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I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run by her</div>
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<html><body><div dir="ltr"><div dir="ltr"><div>I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run by her husband -- is the "Free solution" being pushed on many smaller hospitals. Personally, her standance in this area causes me great concern, as I feel it should be to others in our field. I have no idea what the "end goal" of her push is -- but it is most likely not without substantial financial gain on her part, rather than a "true" concern about the potential cancer risk from CT.</div><div><br></div><div>vR,</div><div><br></div><div>Jerry</div><div><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><div><font size="2" face="Tahoma"><br></font></div><div><font size="2" face="Tahoma"><br></font></div><div><font size="2" face="Tahoma">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</font></div>
<div><font size="2" face="tahoma">Diagnostic Medical Physicist / Radiation Safety Officer</font></div>
<div><font size="2" face="tahoma">Ascension Via Christi Hospitals Wichita</font></div>
<div><font size="2" face="tahoma">Wichita, KS 67214</font></div>
<div><font size="2" face="tahoma"></font> </div>
<div><font size="2" face="tahoma">Phone: 316-268-5958 (office)</font></div>
<div><font size="2" face="tahoma"> 240-447-1014 (cell)</font></div></div></div></div></div></div></div></div></div><br><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <strong class="gmail_sendername" dir="auto">Smith-Bindman, Rebecca</strong> <span dir="auto"><<a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank">Rebecca.Smith-Bindman@ucsf.edu</a>></span><br>Date: Wed, Sep 10, 2025 at 6:39 PM<br>Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>To: Smith-Bindman, Rebecca <<a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank">Rebecca.Smith-Bindman@ucsf.edu</a>><br></div><br><br><div>
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Dear Colleagues,</div>
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I’m reaching out for your help on an incredibly important issue to me and millions of patients nationwide. We’re in the final days of a campaign to tell Washington: make CT safer. Your past support has been very meaningful and I hope you'll once again lend
your voice to protect patients.</div>
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<b><a style="color:red" id="m_-2620907601222420840m_561313882192148983OWAb4b21a59-8f98-12f9-3b90-a3b5f30912cb" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">A new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</a></b></div>
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<b><a style="color:red" id="m_-2620907601222420840m_561313882192148983OWA2b75b753-8f15-0d18-add2-5d4a6e06ea62" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">TAKE ACTION NOW!</a><a style="color:red" id="m_-2620907601222420840m_561313882192148983OWA36261b17-e5ae-7300-befd-9e19191d4bbb" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">
</a><a style="color:red" id="m_-2620907601222420840m_561313882192148983OWA0b423d4b-9c4a-ced7-ec26-b1590a5bf583" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">▶️</a></b></div>
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<b> </b></div>
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The Excessive Radiation Dose quality measure is the only safeguard ensuring hospitals use safe radiation doses. To protect patients and make CT imaging safer, it must remain mandatory under the Centers for Medicare & Medicaid Services.</div>
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<b>The time to act is short—<i>the public comment period closes <u>Monday, September 15, 2025</u>.</i></b></div>
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It takes 30 seconds and every voice counts.</div>
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Thank you,</div>
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<b> </b></div>
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<b>Rebecca Smith-Bindman, MD</b></div>
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Professor, Epidemiology and Biostatistics</div>
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Obstetrics, Gynecology, and Reproductive Sciences</div>
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Director, Radiology Outcomes Research Lab</div>
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<b>From:</b> Smith-Bindman, Rebecca<br>
<b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br>
<b>To:</b> Smith-Bindman, Rebecca <<a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank">Rebecca.Smith-Bindman@ucsf.edu</a>><br>
<b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</div>
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Dear Colleagues,</div>
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I hope this finds you well and having a nice summer. As participants in our Virtual Symposium on CT, I know you care deeply about patient health and safety, I’m asking if you would take action to oppose new federal rules that would make CT imaging less safe
by weakening requirements for hospitals to report their CT radiation data.</div>
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<span style="color:rgb(0,0,0)">Currently, a mandatory measure is in place for hospitals that monitors the amount of radiation used during CT scans, ensuring doses remain within safe limits. However, CMS announced a proposal that would make reporting CT
radiation data <b><i><u>optional</u></i></b> for hospitals. <b>If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, and
</b></span><span style="color:blue"><b><u><a style="color:blue" id="m_-2620907601222420840m_561313882192148983OWAe0149f94-31a7-2ae6-a62e-7586576740c2" href="https://urldefense.com/v3/__https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2832778__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68$" target="_blank">thousands of preventable
cancers will occur</a></u></b></span><span style="color:rgb(0,0,0)"><b>.</b></span></div>
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In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to
<b>tell CMS to stop this dangerous rollback for patient safety.</b></div>
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<span style="color:rgb(200,38,19)">We’ve created a </span><span style="color:blue"><u><a style="color:blue" id="m_-2620907601222420840m_561313882192148983OWA75d3f104-49cf-e1df-6d9a-e9e30ba6c5d5" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">campaign</a></u></span><span style="color:rgb(0,0,0)"> </span><span style="color:rgb(200,38,19)">to
allow quick and easy submission – just visit the site, enter your information, and submit the letter. My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span></div>
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<u><a style="color:blue" id="m_-2620907601222420840m_561313882192148983OWA7041c4b9-6d21-6df1-4535-ae82e0e5e65e" href="https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ$" target="_blank">Please submit your comment before Monday, September 15!</a></u></div>
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<b>If you can, please also share the message with your community:</b></div>
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<div role="presentation" style="direction:ltr;color:rgb(200,38,19)">You can forward this email to everyone you know</div>
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<div role="presentation" style="direction:ltr">You can like, re-post, or share my
<span style="color:blue"><u><a style="color:blue" id="m_-2620907601222420840m_561313882192148983OWA13cc82a8-f048-cdec-b8f2-ce4ae92265ed" href="https://urldefense.com/v3/__https://www.linkedin.com/posts/rebecca-smith-bindman-md-182031376_tell-washington-protect-patients-from-dangerous-activity-7366330637290532865-UOjL?utm_source=share&utm_medium=member_desktop&rcm=ACoAAFzomrIBjPVXL5dkrweBZdyw6J82s-BP1jU__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TI5sqSMA$" target="_blank">LinkedIn
post</a></u></span> or <span style="color:blue"><u><a style="color:blue" id="m_-2620907601222420840m_561313882192148983OWA183d5cec-fff5-82b7-5ee0-188aaf714de1" href="https://urldefense.com/v3/__https://x.com/UCRadSafety/status/1960565952766206114__;!!KGKeukY!z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TJ6e3gcg$" target="_blank">X post</a></u></span></div>
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You can simply email or text our campaign to friends and family: <span role="presentation" style="color:blue">
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Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.</div>
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Sincerely,</div>
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Rebecca</div>
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Rebecca Smith-Bindman, MD<br>
Professor<br>
Epidemiology and Biostatistics<br>
Obstetrics, Gynecology and Reproductive Science<br>
Director, Radiology Outcomes Research Lab<br>
University of California San Francisco</div>
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