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Better patient care through automated quality guidance

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Radiology generalists review up to 100 imaging procedures per day; however, recommendations for follow-up imaging vary widely between radiologists especially with incidental findings seen on patient images outside the primary reason a test was ordered. While nationally-accepted guidelines have been available to radiologists from industry associations, such as the ACR, until now, their use was limited because radiologists lacked a real-time interactive knowledge aid or means to incorporate guidelines into clinical documentation where and when the information was needed. Thanks to the latest technology innovations in radiology, this is changing and helping organizations improve patient care and protect their bottom line.

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Better patient care through automated quality guidance

  1. 1. © 2015 Nuance Communications, Inc. All rights reserved. Better information, better patient care. Nuance Communications
  2. 2. © 2015 Nuance Communications, Inc. All rights reserved. 2 On average, a radiologist reads 100 exams a day.
  3. 3. © 2015 Nuance Communications, Inc. All rights reserved. 3 “We generate more than 2,000 reports a day and with those, tens of thousands of images, maybe upwards of hundreds of thousands of images a day.” - Keith Dreyer, DO, PhD Vice Chairman of Radiology, Massachusetts General Hospital
  4. 4. © 2015 Nuance Communications, Inc. All rights reserved. 4 How radiologists manage incidental findings is highly variable. The American College of Radiology (ACR) has developed white papers on incidental findings in 11 organ systems to help decrease that variability. Volume and variability in incidental findings.
  5. 5. © 2015 Nuance Communications, Inc. All rights reserved. 5 The reality: It takes too long to find the right consensus recommendation from the right article every time it’s needed.
  6. 6. © 2015 Nuance Communications, Inc. All rights reserved. 6 It is impossible to know everything. The numerous complex clinical decision trees are impossible to memorize, yet apply in many situations. Sometimes, the radiologist simply can’t keep up with turnaround time pressures and still consistently use published guidelines from the best sources.
  7. 7. © 2015 Nuance Communications, Inc. All rights reserved. 7 The costs of variability in managing incidental findings not getting it right. • Patients exposed to excess radiation • Medical-legal liability issues • 20% financial waste on unnecessary medical imaging
  8. 8. © 2015 Nuance Communications, Inc. All rights reserved. 8 The solution: Healthcare organizations, including Massachusetts General Hospital (MGH), are integrating clinical guidelines into their reporting system at the point of interpretation. Now radiologists have instant and hassle-free access to the right information, at the right time.
  9. 9. © 2015 Nuance Communications, Inc. All rights reserved. 9 Providing radiologists with the tools for success. 0% 20% 40% 60% 80% 100% Radiologists' concordant use of clinical guidelines Manual review of paper-based recommendations Recommendations integrated into reporting platform When clinical guidelines are built into existing workflows, 90% of radiologists follow these recommendations.
  10. 10. © 2015 Nuance Communications, Inc. All rights reserved. 10 Industry best practices embedded into reports:  Reduces reporting time  Helps radiologists recommend the right exam  Improves referrer satisfaction  Increases medical-legal protection Better information leads to better decisions.
  11. 11. © 2015 Nuance Communications, Inc. All rights reserved. 11 Real-time access to quality guidance helps physicians make better informed decisions and deliver better patient care. Learn more!

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