Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing a Full RIS-PACS-Reporting Solution
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Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing a Full RIS-PACS-Reporting Solution

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Rutland Regional Medical Center in Vermont, is a 188-bed rural hospital that effectively weds high-tech imaging with patient-centric care. This high-tech hospital with a hometown touch utilizes an ...

Rutland Regional Medical Center in Vermont, is a 188-bed rural hospital that effectively weds high-tech imaging with patient-centric care. This high-tech hospital with a hometown touch utilizes an intuitive RIS-PACS-reporting solution in its radiology department that is delivering benefits across the health system. The ability to provide local, state-of-the-art imaging is convenient for patients and referring physicians. It keeps patients close to home, which, in turn, improves the medical center’s bottom line.

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Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing a Full RIS-PACS-Reporting Solution Radiology Workflow: Recognizing Clinical & Financial Benefits of Implementing a Full RIS-PACS-Reporting Solution Presentation Transcript

  • SPONSORED BY:RADIOLOGY WORKFLOW:RECOGNIZING CLINICAL &FINANCIAL BENEFITS OF IMPLEMENTINGA FULL RIS-PACS-REPORTING SOLUTION Presenter Presenter Moderator J.C. Biebuyck, MD Leah J. Denton, RT(R) Mary C. Tierney Medical Director, CT Services Director, Diagnostic Imaging VP, Chief Content Officer, Rutland Regional Medical Center Rutland Regional Medical Center TriMed Media Group Rutland, Vermont Rutland, Vermont Providence, RI, USA
  • LEGAL DISCLAIMER©2012 General Electric Company – All rights reserved.General Electric reserves the right to make changes in specifications and features shown herein, ordiscontinue the product or service described at any time, without notice or obligation. This does not constitutea representation or warranty or documentation regarding the product or service featured. All illustrations areprovided as fictional examples only. Your product features and configuration may be different than thoseshown. Information contained herein is proprietary to GE. No part of this publication may be reproduced forany purpose without written permission of GE.The information in this presentation represents the views of the specific authors and presenters. The contentand materials for this presentation have not been screened, approved or reviewed by GE Healthcare.*GE, the GE Monogram, Centricity and imagination at work are trademarks of General Electric Company.General Electric Company, by and through its GE Healthcare division. 2
  • RUTLAND REGIONALMEDICAL CENTER• 75,000 patients treated per year• 110 beds• 80,000 exams per year• CT, MR, X-ray, PET/CT, ultrasound, mammography, bone densitometry, interventional radiology• 80 employees in the Diagnostic Imaging Services Department
  • TERTIARY SERVICES ARE LOCATEDWITHIN 60-70 MILE RANGE• Small hospital with comprehensive services, including surgical and medical practices• Specialty surgery includes: ENT, Plastic surgery, orthopedic surgery and OB/GYN• Medical subspecialty care in cardiovascular imaging, pulmonary, gastrointestinal, intensivists, hospitalists, rheumatology, oncology & neurology 4
  • TIGHTLY CONNECTEDRIS-PACS-REPORTING• Utilizing GE Centricity RIS-IC and Precision Reporting• Staff to monitor information from patient arrival through report delivery• Enables matching of the right patient, right data, right images and right dictation 5
  • EFFICIENT ACCESS FORPHYSICIANS FROM DISPARATESYSTEMS• Clinical information moves from technologist to radiologist instantly, providing precision reporting to their reading station• The system allows for efficient physician access to images and information• Efficient process has enhanced patient care 6
  • CENTRICITY AT DEPARTMENT LEVELPROVIDES RADIOLOGIST WITH QUICKTURN AROUND WITH MINIMAL STEPS• The system allows for a unified vision of success and quality and patient safety• More efficient communication with radiology and staff with fewer steps & interruptions – less duplication• Referring physicians are very satisfied with depth and breadth of information and timely reports• Single-vendor RIS-PACS-reporting provides shorter report turn-around times, gains in efficiency 7
  • SINGLE VENDOR SYSTEM ALLOWS FOROUT-OF-THE-BOX THINKING FORDEVELOPING PROCESSES FOR WORKFLOW• Our practice attracts radiologists to participate• Easy peer review & quality assurance  generate reports• “People want to work here after they see the system we have”• Workflow efficiencies, results provided real time 8
  • WORK LIST IS PRIORITIZED –PROVIDING LESS INTERRUPTION OFWORKFLOW• Radiologists use no paper• Electronic organization for the radiologist and technologist• Cleaner workflow• Precision reporting has cut down on transcriptionist need• Monitoring key indicators real time• Correctionist cuts time; increases accuracy and efficiency 9
  • AUTOMATED SYSTEM HAS CODINGREQUIREMENTS EMBEDDED, SO THETECHNOLOGIST, REFERRING PHYSICIAN ISEMPOWERED• Clinical team effort• Real-time worklist: Stat reads, ER needs, procedure scheduling• Fewer interruptions for radiologists• Critical results reporting are fast, intensivists and ER physicians have been very satisfied with the turn around times• Reports available minutes after scans 10
  • REGULATORY REQUIREMENTS AREWELL DEFINED, CODING CALL BACKSHAVE BEEN GREATLY REDUCED• Quality is enhanced via clinical data included in reports• Operating in a proactive mode with regards to reimbursement; contrast; dose• RIS-PACS-Reporting solution has partnered us with the financial department  more timely billing• Real-time access creates a great bond with referring physicians  team effort 11
  • RADIOLOGISTS WANT EFFICIENCY,SEAMLESS WORKFLOW• Empowering radiologists with information for referring physicians• Quick critical test results management• No downtime with system enhancements• Tracking metrics, report turnaround times• Cleaner workflow• Better coding and billing 12
  • ADDING VALUE TO SPECIALTYREADS• Assist specialists• Review image/s ASAP to make recommendations for treatment, ie orthopedics• PACS image  dislocation  advise PA on next steps while looking at images• Foster bonds between departments 13
  • RADIOLOGISTS RELY ONTECHNOLOGY & TRANSPARENCY• Technology needs to be seamless• Radiologists need information delivered efficiently and instantly• Upgrades need to be automatic and invisible• No downtime 14
  • TRACKING KEY METRICS• Radiologist productivity – annually• Quality assurance cases• Report turn-around time• Precision reporting has brought excellent gains 15
  • TECHNOLOGIST PRODUCTIVITYCAN BE BETTER MANAGED• Agility in staffing changes – via time flow studies• Clinical tools to track patients / quality tracker• Track wait times by modality• Managers have robust conversation’s with staff based on actual data• Assess and discuss workload 16
  • TRACKING IMAGE QUALITY• Folders in RIS/PACS• Tag suboptimal exams for review with technologist for QA• Images for weekly and daily conferences• Enables teaching moments• Review with staff 17
  • PRECISION REPORTING PROVIDESCOST SAVINGS WITH STAFFINGREDUCTIONS• Reduced 2 FTEs in viewing room through attribution• Precision Reporting enabled another 0.7 FTE reduction• Keep the technologist at the scanner• Faster bed time turn-arounds• Better patient scheduling 18
  • RADIOLOGY BILLING IS VERYQUICK & EFFICIENT• Billing service has gone from 72 hours to 12 hours• Radiologist’s efficiency, reporting to referring physician is quick and easy• Automated transcription, sign report instantly or send to correctionist 19
  • BIG ‘AH HA’ MOMENTS –PRECISION REPORTING• Smooth implementation• 3-day adoption of radiologist self correction impresses the management group• Correctionist is key to formatting and imbedding images• Finished product is timely and accurate 20
  • TECHNOLOGIST ADDING TO THEQUALITY OF INFORMATION FORTHE END PRODUCT• Higher quality data• Compliance is enhanced• Part of a larger team – each having an impact• Tracking patient population for protocol studies• Add value without former resistance of staff 21
  • ENHANCING CARE FOR PATIENTS• The system is patient driven• Physician’s time becomes more efficient• Physician can focus on patient care and finding disease, and make sure the referring physician is getting information needed ASAP 22
  • SPONSORED BY:LIVE Q&APresenter Presenter Moderator J.C. Biebuyck, MD Leah J. Denton, RT(R) Mary C. Tierney Medical Director, CT Services Director, Diagnostic Imaging VP, Chief Content Officer, Rutland Regional Medical Center Rutland Regional Medical Center TriMed Media Group Rutland, Vermont Rutland, Vermont Providence, RI, USA