Innovation: Center For Practice Transformation

Focus

The Center for Practice Transformation (CPX) facilitates the development, testing, and implementation of initiatives to re-imagine care delivery to patients in radiology, improve patient outcomes, optimize patient and clinician experience, and decrease the cost of care. It applies innovation principles to identify opportunities to:

1. Improve how patients and their families experience care in radiology.
2. Support referring physicians in managing their patients. 
3. Enable radiologists to use cutting-edge technology to deliver care.
4. Train the next generation of radiologists to deliver the highest quality care.

CPX provides the perfect environment for individuals looking to usher radiology into the future, both within Penn Medicine and in the community at large.

Current Projects

• LiveAware - Engaging physicians, providers, and patients to improve rates of imaging-based screening (current use cases: hepatocellular carcinoma, lung cancer).
• Improving the Outpatient Radiology Experience – Engaging with patients who have upcoming outpatient imaging appointments to set expectations and provide education about their imaging test.
• ED-Radiology Dashboard – Increasing information transfer and communication between the Emergency Department and Radiology to improve patient disposition and triage in the ED.
• AI for radiology reporting and workflow
• Automated Radiology Results Tracking Engine (ARRTE) – Monitoring patients who need follow-up evaluation based on radiologist recommendations (use cases: abdominal and pelvic imaging, recently expanded to musculoskeletal imaging).
• Penn Medicine Results Clinic – An enterprise-wide initiative to remove the cognitive burden of managing imaging follow-ups from Penn Medicine physicians and clinical providers, while still ensuring patients complete clinically indicated follow-up.
• PORTER – The Patient-Oriented Radiology reporTER annotates radiology reports with definitions and additional information to demystify medical jargon and help patients better understand their reports and the role of imaging in their care.
• Rapid Oncology Evaluation – Fast tracks cancer patients with new symptoms to an imaging evaluation without requiring an ED visit first (use cases: abdominal imaging, spine imaging).
• Capricorn - Enabling radiology residents to monitor their report discrepancies and volumes interpreted.
  Penn Academic Radiology Learning Library (PeARLL) - A learning portfolio and ACGME milestones management tool for radiology residents.
• PreAct – Collaboration with the Penn Center for Healthcare Innovation to facilitate care of patients with newly diagnosed ovarian cancer.  

Innovation Challenge

In 2019, the team at CPX partnered with the Penn Medicine Center for Healthcare Innovation and launched a crowdsourcing challenge to collect big ideas to improve how patients and caregivers experience care within the Department of Radiology. The team was especially interested in ideas that directly improve the patient experience - such as the neuroradiology initiative to decrease IV contrast to MS patients undergoing follow-up brain and spine MRI - or improve care delivery by reimagining workflow.

Submitters of winning ideas, as selected by the challenge committee, received funding and support from the CPX team to pilot their ideas in the Department of Radiology.

Inaugural Innovation Challenge Winners

Gregory Mittl, MD and Michael Shriver, MD:
Streamlined, More Accurate Outpatient Radiology Check-In and Registration

Ali Dhanaliwala, MD:
ER Imaging List

Learn more about the challenge

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