Submit an idea you would like to present at the ACR 2014 Data Registries Forum!

Here is an opportunity for you to share your ideas with other facilities.

The 2014 Data Registries Forum will be held in Reston, Virginia, at the ACR Headquarters on Tuesday, October 28, 2014.

This is an opportunity to learn from others and to share your story and experiences. The Forum is an informal event and we do not require nor expect a PowerPoint presentation.

Would you be willing to share your experiences at the 2014 Data Registries Forum? If so, we would like you to complete this short questionnaire.

We thank you in advance for your participation.

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* 1. About you and your organization:

Name

Organization

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* 2. The purpose of this meeting is to learn and share ideas about using data to improve practice quality. Did you use any of the ACR databases for quality improvement? Please check all that apply.

Dose Index Registry (DIR)

National Mammography Database (NMD)

ACR peer review program (RADPEER)

CT Colonography Registry (CTC)

IV Contrast Extravasation Registry (ICE)

General Radiology Improvement Database (GRID)

Other (please specify)

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* 3. Is there a quality improvement activity that you implemented at your facility or in your group that you would like to share? Please enter a brief description.

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* 4. Were there any specific challenges that you faced? Provide a brief description of challenges and how you overcame them.

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* 5. Are there additional processes or improvements that other facilities or groups may be able to learn from you? Provide as many as you think are relevant.

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* 6. Additional comments if any.

Thank you for completing our questionnaire. We will notify you by July 31 if your topic was selected for presentation. Even if you are unsure about your interest in presenting, you may still want to register to attend, in person or online. Please visit our web page to register and we hope to see you there.

2014 Data Registries Forum registration web address: http://www.acr.org/Meetings-Events/Data-Registries-Forum