RSNA 2016
Nov 27-Dec 2, 2016: Quality Storyboard
Improvement in Clinical Decision Support Coverage and Reduction in "Unscored" Examination through a PDSA project
Maitraya K. Patel, MD; John F. Brunner, MD; Orest B. Boyko, MD, PhD; Jennifer Sayles, MD


ACR 2016
May 15-19, 2016: ePoster 16-092
Increased Utilization of Clinical Decision Support in the Emergency Department Through Provider Incentives
Maitraya Patel, John Brunner, Shoma Desai, Cecilia Jude, Erin Wilkes, Jennifer Sayles


RSNA Radiology
Yan et al., October 2016
Yield of CT Pulmonary Angiography in the Emergency Department When Providers Override Evidence-based Clinical Decision Support

Conclusion: The odds of an acute PE finding in the ED when providers adhered to evidence presented in CDS were nearly double those seen when providers overrode CDS alerts. Most overrides were due to the lack of d-dimer testing in patients unlikely to have PE.


Anupam et al., May 2016
Implementation of Electronic Clinical Decision Support for Pediatric Appendicitis

Conclusion: Our electronic clinical decision support tool was associated with a decrease in CT use while maintaining safety and high quality care for patients with possible appendicitis.


South African Medical Journal
Murthy et al., January 2016
The impact of an electronic clinical decision support for pulmonary embolism imaging on the efficiency of computed tomography pulmonary angiography utilisation in a resource-limited setting

Conclusion: Implementing an electronic CDS for PE significantly increased the efficiency of CTPA utilisation and significantly decreased
the proportion of inappropriate scans.


Raja et al., February 2012
Effect of Computerized Clinical Decision Support on the Use and Yield of CT Pulmonary Angiography in the Emergency Department

Conclusion: Implementation of evidence-based CDS in the ED was associated with a significant decrease in use, and increase in yield, of CT pulmonary angiography for the evaluation of acute PE.


Journal of the American College of Radiology
Blackmore et al., January 2011
Effectiveness of Clinical Decision Support in Controlling Inappropriate Imaging

Conclusion: Targeted use of imaging clinical decision support is associated with large decreases in the inappropriate utilization of advanced imaging tests.



OrderWise - US

Use the OrderWise CDS solution to help you meet the Protecting Access to Medicare Act (PAMA) mandate. 

OrderWise - International

Integrate any evidence-based guidelines into OrderWise with customization for an all-encompassing solution for value-based care. 

Protecting Access to Medicare Act (PAMA) Highlights

Starting January 1, 2018, Medicare reimbursement for advanced outpatient imaging procedures will be at risk if providers do not meet the requirements of the Appropriate Use Criteria initially set forth in the Protecting Access to Medicare Act (PAMA, 2014). 

[Deck] Radiology Reimbursements & Clinical Decision Support: MPFS CY 2017 Updates by CMS

The implementation date for clinical decision support for advanced diagnostic imaging has been set for January 1, 2018. Refer to this deck to learn about the four components of the PAMA mandate - appropriate use criteria, qualified provider led entities, qualified clinical decision support mechanisms and claims.