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Defining quality in radiology.

C Craig Blackmore¹

¹Department of Radiology and Health Services, Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA 98104, USA. craige@u.washington.edu

Journal of the American College of Radiology : JACR

|April 7, 2007

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Pay for performance offers radiologists a chance to define quality in radiology. Defining quality can focus on report production or the broader professional role of diagnostic imaging specialists in patient care.

Area of Science:

Medical Economics
Radiology
Healthcare Quality

Background:

The advent of pay-for-performance (P4P) in healthcare necessitates a re-evaluation of quality metrics.
Radiology faces an opportunity to define its quality standards within this evolving reimbursement landscape.

Purpose of the Study:

To discuss the definition of radiology quality in the context of P4P.
To explore the implications of different quality definitions for the radiology profession.

Main Methods:

This essay presents a conceptual discussion.
It analyzes two potential models for defining radiology quality: the production model and the professional model.

Main Results:

The production model defines radiology quality based on timely, accurate reports, prioritizing patient safety and communication.

Related Experiment Videos

The professional model expands this to include the diagnostic imaging specialist's role in appropriate imaging use, selection, interpretation, and application.

Conclusions:

The professional model offers a more comprehensive assessment of radiologists' value in patient care.
Implementing the professional model for radiology quality, while challenging, provides a robust framework for demonstrating value.