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:5/28/2016)... , ... May 28, 2016 , ... In a part of the city where’s it’s ... new farm-to-table Kelowna restaurants is hoping to attract diners with a taste for ... Suites officially opened the doors to Cornerstone Grill, an urban casual restaurant focusing on ...
(Date:5/27/2016)... ... 27, 2016 , ... W.S. Badger Co. Inc ., the maker of ... recognized as one of the best small businesses for new dads by Fatherly, the ... small businesses providing progressive benefits to new parents on the organization’s 2016 Best ...
(Date:5/27/2016)... ... May 27, 2016 , ... An educational campaign aimed at ... stories, courtesy of awareness-driven celebrities and thought leaders. It also provides insight to ... industry leaders such as Bioness. , As patients feel increasingly concerned about ...
(Date:5/27/2016)... NY (PRWEB) , ... May 27, 2016 , ... Aimed ... inspiring human interest stories, which come courtesy of leaders in the nursing and health ... industry, from leading advocates and associations—namely Abilene Christian University. , As the nursing ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... There are ... Hot Dog and Sausage Council (NHDSC) suggests that Americans prefer their dogs straight off ... 63 percent say grilling is their favorite way to cook a hot dog, far ...
Breaking Medicine News(10 mins):
(Date:5/30/2016)... - DCGI grants limited approval to market ... - Stempeucel® becomes 5th off-the-shelf Stem cell product to ... - Buerger,s Disease (also known as Thromboangiitis Obliterans) is a ... Globally - Prevalence of Buerger,s Disease is estimated to ... 10,000 persons in the European Community & USA ...
(Date:5/27/2016)... , May 27, 2016 According ... of hypertension is driving ambulatory blood pressure monitoring system ... elasticity and their ability to respond to different pressure ... condition can lead to various cardiovascular disorders such as ... disease. These diseases are growing in prevalence each year. ...
(Date:5/26/2016)... , May 26, 2016 According to ... Waste Management Market - U.S. Industry Analysis, Size, Share, Growth, ... market in the U.S. was valued at US$ 5.89 Bn ... of 3.4% from 2015 to 2023 to reach US$ 7.99 ... of current and emerging needle free drug delivery devices and ...
Breaking Medicine Technology: