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

DrChrono and 3D4Medical Partner to Bring 3-D Interactive Modeling to Physician Practices
News | Advanced Visualization | March 18, 2019
DrChrono Inc. and 3D4Medical have teamed up so practices across the United States can access 3-D interactive modeling...
Sponsored Content | Videos | Enterprise Imaging | March 15, 2019
As a VNA, GE Healthcare Ce
Lucence Diagnostics to Develop AI Tools for Liver Cancer Treatment

Pseudocolor accentuated CT scan image of a liver tumor. Image courtesy of Lucence Diagnostics.

News | Oncology Diagnostics | March 12, 2019
Genomic medicine company Lucence Diagnostics announced a new project to develop artificial intelligence (AI) algorithms...
FDA Grants Breakthrough Designation to Paige.AI
News | Digital Pathology | March 08, 2019
Artificial intelligence (AI) startup company Paige.AI has been granted Breakthrough Device designation by the U.S. Food...
Carestream Health has signed an agreement to sell its healthcare information systems (HCIS) business to Philips Healthcare. Image by geralt on Pixabay

Carestream Health has signed an agreement to sell its healthcare information systems (HCIS) business to Philips Healthcare. This includes its radiology and cardiology PACS and reporting software. Image by geralt on Pixabay 

News | Radiology Business | March 07, 2019
Carestream Health has signed an agr
Dianna Bardo, M.D., is the vice chair of radiology for clinical development at Phoenix Children’s Hospital.

Dianna Bardo, M.D., is the vice chair of radiology for clinical development at Phoenix Children’s Hospital. 

Sponsored Content | Webinar | Enterprise Imaging | March 06, 2019
The webinar "Replacing PACS and the Benefits of Enterprise Partnership in a Pediatric Hospital" will take place at 2
New Consensus Document Explores Ethical Use of AI in Radiology
News | Artificial Intelligence | March 05, 2019 | Jeff Zagoudis, Associate Editor
The American College of Radiology (ACR) is one of seven professional societies behind a new consensus document on the...