Scaling the use of a structured radiology report template across multiple healthcare systems to create a data registry

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Scaling a structured reporting model across multiple health systems to create a clinical data registry is possible with a few key tips, experts reported Friday in JACR.

In 2017, three university imaging departments in Pennsylvania agreed to begin using such models to categorize potentially malignant findings in the kidney. Over the next two years, doctors pushed all adult ultrasound, MRI and CT scan information to a centralized data site.

Those involved have now assembled a set of 161,000 exams from 103,000 unique patients. Physicians’ average use of models is also north of their 90% goal across all sites included in the study.

“Ultimately, we extended the implementation of a mandatory structured reporting model coding the malignant probability of renal findings in all abdominal imaging reports from a single academic health system to two other health systems. “, Tessa Cook, MD, PhD, director of the Transformation in Radiology Practice Center at the University of Pennsylvania, and her colleagues wrote on March 25. IT coordination,” they later added.

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