Aims and objectives
Medical reimbursements in the United States are transitioning from fee-for-service to pay-for-performance.
The Physician Quality Reimbursement System (PQRS) requires that physicians report quality metrics to data registries to prevent negative payment adjustments .
Recently the PQRS system has been replaced by the Quality Payment Program,
but the determination of clinical outcomes remains a core principle in this reimbursement scheme . The American College of Radiology has proposed...
Methods and materials
We developed a structured reporting system that captures key radiology and pathology images,
records voice descriptions of image findings,
tags the images with metadata using SNOMED terminology,
and assembles a multimedia report with related radiology and pathology information linked in graphical disease timelines (figure 1).
called ViSion TM ,
has been presented previously at the ECR 2013  During the past year we expanded the ontology (i.e.,
The structured reporting system has been demonstrated for use with PQRS measure #147 (correlation with existing imaging studies for all patients undergoing bone scintigraphy),
QCDR #1 (CT colonography true positive rate) and QCDR #2 (CT colonography clinically significant extracolonic findings). Correlating image findings from narrative descriptive reports can be tedious,
and costly due to the need for human abstractors as illustrated in figure 4.
ViSion TM allows for the...
Multimedia structured reporting provides a means to automate radiology-pathology correlation and generate PQRS and QCDR quality metrics in order to satisfy pay-for-performance requirements.
Disclosure: David J.
Vining is the founder and CEO of VisionSR,
which has licensed intellectual property from the Unversity of Texas MD Anderson Cancer Center related to the ViSion TM multimedia structured reporting technology. For more information,
please contact: David J.
MD Email: firstname.lastname@example.org or Email: email@example.com Website: www.visionsr.com Video demonstration:https://www.youtube.com/watch?v=Tc1UEQVqGC4
“Physician Quality Reporting System.” CMS.gov Centers for Medicare & Medicaid Services ,
11 October 2017,
www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=%2FPQRI%2F. “Quality Payment Program.”CMS.gov Centers for Medicare & Medicaid Services,
qpp.cms.gov/. "ACR National Radiology Data Registry." American College of Radiology.
https://www.acr.org/Practice-Management-Quality-Informatics/Registries "Qualified Clinical Data Registry (QCDR) Measures...