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A. Prepare a report (suggested length of 8–12 pages) in which you do the following:
1. Identify one of the following healthcare management opportunities you encountered
in one of the previous performance assessments completed in this program:
• Applications in Technology Applications in Healthcare
2. Identify one of the following professional lenses:
• I will be taking on the lens of a Radiology Manager.
3. Summarize the opportunity selected in part A1 from the perspective of the
professional lens selected in part A2.
• The hospital is implementing a new electronic medical records system (EMR).
This new EMR is a big technologic advancement in the medical community. As
the radiology department manager, it is my job to help make the transition
seamless. The EMR will positively impact the continuity of care for our patients.
Particularly in the radiology department, the EMR will allow technologists to see
all patient orders. Seeing all orders will allow technologists to coordinate exams
and procedures in multiple modalities. Having access to all orders will allow techs
to see a patient's recent lab work, which is needed to perform any exam that
requires iodinated contrast. The EMR will also allow technologists to see prior
imaging on a patient for comparisons.
4. Provide a process overview by doing the following:
a. Describe the process as it is being performed today: Current radiology process
relies heavily on the patient. For outpatient orders we depend on the patient to
,know why their provider is ordering the exam and to bring the written order. If there
is any discrepancy with the order, the technologist must take the time to call the
ordering physician's office to clarify and confirm the order is correct prior to the
patient's exam. This makes for a large delay in patient care. On the inpatient side
if there are order discrepancies the technologist must take the time to flip through
the patients' paper chart to verify patient symptoms, diagnosis, and physician
orders. This also results in patient care delays. Once orders are confirmed and the
exam is complete, it is read by a radiologist and the report is faxed or mailed to
the ordering providers office. This process not only delays patient care, but it
provides opportunity for HIPPA violations if results are faxed to the wrong
number or mailed to the wrong address.
i. Describe the operational environment: The radiology department offers a
multitude of services to both outpatients and inpatients. The daily
schedule consists of outpatients with scheduled appointments, outpatient
walk-ins, inpatient orders, and emergency room patient orders. Daily
volume can vary greatly depending on the number of non-scheduled
exams that are added on each day. Seasonal volume also varies. We tend
to see an increase in volume as the weather starts getting cold. Snow and
ice lead to an increase in MVA’s and patient falls.
ii. Outline the sequence of events of the process: When a patient arrives at
the radiology department their first stop is radiology registration.
Registration will collect the patient's exam order, insurance card, and
personal information. If this is their first time at our facility, they will
be
, given a few forms to fill out and give back to registration prior to their exam.
From there registration will verify insurance and enter in the appropriate
exam from the patient's order. Once the exam is entered the technologist
will verify the order was placed correctly by registration. If it was entered
in error the tech will change to the correct order. If the tech is unclear of
what the order says, they will call and verify the order with the ordering
physician. All of this takes place prior to the patient’s exam. Once
everything is verified and correct the technologist gets the patient from the
registration area and takes them to the appropriate exam room. The tech
will verify they have the correct patient by asking them their name and
date of birth. If everything matches, the exam is performed. When the
exam is completed by the tech it is sent to a radiologist to read and write a
final report. Once the report is finalized it is faxed or mailed to the
ordering physician.
iii. Describe the constraints of the process: Time is the biggest constraint
of the current process. If a patient shows up for an exam and forgets
their order, registration must call the office to fax over an order before
the patient can be seen. Every time a technologist changes an
incorrectly entered order from registration or calls a physician's office
to verify an order it takes a significant amount of time. It also takes a
significant amount of time to get inpatient orders completed as well.
After the physician writes the order in the chart an order must be placed
in the computer prior to exam taking place. If those orders are entered