This document outlines 4 steps for radiology to transition to value-based care: 1) Requesting a study, including choosing imaging wisely and avoiding duplicate exams. 2) Supporting the acquisition through quality control and optimizing dose. 3) Creating a relevant report through structured reporting and tools to increase accuracy and turnaround time. 4) Collaboration and communication, such as allowing referring physicians to view results and scheduling follow-up exams. Each step discusses measures to track value. The overall document provides guidance for radiology to deliver high quality care at a lower cost.

1. 1
How to deliver Value Based Care in Radiology

2. 2
4 steps from Radiology to Value Based Care

3. 3
Step 1: Request for a study
 Timely imaging
 Appointment scheduling solution
 Shorten time to diagnosis & treatment
 Choose imaging wisely
 Educate colleagues
 Avoid duplicate exams
 Eliminate overutilization
 Order evaluation & protocol assignment
 Access patient data in EMR
 Communicate with clinician
 Change order priority if needed
 Set protocol for technologist
 Connect patient
 Upload previous radiology images
 Questionnaire (pregnancy, allergies, implants,…)
 Exam preparation info
 Appointment confirmation & reminders

4. 4
Step 1: Request for a study
Measure, track and evaluate the value

5. 5
Step 2: Supporting the acquisition
 Quality Control
 Centralized imaging admin & exam set-up
 Fine tune the procedure protocols
 Visually collaborate with technologist
 Confirm image quality, reduce retakes
 Optimizing dose
 Best possible image quality at lowest dose
 Positive patient experience
 Optimize workflow to minimize waiting time
 Incident reporting
 Register incidents for evaluation & improvement

6. 6
Step 2: Supporting the acquisition
Measure, track and evaluate the value

7. 7
Step 3: Creating a relevant report
 Shape & structure to make findings accessible
 Sectional & structured reporting
 Timely & correct
 productivity tools to increase turnaround time
 Standard text, macros, voice commands,…
 Clarity
 Image rich
 Measurements
 Tools for interpretation
 Advanced Image management functions
 3D tools, measurement tools, vessel fly through, lesion management,
nodule segmentation,…
 Workflow to reduce potential errors
 Priority for urgent reports
 Critical findings
 Balance workflow between radiologists
 Resident and supervisor workflow
 Teleradiology
 Mobile & chat

8. 8
Step 3: Creating a relevant report
Measure, track and evaluate the value

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Step 4: Collaboration & Communication
 Collaboration
 Actionable reports
 Chat with referring physician
 Critical alerts & accidental findings
 Follow-up exams
 Sharing Results
 Allow referring physician and patients to easily see imaging
results
 Multi-disciplinary meetings
 Treatment planning & follow-up
 Presentations & snapshots
 Peer & supervisory reviews
 Second opinion or consulting with radiology peer
 Resident and supervisor workflow
 Sharing teaching files
 Reaching out to patients
 Include contact information
 Scheduling long-term patient care
 Planning timely follow-up exams
 Sending out invitations & reminders (screening programs)

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Step 4: Collaboration & Communication
Measure, track and evaluate the value

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How to deliver
Value-Based Care
in
Radiology
How
Agfa HealthCare solutions
can help implementing
Value-Based Care