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Update: We won this round. https: //radiologybusiness. com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027 Matt Wait, MS, DABR, DABSNM, MRSE Senior Diagnostic Physicist</div>
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<p class="MsoNormal"><span style="font-size:12.0pt">Update: We won this round. <a href="https://urldefense.com/v3/__https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!zbvcNBWICiqelbbDuVBifdMkK0izAe2_3PPi6zDgK3DTHfqD_uRMutA7O6deXrH6Q9SM0oaDRKXj6GcNmHi4J6aoxbzNj1OSfoeEOoA$">
https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0078B3">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black"><br>
Senior Diagnostic Physicist</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Radiation Safety Officer</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Assistant Residency Director</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Kaiser Permanente</span></b><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#0084B9">Southern Permanente Medical Group<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Los Angeles, CA 90027</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">x5347 (office)</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:12.0pt;background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">(818) 232-2427 (mobile phone)</span><span style="font-size:12.0pt;mso-ligatures:standardcontextual"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu>
<b>On Behalf Of </b>Ryan Fisher via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Friday, September 12, 2025 8:03 AM<br>
<b>To:</b> Medich, Tara <TMEDICH@mgh.harvard.edu>; intl_dxmedphys_wd_osu_list@lists.osu.edu<br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal" style="mso-line-height-alt:.75pt"><span style="font-size:1.0pt;color:white">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste. It
sounds like CMS weighs all submissions equally, so one comment from an organization<o:p></o:p></span></p>
</div>
<p><strong><span style="font-size:13.5pt;font-family:"Aptos",sans-serif;color:red">Caution:
</span></strong><span style="font-size:13.5pt;color:red">This email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender.</span><o:p></o:p></p>
<div class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt">
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<p class="MsoNormal"><span style="font-size:11.0pt">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">It sounds like CMS weighs all submissions equally, so one comment from an organization like ACR or AAPM holds the same weight in their eyes as one comment from a UCSF co-worker responding to a Smith-Bindman
email request.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Ryan <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu</a>>
<b>On Behalf Of </b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Friday, September 12, 2025 10:55 AM<br>
<b>To:</b> <a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<b><span style="font-size:22.5pt;font-family:"Arial",sans-serif;color:white">STOP!<o:p></o:p></span></b></p>
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<p class="MsoNormal"><b><span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:white">THIS IS AN EXTERNAL EMAIL</span></b><b><span style="font-family:"Arial",sans-serif;color:white"><br>
</span></b><b><span style="font-size:8.5pt;font-family:"Arial",sans-serif;color:white">This email was originated outside of the MetroHealth System</span></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:white"><o:p></o:p></span></b></p>
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<p class="MsoNormal" style="line-height:12.0pt"><strong><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white">Take a 3-second pause and ask yourself the following questions:</span></strong><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt;line-height:9.0pt"><b><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white">1. Who is sending me this email? Do I know who this is?</span></b><span style="font-size:7.5pt;font-family:"Arial",sans-serif;color:white"><br>
<b>2. Am I expecting this email? Is this out of the ordinary?</b><br>
<b>3. Why is there a link in the email? Do I trust this link?</b><o:p></o:p></span></p>
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<b><span style="font-size:14.5pt;font-family:"Arial",sans-serif;color:white">THINK<br>
Before You <br>
Click the Link<o:p></o:p></span></b></p>
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<p class="MsoNormal" style="mso-line-height-alt:.75pt"><span style="font-size:1.0pt;color:white">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting
of CT dose and image quality. I absolutely do not condone the UCSF efforts at<o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting of CT dose and image quality. I absolutely
do not condone the UCSF efforts at all. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">The information sent from Adam Springer is what I am in favor of. Comments supporting the proposed rule for voluntary reporting need to be submitted by those who are technically qualified to provide solid
reasoning as to why mandatory reporting of these CT metrics is flawed. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Adam’s email gave the link to the comment field on regulations.gov:
</span><u><span style="color:black"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$"><span style="color:black">https://www.regulations.</span></a></span></u><span style="color:black"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$"><span style="color:black">g</span></a><u><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$"><span style="color:black">ov/commenton/CMS-2025-0306-0002</span></a></u>. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">The volume of comments opposing the proposed rule are growing. We need to match those numbers expressing support for the rule to change the CT metric reporting from mandatory to voluntary.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Mea culpa,</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">-Tara</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu</a>>
<b>On Behalf Of </b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Thursday, September 11, 2025 3:09 PM<br>
<b>To:</b> <a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></p>
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<p class="MsoNormal" style="mso-line-height-alt:.75pt"><span style="font-size:1.0pt;color:white">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night. The Smith-Bindman campaign is blazing through social media. There are hundreds
of comments from her “supporters” on the regulations.</span><span style="font-size:1.0pt;font-family:"Arial",sans-serif;color:white"> </span><span style="font-size:1.0pt;color:white">gov site. Please see</span><o:p></o:p></p>
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<p><b><span style="color:white;background:red"> External Email - Use Caution </span></b><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night.
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations.gov site. Please see her exact comment near the bottom of the first email:</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#C82613">My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">The goal is to overwhelm with volume. There are four days remaining in the comment period.
<b>Please submit a statment!!</b></span> <o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt"> </span></b><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt">-Tara</span><o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#009CA6">______________________________</span></b><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:16.0pt">Tara M. Medich, MS, CHP</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Director, Radiation Safety</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Radiation Safety Officer, MGH & BWH</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Massachusetts General Hospital</span></b><o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Brigham and Women’s Hospital</span></b><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt">125 Nashua St, Suite 641, Boston MA 02114</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt">MGH 617 724 4577 | BWH 617 525 6612</span><o:p></o:p></p>
<p class="MsoNormal"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1xVDt0AUWOQ0u_U_hb32pPS5v2NNhaF4kKrCYAXjGvXY9G5EtRrBxXeMKeDhSOxkly7MvqGLhA6o8gnKd6ABV2r6A58j2KFzbhOlI27ThHmeRDT5Hz6_n7UpoUEk27DURzKWyn2DlBKt6cq-bg830JeKK25unZTRmusVLTHDlPjjNopkKDIPs9c_rilBQ8nyVx0TgUmZPr16lzWNqax0KpSoqbqwagXTv5NhcbwsXglmLPjIJFDGfnvW3GN-b0_pmWm-SoTXFNtDUE22-czD4axcn7A8QmbvtBpaFoJ6hE_DjAIctSjuKuyiHLk3UQdMMSiApNiSdOx5nSZdfuXjELQ/https*3A*2F*2Furldefense.com*2Fv3*2F__http*3A*2F*2Fwww.massgeneral.org*2F__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQwYgMVhQ*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFROvkV21A$"><span style="font-size:12.0pt;color:#0563C1">massgeneral.org</span></a><o:p></o:p></p>
<p class="MsoNormal"><a href="brighamandwomens.org"><span style="font-size:12.0pt;color:#0563C1">brighamandwomens.org</span></a><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><img border="0" width="33" height="48" style="width:.3472in;height:.5in" id="_x0000_i1030" src="cid:image001.png@01DC23BE.C9F83E80"></span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"> Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a>>
<b>On Behalf Of </b>Jerry Thomas via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Thursday, September 11, 2025 12:00 PM<br>
<b>To:</b> International Diagnostic Medical Physics List <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>><br>
<b>Subject:</b> [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></p>
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<p class="MsoNormal"> <o:p></o:p></p>
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<p class="MsoNormal" style="mso-line-height-alt:.75pt"><span style="font-size:1.0pt;color:white">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</span><o:p></o:p></p>
</div>
<p><b><span style="color:white;background:red"> External Email - Use Caution </span></b><o:p></o:p></p>
<div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt">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.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt">vR,</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt">Jerry</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif">Diagnostic Medical Physicist / Radiation Safety Officer</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif">Ascension Via Christi Hospitals Wichita</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif">Wichita, KS 67214</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif">Phone: 316-268-5958 (office)</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif"> 240-447-1014 (cell)</span><o:p></o:p></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt">---------- Forwarded message ---------<br>
From: <strong><span style="font-family:"Aptos",sans-serif">Smith-Bindman, Rebecca</span></strong> <</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:12.0pt">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size:12.0pt">><br>
Date: Wed, Sep 10, 2025 at 6:39</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"> </span><span style="font-size:12.0pt">PM<br>
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>
To: Smith-Bindman, Rebecca <</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:12.0pt">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size:12.0pt">></span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Dear Colleagues,</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">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.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1WjP0oPeh2BJqJ5J9XTtH5wZsC-VAKjHx_I3wOg1I66-YBkczuklQ_OToy1wJYz-QfWHafKEXVyD5eX1nJX1geSC1hl0T7VWF-brIcKISL_gaKUPZJVJAWnJt3mnJIAr3oIwnFU3HDhebC2NUXq3KElu37w5ywwCpJmCc8Hr-3kcRfCF3__Eic1RJ_PlDY45qeYmrnv3GsfPct1wVZwlypS_Dio9nCzYaBFVkurPNMaWTS3mUNWRKp85gYmH_6sC87Ii6Fr2nU6BNCmF6LSHmH1C7MKGGyjAZLWpaiIZmtQFueimL5PZbN-Q2NExWsxAGdxBpNv-I9YupHXyMNQYh3Q/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dOmmAQHEPqj3Ym9Cbx_aWTvuSyJpx70EIVAORHyTH4Trh58Qas80lkgPdxJqXmAvCfV5qk-3ouISnQjGxMaNW5c5JHYw5MxXDIl5iU64U-ISTbDDv5DTzQaKJ_RWZng34mEllhTbAxxmwLGI7NHJinUIxbGACvveKeaxsJJYcnEynAoGzeLLVS3BH7lCwaulaZGW8z0uuARH3l6YljCEy-uOYrg8G2g7idKhf6TyY8R8nzFewt7TI1SgYlvzNMzaby4rryHnuqoGmAOXuCfwLgiu51ri2WNVZLwJoFln0WmWn6VwN8oQu8bNFHiLFpdK*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTsdka7OA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRpiqewkg$" target="_blank"><b><span style="font-size:12.0pt;color:red">A
new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</span></b></a><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><b><span style="font-size:12.0pt;color:red">TAKE
ACTION NOW!</span></b></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><b><span style="font-size:12.0pt;color:red">
</span></b></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI Emoji",sans-serif;color:red">▶️</span></b></a><o:p></o:p></p>
</div>
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<p class="MsoNormal"><b><span style="font-size:12.0pt;color:black"> </span></b><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">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.</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><b><span style="font-size:12.0pt;color:black">The time to act is short—<i>the public comment period closes
<u>Monday, September 15, 2025</u>.</i></span></b><o:p></o:p></p>
</div>
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<p class="MsoNormal"><b><span style="font-size:12.0pt;color:black"> </span></b><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">It takes 30 seconds and every voice counts.</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Thank you,</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><b><span style="font-size:12.0pt;color:black"> </span></b><o:p></o:p></p>
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<p class="MsoNormal"><b><span style="font-size:12.0pt;color:black">Rebecca Smith-Bindman, MD</span></b><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Professor, Epidemiology and Biostatistics</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Obstetrics, Gynecology, and Reproductive Sciences</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Director, Radiology Outcomes Research Lab</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><img border="0" width="140" height="90" style="width:1.4583in;height:.9375in" id="Picture_x0020_1" src="cid:image002.jpg@01DC23BE.C9F83E80"></span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<div class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt">
<hr size="1" width="98%" align="center">
</span></div>
<div id="m_-2620907601222420840m_561313882192148983divRplyFwdMsg">
<div>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black"> Smith-Bindman, Rebecca<br>
<b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br>
<b>To:</b> Smith-Bindman, Rebecca <</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black">><br>
<b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Dear Colleagues,</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">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.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black">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><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1M64aAhw18KQadm4IZRKqsH71CxwmQnNYDRdGvLxypsavFHKLh-_186MDxgN9t4yPNSC80-eRUjugY0GMKyXXk97UClglHtV1tnuZn0HS1AwCtNNOTRgKPdnu7_Iytg2na2xBR99Jxk0-_I1CKqinrxcQ9u-IMR0q9PRxTRGAfMZ11nNaT4b2xyy_bnMfy2pzivmtMjnCp9vaEJqKi83RKNzXs9DYGB2ZpDhfOlwIE6OonriHdYIocXxV7w_C9Bqli46Aqc4M8etimCy_LnpmGvEcqvytSDdK0dTrV_Ign8HFfCXpsnbCKoIvf-6N3ddgKIlbimprbioYm_DeQKR0vQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dv86z054EgSfJBXp_2sq1CXrfjZFPKwwIXLeTzjdovArt_dPLb_6FgZwTifZHjxVt47za4KuApoTeU399BI0sxPh-wY5k9rnO2ZckCUaaMqu7cc0jYiHo0sinzx72dxrGNRBpUY7ZhJVrpSD7N1YJf0W-frWHIF6BWbVD2TFug3K5jRaN6EGFQBgMAiTykEwTxY66bDgAewY3rBRFjcTgrR1JHsVm4lDDTgqKR7yWWKOJwnz__zCS2ZXX8HhDsjKdHNUHOO20nFv7CCNIpieAznqlf8P9sX2Kiw4kZmTVDqGzaB-io_oawVZXyjfOyci*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fjamanetwork.com*2A2Fjournals*2A2Fjamainternalmedicine*2A2Ffullarticle*2A2F2832778__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSU*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQfWZ33dA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRX5MyBdg$" target="_blank"><b><span style="font-size:12.0pt">thousands
of preventable cancers will occur</span></b></a><b><span style="font-size:12.0pt;color:black">.</span></b><o:p></o:p></p>
</div>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">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></span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"><span style="font-size:12.0pt;color:#C82613">We’ve created a
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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><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Sincerely,</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black">Rebecca</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Tahoma",sans-serif;color:black">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</span><o:p></o:p></p>
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