SERVICES

Consultation

services_series2

RPA, assigns a Chief Medical Officer for each client hospital, who serves as the primary administrative and medical liaison to the hospital Radiology Department, QA committee, and hospital medical staff. Furthermore, all RPA Physicians are available to our referring physicians and department staff, 24/7, 365 Days a year. We strive to provide accurate and quick communication, as needed, to our referring physicians. 

 

RPA support personnel are also trained to provide immediate communication to our clients administrative and technology staff. Patient safety and quality service are the cornerstones of RPA. Referring physicians are confident that they can discuss any case with an RPA Radiologist to obtain additional imaging guidance for their patient. For our clients that utilize our web-based PACS, our technology allows referring physicians to access their patient images and reports on any computer, either on the hospital floor, their office, access, iPad, and iPhone.

Peer Review

services_series1

RPA's Quality Assessment and Improvement Program is operational at all of our contracted facilities. This is a cornerstone of our practice, and an essential component of our continuous improvement program and in-house training for all our radiologists. RPA promotes continuous proactive review on a daily basis. RPA has designed and implemented a computer-based quality assessment and improvement application.

Internal protocols have been developed to evaluate, review and document previous films for quality assessment. These protocols include coordination within our billing agency and reports are provided quarterly for each facility. We encourage collaboration with hospital administration and other hospital departments in relation to our quality programs. RPA has established, in collaboration with the medical staff, the requirements for quality of care during imaging procedures. Protocols for procedures are established and disseminated to medical staff.

Critical Findings

services_series3

The Joint Commission and other healthcare authorities have identified that failures and delays in the communication of critical test results are a major problem for patient safety. Inefficient handling of results also contributes to higher costs of care and increased risk of litigation. Prior to computerized systems, radiologists and technologists, spent hours per day communicating critical results and unexpected findings to ordering clinicians.

 

There have been convoluted, manual, database of referring physician phone numbers, fax numbers, and emails. The end result is that it was simple for results to be communicated, but not be followed-up. Radiology Departments had little method to track these communications or to track the turnaround time, leaving radiologists at tremendous liability if the reports were not read or followed-up, especially if that led to harm to the patient. The RPA radiologists understand that even though a radiology report has been dictated and signed off, the radiologist's responsibility in the care of that particular patient is not completed.

The Radiological Society of North America has prioritized the management of critical test results reporting. New improvements in computer-based reporting solutions have been implemented in many of our client hospitals. The critical results loop is looked at as a completely closed cycle. There are built-in modules which are integrated either through the RIS or voice recognition systems that enables the complete cycle during the reading process, which generates a series of notifications to the referring physician.

Turnaround Time

services_series4

RPA has implemented best practices with patient safety and quality service as our main priorities. These best practices are achieved with quality board certified physicians, supported by technology infrastructure, and support personnel to improve efficiency. Through integration of efficient PACS and voice recognition systems, RPA has the confidence to contractually commit to turnaround times. 

 

There are many stages involved in calculating turnaround time which includes: ordering the scan, validating and sending the scan, radiologist reading the exam, and a final report issued. The turnaround times reported by RPA Include the time the scan has been validated by the technologist and available for the radiologist, to the time the report is completed.

RPA Average Turnaround on STAT Studies

2013 - 2017

2013

Min
36 Sec
%
% TAT within 60 Seconds
Average Monthly STATS

3,314

2014

Min
36 Sec
%
% TAT within 60 Seconds
Average Monthly STATS

4,121

2015

Min
12 Sec
%
% TAT within 60 Seconds
Average Monthly STATS

4.436

2016

Min
47 Sec
%
% TAT within 60 Seconds
Average Monthly STATS

7,186

2017

Min
39 Sec
%
% TAT within 60 Seconds
Average Monthly STATS

7,230

% Improvement from 2013: 

%
Note: TAT is measured from the time the study is Validated and available on the radiologist's worklist to Completed.

Hospital Department Improvement

2016

Min
27 Sec
Average Monthly STATS

2017

Min
16 Sec
Average Monthly STATS

% Improvement from 2016: 

%

Note :  While measuring TAT for the radiologists, RPA also provides statistics for the radiology departments which have shown considerable improvement in throughput.