Mandated Imaging Appropriate Use Criteria
Authors: Keith D. Hentel, Andrew Menard, John Mongan, Jeremy C. Durack, Ali S. Raja, Ramin Khorasani
Journal: Annals of Internal Medicine (2019)

Letters5 November 2019Mandated Imaging Appropriate Use CriteriaKeith D. Hentel, MD, MS, Andrew Menard, JD, John Mongan, MD, Jeremy C. Durack, MD, Ali S. Raja, MD, MBA, MPH, and Ramin Khorasani, MD, MPHKeith D. Hentel, MD, MSWeill Cornell Medicine, New York, New York (K.D.H.)Search for more papers by this author, Andrew Menard, JDJohns Hopkins Medicine, Baltimore, Maryland (A.M.)Search for more papers by this author, John Mongan, MDUniversity of California, San Francisco, San Francisco, California (J.M.)Search for more papers by this author, Jeremy C. Durack, MDMemorial Sloan Kettering Cancer Center, New York, New York (J.C.D.)Search for more papers by this author, Ali S. Raja, MD, MBA, MPHMassachusetts General Hospital, Boston, Massachusetts (A.S.R.)Search for more papers by this author, and Ramin Khorasani, MD, MPHBrigham and Women's Hospital, Boston, Massachusetts (R.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0532 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Mitchell identifies 1 risk of the upcoming Appropriate Use Criteria Program. A qualified decision-support mechanism—even when integrated into the ordering workflow of an electronic health record (EHR)—may be constructed so that the path of least resistance for the ordering provider encourages entry of information that does not optimally reflect the patient's condition or, worse, contradicts the patient's true presentation. For example, the CDS may present a short list of indications without an easy way to include additional data. Addressing erroneous data entry to avoid onerous interaction with the CDS mechanism is challenging, particularly if the ordering providers ...Reference1. Lacson R, Laroya R, Wang A, et al. Integrity of clinical information in computerized order requisitions for diagnostic imaging. J Am Med Inform Assoc. 2018;25:1651-6. [PMID: 30517649] doi:10.1093/jamia/ocy133 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Weill Cornell Medicine, New York, New York (K.D.H.)Johns Hopkins Medicine, Baltimore, Maryland (A.M.)University of California, San Francisco, San Francisco, California (J.M.)Memorial Sloan Kettering Cancer Center, New York, New York (J.C.D.)Massachusetts General Hospital, Boston, Massachusetts (A.S.R.)Brigham and Women's Hospital, Boston, Massachusetts (R.K.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0287. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoWhat Physicians and Health Organizations Should Know About Mandated Imaging Appropriate Use Criteria Keith D. Hentel , Andrew Menard , John Mongan , Jeremy C. Durack , Pamela T. Johnson , Ali S. Raja , and Ramin Khorasani Mandated Imaging Appropriate Use Criteria David M. Mitchell Metrics 5 November 2019Volume 171, Issue 9Page: 682-683KeywordsChartsComputed axial tomographyDiagnostic radiologyDisclosureElectronic medical recordsInformation technologyMagnetic resonance imagingMotivationPatientsSpine ePublished: 5 November 2019 Issue Published: 5 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...