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Practice Quality Improvement - The Role of Subspecialty Societies

Practice Quality Improvement - The Role of Subspecialty Societies. Why should subspecialty societies be involved in PQI?. Their members: - know the important questions - know the science and technology - know the relevant metrics May provide national benchmarking data.

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Practice Quality Improvement - The Role of Subspecialty Societies

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  1. Practice Quality Improvement-The Role of Subspecialty Societies

  2. Why should subspecialty societies be involved in PQI? • Their members: - know the important questions- know the science and technology- know the relevant metrics • May provide national benchmarking data

  3. Projects Developed by Subspecialty Societies • Assist members with lifelong professional development • Relevant to that subspecialty area • Reasonable to accomplish

  4. Subspecialty Society PQI • May be difficult for small societies to develop complete PQI programs • Limited resources:- money- people- technical expertise and hardware limitations

  5. Subspecialty Society PQI • Develop complete ABR-approved PQI projects • Work with larger general radiology organizations • Work with other subspecialty societies SPR + ASNR Pediatric Neuroradiology PQI project ASNR + SBI Ø

  6. Subspecialty Society PQI • Important roles:- provide expertise to larger radiology organizations (ACR, ARRS, RSNA)- develop tools for larger societies or individuals to use in their PQI projects- help to develop relevant databases for that subspecialty benchmarking

  7. Radiologists are resistant to change • Skeptical about new mandates such as MOC • Most don’t understand MOC, especially PQI • Don’t see the need • PQI seems threatening – fear of consequences and discovery • People respond better when they get information from their most closely aligned organization

  8. SBI • Mammography already heavily regulated • MQSA mandates medical audit

  9. SBI • ACR BI-RADS has information for more complete audit • NMDB could become a PQI benchmarking tool ACR product developed with SBI members

  10. SBI • SBI managed by ACR and has long history of close alignment and collaboration • SBI has limited resources for major projects

  11. Examples of Relatively Easy PQI Projects for SBI participation

  12. Accuracy of Interpretation • National program, such as ACR RadPeer • Double reading- intradepartmental- external review • Comparison of interpretations with pathology results

  13. Practice Guidelines and Standards • 2 Required • One must be Communication, (reporting of urgent results) • One component of another guideline related to your practice area

  14. Referring Physician Surveys • Particularly relevant to breast imaging • Reflect quality of practice • ABR template survey • Institutional survey IU School of Medicine Physician Peer-Review Survey Radiologist: Valerie Jackson, MD Please rank the radiologist’s performance in each area: 1 = poor, 5 = Excellent Accessibility 1 2 3 4 5 Accuracy of reports 1 2 3 4 5 Professionalism 1 2 3 4 5 Timeliness of reports 1 2 3 4 5 Quality of consultation 1 2 3 4 5 Interaction with patients 1 2 3 4 5

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