Advertisement

Journal of Digital Imaging

, Volume 12, Supplement 1, pp 32–36 | Cite as

Electronic imaging and clinical implementation: Work group approach at Mayo Clinic, Rochester

  • Bernard F. King
  • B. J. Erickson
  • Byrn Williamson
  • C. C. Reading
  • E. M. James
  • S. K. Ramthun
  • D. A. Owen
Session II: Radiology Reengineering: The Team, Planning and Implementation

Abstract

Electronic imaging clinical implementation strategies and principles need to be developed as we move toward replacement of film-based radiology practices. During an 8-month period (1998 to 1999), an Electronic Imaging Clinical Implementation Work Group (EICIWG) was formed from sections of our department: Informatics Lab, Finance Committee, Management Section, Regional Practice Group, as well as several organ and image modality sections of the Department of Diagnostic Radiology. This group was formed to study and implement policies and strategies regarding implementation of electronic imaging into our practice. The following clinical practice issues were identified as key focus areas: (1) optimal electronic worklist organization; (2) how and when to link images with reports; (3) how to redistribute technical and professional relative value units (RVU); (4) how to facilitate future practice changes within our department regarding physical location and work redistribution; and (5) how to integrate off-campus imaging into on-campus work-flow. The EICIWG divided their efforts into two phases. Phase I consisted of Fact finding and review of current practice patterns and current economic models, as well as radiology consulting needs. Phase II involved the development of recommendations, policies, and strategies for reengineering the radiology department to maintain current practice goals and use electronic imaging to improve practice patterns. The EICIWG concluded that electronic images should only be released with a formal report, except in emergent situations. Electronic worklists should support and maintain the physical presence of radiologists in critical areas and direct imaging to targeted subspecialists when possible. Case tools should be developed and used in radiology and hospital information systems (RIS/HIS) to monitor a number of parameters, including professional and technical RVU data. As communications standards improve, proper staffing models must be developed to facilitate electronic on-campus and off-campus consultation.

Keywords

Electronic Imaging Hospital Information System Electronic Image Case Tool Hospital Information System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Siegel EL, Diaconis JN, Pomerantz S, et al: Making filmless radiology work. J Digit Imaging 8:151–155, 1995CrossRefPubMedGoogle Scholar
  2. 2.
    Strickland NH, Hons (Oxon) MA: Review article: Some cost-benefit considerations for PACS: A radiological perspective. Br J Radiol 69:1089–1098, 1996CrossRefPubMedGoogle Scholar
  3. 3.
    Williams SC, Contreras M, McBiles M, et al: The impact of a picture archiving and communication system on nuclear medicine examination interpretation. J Digit Imaging 10:51–56, 1997CrossRefPubMedGoogle Scholar
  4. 4.
    Reiner BI, Siegel EL, Hooper FJ, et al: Effect of film-based versus filmless operation on the productivity of CT technologists. Radiology 207:481–485, 1998PubMedGoogle Scholar
  5. 5.
    Stirling B, Weatherburn G, Watkins J, et al: Radiology report times: Impact of picture archiving and communication systems. AJR 170:1153–1159, 1998Google Scholar
  6. 6.
    Williamson B Jr: The electronic transformation of radiology. Radiology 209:606–614, 1998PubMedGoogle Scholar
  7. 7.
    Spencer BG, Sobel AH, Young LQ, et al: Processes involved in reading imaging studies: Workflow analysis and implications for workstation development. J Digit Imaging 10:40–45, 1997CrossRefGoogle Scholar
  8. 8.
    Taira RK, Breant CM, Chan HM, et al: Architectural design and tools to support the transparent access to hospital information systems, radiology information systems, and picture archiving and communication systems. J Digit Imaging 9:1–10, 1996CrossRefPubMedGoogle Scholar

Copyright information

© Society for Imaging Informatics in Medicine 1999

Authors and Affiliations

  • Bernard F. King
    • 1
  • B. J. Erickson
    • 1
  • Byrn Williamson
    • 1
  • C. C. Reading
    • 1
  • E. M. James
    • 1
  • S. K. Ramthun
    • 1
  • D. A. Owen
    • 1
  1. 1.Department of Diagnostic Radiology and of Systems and ProceduresMayo Medical CenterRochester

Personalised recommendations