title: Policy Measures and Reimbursement for Emergency Medical Imaging in the Era of Payment Reform: Proceedings From a Panel Discussion of the 2015 Academic Emergency Medicine Consensus Conference.
abstract: The Affordable Care Act (ACA) of 2010 is expanding the use of quality measurement and promulgating new payment models that place downward pressure on health care utilization and costs. As emergency department (ED) computed tomography utilization has tripled in the past decade, stakeholders have identified advanced imaging as an area where quality and efficiency measures should expand. On May 12, 2015, Academic Emergency Medicine convened a consensus conference titled "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization." As part of the conference, a panel of health care policy leaders and emergency physicians discussed the effect of the ACA and other quality programs on ED diagnostic imaging, specifically the way that quality metrics may affect ED care and how ED diagnostic imaging fits in the broader strategy of the U.S. government. This article discusses the content of the panel's presentations.
authors.affiliation: Department of Emergency Medicine, University of Southern California, Los Angeles, CA.
authors.forename: Carl
authors.initials: C
authors.lastname: Berdahl
authors.affiliation: Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA.
authors.forename: Jeremiah D
authors.initials: JD
authors.lastname: Schuur
authors.affiliation: Centers for Medicare and Medicaid Services, Region 10, Seattle, WA.
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Fisher
authors.affiliation: The National Quality Forum, Washington, DC.
authors.forename: Helen
authors.initials: H
authors.lastname: Burstin
authors.affiliation: Departments of Emergency Medicine and Health Policy and Management, The George Washington University, Washington, DC.
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Pines
mesh_terms: D002983:Clinical Competence; D000066491:Clinical Decision-Making; D003245:Consensus Statements as Topic; D003952:Diagnostic Imaging / Q000191:economics*; D004636:Emergency Service, Hospital / Q000191:economics / Q000458:organization & administration*; D005102:Health Expenditures; D006801:Humans; D058991:Patient Protection and Affordable Care Act; D018802:Patient-Centered Care / Q000191:economics; D057766:Policy; D058996:Quality Improvement / Q000191:economics; D014481:United States