Quality Imaging

Quality Management encompasses Quality Assurance and Continuous Quality Improvement. Charlotte Radiology's Quality Management initiatives utilize data analysis consistent in evaluating, improving and delivering high quality cost effective patient care.

Charlotte Radiology's quality initiatives align with the National Quality Strategy (NQS). The National Strategy for Quality Improvement in Healthcare is led by the Agency for Healthcare Research and Quality on behalf of the U.S. Department of Health and Human Services. Charlotte Radiology shares the NQS aims for Better Care, Healthy People/Healthy Communities and Affordable Care.

PERSON AND PROVIDER CENTERED EXPERIENCE

Patient Experience 95.3% overall satisfaction

Referring Doctor 93% high satisfaction with CR Radiologists

SAFETY

Critical Findings - 99.1% verbally communicated - >2000 verbal reports per month – improving patient care

Radiology Clinical Practice Group – Protocol Review Group

  • Standardization of imaging processes and protocols

Radiation Dose Reduction

  • 52% lower than National Aggregate
  • 60% reduction in average adult head CT dose 2011-2016
  • Pediatric CT body dose is ~60-80% lower than adult CT body dose

Reporting - 5 quality safety measures to CMS

COMMUNICATION AND CARE COMMUNICATION

Reporting 4 quality measures in this domain

Radiology Report Standardization

  • Recommendations based on professional society consensus

Stroke Imaging – unprecedented reporting times ~3 minutes

POPULATION HEALTH

Breast Health

  • Community Projects
  • Investment in technology - $10 million
  • Early detection – lower cost

Screening

  • CT colonography
  • Coronary artery calcium scoring
  • CT lung cancer screening

Subspecialty Care – linked to lower cost

  • 100% subspecialty interpretation of advanced imaging (CT, MR, NUC/PET)
  • Neuro, Vascular, Musculoskeletal, Acute Care
  • 24/7 contemporaneous reports on all neuro imaging

Reporting – 11 high priority CMS quality measures

EFFICIENCY AND COST REDUCTION

Clinical Decision Support – ordering correct exam/procedure Report Turn Around Time (ED)

  • Exceeds National Standards – median 11 min
  • Decreasing health system length of stay initiatives

Collaboration in health system lean initiatives

EFFECTIVE CLINICAL CARE

Peer Review > 12k per quarter

Biopsy Success rates

  • Exceed National Standard
  • Lung, Liver, Thyroid and Bone

Primary Care and Cardiology – radiologist over read of exams patient care