White Papers

The American College of Rheumatology (ACR) places a high priority on developing methodologically rigorous, evidence-based, clinical practice guidelines, quality measurements, position statements, and white papers. The resources below are provided to assist members as they develop and sustain high quality, efficient professional practices.

ACR White Papers

Defining Quality of Care in Rheumatology: The American College of Rheumatology White Paper on Quality Measurement
Through our members, the ACR is leading the creation of rheumatology-related quality measures. The ACR also is strongly advocating for systems and payors nationwide to adopt only ACR-approved measures. To further advance these endeavors, the ACR convened a Quality Measures White Paper Development Workgroup. This diverse group's activities culminated in publication of the paper. This manuscript was published in the January 2011 issue of Arthritis Care & Research. It synthesizes the information most relevant to the ACR membership regarding quality measurement and provides a consensus-based set of criteria for the review of quality measures submitted to ACR for approval. This white paper now serves as the basis for ACR procedures regarding review of quality measures developed externally.

Rheumatic Diseases in America: The problem. The impact. The answers.
The ACR’s ongoing public relations effort, Simple Tasks, aims to elevate the importance of rheumatology, increase understanding of the work of rheumatologists, and lay a foundation of awareness and understanding that creates support for more favorable public policy. The campaign’s white paper features over 55 rheumatology-related citations from medical journals, rheumatology organizations, and media.

Focus on Patient Care: Choosing Wisely

Rheumatologists play a unique and vital role in guiding their patients toward the most effective - care. To that end, the ACR has joined the American Board of Internal Medicine Foundation, Consumer Reports, and over 50 other leading medical societies as part of the ABIM Foundation’s Choosing Wisely campaign by creating two lists—each with five things rheumatologists could do to reduce health care costs while also improving the quality of care. These lists include things that:

  1. are commonly ordered/provided by rheumatologists
  2. are among the most expensive services provided (either individually or cumulatively)
  3. have been shown by currently available evidence not to provide any meaningful benefit to at least some major categories of patients for whom the tests/treatments are ordered/provided

Through this and other work, the ACR ensures that rheumatologists’ voices are heard when high-quality, high-value care is being defined for people with rheumatic disease.

Pediatric Rheumatology: Five Things

Adult Rheumatology: Five Things

Five Things Working Groups
The ACR’s Five Things lists were developed by two working groups with significant ACR member input and final ACR Board of Directors approval.

  • Pediatric Rheumatology Five Things Working Group members: co-chairs: Stacy Ardoin, MD and Kelly Rouster-Stevens, MD; Mara Becker, MD; Ashley Cooper, MD; Leonard Dragone, MD, PhD; Polly Ferguson, MD; Anna Huttenlocher, MD; Karla Jones, RN, MS, CPNP; Lakshmi Moorthy, MD, MS; Peter Nigrovic, MD; Jennifer Stinson, RN, PhD, CPNP.
  • Adult Rheumatology Five Things Working Group members: Jinoos Yazdany, MD, MPH; Charles King, MD; Gabriela Schmajuk, MD, MSc; David Daikh, MD, PhD; Edward Yelin, PhD; Mark Robbins, MD, MPH; Ashley Beall, MD; and Kenneth Saag, MD.