will apply beginning in 2020
Free (2019); fees will apply beginning in 2020