Related Experiment Video
Updated: Nov 7, 2025

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant
Published on: October 6, 2023
Program for Supporting Frontline Improvement Projects in an Academic Radiology Department
David B Larson1, Sandhya Kumar2, L Jake Mickelsen3
1Department of Radiology, Stanford University, 300 Pasteur Dr, Stanford, CA 94305-5105.
Frontline staff in an academic radiology department successfully led improvement projects, achieving significant savings in labor and supplies, increased revenue, and enhanced patient satisfaction. This program effectively addressed organizational challenges and improved staff experience.
Area of Science:
- Healthcare Management
- Radiology Operations
- Quality Improvement Science
Background:
- Academic radiology departments face challenges in operational efficiency and staff engagement.
- Frontline staff possess valuable insights for driving meaningful improvements.
- Structured programs are needed to empower staff in executing improvement initiatives.
Purpose of the Study:
- To evaluate an ongoing program supporting frontline-led improvement projects in an academic radiology department.
- To quantify the outcomes and costs associated with these initiatives.
- To assess participant satisfaction with the program.
Main Methods:
- Staff were assigned coaches and trained in improvement methodologies.
- Weekly progress reports were presented to department leadership.
- Projects focused on quality improvement, patient satisfaction, staff engagement, efficiency, and regulatory compliance.
- Outcomes and costs were aggregated, and participant surveys were conducted.
Main Results:
- 102 projects were completed by 73 participants over two years.
- Annualized outcomes included ~4500 labor hours saved, $315K in supply cost savings, and $42.2M in potential revenue.
- Improvements were noted in patient experience scores and a reduction in safety events.
- Participant feedback was generally favorable, with program support requiring ~0.4 full-time equivalent.
Conclusions:
- The program successfully created a platform for widespread problem-solving within the department.
- It empowered frontline personnel, leading to positive organizational changes and improved staff experiences.
- This model demonstrates a scalable approach to operational improvement in academic radiology.
Related Concept Videos
Radiological Investigation I: X-ray and CT
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...

