Establishment of an Interventional Radiology Clinic to Follow Untreated Abdominal Aortic Aneurysms

Bertino, Raymond E.; Pai, Durga; Beach, Debra; Moresco, Ken; Brady, Terry M.; Smouse, Bob; Hassan, Syed Moin; Shadid, Anthony; Swischuk, James L.

doi:10.1016/j.jacr.2005.11.002

Cited by 1 publication

(1 citation statement)

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“…[1][2][3][4] Specifically, the clinical model has included the development of both dedicated clinical service lines 5 and outpatient clinics. 6 Expansion of clinic-based resources has several potential advantages, including improved perceptions of quality of care and understanding of medical conditions, 7 improved monitoring of chronic vascular conditions, 8 improved patient safety, 9 growth in procedural volumes 5,10 and lower costs, particularly if some procedures can be completed in a clinic-based setting. 1 Additionally, if preprocedural history and physicals and laboratory evaluations are completed in clinic prior to the day of the procedure, there is an opportunity to improve work hours and angiography suite efficiency.…”

Section: Introductionmentioning

confidence: 99%

The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System

McDevitt

Quadri

Sutphin

et al. 2021

Journal of Clinical Interventional Radiology ISVIR

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Purpose To evaluate the operational and financial impact of an interventional radiology (IR) clinic at a tertiary county hospital system. Methods The IR clinic, which opened in January 2017, evaluates outpatient referrals and completes preprocedure workups, nonimage-guided procedures, and postprocedure follow-up visits. Procedural volumes, locations, start times, and end times were analyzed from September 2015 to June 2018, with comparison of pre- and postclinic values by t-tests. Results Relative to the preclinic period, the number of IR cases completed each quarter has increased by an average of 12% (pre: 953 ± 63, post: 1063 ± 34, p = 0.01). Procedures that saw the largest quarterly growth included port placements (44% increase; pre: 82 ± 8, post: 118 ± 17, p = 0.002), inferior vena cava (IVC) filter placements (24% increase; pre: 33 ± 12, post: 41 ± 8, p = 0.20), IVC filter removals (72% increase; pre: 18 ± 7, post: 31 ± 8, p = 0.02), and treatments of lower extremity venous disease (100% increase; pre: 7 ± 2, post: 14 ± 6, p = 0.04). Completion of 119 cases/quarter in clinic (removal of tunneled catheters and infusion ports), as well as a reduction of emergent nephrostomy exchanges, reduced quarterly facility charges for these procedures by $350,000. Since the opening of the IR clinic, the first outpatient case started 36 minutes earlier (p < 0.001) and the last case finished 19 minutes earlier (p = 0.004). Conclusion Opening an IR clinic resulted in a significant increase in case volume while reducing avoidable costs and improving efficiency of the angiography suite.

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