A CT scan is the test of choice to evaluate for the four types of intracranial hemorrhage (subdural, epidural, intracerebral, or subarachnoid) bleeding in the brain, swelling of the brain during the first 24 to 48 hours after injury, or to detect a skull fracture [4] because it is faster, more cost-effective, and easier to perform than an MRI.
Command and Query Responsibility Segregation (CQRS) is a pattern that segregates the operations that read data (queries) from the operations that update data (commands) by using separate interfaces. This means that the data models used for querying and updates are different.
Practices not using APM will need to participate in MIPS reporting (Fig. 3). Currently, most group practices use a vendor to report PQRS data to CMS. The full list of PQRS measures is available at cms.gov and includes specialty-specific, primary care, as well as general cross-cutting measures.