The Next Level of Radiology Peer Review: Enterprise-wide Education and Improvement


Radiology peer review with three physicians

Radiology peer review meets the requirements of enterprise-wide education and performance improvement. It is crucial that the radiology profession adopts the purpose and systematic approach of radiology peer review. According to the American College of Radiology (ACR), this can be accomplished by a comprehensive radiology peer review program of reviewer education, cross-platform anonymous prospective data collection, third-party expert arbitration, and meaningful sharing of results with the entire body of radiologists and residency programs.

Embracing Radiology Peer Review

Sharpened patient focus on quality healthcare and accountability demands effective radiology peer review. In a detailed report on the necessity for peer review, Gregory J. Butler, MD and R. Forghani, MD, PhD, stress that radiologists must promote, design, embrace, and own peer review. The report spells out two recognized objectives for radiology peer review:

  1. Data collection (including analysis to identify problems)

Radiology peer review data collection has been the primary focus of conventional peer-review  programs and is the principal tactic for measuring performance in practice.

2.    Feedback in order to spur improved performance

Radiology peer review that focuses on performance improvement includes:

  • Appropriate feedback to the radiologist who has an agreed-upon discrepancy
  • Reporting of all errors to the entire enterprise
  • Measuring total enterprise performance

The Right Radiology Peer Review Solution

Emphasizing that both radiology peer review data collection and performance improvement feedback are crucial, the doctors specify that these peer review initiatives can be fully accomplished if the right technological solution is found.

After covering in detail 19 prerequisites they believe will create the best possible radiology peer review system of the future, they concluded by stating that mandatory radiology peer review is inevitable.

Radiologists, they write,  “can take charge of such programs with new and innovative designs that provide authorities with transparency and opportunities to intervene while maximizing our potential for education and performance enhancement on a large scale, statewide, nationally, or even internationally. These new designs must be built on robust software solutions that allow design flexibility; transparent and unobtrusive workflow; large-scale implementation; anonymous, prospective, and adjudicated reviews; meaningful data collection; feedback; and intervention. The profession must create the educational tools necessary to empower every one of us in effective peer review.”

peerVue Meets the Demand

peerVue’s Peer Review solution space is automated, has little to no negative impact on productivity, and meets all Joint Commission regulatory requirements, including clearly defined measures, reviewers, indicators, and processes. Qualitative Intelligence and Communications Systems (QICS) allow customers to choose from several best-practice models and monitors the entire process with a random selection of exams assigned by facility-specified assignment rules. Tracking and reporting are automated to identify and resolve potential performance issues with proper education, mentoring, or suspension for continuous quality improvements.

How is your organization meeting the demands of education and performance improvement?

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