Planning for Radiology CDS Technology

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Planning for Radiology CDS Technology.[1].


With the advent of value based healthcare systems, the importance of correct and appropriate imaging emerges as an important aspect of providing patients value based and cost effective care. To discourage incorrect or unnecessary imaging orders by physicians, the Protecting Access to Medicare Act of 2014 will be in effect from Jan 1, 2017. Under this act any healthcare provider ordering an advanced imaging exam-specifically computerized tomography (CT), magnetic resonance imaging (MRI), nuclear medicine and positron emission tomography (PET) will be required to consult appropriateness criteria approved by the Centers for Medicare and Medicaid Services (CMS).CDS and CPOE systems integrated into EHR systems at hospitals has made the process of complying with these guidelines an intuitive and time saving process, provided hospitals and physicians adopt such systems in an efficient and timely manner

Evaluation of CDS Systems

Factors that should influence the selection of a CDS system include: • Integration- The system should integrate well with the existing CPOE and EHR systems to facilitate smooth data flows across the systems and save time and effort. • Simplicity, ease of use and efficient workflow: The system should be user friendly, have a friendly UI , designed to minimize input boxes and mouse clicks , with concise and relevant data displayed to the physician as and when he/she needs it. • Flexibility: The system should have the ability to allow the user to modify orders midstream as per their requirements without impact to workflow or time. • Speed. The system performance should be superlative to be well accepted • Customization: The organization should be able to customize the system to suit local conditions, workflows, requirements etc. • Analytics- The system should have strong analytics built in to enable further planning and modifications.

Implementation of CDS System

Facilitating change management and early adoption of a CDS system to manage and support imaging requirements will enable the hospital to gradually successfully adapt and adopt the new system before the Protecting Access to Medicare Act of 2014 goes into effect.


Use of CDS systems in supporting and enhancing the quality and selection techniques of imaging would definitely reduce healthcare costs by minimizing unnecessary or inappropriate imaging orders as well as improving diagnoses and being an aid to physicians.

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  1. Keen, Cynthia E. Healthcare Informatics. Planning for Radiology CDS Technology. Nov/Dec 2014; 31, 8; ProQuest Nursing & Allied Health Source