Method and apparatus for generating a clinician quality assurance scorecard

• US 7,853,476 B2
• Filed: 08/01/2008
• Issued: 12/14/2010
• Est. Priority Date: 01/30/2006
• Status: Active Grant

• Current Assignee: Bruce Reiner
• Original Assignee: Bruce Reiner
• Inventors: Reiner, Bruce
• Primary Examiner(s): Rines, R. D
• Assistant Examiner(s): FEACHER, LORENA R
• Application Number:
  US12/222,097
• Publication Number:
  US 20080294507A1
• Time in Patent Office: 865 Days
• Field of Search: 705/9, 705/11
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/06395 Quality analysis or management
• CPC Class Codes: G06Q 10/06398 Performance of employee with respect to a job function
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/0202 Market predictions or forecasting for commercial activities
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

The present invention provides a quality assurance system and method that generates a quality assurance (QA) scorecard for clinicians that participate in a radiological-based medical imaging study using digital imaging technologies. According to one embodiment, client computers, servers, imaging devices, databases, and/or other components may be coupled to provided a unified data collection system. According to one embodiment, systems and methods are provided that analyze various parameters that are derived from the unified data collection system to calculate a QA score for the clinician. The QA score provides a combined subjective and objective feedback system that includes performance evaluations from other users, including radiologists, technologists and patients. According to one embodiment, the feedback may be provided in real-time.

Claims

1. A computer system for generating a quality assurance scorecard, comprising:

at least one memory containing at least one program, and a processor which executes the at least one program, the program comprising the steps of;

receiving and storing data elements in said memory of a computer system on a particular patient prior to performing an imaging examination;

receiving and storing in said memory, a patient imaging examination order and/or protocol from a clinician;

comparing and analyzing said patient imaging examination order and/or said protocol with said data elements stored in memory;

evaluating said date elements associated with said imaging examination order, including a completeness of said data elements, in view of pre-defined appropriateness criteria;

evaluating a clinician profile of said clinician'"'"'s examination ordering history, including said examination order and/or protocol'"'"'s compliance with community standards;

determining an appropriateness of said imaging examination order and/or protocol based on a result of said comparison and analysis and evaluations;

providing a recommendation of whether to proceed with said imaging examination order and/or protocol based on said determination of appropriateness; and

generating a clinician quality assurance scorecard including a quality assurance score based on said determination of appropriate and said recommendation;

wherein said quality assurance score objectively quantifies the clinicians'"'"'s performance With respect to the particular patient being examined, prior to initiating said imaging examination.

2. The system according to claim 1, further comprising:

an authentication module which provides biometrics to identify users of said computer system.

3. The system according to claim 2, further comprising:

a report generating module which generates reports based on predetermined events, including at least one of a predetermined status of an imaging study, and/or a finding forwarded by said clinician.

4. The system according to claim 1, further comprising:

a notification module which generates notifications and/or alerts based on at least one of a completion of an imaging report, scheduling of examinations, and release of status information.

33. The computer system according to claim 1, wherein the objective quantification of the clinician'"'"'s performance is provided to the clinician instantaneously.

5. A computer implemented method of generating a quality assurance scorecard on a clinician, comprising:

receiving and storing data elements on a particular patient, at a database of a computer system, prior to performing an imaging examination using an imaging apparatus;

receiving and storing a patient imaging examination order and/or protocol from a clinician, at said database of said computer system;

comparing and analyzing said patient imaging examination order and/or said protocol with said data elements stored in said database, using a processor of said computer system;

evaluating said data elements associated with said imaging examination order, including a completeness of said data elements, in view of pre-defined appropriateness criteria;

evaluating a clinician'"'"'s profile of said clinician'"'"'s examination ordering history, including said examination order and/or protocol'"'"'s compliance with community standards;

determining an appropriateness of said imaging examination order and/or protocol based on a result of said comparison and analysis and evaluations;

providing a recommendation of whether to proceed with said imaging examination order and/or protocol based on said determination of appropriateness; and

generating a clinician quality assurance scorecard including a quality assurance score based on said determination of appropriateness and said recommendation;

wherein said quality assurance score objectively quantifies the clinician'"'"'s performance with respect to the particular patient being examined, prior to initiating said imaging examination.

6. The method according to claim 5, further comprising:

performing an authentication procedure using a biometrics apparatus, on a clinician prior to authorizing said request for said imaging exam.

7. The method according to claim 6, further comprising:

alerting said clinician when less than full privileges are associated with said clinician;

identifying and recommending at least one re-credentialing program to said clinician; and

restoring full privileges to said clinician after completion of said re-credentialing program;

wherein

said at least one re-credentialing program includes CME courses or computer training.

8. The method according to claim 7, further comprising:

granting a grace period for regaining full privileges before all of said privileges are revoked;

wherein said grace period is defined by a threshold, such as a number of log-ins into said computer system, a number of days, or another threshold that may not be exceeded before all privileges are revoked.

9. The method according to claim 5, wherein said database includes information from at least one of an electronic medical record (EMR), a hospital information system (HIS), a radiology information system (RIS), and PACS.

10. The method according to claim 9, wherein said information is an imaging data sheet which includes at least one aspect of said patient'"'"'s medical history;

and

enabling a user comprising at least one of said clinician, a radiologist, or a technologist, to customize said imaging data sheet for said patient, including;

enabling said user to create profiles for said imaging data sheet; and

enabling said user to customize said imaging data sheet'"'"'s display to said users own individual preferences.

11. The method according to claim 10, wherein said aspect includes at least one of prior imaging exams and results, including those performed at outside facilities, current clinical problems, pertinent findings on a physical exam, pertinent laboratory and pathology data, ancillary data, procedural findings, operative or consultation notes, clinical testing, technical information related to a previous imaging exam performed, technologist observations, including pertinent findings and measurements, technologist notes, including complications, and exam limitations.

12. The method according to claim 11, further comprising:

recording a. time-stamp each time a new entry or modification is made to said imaging data sheet.

13. The method according to claim 10, further comprising:

linking said customized imaging data sheet to log-in criteria of said user.

14. The method according to claim 13, further comprising:

presenting a user with a computerized physician order entry (CPOE) application to initiate said imaging examination; and

enabling said user to enter said data elements into said CPOE.

15. The method according to claim 14, wherein said data elements include at least one of a past medical and surgical history, allergies, with particular emphasis directed to contrast media used in medical imaging, risk factors, including family history and tumor markers, non-imaging data, including laboratory and clinical testing, pathology, clinical indication and presumptive diagnosis, which prompted said imaging examination, findings on physical examination, historical imaging data, and outside imaging examinations and findings.

16. The method according to claim 15, further comprising:

creating a standard tag within said imaging data sheet to identify individual quality assurance data parameters.

17. The method according to claim 16, further comprising:

enabling a second user comprising at least one of said radiologist, or said technologist, to review said data elements that are entered into said CPOE system; and

enabling said second user to make adjustments to at least one of said examination protocol and an optimization of said imaging examination prior to said imaging examination being performed.

18. The method according to claim 17, further comprising:

generating mandatory and optional recommendations for at least one of said clinician, radiologist, or technologist, regarding said evaluation, including recommending modifications to said imaging examination when said imaging examination is deemed inappropriate; and

adjusting said imaging examination protocol to optimize said imaging examination prior to said imaging examination.

19. The method according to claim 18, further comprising:

requesting additional data from said user for further evaluating said request for said imaging examination.

20. The method according to claim 19, further comprising:

tracking, storing, and analyzing recommendations on appropriateness of said imaging exam; and

wherein tracking and analyzing appropriateness data is performed in order to provide an analysis of specific clinical indications and diagnoses requiring remedial education on the part of said user, including analyzing variables, such as patient safety, cost, redundancy, and clinical efficacy.

21. The method according to claim 20, further comprising:

presenting an automated list of preventative screening imaging examinations for said patient based on at least one surveillance guideline; and

presenting said clinician with additional preventative screening imaging examinations that may be added to said imaging examination.

22. The method according to claim 21, further comprising:

forwarding said imaging examination to an individual for scheduling when said evaluation deems said imaging examination is appropriate.

23. The method according to claim 22, further comprising:

alerting said clinician that said imaging examination is one of redundant, that a less expensive imaging examination exists, or that a less evasive imaging examination exists.

24. The method according to claim 23, further comprising:

performing a trend analysis of medical imaging utilization of said clinician;

wherein said trend analysis may be evaluated on said patient and a patient group basis, with said patient groups are classified according to demographics, medical histories, and clinical profiles.

25. The method according to claim 24, further comprising:

correlating at least one utilization data trend with local, regional, and national norms; and

providing data-driven feedback to said clinician, wherein said data-driven feedback is relative to a peer group for educational purposes.

26. The method according to claim 25, further comprising:

creating at least one best practice guideline for technology allocation, development of new imaging services, and improved appropriation of healthcare funding.

27. The method according to claim 26, further comprising:

identifying unexpected results or emergent findings from said imaging examination; and

alerting said clinician of said unexpected results via special protocol; and

creating a time-stamp when communication between said user and said patient occurs.

28. The method according to claim 27, further comprising:

presenting said user with support tools;

wherein said support tools include at least one of computer-aided detection (CAD), specialized image processing, electronic teaching files and on-line educational resources for patient management; and

facilitating a consultation with said second user.

29. The method according to claim 28, further comprising:

calculating patient safety factors;

wherein said patient safety factors include an amount of radiation exposure; and

updating said database to include said calculated safety factors.

30. The method according to claim 29, further comprising:

determining when said patient safety factors are exceeded;

referring said clinician to a quality assurance committee; and

presenting said clinician with an external peer review.

34. The method of claim 5, further comprising the step of providing an instantaneous notification of the performance to the clinician.

31. A non-transitory computer-readable medium containing instructions for generating a quality assurance scorecard on a clinician, comprising:

receiving and storing data elements on a particular patient, at a database of a computer system, prior to performing an imaging examination using an imaging apparatus;

receiving and storing a patient imaging examination order and/or protocol from a clinician, at said database of said computer system;

comparing and analyzing said patient imaging examination order and/or said protocol with said data elements stored in said database, using a processor of said computer system;

evaluating said data elements associated with said imaging examination order, including a completeness of said data elements, in view of pre-defined appropriateness criteria;

evaluating a clinician profile of said clinician'"'"'s examination ordering history, including said examination order and/or protocol'"'"'s compliance with community standards;

determining an appropriateness of said imaging examination order and/or protocol based on said comparison and analysis and evaluations;

providing a recommendation of whether to proceed with said imaging examination order and/or protocol based on said determination of appropriateness; and

generating a clinician quality assurance scorecard including a quality assurance score based on said determination of appropriateness and said recommendation;

wherein said quality assurance score objectively quantifies the clinician'"'"'s performance with respect to the particular patient being examined, prior to initiating said imaging examination.

32. The computer-readable medium according to claim 31, further comprising instructions for providing an instantaneous notification of the performance to the clinician.