Trends in Publicly Reported Quality Measures of Hospital Imaging Efficiency, 2011–2018

Davis, Melissa; McKiernan, Colleen; Lama, Sonam D.; Parzynski, Craig S.; Bruetman, Charlie; Venkatesh, Arjun K.

doi:10.2214/ajr.19.21993

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Great geographical, regional and temporal variation in the use of diagnostic imaging [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ] indicates that there is both underuse and overuse of imaging services [ 11 , 12 , 13 ]. Moreover, 113 ordinary high-volume imaging examinations have been identified as low-value care by the Choosing Wisely Initiative [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Visualizing the Invisible: Invisible Waste in Diagnostic Imaging

2021

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There is extensive waste in diagnostic imaging, at the same time as there are long waiting lists. While the problem of waste in diagnostics has been known for a long time, the problem persists. Accordingly, the objective of this study is to investigate various types of waste in imaging and why they are so pervasive and persistent in today’s health services. After a short overview of different conceptions and types of waste in diagnostic imaging (in radiology), we identify two reasons why these types of waste are so difficult to address: (1) they are invisible in the healthcare system and (2) wasteful imaging is driven by strong external forces and internal drivers. Lastly, we present specific measures to address wasteful imaging. Visualizing and identifying the waste in diagnostic imaging and its ingrained drivers is one important way to improve the quality and efficiency of healthcare services.

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Section: Introductionmentioning

confidence: 99%

Visualizing the Invisible: Invisible Waste in Diagnostic Imaging

2021

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“…I N 2011, THE CENTERS FOR MEDICARE & Medicaid Services (CMS) initiated public reporting of outpatient imaging efficiency (OIE) measures to reduce potentially inappropriate imaging and unnecessary exposure to ionizing radiation performed in hospital outpatient departments (Davis et al, 2020). The quality-based payment program penalizes hospitals for failing to meet imaging efficiency reporting and outcomes requirements (CMS, 2020).…”

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confidence: 99%

“…Previous studies have demonstrated that national performance on CMS quality measures of duplicative CT has improved over time for abdomen CT, thorax CT, and simultaneous use of brain and sinus CT, with a reduced variation on these measures observed between hospitals since the inception of public reporting (Davis et al, 2020). However, literature indicated that the nationwide hospital OIE reporting initiative was also associated with worse (higher percentage of MRI utilization) performance in lumbar spine MRI utilization (Narayan et al, 2019).…”

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confidence: 99%

Observational Trends in Publicly Reported Quality Measures of Hospital Outpatient Quality Reporting Program, 2013-2019

Hamadi

Zhao

Haley

et al. 2022

Journal of Ambulatory Care Management

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In 2011, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital Outpatient Quality Reporting Program to assess the quality of outpatient imaging efficiency (OIE). In this study, trends in hospital performance on these national hospital OIE measures a year after inception and public reporting were described. An observational trend analysis was conducted using 2013-2019 data from CMS 6 OIE measures. The trend analysis of metric scores indicates year-to-year variability in all 6 OIE variables. The reporting of these measures appears to have effectively improved the efficiency of most of the measures since the inception of the program.

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Trends in Publicly Reported Quality Measures of Hospital Imaging Efficiency, 2011–2018

Cited by 2 publications

References 8 publications

Visualizing the Invisible: Invisible Waste in Diagnostic Imaging

Visualizing the Invisible: Invisible Waste in Diagnostic Imaging

Observational Trends in Publicly Reported Quality Measures of Hospital Outpatient Quality Reporting Program, 2013-2019

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