By Barbara Dumery

Radiologists’ direct impact on patient outcomes is sometimes
swept under the rug between the delivery of the patient report and the hand-off
back to the referring physician. While
the significance of the radiologists’ role is understood to varying degrees,
the manner by which we measure their value is shifting with the times. As we focus more on value versus just volume,
all specialties – including radiology –
need to rethink how best to improve and demonstrate their role in the
patient care cycle in order to align with this change.
A recent piece in The
Journal of the American College of Radiology, MeasuringRadiology’s Value in Time Saved,1 points to one way radiologists can help
add value to patient care – by providing physicians with actionable information
that helps save time downstream. The
article goes on to say that “using physician time in the most efficient way
will be a key element for decreasing health care costs at the aggregate
level.” To decode that, what they’re
essentially saying is radiologists must focus on the information they provide
and how that information can cut care time and pinpoint next steps for primary
care or referring physicians who are waiting for results. A radiologist’s
worth is determined by the quality of information and the time-savings that
information provides within the continuum of the larger patient care cycle.
As the piece goes on to state, “Information, unlike imaging devices [or
equipment], does not depreciate with time but rather increases in value the
more it is used.”
This type of “measurement” makes sense and timely,
actionable information is undoubtedly key in any patient care coordination
situation, particularly that from radiologist to referring physician. Still,
with increasing demands being placed on the types of data that radiologists
include in their report – like radiation
dose – and the increased pressure this puts on their current productivity
level, are we potentially asking too much?
To address this seemingly insurmountable ask, it’s crucial that we arm
radiologists with tools that help streamline workflow and ensure the complete capture of actionable
information that impacts the care cycle.
We also need to balance referring physicians’ “need for speed” with the
reality of the time it takes to create “actionable information” that includes
the necessary details to adhere to regulations and patient safety
requirements. Moreover, we need to find
a middle ground for physicians and radiologists alike who are being asked to do
more with less and know better than most that work/life balance is not always a
reality.
As you look to differentiate your practice and/or value-add
in the care cycle in the coming year, what type of “measurements” will you be
honing in on and what technologies will you leverage to make those measurements
attainable?
Reference:
1. Lee CI, Enzmann DR. Measuring radiology's value in time saved. J Am Coll Radiol. 2012;9:713-717. doi: 10.1016/j.jacr.2012.06.022.
Professional
Biography:
Barbara
Dumery is the Director of Diagnostics Solutions Marketing at Nuance
Communications. She joined Nuance in 2006 and has over 15 years of
experience in healthcare IT. Nuance Healthcare is the market leader in
providing clinical understanding solutions that accurately capture and
transform the patient story into meaningful, actionable information. Prior to
joining Nuance, Barbara was the Senior Product Manager at eMed Technologies.
She graduated from Tufts University in ’95 with a BSEE in Electrical
Engineering and in ’97 with an MSEE in Electrical Engineering, Biomedical
Engineering.