Current state of radiology report release in electronic patient portals

Holder, Justin; Tocino, Irena; Facchini, D; Nardecchia, Nicole; Staib, Lawrence H.; Crawley, Dan; Pahade, Jay

doi:10.1016/j.clinimag.2020.12.020

Cited by 11 publications

(5 citation statements)

References 9 publications

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“…Portal use is on the rise, with 28% of patients selfreporting portal use in 2017 compared with 14% in 2014 [2]. In a recent survey, most academic medical centers reported between 25% and 50% portal use [3]. One study found that 51% of patients within a single large health system viewed their radiology report in the online portal, and radiology reports were the second most frequently viewed record after lab results [4].…”

Section: Introductionmentioning

confidence: 99%

Patient-Friendly Radiology Reporting—Implementation and Outcomes

Kemp

Short

Bryant

et al. 2022

Journal of the American College of Radiology

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Section: Introductionmentioning

confidence: 99%

Patient-Friendly Radiology Reporting—Implementation and Outcomes

Kemp

Short

Bryant

et al. 2022

Journal of the American College of Radiology

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“…For example, the results of a study of 418 individuals with cancer in the US show that they prefer to receive imaging results as soon as possible from their physician over the phone than from a patient portal� 37 The value of receiving their results online is only recognized when study participants had to wait longer for a phone call from their physician� 37 Another study, involving 4,592 participants recruited from a Dutch hospital, found that individuals would choose to wait the shortest amount of time for their radiology results online� 36 However, some participants met with their doctors to discuss the results the same day as their exam� 36 It has been suggested that the optimal embargo time takes into consideration the clinical context of the user� 13,38 Results for a fracture may be released immediately, whereas complex oncological cases may be best suited for an embargo period or may be communicated to users by the physician before releasing results on a portal� 13,39,40 A tailored approach for the timing of the release of reports can be achieved in many ways, such as selecting certain physicians (e�g�, oncologists) or allowing users to choose based on their preferences� 39 As artificial intelligence (AI) and clinical decision support tools become more mainstream in imaging departments, they may be used to detect which results should be immediately released or if an embargo period may be more appropriate� 39 Results of a survey of 31 academic radiology institutions revealed that the average embargo period before the release of radiology reports in the US is 4 days� 41 As mentioned previously, Saskatchewan and Alberta provide immediate access to medical imaging results on their provincial portals� 29,32…”

Section: Considerationsmentioning

confidence: 99%

Individuals’ Access to Medical Imaging Results via Patient Portals

CADTH¹

2023

cjht

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Patient portals allow users to access, manage, and share their health information online. Patient portals are available in 6 provinces: Alberta, British Columbia, Saskatchewan, Ontario, Prince Edward Island, and Quebec. Patient portals in Canada are implemented at the provincial, regional, or clinic level of the health care system, and vary in the health data and features that are shared with users. Medical imaging reports are shared on portals in Alberta, Ontario, Quebec, and Saskatchewan. In Saskatchewan and Alberta, reports are available immediately, whereas Quebec has a 30-day embargo period. Ontario has an intention to enable patient portals to share medical images from provincial diagnostic imaging repositories in the future. A tailored approach may be considered when timing the release of medical imaging results due to concerns related to patient anxiety, especially for individuals waiting for diagnostic results of potentially life-threatening or serious conditions. Radiologists can use lay language in their reports and provide users with reliable sources of information to increase understanding of complex results. They may develop or take advantage of existing patient-friendly templates for sharing results on portals.

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“…The finalized report is transmitted to the EHR, where other clinicians can view the report and determine the next steps in the patient’s treatment plan. Patients can also view their reports and images through EHR patient portals [ 21 , 22 ].…”

Section: Report Authoringmentioning

confidence: 99%

Interactive Multimedia Reporting Technical Considerations: HIMSS-SIIM Collaborative White Paper

Berkowitz

Kwan²,

Cornish

et al. 2022

J Digit Imaging

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Despite technological advances in the analysis of digital images for medical consultations, many health information systems lack the ability to correlate textual descriptions of image findings linked to the actual images. Images and reports often reside in separate silos in the medical record throughout the process of image viewing, report authoring, and report consumption. Forward-thinking centers and early adopters have created interactive reports with multimedia elements and embedded hyperlinks in reports that connect the narrative text with the related source images and measurements. Most of these solutions rely on proprietary single-vendor systems for viewing and reporting in the absence of any encompassing industry standards to facilitate interoperability with the electronic health record (EHR) and other systems. International standards have enabled the digitization of image acquisition, storage, viewing, and structured reporting. These provide the foundation to discuss enhanced reporting. Lessons learned in the digital transformation of radiology and pathology can serve as a basis for interactive multimedia reporting (IMR) across image-centric medical specialties. This paper describes the standard-based infrastructure and communications to fulfill recently defined clinical requirements through a consensus from an international workgroup of multidisciplinary medical specialists, informaticists, and industry participants. These efforts have led toward the development of an Integrating the Healthcare Enterprise (IHE) profile that will serve as a foundation for interoperable interactive multimedia reporting.

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Current state of radiology report release in electronic patient portals

Cited by 11 publications

References 9 publications

Patient-Friendly Radiology Reporting—Implementation and Outcomes

Patient-Friendly Radiology Reporting—Implementation and Outcomes

Individuals’ Access to Medical Imaging Results via Patient Portals

Interactive Multimedia Reporting Technical Considerations: HIMSS-SIIM Collaborative White Paper

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