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Improving access to imaging availability in otology clinic.

Megan McLeod1, Nathan Cass2, Marc Bennett2,3,4

  • 1Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Journal of Evaluation in Clinical Practice
|June 16, 2022
PubMed
Summary

Improving previsit communication significantly increased the availability of prior radiologic imaging for neurotologic consultations. This enhances patient care by ensuring physicians have essential imaging for timely diagnosis and treatment.

Keywords:
care coordinationimagingquality improvementradiology

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Area of Science:

  • Neuroscience
  • Radiology
  • Healthcare Management

Background:

  • Radiologic imaging is crucial for diagnosing neuro-otologic conditions.
  • A significant gap exists in patients presenting for neurotology consultations without prior imaging, causing delays and frustration.

Purpose of the Study:

  • To increase the rate of prior imaging availability for new neurotology patients to at least 80% through improved previsit communication.
  • To streamline the process of accessing patient imaging for initial consultations.

Main Methods:

  • Utilized the Plan-Do-Study-Act (PDSA) framework to develop and implement communication interventions.
  • Interventions targeted improved communication with patients, referring clinics, and imaging centers.
  • Assessed imaging availability via chart review and physician satisfaction through surveys.

Main Results:

  • The availability of prior imaging for new patients increased from 56.5% to 80.9% after interventions.
  • Physician satisfaction improved in multiple areas.
  • Reduced time spent by physicians reviewing imaging outside of clinic visits.

Conclusions:

  • Enhanced communication protocols and tracking of image receipt improve the efficiency of neurotology clinics.
  • These improvements reduce physician frustration and administrative burden.
  • Optimizing imaging accessibility leads to better patient care and resource utilization.