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. CDS R-SCAN Logo


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.CDS R-SCAN Registry Report

  • 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: 


Completion of an R-SCAN project can potentially fulfill requirements for the following MIPS Improvement Activities for 2018:

CDS R-SCAN Improvement Activities



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:

Note: If your facility doesn’t currently participate in NRDR, review and gather the items you’ll need to register, then complete the NRDR application process via the NRDR Portal, or contact us at the NRDR Help Desk for assistance.

  • Contact us at rscaninfo@acr.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

  • Identify imaging cases for review for a specific collaborating referring group via reports through Montage, PACs, EHR reports, or billing data


  • Review medical record for each case and manually enter case data into R-SCAN web-based CareSelectTM tool to obtain performance report

Phase 1: Identify R-SCAN QI project parameters and baseline data

  • Use CDS R-SCAN Registry report filters to select the project:

    • topic area

    • exam type

    • collaborating group(s) for improvement

    • baseline time frame


  • Enter these parameters into the CDS R-SCAN QI project registration form


Review imaging exam ordering performance (through the NDSC/registry data submission process) using various report filters such as

  • list of topics (Choosing Wisely, CMS Priority Clinical Areas, etc.)

  • exam type

  • referring group, and

  • date range


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

  • Conduct an educational intervention to improve image ordering

Phase 2: Education

  • Conduct an educational intervention to improve image ordering


Phase 3: Post-Education Data Collection / Ordering Assessment

  • Identify imaging cases for review for a specific collaborating referring group via reports through Montage, PACs, EHR reports, or billing data


  • Review medical record for each case and manually enter case data into CareSelect to obtain performance report

Phase 3: Post-Education Data Review

  • Enter time frame for post-education in the CDS R-SCAN Registry report and in the CDS R-SCAN QI project registration form


  • Use same time frame for baseline and post education review



Free

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