Reduce Avoidable Imaging Initiative

Reducing Avoidable Imaging Goal: 

To reduce testing and imaging with low risk patients through the implementation of Choosing Wisely Recommendations

Aims for this initiative include:

  • Reduce use of high-cost imaging for low back pain
  • Reduce head CT scan after minor head injury
  • Reduce chest CT for pulmonary embolus
  • Reduce abdominal CT for renal colic
  • Head CT for syncope

Avoidable Imaging Wave III - Launching March 21, 2018

Download E-QUAL's Portal Access Guide for detailed instructions on enrolling in a 2018 Learning Collaborative. 

For more information on how to join the ACEP Emergency Quality Network please email:

Avoidable Imaging Wave II Webinar Series

E-QUAL Avoidable Imaging CME Collection
Webinar Topic
How to engage clinicians to reduce avoidable imaging
MIPS, Clinical Practice Improvement Activities and Quality Metrics

Power Point (PDF)
Working with Radiology to Reduce avoidable imaging: Misconceptions and Frustrations about emergency medicine and Radiology
Power Point (PDF)
Renal Colic (Clinical Topic)
PE CT (Clinical Topic)

Power Point (PDF)
MIPS, QPP and CPIA- How these relate to the E-QUAL Learning Collaborative
Slide Deck
Low Back Pain (Clinical Topic)
Slide Deck
Malpractice - A Driver of Over-Ordering
Slide Deck
Head Trauma (Clinical Topic)
Slide Deck | Supplemental Audio
M&M and Overtesting: How to Discuss Diagnostic Error Without Causing Unnecessary Imaging
Slide Deck

The guidelines, measures, education and quality improvement (qi) activities and related data specifications developed by the American College of Emergency Physicians (ACEP) Emergency Quality Network are intended to facilitate quality improvement activities by physicians. The materials are intended to provide information and assist physicians in enhancing quality of care. The materials do not establish a standard of medical care, and have not been tested for all potential applications and therefore should not be used as a substitute for clinical or medical judgment. Materials are subject to review and may be revised or rescinded at any time by ACEP. The materials may not be altered without prior written approval from ACEP. The materials, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by health care providers in connection with their practices).

Neither ACEP nor its members shall be responsible for any use of the materials or measures.

©2016 American College of Emergency Physicians. All rights reserved.

E-QUAL Initiatives Portal

Why Participate in E-QUAL?

The Avoidable Imaging Initiative Wave II will have a learning period of 6-9 months with numerous benefits:

  • Meet new CMS MIPS requirements for Improvement Activities
  • Meet TJC OPPE requirements Submit and receive benchmarking data
  • Feature ED's commitment to high value care to payers
  • Provide ED with access to initiative aligned with CMS hospital quality reporting and payment initiatives

Avoidable Imaging Initiative Tool Kit

MIPS and IA Credit

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