Navigation Links
Computerized order entry/decision support systems: Effective solution to managing imaging utilization
Date:11/24/2009

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, www.jacr.org).

"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
hcurry@acr-arrs.org
703-390-9822
American College of Radiology / American Roentgen Ray Society
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology: