Electronic imaging and clinical implementation: work group approach at Mayo Clinic, Rochester...Proceedings of the 16th Symposium for Computer Applications in Radiology. 'PACS: Performance Improvement in Radiology.' Houston, TX, May 6-9, 1999

Electronic imaging clinical implementation strategies and principles need to be developed as we move toward replacement of film-based radiology practices. During an 8-month period (1998 to 1999), an Electronic Imaging Clinical Implementation Work Group (EICIWG) was formed from sections of our depart...

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Published in:Journal of Digital Imaging Vol. 12; pp. 32 - 37
Main Authors: King BF Jr., Erickson BJ, Williamson B Jr., Reading CC, James EM, Ramthun SK, Owen DA
Format: tables/charts Journal Article
Published: Springer Nature May1999 Supplement
Online Access:View this record in EBSCOhost
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        atl: Electronic imaging and clinical implementation: work group approach at Mayo Clinic, Rochester...Proceedings of the 16th Symposium for Computer Applications in Radiology. 'PACS: Performance Improvement in Radiology.' Houston, TX, May 6-9, 1999
      aug:
        au:
          King BF Jr.
          Erickson BJ
          Williamson B Jr.
          Reading CC
          James EM
          Ramthun SK
          Owen DA
        affil: Department of Diagnostic Radiology, Mayo Medical Center, 200 First St., SW, Rochester, MN 55905
      sug:
        subj:
          Diagnostic Imaging
          Radiology Information Systems
          Radiology Service
          Medical Record Linkage
          Hospital Information Systems
          Organizational Objectives
          Radiology Service Administration
          Electronic Health Records
      ab: Electronic imaging clinical implementation strategies and principles need to be developed as we move toward replacement of film-based radiology practices. During an 8-month period (1998 to 1999), an Electronic Imaging Clinical Implementation Work Group (EICIWG) was formed from sections of our department: Informatics Lab, Finance Committee, Management Section, Regional Practice Group, as well as several organ and image modality sections of the Department of Diagnostic Radiology. This group was formed to study and implement policies and strategies regarding implementation of electronic imaging into our practice. The following clinical practice issues were identified as key focus areas: (1) optimal electronic worklist organization; (2) how and when to link images with reports; (3) how to redistribute technical and professional relative value units (RVU); (4) how to facilitate future practice changes within our department regarding physical location and work redistribution; and (5) how to integrate off-campus imaging into on-campus workflow. The EICIWG divided their efforts into two phases. Phase I consisted of Fact finding and review of current practice patterns and current economic models, as well as radiology consulting needs. Phase II involved the development of recommendations, policies, and strategies for reengineering the radiology department to maintain current practice goals and use electronic imaging to improve practice patterns. The EICIWG concluded that electronic images should only be released with a formal report, except in emergent situations. Electronic worklists should support and maintain the physical presence of radiologists in critical areas and direct imaging to targeted subspecialists when possible. Case tools should be developed and used in radiology and hospital information systems (RIS/HIS) to monitor a number of parameters, including professional and technical RVU data. As communication standards improve, proper staffing models must be developed to facilitate electronic on-campus and off-campus consultation. Copyright (c) 1999 by W.B. Saunders Company
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    language: English
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