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DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. - PowerPoint PPT Presentation

DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. Opinions my own. THANKS FOR THE INVITATION CONTENT to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and


  1. DISCLOSURES Carlos Francisco Silva, MD No financial disclosures. Opinions my own.

  2. THANKS FOR THE INVITATION

  3. CONTENT to discuss what is value in Radiology the problem of nearly 30% of waste in imaging exams Choosing Wisely campaign and Appropriateness Criteria in Radiology practical examples of valuable reports in Radiology to introduce the Radiology Consult

  4. WHAT IS VALUE IN RADIOLOGY Michael E. Porter, Ph.D. What Is Value in Health Care? N Engl J Med 2010; 363:2477-2481

  5. WHAT IS VALUE IN RADIOLOGY

  6. WHAT IS VALUE IN RADIOLOGY

  7. 30% OF WASTE IN IMAGING EXAMS

  8. WASTE REDUCTION / CHOOSING WISELY

  9. WASTE REDUCTION / CHOOSING WISELY

  10. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  11. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  12. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  13. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  14. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  15. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  16. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Thorax-Abdomen-Pelvic CT scan request info: CT scan Protocol? Cutaneous Melanoma. Initial Staging. Check EHR: Melanoma stage pT1a

  17. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Other frequent mistakes: - forgeting to compare to previous CT/MRI/US studies - missing information on previous reports - good info request but wrong patient - missing/erroneous lab data

  18. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY Leading re reas asons s why ph y phys ysicians icians, even though being totally aware of the problem, co continue tinued d to o ord rder r low val alue ue tests an and pro roce cedures dures were: - malpractice concerns (87%); - desire to reduce uncertainty (84%); - “just to be safe” (78%); - desire to keep patients happy and patients´ insistence (>70%).

  19. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  20. CHOOSING WISELY / APPROPRIATENESS CRITERIA IN RADIOLOGY

  21. VALUABLE REPORTS IN RADIOLOGY

  22. VALUABLE REPORTS IN RADIOLOGY

  23. VALUABLE REPORTS IN RADIOLOGY

  24. VALUABLE REPORTS IN RADIOLOGY

  25. THE RADIOLOGY CONSULT

  26. THE RADIOLOGY CONSULT

  27. THANK YOU FOR YOUR ATTENTION

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