Bringing Clinical Decision Support to Imaging to Assure PAMA Compliance

The Protecting Access to Medicare Act (PAMA) requires providers to consult a clinical decision support mechanism when ordering advanced imaging tests. While the CMS has extended the PAMA compliance deadline to Jan. 1, 2022, some providers–such as St. Charles Health System–are wasting no time to ensure compliance. Samantha Waldrop and Elizabeth Zobel join Nick Geyer to share how St. Charles implemented imaging clinical decision support (CDS), including their goals, challenges encountered, their approach, and the results.

Nick Geyer, product marketing manager at Change Healthcare, leads a discussion with Samantha Waldrop, applications analyst at St. Charles Health System, and Elizabeth Zobel, senior customer success strategist at Change Healthcare.

Here what they talked about:

  • Overview of PAMA
  • Requirements around imaging Clinical Decision Support (CDS)
  • Impact of PAMA on St. Charles
  • How St. Charles evaluated imaging CDS options
  • Why St. Charles decided to work with Change Healthcare
  • How St. Charles defined implementation goals, plan, and timeline
  • Team members involved
  • How the rollout went
  • Challenges encountered during the rollout and how St. Charles addressed them
  • Impact of the new imaging CDS on providers and workflows
  • Methods to drive CDS training and adoption
  • Issues around providers using free text vs. structured indications
  • Radiologists’ reaction to the new system
  • CDS usage levels at St. Charles
  • Next steps for St. Charles’ CDS roadmap
  • Implementation lessons learned
  • Advice for other healthcare providers on complying with PAMA and implementing imaging CDS
  • Benefits of imaging CDS, beyond PAMA compliance

Episode Resources

  1. Samantha Waldrop’s bio
  2. Elizabeth Zobel’s bio
  3. Nick Geyer’s bio
  4. Your PAMA Questions Answered
  5. The New PAMA Math
  6. Laboratory Data Key to Overcoming Medicare Cuts
  7. Aligning the Lab with the Hospital’s Strategic Priorities
  8. Change Healthcare Industry Insights
  9. COVID-19 Updates and Resources
  10. COVID-19 Updates Newsletter
  11. Change Healthcare Insights Newsletter

Show Resources