Radiology management最新文献

Every organization and facility has issues that they need to address. There is no such thing as a perfect organization or a perfect process. It is easy to get overwhelmed and think the challenges are too big to tackle, but don't give up! While some issues may require immediate changes due to compliance concerns, most can be made one small step at a time. The phrase "success is a journey, not a destination" is very applicable here and for any area within our responsibility where change needs to occur. Change is our only constant so we might as well embrace it and look forward to the future with excitement on the new opportunities ahead.

Clinical decision support systems (CDSS) can help clinicians make correct and timely decisions about patient care, reduce errors, comply with standard treatment and medication guidelines, reduce costs, and ultimately improve the quality of healthcare. An overview of various models is provided. This tool can apply to six areas of healthcare, all of which have a significant impact on improving care and provider performance: diagnosis, disease progress management, care and treatment, drug prescribing, evaluation, and prevention. Beginning in January 2017, referring physicians must use appropriateness criteria when ordering advanced imaging for Medicare patients. CDSS will be a critical part of this process. In the medical imaging chain, from ordered study to communicating results, such systems can help achieve best practices.

Emerging sources of reimbursement will stimulate the development of many new CT lung cancer screening programs. With reimbursement will come many requirements, however, necessitating that programs carefully manage quality and patient safety. A major consideration when developing a program is how to address the lack of consistency in payer and clinical guidelines for which patients to screen. Radiology administrators should employ basic project management and change management methods to organize the endeavor.

At Houston Methodist Hospital, Commit to Sit is a program that encourages radiology professionals to communicate with patients in a way that demonstrates compassion, respect, empathy, and competence in order to foster a trusting relationship. Using active and empathic listening, dialogue is received and understood in the way it was intended, creating a patient centric environment resulting in high quality, safe patient care with improved outcomes. The implicit understanding derived from results and outcomes confirms the fact that patients prefer the radiology staff to sit while communicating with them. This understanding allows the voice of the patient to be heard and should be a consistent practice among all staff.

Bullying can occur in any work environment; however, it is especially prominent in healthcare. Although accrediting and professional organizations recognize the danger (to patients and staff) and have implemented standards and guidelines to curtail the behavior, organizations have been slow to adapt. Organizations that are beginning to address the problem encounter opposition, legal challenges, and lengthy battles. Laws that were originally created to protect employees unfortunately also protect the perpetrators. Oftentimes the victim(s) leave the organization long before any resolution. Part 2 of this series will describe the legal protection that is intended to protect staff, but unintentionally benefits the bully as well.