News | Clinical Decision Support | November 05, 2015

CMS Delaying Clinical Decision Support Implementation Deadline

Agency acknowledges that required appropriate use criteria mechanisms will likely not be in place in time for January 2017

CDS, clinical decision support, CMS, implementation delay, Greg Freiherr

November 5, 2015 — ITN consultant Greg Freiherr has been covering clinical decision support (CDS) through a series of blog posts this month, examining the benefits and challenges of the movement toward evidence-based medicine. The following is an update on the topic:

The Centers for Medicare and Medicaid Services (CMS) announced today that it will delay the Jan. 1, 2017, deadline for ordering professionals to be consulting CDS and appropriate use criteria (AUC) mechanisms for radiology exams. CMS said the decision was made in recognition that many of the described mechanisms will likely not be in place by the beginning of 2017, but that the following summer is a more realistic target.

The original deadline was set forth in section 218(b) of the Protecting Access to Medicare Act (PAMA) of 2014, meant to encourage providers to make evidence-based decisions on imaging exams and reduce the number of inappropriate exams patients are exposed to. This would also help drive healthcare costs down as part of the industry-wide shift from a volume-based to a value-based payment model.

While supporting the idea in theory, numerous individuals and organizations have raised concerns about the wisdom of making such a dramatic change in procedure so quickly. Following a request for comments this past July, Sheila M. Sferrella, CRA, FAHRA, senior vice president, Regents Health Resources, Franklin, Tenn., addressed several of these concerns through a post to the Association of Medical Imaging Management’s (AHRA) website, stating, “No one in radiology wants to perform a test that is not appropriate,” said Sferrella, who is also chair of the AHRA Regulatory Affairs Committee. “The question is do we do this in a way that is thoughtful, deliberative and less likely to have errors? Or, do we rush pell mell ahead and get to the finish line only to discover that we did a shoddy job and have lots of mistakes to fix or try to get past?”

Sferrella and AHRA believe that CMS needs to determine clearer definitions and processes before CDS implementation can be successfully undertaken. Once those elements are in place, AHRA predicts full implementation and compliance will take 12–18 months.  

Visit Greg Freiherr’s blog series here for more information on clinical decision support.

Related Content

Enhancing Patient Care Inspires Southwest Medical Center to Upgrade to Enterprise Imaging

Assad Zainali, M.D., and Kelly Denton, director of imaging at Southwest Medical Center, review radiology studies with Novarad's Ncompass Enterprise Imaging.

Sponsored Content | Case Study | Enterprise Imaging | April 18, 2018
Southwest Medical Center (SWMC) serves patients from Kansas, Oklahoma, Colorado, New Mexico and Texas. Since seeing its...
Roper Radiologists PA Adapted an Interactive, Dynamic Worklist to Orchestrate and Measure Workflow

Matthew Brady, M.D.

Sponsored Content | Case Study | PACS Accessories | April 18, 2018
Matthew Brady, M.D., a radiologist at Roper Radiologists PA in Charleston, S.C., addresses the often-interwoven topics...
MACRA Implications for Payers, Providers and EHR Systems
Feature | Radiology Business | April 18, 2018 | Christopher Emper
For better or worse, the Medicare Access, CHIP Reauthorization Act (MACRA) is expected to disrupt healthcare at every
What It's Going to Take for AI to go Mainstream

Image courtesy of Pixabay

Feature | Artificial Intelligence | April 18, 2018 | Paddy Padmanabhan
No technology concept is going to be more discussed, dissected or debated in healthcare this year than artificial int
Philips Warns of Cybersecurity Vulnerabilities in IntelliSpace and iSite PACS Products
News | Cybersecurity | April 16, 2018
Philips Healthcare last week issued a proactive advisory warning to its iSite and IntelliSpace picture archiving and...
Dicom Systems Installs First Enterprise Imaging Platform in Africa
News | Enterprise Imaging | April 12, 2018
Dicom Systems Inc. recently announced it has deployed its flagship Workflow Unifier platform at the foot of Mount...
Healthcare Administrative Partners Launches Deep Dive Analytics Service
Technology | Analytics Software | April 12, 2018
Healthcare Administrative Partners (HAP) announced the launch of Deep Dive Analytics, an integrated clinical data...
Veritas Capital Acquiring Three Software Units from GE Healthcare
News | Radiology Business | April 02, 2018 | Jeff Zagoudis, Associate Editor
April 2, 2018 — GE Healthcare announced the...
NTT Data, DataFirst Partner to Expand Advanced Healthcare AI Capabilities
News | Artificial Intelligence | March 30, 2018
NTT Data Services this week announced a partnership with DataFirst Inc. to deliver clinical artificial intelligence (AI...
Singular Medical Technologies Unveils New PACStation Mobile

PACStation Mobile

Technology | PACS | March 26, 2018
March 26, 2018 — Singular Medical Technologies (SMT), an emerging technology company focused on high-performance heal
Overlay Init