Impact of Provider-led, Technology-enabled Radiology Management Program on Imaging Ivan K. Ip, MD, MPH, Louise Schneider, MD, Steven Seltzer, MD, Allen.

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Presentation transcript:

Impact of Provider-led, Technology-enabled Radiology Management Program on Imaging Ivan K. Ip, MD, MPH, Louise Schneider, MD, Steven Seltzer, MD, Allen Smith, MD, MS, Jessica Dudley, MD, Andrew Menard, JD, Ramin Khorasani, MD, MPH The American Journal of Medicine Volume 126, Issue 8, Pages 687-692 (August 2013) DOI: 10.1016/j.amjmed.2012.11.034 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 Example of a practice pattern variation report for lumbar spine MRI orders among primary care providers. MRI = magnetic resonance imaging; PCP = primary care provider. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 2 Example screenshot of clinical decision support and peer-to-peer consultation at time of order entry. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 3 Trend of high-cost imaging orders triggering peer-to-peer consultation during study period. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 4 Intensity of high-cost imaging pre- and post-implementation of a provider-led radiology medical management program. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 5 Trend of high-cost imaging over study period. CT = computed tomography; MRI = magnetic resonance imaging. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 6 Breakdown of CT and MRI examinations performed by body part over study period. CT = computed tomography; MRI = magnetic resonance imaging. The American Journal of Medicine 2013 126, 687-692DOI: (10.1016/j.amjmed.2012.11.034) Copyright © 2013 Elsevier Inc. Terms and Conditions