2019 № 1 Benchmarking for assessing the quality of digitization of radiology departments: methodology development
Basing on the “Digital Imaging Adoption Model (DIAM)”, systematized international and own practical experience, there
was developed a tool for benchmarking the level of digitization of radiology departments. The tool includes: 1) a reference “Medviz” maturity model of medical imaging digitization; 2) a basic methodological document (unified five-level digitalization strategy); 3) a digitization degree assessment tool; 4) a structured set of applications. In process of benchmarking, radiology departments are classified in accordance with the author’s Medviz model. Following the established level, a special set of recommendations is formed as basis for further managerial decisions. The methodology was successfully tested by us in five medical centers of the Department of Healthcare of Moscow. The development is applicable for complex studies of IT support of medical centers.
2018 № 4 Expert Telemedicine Consultations in Radiology Service of Moscow
In 2017 Moscow Research and Practical Center of Medical Radiology conducted 2678 expert telemedicine consultations (i.e., TMC) following the requests from the radiology departments in Moscow municipal hospitals. A system-integrated base for distance consultations is called Unified Radiological Information Service (i.e., URIS). Expert TMCs were performed based on their modality, i.e. 52% (1386 cases) for MR imaging, 47% (1257 cases) for CT, 1% (35 cases) for X-ray imaging. The vast majority (i.e., 96.7% cases) of all applications were received from municipal outpatient clinics, providing healthcare assistance to the adult population. 3.2% of cases of expert TMC were conducted on an urgent basis. For the first time we defined the average demand for expert TMC results of radiology studies to be equal to 4,8 teleconsultations for 1,000 CTs, 17,42 – for 1 CT scanner, 8,9 – for 1,000 MRI, 26,98 – for 1 MRI scanner
2018 № 2 «Cross-reporting» as a way for sub-speciality teleradiology
There is an original telemedicinebased approach for a subspeciality reporting of a radiology examinations at primary level facilities. This approach allows to increase quality of «neuroradiology» reporting at children. The level of discrepancies decreased from 42,0% to 20,0%.