To a large extent, this mitigates the need for risk adjustment because screening populations tend to be similar across patients. ![]() A number of our measures are screening measures, and screen asymptomatic patients.This provides reasonable comparisons across facilities. For body exams, we report size-specific dose estimates that estimate doses to patients after adjusting the scanner output for patient size. Radiation dose indices may be justifiably different for patients of different sizes. All measurements are standardized to the same phantom. For example, for dose index measures, we map all exam names to a standard lexicon so that exams are compared to similar protocols at peer facilities. We specify the standards fairly narrowly to maintain comparability to peers.However, we use a number of other strategies to help maintain comparability: We plan to start developing risk-adjustment models in the next year. Risk Adjustment of Quality Measures Currently the NRDR does not report risk-adjusted measures. These benchmarks are also being used in the definition of new registry measures, such as percent of CT chest exams without contrast that perform at or better than benchmark on Dose Length Product. Normative Benchmarks Registry data in the Dose Index Registry have been used to develop size-specific benchmarks, by CT exam, for radiation exposure and are published and available for use by all physician practices. Most reports also contain comparisons to similar facilities, such as facilities of the same type, in similar locations, and in the same geographic region. To date, CMS has approved 22 QCDR measures for use in ACR's QCDR.Īll our registry reports contain comparisons to all facilities in the registry. CTC True Positive Rate, and CTC Clinically Significant Extracolonic Findings Rate). Some of the measures included on our submission list have been in use since early 2008 (e.g. Modified on: Wed, 13 Sep, 2023 at 1:27 PMĬomparison Benchmarks The NRDR quality databases have been in existence since 2008 and provide comparison benchmarks, comparing facilities and physicians to the database as a whole, and to other similar facilities. ![]() ![]() Solution home NRDR - Understanding Your Reports Report How-to Videos and Articles Benchmark Methodology
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