Radisphere’s foundational belief is that radiology needs to evolve to be accountable for quality and cost of care. Practically, this implies three imperatives for radiology:
- Reduce clinical variation across the enterprise by standardizing care delivery and ensuring transparency against performance
- Eliminate errors through advanced quality processes that are integrated into system-wide technology and services
- Remove waste in the system by involving radiologists across the episode to ensure appropriate utilization
Radisphere’s care delivery model enables this vision. It is founded on measurable quality standards. These standards are fully integrated into our technology and services to ensure compliance. Health systems can therefore establish accountability for radiology across the enterprise.
The three pillars of our care model are:
- Standards-based radiology approach: Radisphere helps systems define and integrate measurable standards across their hospitals and outpatient facilities. This implies a formal and consistent commitment across all facilities to measure clinical quality (diagnostic accuracy, specialization, utilization) and timeliness (TATs for final reports, consultations, and critical findings). A common standard of care is essential for a system to leverage its own scale, reduce clinical variation, and clinically integrate radiology into the patient care cycle.
- Measured and transparent performance: Simply asserting standards is not sufficient. The care model must include measured and transparent performance – real-time management for peer review (double blind), concurrence review of high risk studies, discrepancy resolution, and critical findings. It also requires monthly analytics on performance and utilization by radiologist, referring physician, modality, and site of care.
- Technology to ensure compliance: Finally, a standards-based care delivery model must employ technology to ensure 100% compliance to the standards. Sophisticated workflow management software, advanced routing algorithms, and a 24×7 service center support must be in place to “hard code” compliance to the standards and hold radiologists accountable. For the majority of healthcare, physician specialization dictates what procedures a physician can perform. For example, orthopedic surgeons do not perform appendectomies and general surgeons do not perform brain surgery. However, current radiology systems and processes do not restrict radiologists from reading studies that warrant additional training or expertise; instead, they often allow radiologists to select what they want to read. Technology must therefore be applied to ensure compliance to quality standards for specialization, accuracy and timeliness.
By establishing accountability for radiology across health systems, our standards-based care model will improve hospital performance through shorter LOS, faster ED throughput, outpatient growth, and a better and safer patient experience, while reducing the total cost of care for the system.
- RQI Radiology Performance Standards
- Radisphere Performance Scorecard
- Creating a New Standard in Radiology White Paper