Editor's Note: Communicating Better

Closing the loop on critical test results management (CTRM) is increasing the quality—and timeliness—of patient care. The numbers add up with approximately 12 billion radiology, laboratory and cardiology tests completed each year in the United States. About 1 to 5 percent of those tests come back abnormal or critical, thus kicking off a trail to notify the caregiver and patient of necessary follow-up.

New solutions, as you’ll see in our cover story, are closing the loop by guaranteeing that the people who need critical patient information get it. It is a combination of information technology and the human touch that makes the difference. Operators communicating with radiologists and key physicians pass on information that could impact life or limb. The loop begins with a referring physician or intensivist ordering a STAT study. A radiology exam, for example, is completed and the report prepared. A trained medical specialist then creates the phone bridge to the caregiver to communicate results. When a specialist takes over, the typical two to three million calls physicians have had to make annually to communicate test results are no longer necessary. Physicians gain valuable time. And with about 85 percent of radiology-related medical malpractice lawsuits brought on by miscommunication of findings, CTRM can be money well spent.

March brings a strong focus on cardiology as well. The American College of Cardiology (ACC) meets this month in Chicago. The push for healthcare reform amid calls for cost effectiveness and quality reporting will unify this year’s meeting. Our special section takes a closer look at the sea change taking place in the cath lab as the procedure mix adapts to a new equilibrium with greater emphasis on electrophysiology procedures and peripheral vascular and carotid interventions. Cardiac CT has clearly proven its clinical merits and brought a boon to cardiac imaging. But of course we’re all keeping a watchful eye on pending CMS reimbursement that proposes adoption of a national coverage determination that could substantially limit CT use. (Stay tuned to HealthImaging.com and Health Imaging News for details.) We round out our ACC coverage with a focus on cardiology PACS solutions that link more cardiac imaging modalities and a preview of products being debuted and featured at the show. I hope to see you in Chicago.

Mary Tierney
Mary C. Tierney, MS, Vice President & Chief Content Officer, TriMed Media Group

Mary joined TriMed Media in 2003. She was the founding editor and editorial director of Health Imaging, Cardiovascular Business, Molecular Imaging Insight and CMIO, now known as Clinical Innovation + Technology. Prior to TriMed, Mary was the editorial director of HealthTech Publishing Company, where she had worked since 1991. While there, she oversaw four magazines and related online media, and piloted the launch of two magazines and websites. Mary holds a master’s in journalism from Syracuse University. She lives in East Greenwich, R.I., and when not working, she is usually running around after her family, taking photos or cooking.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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