Our ongoing improvement initiatives assist with promoting an error-free safe environment for our staff and the patients we serve. Many of these initiatives are based on quality indicators determined by our various regulatory agencies, such as the American College of Radiology (ACR), Pennsylvania Department of Health (PaDOH), Centers for Medicare and Medicaid (CMS), Occupational Safety and Health Administration (OSHA), Nuclear Regulatory Commission (NRC), Food and Drug Administration (FDA) and The Joint Commission (TJC).

Each year the Penn Radiology Quality and Improvement team engages in dozens of projects across our six hospitals and affiliated private practices: Princeton Medical Center, Lancaster General Hospital, Chester County Hospital, Penn Presbyterian Medical Center, Pennsylvania Hospital, the Hospital of the University of Pennsylvania and our Division of Community Radiology. Take a look at some of the shared highlights from 2020-2021.  

Enterprise-Wide Accomplishments

Smoking Cessation Project

Penn Radiology Smoking Cessation Infographic FY21Intervention: At the time of every Penn Radiology encounter, technologists ask patients a series of smoking cessation questions, document this interaction in PennChart, and provide patients with smoking cessation materials.

Impact: In FY21 just short of one million patients were counseled about smoking cessation by Penn Radiology personnel. Reportedly, 1:20 current smokers will consider quitting when counseled by a health care practitioner. This translates into approximately 50,000 patients who considered quitting following a Radiology visit.

E-consent rollout

We have fully implemented e-consent for OP at all downtown hospitals and active uptake enterprise-wide. IP e-consent is now fully rolled out in addition to OP, thus no remaining paper consent is in any of the downtown hospitals. Looking to complete enterprise-wide rollout by end of FY22.

EKG guided PICC placement

Penn Radiology was instrumental in getting the Hospital of the University of Pennsylvania (HUP) transitioned to EKG guided PICC in FY20, with huge benefits for patients and providers in terms of decreased malpositioned catheter and associated IR referrals, improved patient satisfaction, and facilitating discharge. This process has served as a model for transition to similar transitions to this technology across rest of the enterprise. Pennsylvania Hospital (PAH) has adopted this initiative and Penn Presbyterian Medical Center (PPMC) will soon adopt it for their bedside teams. QA data for FY21 showed a 70% decrease in malpositioned PICC sent to IR, with several months of zero malpositioned for the first time in the 20-year history of the program. The impact of this transition on patient care and satisfaction is substantial.

Improvement Highlights By Entity

2021 Chester County Hospital Key Projects

Mammography Form – Conversion to Electronic Form

Chester County Hospital Mammogram form change data graph 2021

The history form created patient dissatisfaction due to the redundant nature of being completed annually on paper. The manual process of scanning forms was cumbersome and prone to errors; resulting in mammograms being put on a hold list until history was obtained and re-entered for the radiologist to view. Turnaround times (TAT) were being negatively impacted and patient’s results were delayed.

With conversion to digital forms, turnaround times and patient result delays have significantly decreased, resulting in increased patient and provider satisfaction. Once the electronic data is captured, a check of previously answered questions allows for a quick history review. Efficiency and accuracy have been achieved with future mammography visits.

Radiology Specimen – Lab Rejections

The process for specimen collection and transportation of specimens was prone to human error. We utilized a handwritten format that proved to cause major and minor rejections including identification errors, incorrect demographics and absent demographics. We were in an upward trend for rejected specimens during submission. Rejected specimens delayed pathology results and also decreased quality patient care. In September 2019 we began the journey to implement electronic requisitions and patient labels for specimen containers. 

Penn Radiology Chester County Lab Specimen Data graphs FY21

Specimen rejections show a reversing trend. The electronic requisitions are now exclusively used. The Fern Hill Biopsy Procedures graph shows the increase in specimen volume.

Over the past year, the data demonstrates not only the overall specimen rejections are decreasing, but more importantly, the severity score is decreasing even with the increase in specimen volume. This was a collaborative effort on the part of the PennChart analysts and the lab.

2021 Division of Community Radiology (DCR) Key Accomplishments

  • Birad 0 (OSF) – Restructured workflow to decrease turn-around for obtaining outside films from > 45 days to < 10 days. This was initially piloted at Radnor with eventual roll out anticipated at other DCR sites. 
  • Section Liaison Addition – Improved communication between divisions and created a point person for troubleshooting and training. This was initially piloted at Radnor and has been rolled out to all of our sites.  
  • Late Completion Reporting – Continued daily monitoring and active troubleshooting of issues related to delayed radiology study completion. DCR is consistently 98-99 % compliant since beginning this tracking.

2021 Hospital of the University of Pennsylvania Key Projects

  • GRAPHICS for these four
  • E-consult service
  • Abdominal Imaging: Peer learning
  • Interventional Radiology: Same-day discharge of chemoembolization patients
  • Interventiona lRadiolgy:L Increased statin utilitzaiton in PAD pts (reach out to Dr. T for sample size and confirmaiton of info)
  • MR QAPI
  • Neuroradiology: Spine oncology macro (zafar to send text - check with Dr t on it)
  • Results clinic
  • NO Graphics for these yet

2021 Lancaster General Hospital Key Projects

Decrease the DXA Backlog (Continuity of Care)

Description of improvement opportunity: Over seven days to first available appointment.
Actions Implemented: Added evening and weekend appointments. Hired additional staff. Changed patient schedule to be more effective.
Outcome: Consistently less than seven days for seven months in a row for FY21.

Creating a database for high risk screening patients to assist staff with scheduling of breast imaging (mammography and MRI) (Patient Engagement)

Description of improvement opportunity: Difficult for patients to keep track of alternating appointments.
Outcome: Better patient and physician satisfaction. Increased compliance with recommended follow up.
Baseline: Patients rescheduled or missing interval appointments.
Target: No missed appointments.

Standardizing process for Therasphere therapy dosage ordering and recording

Description of improvement opportunity: When ordering the dose technologists had to review two separate documents.
Actions Implemented: Therasphere ordering procedure reviewed. Radiation Physicist sends an illustrator and now includes both the “week of” and dose in the free text field. Developed a second check process of the Therasphere order form prior to ordering and upon receipt of the dose.
Outcome: Streamlined process eliminating the need to check two documents prior to ordering the dose.

2021 Penn Presbyterian Medical Center Key Accomplishments

  • Extensive protocol review for Neuro CT Image Quality with human specimen testing, resulted in the receipt of the Nisenbaum Award for Medical Imaging Research at
    PPMC by Dr. Alan Wang.
  • Established a new collaborative Image Quality Improvement Program based on asynchronous communications via the MS Teams application and unique channels for each modality.
  • Access initiative completed to reduce delays in TAT for Port Access Patients in CT.

2021 Pennsylvania Hospital Key Projects

Project: Patient Falls Initiative

Improvement Opportunity: Develop a process to identify and support patients who are at risk of falling.

Actions Implemented:

  • Screen all outpatients at patient access point of entry via EPIC documentation.
  • Documentation will be flagged for technologist to review and prepare accordingly.
  • Provide YELLOW wristband (FALL RISK) to qualifying patient.
  • Purchase staxi chairs to transport patients from waiting room to exam area.

Follow Up:
All sections (X-ray, CT, US, NM, MRI, Mammo) assessed patients and encounter documentation for compliance.

Outcome:

  • 70% compliance for screening encounter
  • 82% compliance for wrist band distribution
  • 45% compliance for technologist FYI notification

Next Steps:

  • Data presentation with Patient Access Manager
  • Additional education and training
  • Re-implement departmental assessments
  • Immediate goal is to achieve >95% compliance
  • End goal = 100%

Understanding the Safe Use of Gadolinium Contrast: Performance Improvement Effort via Dialogue with Our MRI Technologists

Improvement Opportunity: Determine if a teaching effort led by a radiologist can improve the knowledge of our MRI technologists in adhering to the guidelines in the safe use of gadolinium-based contrast agents.

Actions Implemented:

  • Pre-intervention - 10 multiple choice questions sent to MR techs in March 2020 90% technologists participated
  • Intervention - Two virtual sessions going over the document in April 2020 100% technologists attended
  • Post-intervention - 10 multiple choice questions, two weeks later – 60% techs participated, three months later – 100% techs participated

Correct Aggregate Response Rate:

  • Pre-intervention – 80%
  • Intervention (Two weeks) – 95%
  • Post-intervention (Three months) – 91%

Outcome: Reviewing department guidelines as a group in an organized manner helped improve engagement and better understanding of guidelines.

 

2021 Princeton Medical Center Key Accomplishments

  • Not a single day of work was lost in FY21 due to active case of SARS-CoV-2. The staff worked as a cohesive and efficient team and followed established safety protocols.
  • MRI participated in the Penn Medicine Performance Improvement in Action (PIIA) focused on inpatient turnaround times. Prior to the PIIA the inpatient TAT were 54% order to complete. The department goal was 80% order to complete. Since the inception of the PIIA in May 21, we have made scheduling changes and added additional slots on evenings and weekends to allow for inpatients workflow to meet the department goal. In May and June, exams ordered to completion was 65%; a gain of 11% .We continue to monitor and make adjustments to reach our goal.
  • CT and Diagnostic Radiology: We continue to review the schedule and protocol scheduled OP as well as ordered ED and IP tests ahead of time. As a result, the Press Ganey scores continue to tick upward with the “Likelihood to Recommend” moving up to 96.5 from 95. The review and protocoling also resulted in negligible number of patients being delayed, rescheduled or having an unnecessary exam.
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