DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. - PowerPoint PPT Presentation

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DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. Opinions my own. THANKS FOR THE INVITATION CONTENT to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and

DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. Opinions my own.
THANKS FOR THE INVITATION
CONTENT to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and Appropriateness Criteria in Radiology practical examples of valuable reports in Radiology to introduce the Radiology Consult
WHAT IS VALUE IN RADIOLOGY Michael E. Porter, Ph.D. What Is Value in Health Care? N Engl J Med 2010; 363:2477-2481
WHAT IS VALUE IN RADIOLOGY
WHAT IS VALUE IN RADIOLOGY
30% OF WASTE IN IMAGING EXAMS
WASTE REDUCTION / CHOOSING WISELY
WASTE REDUCTION / CHOOSING WISELY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Thorax-Abdomen-Pelvic CT scan request info: CT scan Protocol? Cutaneous Melanoma. Initial Staging. Check EHR: Melanoma stage pT1a
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Other frequent mistakes: - forgeting to compare to previous CT/MRI/US studies - missing information on previous reports - good info request but wrong patient - missing/erroneous lab data
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Leading re reas asons s why ph y phys ysicians icians, even though being totally aware of the problem, co continue tinued d to o ord rder r low val alue ue tests an and pro roce cedures dures were: - malpractice concerns (87%); - desire to reduce uncertainty (84%); - “just to be safe” (78%); - desire to keep patients happy and patients´ insistence (>70%).
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY
VALUABLE REPORTS IN RADIOLOGY
VALUABLE REPORTS IN RADIOLOGY
VALUABLE REPORTS IN RADIOLOGY
VALUABLE REPORTS IN RADIOLOGY
THE RADIOLOGY CONSULT
THE RADIOLOGY CONSULT
THANK YOU FOR YOUR ATTENTION

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