Feature | Clinical Decision Support | May 06, 2014 | Dave Fornell

New Medicare Legislation Mandates Clinical Decision Support

As an editor attending clinical symposiums and always on the lookout for new trends in technology, I sometimes find myself wondering if what I see is actually the reality on the ground for most clinicians. A recent example of this has been the implementation and use of clinical decision support (CDS) software to ensure physicians are following appropriate use criteria (AUC). While use of this software was outlined in Stage 2 Meaningful Use requirements for electronic medical records (EMR) and has been a topic in nearly all the sessions I attend on the future of healthcare, few vendors or clinicians I speak with thought much of CDS. Fewer yet were clamoring for information about it or highlighting it as a key product in vendor booths on show floors. At HIMSS.14, the largest medical IT show in the world, I had to search to find the few vendors that were highlighting CDS. This led me to question if I was just out of touch with the real world and if readers really had any interest in CDS.

I felt vindicated when the Senate passed the Protecting Access to Medicare Act of 2014 (H.R. 4302) March 31, also known as the Sustainable Growth Rate (SGR) patch legislation. The big news is it delays a 24 percent Medicare physician payment cut for 12 months (the 17th such patch to delay cuts since the ill-conceived legislation was created). However, the fine print in the legislation now mandates the use of CDS software to show tests and procedures ordered meet AUC set by medical societies in order to get full Medicare/Medicaid reimbursement.

The reason for the CDS requirement is to make large strides toward modernizing the American healthcare system by requiring evidence-based medicine. What may be first-of-its kind requirements included in the patch are aimed at making healthcare more efficient, raising medical imaging quality, improving utilization accuracy and making physician payment policy more transparent.

 
Admittedly, CDS software may not be very exciting. Many physicians also take issue with CDS software, because they feel it calls into question their ability for professional decision-making regarding patient care. However, Medicare and Congress have made it a priority. As such, I suspect many hospitals and IT departments will be clamoring for more information on CDS software. DAIC has already seen an up tick in interest with its online content in this area and recently launched a channel devoted to this topic (www.dicardiology.com/taxonomy/term/3850).
 
The May-June issue of DAIC includes a quick breakdown of the SGR patch legislation highlights. There also is an article on that explains CDS software that is currently available for cardiology and radiology, including examples of how it has been implemented.
 

Related Content

News | Clinical Decision Support

July 18, 2019 — On June 30, 2019, the Centers for Medicare & Medicaid Services (CMS) announced the Johns Hopkins ...

Home July 18, 2019
Home
News | Clinical Decision Support

February 11, 2019 — The American College of Cardiology (ACC), along with nine other cardiology professional societies ...

Home February 11, 2019
Home
News | Clinical Decision Support

October 23, 2018 — Health informatics company Impathiq announced its Heart Pathway point-of-care clinical decision ...

Home October 23, 2018
Home
Technology | Clinical Decision Support

April 30, 2018 — Point of Care Decision Support (PCDS) announced the release of a new version 2.0 of their ...

Home April 30, 2018
Home
Technology | Clinical Decision Support

February 14, 2018 — The U.S. Food and Drug Administration (FDA) announced marketing clearance for Viz.AI’s Contact ...

Home February 14, 2018
Home
Feature | Clinical Decision Support

January 18, 2018 — Change Healthcare announced the acquisition of National Decision Support Company (NDSC), a leader in ...

Home January 18, 2018
Home
News | Clinical Decision Support

October 16, 2017 — The American College of Cardiology (ACC), along with several partnering societies, recently released ...

Home October 16, 2017
Home
News | Clinical Decision Support

October 11, 2017 — Radiologists can enhance the quality and effectiveness of care with the newest release of the ACR ...

Home October 11, 2017
Home
News | Clinical Decision Support

July 18, 2017 — National Decision Support Company announced the full qualification of its CareSelect Platform as a ...

Home July 18, 2017
Home
News | Clinical Decision Support | Jeff Zagoudis, Associate Editor

July 14, 2017 — In a series of proposed rule changes to the Medicare Physician Fee Schedule (MPFS) released July 13, the ...

Home July 14, 2017
Home
Subscribe Now