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Utilization Studies

Six Sigma – iSixSigma Forums Old Forums Healthcare Utilization Studies

This topic contains 7 replies, has 5 voices, and was last updated by  RDogg 11 years, 8 months ago.

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  • #25534

    lin
    Participant

    Can anyone give an idea on how to perform a utilization study in Radiology?  Or lead me in the right direction as to what type of data to look for?  I would rather not have to reinvent the wheel, if you know what I mean.
    Thanks,
    Bill

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    #61659

    Kelishes
    Participant

    I’ve been working on an ancillary service utilization project that includes radiology procedures ordered by a certain group of physicians.  I pulled their utilization data from our cost/patient accounting system using the appropriate procedure charge codes from the hospital chargemaster.  That way, I could slice and dice it by APR-DRG, diagnosis, length of stay, physician, etc.  Also, that allowed me to account for the variable cost opportunity associated with the different types of radiology procedures.  From that data, we were able to establish a “benchmark” physician out of the group and compare the others’ utilization for the same type of cases against his to find areas of over utilization.  I’d be happy to provide any other information I can.  Just let me know.

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    #61660

    lin
    Participant

    That would be a great help.  From what I understand, there has never been one done here before and the director would like to see one done, however, he is not sure of what he wants. But, any information to start one and to develop from there would be a good start.  Do you have an email where I can contact you?
    Bill
     

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    #61667

    Roger Noble
    Member

    I agree with JCook. The biggest thing to consider is throughput time. Don’t just don’t look at the scan procedure itself. Consider the travel time and wait time prior and after the scan. These are all factors in the processes performance. They not only delay the process/throughput but they equate to higher costs per scan and revenue-loss potential due to backed up procedures. At GE, we used to provide a consulting review like this with every CT, MRI, PET system we sold … to show them how to make the most out of their million dollar investment.

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    #61668

    lin
    Participant

    I understand, but could some one give me some direction in getting started.  Where to find the data?  What data would be needed, etc.?
    Thanks,
    Bill
     

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    #61670

    Roger Noble
    Member

    Typically the Clinical Analysts are the experts at grabbing info from the hospital systems (without having to go through the Information Systems area itself). They will know how to grab throughput statistics, patient volumes, etc. Expense information per scan can typically be obtained from a Performance Improvement or Quality Director if the location has one. If not the Hospital Administrator can point you in the way of where you get that (outside of using Accounting). Reason I suggest skipping IS and Accounting is that your request will likely be prioritized low with them, versus the other individuals I suggest are often already tracking this type of information. I hope that helps.

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    #61757

    BillT
    Participant

    JCook,
    If you would be so kind to share with me how you put together that information, and how you went about it and any other information would be greatly appreciated.
    BillT
     

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    #61761

    RDogg
    Participant

    If your facility is using a RIS or RIS/PACS system for Radiology, a wealth of operational information can be gleaned by someone who knows DICOM data.  If your RIS system is linked to Billing, some financials and costing should be available.  An analyst (again if one is available), a super user, or database administrator may be able to point you to the data.

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