Clinical operations management in radiology

Ondategui-Parra, Silvia; Gill, Ileana E.; Bhagwat, Jui G.; Intrieri, Lisa A.; Gogate, Adheet; Zou, Kelly H.; Nathanson, Eric; Seltzer, Steven E.; Ros, Pablo R.

doi:10.1016/j.jacr.2004.04.015

Cited by 23 publications

(9 citation statements)

References 11 publications

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“…Most of the published studies in this regard focused on different strategies to overcome waiting for care [2, 6, 10, 11, 13] or evaluated the impact of long waiting periods for patients [7, 14]. In this study, we aimed to estimate the rate of No-Shows and Rescheduling for outpatient MRI appointments, the attributing factors, and the consequences because of the long waiting time.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with No-Shows and rescheduling MRI appointments

AlRowaili

Ahmed

Areabi

2016

BMC Health Serv Res

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BackgroundOne of the major challenges facing global radiology services comes from delays connected to long waiting lists for magnetic resonance imaging (MRI) procedures. Such delays in diagnostic procedures could lead to poorer patient care outcomes. This study intended to estimate the rate of “No-Shows” or “Reschedule” MRI appointments. We also investigated the factors correlating No-Shows and Reschedule MRI appointments.MethodsA cross-sectional study was conducted in Saudi Arabia using data obtained via MRI schedule reviews and self-administrated questionnaires. Clinical and demographic data were also collected from the study participants. Stepwise binary logistic regression was used to analyze the data.ResultsA total of 904 outpatients were asked to participate in the study, and we enrolled 121 outpatients who agreed to complete the study questionnaire. Of the 904 outpatients, the rate of No-Shows or Reschedule was 34.8% (95% Confidence Interval: 31.7–38.1%). Of the 121 outpatients studied, the rate of No-Shows or Reschedule was 49.6% (95% CI: 40.4–58.8%). Those of the female gender (OR = 6.238; 95% CI: 2.674–14.551, p-value = 0.001) and lack of education (OR = 2.799; 95% CI: 1.121–6.986, p-value = 0.027) were highly associated with No-Shows for the MRI appointments. There was no clarification of the MRI instructions (OR = 31.396; 95% CI: 3.427–287.644; p-value = 0.002), and family member drivers (OR = 15.530; 95% CI: 2.637–91.446, p-value = 0.002) were highly associated with rescheduling the MRI appointments.ConclusionsWe noted higher rates of No-Shows and Rescheduling of MRI appointments in females, those with a lack of formal education, those who had not received the procedure instructions, and those who lacked transportation. We recommend setting targets and developing strategies and policies to improve more timely access to MRI, and thus reduce the waiting time.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1927-z) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Factors associated with No-Shows and rescheduling MRI appointments

AlRowaili

Ahmed

Areabi

2016

BMC Health Serv Res

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“…statistical.models).to.determine.the.actual.performance.gains.over.the.original.process... Bluth et al, 1993) undertook a project in a DI department to determine whether CQI tools could be applied successfully. Their methodology was similar to that proposed by (Ondategui-Parra et al, 2004). The project resulted in a 72% decrease (p < .0302) in wait times for DI procedures.…”

Section: Diagnostic Imaging Literature Reviewmentioning

confidence: 83%

“…This process overview is a high-level diagram of the next steps to improve DI quality for patients. (Ondategui-Parra et al, 2004) provide a more in-depth process for improving DI quality. They suggest breaking the process redesign into two main phases.…”

Section: Diagnostic Imaging Literature Reviewmentioning

confidence: 99%

“I'd like to thank the academy”: An analysis of the awards discourse at the Atlantic Schools of Business Conference

McLaren

Mills²

2008

Can J Adm Sci

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The awarding of prizes has become embedded in all aspects of our society, including academic conferences. At the same time, the reputation economy, an economy where individual standing is based on the opinions of end users, is growing in strength and validity. We analyzed the way in which the awards discourse has been recontextualized within a small academic conference that is struggling to find legitimacy—the Atlantic Schools of Business Conference. With a focus on language and the different meanings words hold in different discourses, we have determined that recontextualization of the discourse within the conference has resulted in two distinct discourses—the discourse of the award giving body and the discourse of the potential award recipient. Copyright © 2008 ASAC. Published by John Wiley & Sons, Ltd.

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“…The clinical goal of a radiology department is to provide high-quality, costeffective imaging services, which depends on intelligently designed processes, efficiently deployed resources, and effective performance monitoring (10). Structured reporting can address major operational needs of radiology practices, including patient throughput, report turnaround time, documentation of service, billing, regulatory compliance, and quality assurance.…”

Section: Operational Considerationsmentioning

confidence: 99%