We are the exclusive distributors of nationally transparent medical imaging guidelines and provide real-time access to tools that promote better healthcare.

We are National Decision Support Company

National Decision Support Company (NDSC) is the exclusive distributor of national standards clinical decision support (CDS) imaging guidelines. NDSC provides the technical platform, support, and licensing of digitally consumable CDS that continuously educates providers regarding the latest evidence-based approach to medicine without disrupting the doctor-patient relationship or delaying needed care.

ACR Select, provided by National Decision Support Company, is the complete web service version of American College of Radiology (ACR) Appropriateness Criteria® (AC). ACR AC is a comprehensive national standards clinical decision support database that provides evidence-based decision support for the appropriate utilization of all medical imaging procedures. More than 300 volunteer physicians, representing more than 20 radiology and non-radiology specialty organizations, participate on the ACR AC expert panels, continuously updating these nationally transparent guidelines, and providing real-time access to the latest medical imaging decision support. The ACR Select platform can be easily integrated with computerized ordering and electronic health record (EHR) systems so healthcare organizations can effortlessly consume ACR AC guidelines and ensure that the right patient gets the right scan for the right indication.

Meet our leadership team

National Decision Support Company's team consists of experts who are committed to educating providers regarding the latest evidence-based approach to medicine. Our team is passionate about the business we're in. Meet the people leading this dedication.

Michael Mardini

Michael Mardini, CEO
With over 20 years of leadership experience in the development, marketing and sales of healthcare information technology product portfolios, Michael has been at the forefront of healthcare information solutions through his position as the founder and CEO of Commissure Inc., a leading provider of solutions for radiology clinical decision support, reporting and workflow and as founder and CEO of Talk Technology Inc., a start-up which grew to become a recognized leader in the field of integrated speech recognition and clinical workflow solutions for hospital radiology and pathology practices.

Tom Conti

Tom Conti, Technical Strategy
With more than a decade of healthcare IT experience, and prior to joining NDSC, Tom has held several R&D leadership roles at Epic, including product lead for the Epic RIS when it received its Best in KLAS rating. He also headed up the imaging integration R&D team that focuses on infrastructure development to integrate with Radiology and Cardiology products and devices. In his current role, Tom is responsible for leveraging a variety of technical skills to develop EMR integrations and efficient provider workflows.

Caroline Tustian

Caroline Tustian, Operations and Finance
Constructing the backbone of entrepreneurial companies, Caroline leverages her unique background in automotive, healthcare device manufacturing and healthcare information technology, to build a tight, sophisticated organization from top to bottom. Serving in key strategic and tactical roles while running finance and operations, Caroline has been instrumental in the launch of several industry leading companies; most notably as Controller and VP of Operations, for Commissure Inc., working alongside founder and CEO Michael Mardini.

Mick Brown

Mick Brown, Sales and Business Development
Having lived and worked in Melbourne, Sydney, Singapore, Boston and Chicago, Mick has extensive international business development and sales experience. He specializes in healthcare IT and has held positions at several large organizations (Agfa, Siemens, and Nuance). However, Mick's true strength and passion lie in early stage companies with disruptive technologies, where he has a proven track record of breaking into, and developing, new markets. He was a key member of the Commissure team and has broadened his experience with Southern Innovation, where he focused on radiation detection in the x-ray instrumentation and national laboratory space.

Robert Cooke

Bob Cooke, Marketing and Strategy
Throughout his career, Bob has held several senior level positions within the Imaging IT industry. He has held the position of VP and Global General Manager of Agfa Healthcare's Informatics business, where he played a key role in developing the business growth strategy and pioneered the mainstream PACS market. As SVP of Fujifilm Medical Systems USA, Inc., he was responsible for all business functions of Fujifilm's Modality Solutions and Medical Informatics Divisions. Bob is widely known for his passion for innovation and advancing Radiology. He has also recently founded a company focused on Radiology Meaningful Use.

Our team is ready to answer any questions you may have about ACR Select, imaging utilization, or clinical decision support. Get in touch with us to learn more.