Navigation Links
Computerized order entry/decision support systems: Effective solution to managing imaging utilization

Providing physicians with a computerized order entry/decision support system that provides immediate feedback regarding imaging appropriateness at the time of ordering may be an effective solution to managing imaging utilization, according to an article in the December issue of the Journal of the American College of Radiology, (JACR,

"Imaging exams are increasingly replacing more invasive, and often more costly, diagnostic techniques, and have redefined medical practice as a safer, less invasive and more accurate means of collecting diagnostic information," said Kathryn Keysor, Senior Health Policy Administrator for the American College of Radiology. "However, aside from this vast patient centered growth, imaging costs have been driven by the fact that many providers may not know which imaging exam is most appropriate for the patient indication they are observing or even when no scan should be performed at all. This, as well as incomplete patient histories and other factors, can lead to unnecessary and duplicate studies, which in turn drive up costs," said Keysor.

Many strategies have been employed to try to manage or decrease the utilization of imaging. "Strategies that offer the best return in the long run will be quality based and data driven and result in the continuous education of providers and patients," she said.

"A computerized provider order entry/decision support system that provides immediate feedback about appropriateness at the time of ordering is an education-focused method of utilization management. With this system, standardized indications are directed at each modality, symptom, and body part through the use of examination-specific "pick lists". An "appropriateness" score is presented to the requesting physician, along with scores for other imaging modalities that might be selected for the same indications. For examinations receiving very low scores, various barriers to ordering can be implemented. Physician performance with respect to appropriateness is tracked over time, and compared to his/her peers. Additionally, alerts about duplicative scans can avoid unnecessary patient radiation and other examination risks," said Keysor.

The radiology department at Massachusetts General Hospital uses a computerized order entry system. Their seven-year experience shows a reduction in the quarterly compound growth rate of 2.75 percent for outpatient CT, 1.2 percent for outpatient MRI, and 1.3 percent for outpatient ultrasound.

"This is a time-efficient and cost-effective process that can be used in inpatient, outpatient and emergency care settings. CPOE with decision support has proven to be an effective approach to imaging utilization and should be explored further," she said.


Contact: Heather Curry
American College of Radiology / American Roentgen Ray Society

Related medicine news :

1. Computerized Jump Rope Raises Funds for Breast Cancer Research
2. Computerized training of working memory is a promising therapeutic strategy in ADHD
3. New Computerized Scans Effective for Spotting Clogged Arteries
4. Rosalind Franklin University of Medicine and Science First in Illinois to Equip Students With Computerized Diagnosis System
5. Computerized writing aids make writing easier for persons with aphasia
6. Computerized mobile health support systems
7. Computerized Brain Exercise Improves Memory
8. Computerized Scan Detects Heart Disease
9. Orthocare Innovations Receives Prestigious R&D 100 Award for Computerized Prosthesis Alignment System
10. Computerized support keeps prominence of name brand drugs at bay
11. Gene May Help Spur Obsessive-Compulsive Disorder
Post Your Comments:
(Date:11/25/2015)... ... November 25, 2015 , ... For the first time, Vitalalert ... Organizations, One Beat ” campaign. The partnership between the two groups began in 2014 ... MAP International’s cause. , MAP International was founded in 1954 and is an international ...
(Date:11/25/2015)... ... ... On November 25, 2015, officials of Narconon Arrowhead , the drug rehabilitation ... new cutting edge recovery program that has been 50 years in the making. ... with the purpose to free addicts from the symptoms and negative behaviors of addiction. ...
(Date:11/25/2015)... ... ... Smiles by Stevens is pleased to announce the addition of Botox® for ... aware of the benefits of Botox® in the treatment of moderate facial wrinkling, few ... and pain as a result of Jaw Tension, TMJ (temporo-mandibular joint) disorder, and Bruxism ...
(Date:11/25/2015)... ... November 25, 2015 , ... In an ongoing Clinical Study conducted by an ... IL, UV Angel is evaluating the efficacy of its product and its disinfection protocol. ... 30 beds) from May 2014 through October 2015 at a 360-bed, acute-care, academic medical ...
(Date:11/25/2015)... Spring, Md (PRWEB) , ... November 25, 2015 ... ... Pulmonary Hypertension Association (PHA) announces the nation’s Periwinkle Pioneers, individuals and groups responsible ... history of this disease. The Periwinkle Pioneers, nominated by the public, will receive ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... 2015 Kitov Pharma ceuticals ... a biopharmaceutical company focused on the development of therapeutic ... today announced the closing of its previously announced underwritten ... ), each representing 20 ordinary shares of the Company, ... ADSs and warrants were issued in a fixed combination ...
(Date:11/25/2015)...  Today AVACEN Medical announced the issue of United States patent No. ... ". This patent shields the company,s AVACEN 100 dry heat therapy medical device and specific methods ... Photo - ... ... ...
(Date:11/25/2015)... , Nov. 25, 2015 USP 800 ... drug preparations (e.g. pharmacists, pharmacy technicians, nurses, physicians, ... technicians). The chapter also covers all entities which ... pharmacies, hospitals, other healthcare institutions, patient treatment clinics, ... --> --> What is ...
Breaking Medicine Technology: