E-QUAL Avoidable Imaging Kick Off

E-QUAL Emergency Quality Network National quality movement, supported by CMS Enrolling over 24,000 Emergency clinicians over the next 4 years to participate in quality improvement activities focused on: Improving outcomes for patients with sepsis Reducing avoidable imaging in low risk patients by implementation of ACEP’s Choosing Wisely recommendations Improving the value of ED evaluation for low risk chest pain by reducing avoidable testing and admissions What is EQUAL

MIPS Merit-based Incentive Payment System New Medicare reimbursement program that links quality and data reporting to reimbursement Medicare reimbursement Automatic reimbursement increases from 2015-2019 After 2019, reimbursement will be based on our performance under MIPS MIPS has two categories for measuring the performance of Emergency clinicians Quality Sepsis care is one of the quality measures Clinical Practice Improvement Activities (CPIA) E-QUAL is likely a high-value CPIA E-QUAL is considered an activity for CPIA

E-QUAL and MOC Part IV Credit E-QUAL will be listed on the ABEM drop down list of opportunities ED Director will need to be listed attesting that the individual participated in E-QUAL. E-QUAL hopes to develop “automatic” credit soon E-QUAL and CME Credit All E-QUAL webinars/podcasts will be associated with eCME credit. To obtain credit visit the E-QUAL homepage

Avoidable Imaging Goal: Choosing Wisely: To reduce testing and imaging with low risk patients through the implementation of EM specific Choosing Wisely Recommendations Choosing Wisely: Initiative of the ABIM Foundation and Consumer Reports Aim to advance national dialogue on avoiding unnecessary tests, treatments, procedures Identified “Top 5” list from nine specialty societies

Avoidable Imaging Aims: Reduce use of high-cost imaging for low back pain Reduce head CT scan after minor head injury Reduce head CT scan after syncope Reduce chest CT for pulmonary embolus Reduce abdominal CT for renal colic

E-QUAL Avoidable Imaging Toolkit Guidelines and Materials From Choosing Wisely, ACEP, PECARN Educational Resources and Lectures for CME Update on most recent Imaging literature Data collection tools Patient Engagement materials Webinar/Podcast series Initiation & implementation of avoidable imaging initiatives

Interventions to Improve Care Implementation of a standard diagnostic algorithms for these five common conditions Utilization of EMR for decision support Creation of condition specific order sets and advanced decision support to drive best care Leverage CEDR and E-Qual data analytics tools to provide feedback to providers