[Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals

Fri Sep 12 13:17:53 EDT 2025

It still may be a good idea to submit comments.

Jerry

Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM
Diagnostic Medical Physicist / Radiation Safety Officer
Ascension Via Christi Hospitals Wichita
Wichita, KS  67214

Phone:  316-268-5958  (office)
            240-447-1014  (cell)

On Fri, Sep 12, 2025 at 10:27 AM Matt Wait via Intl_dxmedphys_wd_osu_list <
intl_dxmedphys_wd_osu_list at lists.osu.edu> wrote:

> 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
>
> Update: We won this round.
> https://urldefense.com/v3/__https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!0kME9IZxdvFOybRSz62w6GNa3WEsszx2F279eXpg9AAJBFwHmxeHiatLhkPH0h4uQsYAbeB6UQZV17RgdJhLj2b6XaQweDoZ0xslgc7gXhOxblM$ 
> <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$>
>
>
>
> *Matt Wait, MS, DABR, DABSNM, MRSE*
> Senior Diagnostic Physicist
>
> Assistant Radiation Safety Officer
>
> Assistant Residency Director
>
> *Kaiser Permanente*
>
> *Southern Permanente Medical Group*
>
> Medical Imaging Technology and Informatics
> 4867 Sunset Blvd
>
> Los Angeles, CA 90027
>
> x5347 (office)
>
> (818) 232-2427 (mobile phone)
>
>
>
> *From:* Intl_dxmedphys_wd_osu_list <
> intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> *On Behalf Of *Ryan
> Fisher via Intl_dxmedphys_wd_osu_list
> *Sent:* Friday, September 12, 2025 8:03 AM
> *To:* Medich, Tara <TMEDICH at mgh.harvard.edu>;
> intl_dxmedphys_wd_osu_list at lists.osu.edu
> *Subject:* Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect
> a Cancer-Reducing Safeguard in Hospitals
>
>
>
> 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
>
> *Caution: *This email came from outside Kaiser Permanente. Do not open
> attachments or click on links if you do not recognize the sender.
> ------------------------------
>
> 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 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.
>
>
>
> Ryan
>
>
>
> *From:* Intl_dxmedphys_wd_osu_list <
> intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org at lists.osu.edu>
> *On Behalf Of *Medich, Tara via Intl_dxmedphys_wd_osu_list
> *Sent:* Friday, September 12, 2025 10:55 AM
> *To:* intl_dxmedphys_wd_osu_list at lists.osu.edu
> *Subject:* Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect
> a Cancer-Reducing Safeguard in Hospitals
>
>
>
> *STOP!*
>
> *THIS IS AN EXTERNAL EMAIL*
> *This email was originated outside of the MetroHealth System*
>
> *Take a 3-second pause and ask yourself the following questions:*
>
> *1. Who is sending me this email? Do I know who this is?*
> *2. Am I expecting this email? Is this out of the ordinary?*
> *3. Why is there a link in the email? Do I trust this link?*
>
>
>
> *THINK Before You Click the Link*
>
> 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 – 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.
>
>
>
> 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.
>
>
>
> Adam’s email gave the link to the comment field on regulations.gov: *https://urldefense.com/v3/__https://www.regulations__;!!KGKeukY!0kME9IZxdvFOybRSz62w6GNa3WEsszx2F279eXpg9AAJBFwHmxeHiatLhkPH0h4uQsYAbeB6UQZV17RgdJhLj2b6XaQweDoZ0xslgc7gUOuV7so$ .
> <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$>*
> g
> <https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$>*ov/commenton/CMS-2025-0306-0002
> <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$>*
> .
>
>
>
> 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.
>
>
>
> Mea culpa,
>
>
>
> -Tara
>
>
>
> *From:* Intl_dxmedphys_wd_osu_list <
> intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu at lists.osu.edu> *On
> Behalf Of *Medich, Tara via Intl_dxmedphys_wd_osu_list
> *Sent:* Thursday, September 11, 2025 3:09 PM
> *To:* intl_dxmedphys_wd_osu_list at lists.osu.edu
> *Subject:* Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect
> a Cancer-Reducing Safeguard in Hospitals
>
>
>
> 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. gov site. Please see
>
> *        External Email - Use Caution        *
>
> 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.gov site.
> Please see her exact comment near the bottom of the first email:
>
>
>
> My contacts at CMS have assured me if we get enough letters opposing the
> change, the proposed rule could be reversed.
>
>
>
> The goal is to overwhelm with volume.  There are four days remaining in
> the comment period.  *Please submit a statment!!*
>
>
>
> -Tara
>
> *______________________________*
>
> Tara M. Medich, MS, CHP
>
> Director, Radiation Safety
>
> Radiation Safety Officer, MGH & BWH
>
>
>
> *Massachusetts General Hospital*
>
> *Brigham and Women’s Hospital*
>
> 125 Nashua St, Suite 641, Boston MA 02114
>
> MGH 617 724 4577    |    BWH  617 525 6612
>
> massgeneral.org
> <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$>
>
> brighamandwomens.org
> <https://urldefense.com/v3/__http://brighamandwomens.org__;!!KGKeukY!0kME9IZxdvFOybRSz62w6GNa3WEsszx2F279eXpg9AAJBFwHmxeHiatLhkPH0h4uQsYAbeB6UQZV17RgdJhLj2b6XaQweDoZ0xslgc7gyLrF_Qg$ >
>
>
>
>
>
> *From:* Intl_dxmedphys_wd_osu_list <
> intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> *On Behalf Of *Jerry
> Thomas via Intl_dxmedphys_wd_osu_list
> *Sent:* Thursday, September 11, 2025 12:00 PM
> *To:* International Diagnostic Medical Physics List <
> intl_dxmedphys_wd_osu_list at lists.osu.edu>
> *Subject:* [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a
> Cancer-Reducing Safeguard in Hospitals
>
>
>
> 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
>
> *        External Email - Use Caution        *
>
> 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.
>
>
>
> vR,
>
>
>
> Jerry
>
>
>
>
>
> Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM
>
> Diagnostic Medical Physicist / Radiation Safety Officer
>
> Ascension Via Christi Hospitals Wichita
>
> Wichita, KS  67214
>
>
>
> Phone:  316-268-5958  (office)
>
>             240-447-1014  (cell)
>
>
>
> ---------- Forwarded message ---------
> From: *Smith-Bindman, Rebecca* <Rebecca.Smith-Bindman at ucsf.edu>
> Date: Wed, Sep 10, 2025 at 6:39 PM
> Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard
> in Hospitals
> To: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu>
>
>
>
> Dear Colleagues,
>
>
>
> 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.
>
>
>
> *A new federal rule would make CT imaging less safe, causing 25,000
> preventable cancers each year.*
> <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$>
>
>
>
> *TAKE ACTION NOW!*
> <https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$>
> <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$>
> *▶️*
> <https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$>
>
>
>
> 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.
>
>
>
> *The time to act is short—the public comment period closes Monday,
> September 15, 2025.*
>
>
>
> It takes 30 seconds and every voice counts.
>
>
>
> Thank you,
>
>
>
> *Rebecca Smith-Bindman, MD*
>
> Professor, Epidemiology and Biostatistics
>
> Obstetrics, Gynecology, and Reproductive Sciences
>
> Director, Radiology Outcomes Research Lab
>
>
>
>
>
>
>
>
> ------------------------------
>
> *From:* Smith-Bindman, Rebecca
> *Sent:* Wednesday, August 27, 2025 1:07 PM
> *To:* Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu>
> *Subject:* URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
>
>
>
> Dear Colleagues,
>
>
>
> 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.
>
>
>
> 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 *optional* for hospitals. *If this change goes into
> effect, hospital radiation monitoring will become ineffective. Patients
> will be exposed to unnecessarily high radiation, and **thousands of
> preventable cancers will occur*
> <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$>
> *.*
>
>
>
> In response to this unfortunate news, I’m reaching out to colleagues,
> friends, and family to *tell CMS to stop this dangerous rollback for
> patient safety.*
>
>
>
> We’ve created a campaign
> <https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$>
>  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.
>
>
>
> Please submit your comment before Monday, September 15!
> <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$>
>
>
>
> *If you can, please also share the message with your community:*
>
> ·       You can forward this email to everyone you know
>
> ·       You can like, re-post, or share my LinkedIn post
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> ·       You can simply email or text our campaign to friends and family:
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>
>
>
> Thank you for using your voice to protect patients. Please don’t hesitate
> to reach out with any questions.
>
>
>
> Sincerely,
>
> Rebecca
>
>
>
> Rebecca Smith-Bindman, MD
> Professor
> Epidemiology and Biostatistics
> Obstetrics, Gynecology and Reproductive Science
> Director, Radiology Outcomes Research Lab
> University of California San Francisco
>
>
>
>
>
>
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