Maximizing Radiologist Productivity

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Best Practices & Innovative Strategies

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  • 1.june 2010 supplement toUniversity of Washington Medical CenterDriving Results in RadiologyOne Vision: The Next Step forRadiology ProductivityClarus ImagingWeb-based RIS/PACS/BillingStreamlines ImagingCenter OperationsRadNetImaging Center ChainPushes Productivity to the LimitThe Next-generationImage Management SolutionInside the Digital DashboardRutland Regional Medical CenterRural Hospital Embraces ITto Deliver Productive Patient CareSouthwestern Ontario Diagnostic Imaging NetworkAccess to Imaging RecordsBridges the Geographic DivideSponsored by an educational grant fromGE Healthcare

2. GE HealthcareOur vision beginswith one desktop.GE believes in the power of healthcare IT to make a meaningful difference in peopleslives. For our Centricity* Imaging portfolio, that begins with a big idea: one desktop.Were committed to building an imaging portfolio that integrates multiple clinicalapplications accessible via an open, web-based approach. Products like CentricityPACS-IW, Centricity PACS Web Diagnostic (DX) and Centricity RIS-IC already leveragethe power and simplicity of the web, driving new efcienciesand more will follow.This platform is part of our larger vision for imaging IT:one desktop, one patient, one community. That vision is howGE will make a lasting impact on patients lives thats biggerthan ITand that will make a difference to everyone.See what we mean at SIIM 2010,booth #521. 2010 General Electric Company *GE, the GE monogram, Centricityand imagination at work are trademarks of General Electric Company 3. table of contents June 2010 The Human TouchTechnology is not a replacementfor the human touch, but rathera powerful tool to enable betterquality and improve the patientA supplement to Sponsored by an educational grant fromcare experience. Radiology has long deployedeffective IT toolsRIS, PACS, Webcast On-Demand voice recognition, 3D, enterprise storage and EMR Watch it now but now fiscal, political and demographic pressures are pushing departments, facilities and imaging centers to seamlessly integrate these technologies to maximize productivity and patient outcomes. Other ingredi- ents key to thriving in 2010 are a proactive technology vision and vigorous data mining and reporting.The epicenter is the radiologist who needs the right information to flow instantlyas one open, unified, web-based view of the patient that includes images, relevant priors and current care data. But the whole operation must work with precision and speed. Order-02 Case Study: University of Washington Medical Center ing protocols must be set, scheduling must be efficient,Driving Results in Radiology patients need to move through the department quickly, comfortably and safely, and reports and images must be 04 One Vision: The Next Step for Radiology Productivity returned to referring physicians as quickly as possible.Here you will find example after example of radi- 05 Case Study: Clarus Imaging ology departments and imaging centers whose IT Web-based RIS/PACS/Billing Streamlines and operational strategies are working harmoni-Imaging Center Operations ously. Theyre tracking key metrics and adjusting to increase productivity and efficiency. They are dissect-06 Case Study: Radnet, Inc. ing workflow, developing new processes and teachingImaging Center Chain Pushes Productivity to the Limit employees to assist the department in reaching their- productivity goals. Measure, learn, modify, succeed. 08 Enterprise Archive 4.0: The Next-generationTrue, quality healthcare is high-tech with aImage Management Solution human touch.09 Drilling Down into the Digital DashboardMary C. Tierney,Editorial Director10 Case Study: Rutland Regional Medical Centermtierney@trimedmedia.comRural Hospital Embraces IT to Deliver ProductivePatient Care Editorial Office: 235 Promenade St., Suite 455 Providence, RI 0290812 Case Study: Southwestern Ontario Diagnostic Imaging Network 401 383 5660 | Copyright 2010 by TriMed Media Group, Inc. All rights reserved. Reproduction in Access to Imaging Records Bridges the Geographic Divide any form is forbidden without permission. The information, opinions and statements expressed in the articles and advertisements herein are those of the writer and/or advertiser. Health Imaging & IT and GE Healthcare make no representation as to the On the cover: Kathleen Fink, MD, an assistant professor of neurology at the University of Washington accuracy or completeness of the information contained in the articles. GEs sponsor- and neurologist at the University of Washington Medical Center in Seattle reads images in the main ship is not intended to convey endorsement of or affiliation with the authors. radiology reading Maximizing Radiologist Productivity: Best Practices & Innovative Strategies Health Imaging & IT 1 4. case study: University of Washington Medical Center Seattle, Washingtonby Lisa Fr at t Kathleen Fink, MD, an assistant professor of neurology at the University of Washington and neurologist at the University of Washington Medical Center in Seattle reads images in the main radiology reading room. Driving Results in Radiology Improving radiologist productivity is a complex, yet essential endeavor. The impetus stems from political, fiscal and demographic pressures. Its clear we are going to be providing a greater degree of healthcare to more people. This requires that we not only do a better job, but that we do a bigger job, at the same time, says William Shuman, MD, medical director and vice chair of radiology at University of Washington Medical Center in Seattle. We need to use our facilities in a much smarter fashion and with much more powerful levers. The major lever in todays world is technology. Compounding the demographic situation is the U.S. clinical land- ounce of efficiency out of its radiology department. Today, this enter- scape. Physicians must have data at their fingertips to make informedprise that performs about half a million radiology exams a year stands as decisions quickly and accurately. One of the key pieces of essential a model of productivity. In fact, according to Gene Hoefling, adminis- data is imaging results. Our information is critical [in terms of trative director of radiology, five years ago, the radiology department at informing the diagnosis and initiating therapy]. We have to be ahead University of Washington Medical Center operated at 214 FTEs. This of the processnot behind it. We need [our systems] to provide pro-spring, the center completed 15 to 20 percent more exams with 10 fewer ductivity and functionality that enable physicians to take care of FTEs for a total staff of 204. One of the open secrets to the centers pro- patients in a very efficient manner, continues Shuman.ductivity is a strong technology partnership with GE Healthcare.For years, University of Washington Medical Center has pursued Shuman credits a fair share of the centers success to Centricity RIS/ optimum productivity. This 450-bed academic medical center, alongPACS functionality, with Centricity RIS-IC and Centricity PACS. with its six affiliate hospitals and clinics and 110 radiologists, effectively Over the past few years, functionality has doubled or quadrupled its and strategically deploys technology and processes to squeeze everyproductivity. But I believe we have another doubling to go.2 Health Imaging & IT Maximizing Radiologist Productivity: Best Practices & Innovative StrategiesJune 2010 5. RIS-driven workflowAt University of Washington Medical Center, Centricity RIS-IC serves asthe brains of the radiology department with providers using RIS for everystep of their work right through image review. The department is maxi-mizing metrics, creating charts and graphs for every business activity andusing them to dissect workflow, develop new processes and teach employ-ees to help the department reach its productivity goals, says Andy Strick-land, director of imaging informatics. Centricity RIS-IC serves as a dash-leveraging natural language processing from M*Modal, GEs partnerboard for the department, providing a real-time searchable database thatin providing advanced speech understanding technology. A fewtracks everything from patient movement to cash flow to production permonths into the deployment, Precision Reporting, which is tightlymodality. It greatly empowers our ability to manage the business, ourintegrated with Centricity RIS-IC, has enabled a much more flexible,productivity and our impact on patients, says Shuman.efficient reporting model. For example, it pulls data directly from RIS- The primary goal for the radiology department is simple: get IC to pre-populate templates with contrast used, protocols, clinicalpatients into the department quickly, comfortably and safely; image history and more. Customized, templated text for straightforwardthem as fast as possible, and return results to the referring physician results such as a normal chest x-ray further boost quickly as possible. Its efforts have paid off with improvements of The major differentiator with Precision Reporting, however, is its25 percent in report turnaround time thanks to RIS-driven work- flexibility. A radiologist might choose to record his results and sendflow, says Strickland.the exam to medical transcription for editing. In other cases, the radi- RIS/PACS has delivered a number of improvements at the facility. ologist might interact with the system in self-edit mode, to view andRadiologists have access to everything they need via the RISpriorfix and sign the report, Strickland notes. Some providers like to fill inresults, referring provider contact information, medications andthe blanks in highly templated reports, while others prefer to speakorder details, says Strickland. Centricity also directs radiologists to naturally, in paragraphs with no templated text.the studies that need to be rea