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

Reduce Avoidable Imaging Wave II Webinar Series  

Starting in July 2017 all webinars will be posted online for review. There will no longer be any live webinars.   

 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 
Head Trauma (Clinical Topic)
Pearls for integration into HIT system -HIT – how to get things done
How to present missed cases at MM to not cause imaging (What is best practice for presenting missed cases )
Drivers of Over Ordering and Malpractice 
Non-EHR tools
Success Stories and what is next with E-QUAL?

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 Materials are subject to review and may be revised or rescinded at any time by ACEP.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 Clinical Practice 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 CPIA Credit 



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