title: Emergency Department Diagnostic Imaging: The Journey to Quality.
abstract: Priorities in health care delivery are shifting, with a greater focus on enhancing value, incentivizing quality, and advancing population health. While measurement of quality in emergency department (ED) care is still in its infancy, performance measures are increasingly being linked to reimbursement to encourage the delivery of high-value care. With such changes, there will be growing oversight of diagnostic imaging in all clinical settings, including the ED. Here, the authors examine the current state of quality measurement as it pertains to ED imaging. The authors review relevant policies and discuss both the associated challenges and the facilitators of using quality measures to help optimize ED imaging. Understanding such factors will help ensure the delivery of diagnostic imaging that is appropriate, high-quality, and patient-centered.
authors.affiliation: Department of Emergency Medicine, University of California San Francisco & San Francisco General Hospital, San Francisco, CA.
authors.forename: Hemal K
authors.initials: HK
authors.lastname: Kanzaria
authors.affiliation: Division of Emergency Medicine, University of Washington School of Medicine, Seattle, WA.|Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: M Kennedy
authors.initials: MK
authors.lastname: Hall
authors.affiliation: Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Moore
authors.affiliation: National Quality Forum, Washington, DC.
authors.forename: Helen
authors.initials: H
authors.lastname: Burstin
mesh_terms: D003952:Diagnostic Imaging / Q000592:standards*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D018802:Patient-Centered Care; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration