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Process optimization in breast imaging: Exploring advanced roles for medical radiation technologists
Sheena Chung1, Aruna Mahabir1, Chao Li2
1Joint Department of Medical Imaging, University Health Network, Sinai Health, Women's College Hospital, Toronto ON.
Medical radiation technologists (MRTs) can optimize breast imaging (BI) services by taking on advanced roles. This study identified care delivery problems and potential task shifts for MRTs to improve patient-centered care.
Area of Science:
- Radiology and Medical Imaging
- Healthcare Operations Management
- Radiologic Technology Advancement
Background:
- Medical imaging (MI) is essential for patient care, with breast imaging (BI) being a complex, multi-modality subspecialty.
- Current BI workflows present opportunities to leverage the skills of medical radiation technologists (MRTs) for enhanced, patient-centered service delivery.
Purpose of the Study:
- To systematically identify and characterize care delivery problems (CDPs) within BI processes.
- To explore opportunities for task shifting and the implementation of advanced roles for MRTs to optimize patient care.
Main Methods:
- Three BI clinics at academic hospitals mapped 12 distinct processes using swimlane charts.
- Care delivery problems (CDPs) were identified and prioritized using the PEPPA framework, focusing on task shifting for MRTs.
Main Results:
- Nine CDPs were identified across BI workflows, with scheduling and radiologist availability being most frequent.
- Potential advanced MRT roles include reviewing external imaging, exam ordering/protocoling, and performing specific procedures like screening ultrasounds.
Conclusions:
- Advanced practice roles for MRTs can address system inefficiencies in BI.
- Systematic implementation and evaluation of pilot advanced MRT roles are recommended to optimize patient care.
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