Clinical decision support: practical implementation at two pediatric hospitals

Sherwin S. Chan*, Michael L. Francavilla, Ramesh S. Iyer, Cynthia K. Rigsby, Marta Hernanz-Schulman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Clinical decision support has been identified by the United States government as a method to decrease inappropriate imaging exams and promote judicious use of imaging resources. The adoption of this method will be incentivized by requiring appropriate use criteria to qualify for Medicare reimbursement starting in January 2020. While Medicare reimbursement is unlikely to directly impact pediatric imaging because of largely disparate patient populations, insurance providers typically use Medicare to benchmark their reimbursement guidelines. Therefore soon after their adoption these guidelines could become relevant to pediatric imaging. In this article we discuss how pediatric imaging was initially underrepresented in the clinical decision support realm, and how this was addressed by a subcommittee involving both American College of Radiology and Society for Pediatric Radiology members. We also present the experience of implementing clinical decision support software at two standalone pediatric hospitals and summarize the lessons learned from these deployments.

Original languageEnglish (US)
Pages (from-to)486-492
Number of pages7
JournalPediatric radiology
Issue number4
StatePublished - Apr 1 2019


  • Appropriate use criteria
  • Children
  • Clinical decision support
  • Pediatric radiology
  • Quality
  • Safety
  • Software

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging


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