Quality

Legal Licensing

Quality and Safety in Radiology

Teleradiology Solutions is a Joint Commission accredited ambulatory care healthcare organization. Joint Commission Standards deal with organizational quality of care issues and the safety of the environment in which care is provided. We are committed to delivering safe, high quality care in compliance with nationally established Joint Commission standards.

LICENSING AND CREDENTIALING SERVICES

We complete the licensing and credentialing verification required by the Joint Commission standards before our radiologists begin serving you. Our credentialing department can reduce or eliminate the time and expense in paperwork credentialing by reducing the time and completion of primary source verification.

You have the choice to expedite our credentialing services by agreeing to rely on our Joint Commission approved physician credentials. Our physicians can begin to serve a facility as soon as technically possible with this credentialing agreement in place. This Joint Commission credentialing agreement also allows access to our staff of exceptionally trained radiologists in many subspecialties.

Protocols and Standards for Quality Assurance

We follow ACR protocols and standards for Quality Assurance on our radiology reports. All the discrepancies are peer reviewed by our Quality Control Committee. Any discrepancies in the findings along with the original radiologist’s report are scored based on American College of Radiology Peer Review Scoring System.

In case of any discrepancy identified from the on-site radiologist, a discrepancy alert is generated. The discrepancy points along with relevant reports (Current report and images; final On-Site Radiologist Report; follow-up reports and images etc.) are provided to the radiologist who had performed the read.

  • Stringent Internal Peer Review Process with Dual Review of Examinations in Real Time

Near – contemporaneous peer review of studies is done on selected examinations by an independent reviewer to ensure that no finding of acute clinical significance has been missed. The purpose of this to detect if any missed finding of clinical significance and inform the clients and aid in appropriate patient management.

These reviews are recorded using the American College of Radiology Peer Review Scoring System.

Procedure:

During the peer review process, if a discrepancy is identified that may affect patient care, then this is brought to the attention of the radiologist who had issued the preliminary report and an addendum is raised addressing the discrepancy. A call is also simultaneously made to the hospital informing them of the missed finding. Once the addendum has been issued, receipt of the addendum is also confirmed with the Hospital.

  • ACR Radpeer – Process

Teleradiology Solutions is subscribed to Radpeer. At least 5% of the studies reported by each of our radiologists is peer reviewed by other radiologists in the group. Peer Review is conducted on a random sample of all the modalities including XR, CT, MRI, US, and NM studies.

This data is shared with our clients when requested as part of the FPPE/OPPE for the radiologist group.

  • Rigorous Data Collection with Reporting of Our Quality Metrics to Our Clients

Annual QA data/summary is tracked diligently. Depending on the client’s requirement, the QA team e-mails the Monthly, Quarterly, and Yearly Quality Metrics to individual clients. This data is also used by our clients for Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) purposes.

  • Utilization of QA Data for Developing Internal Training Material and Communication to the Radiologist Team

All the significant QA’s/discrepancies Cases are captured in the form of a training material presentation which is presented by our Chief Radiologist to the rest of the Radiologist Group and discussed in the monthly QA conference.

Feedback related to change in reading or reporting pattern that is required based on the QA analysis is communicated to all the Radiologists in the group.

The QA team also e-mails PPT presentations to the radiologist group prepared on the basis of interesting cases/Feedback from the clients.

  • Analysis of Data with Research and Publication in the Scientific Literature

Dr Anjali Agrawal, our Staff Radiologist, has conducted original research on the subject of Quality Assurance and published an article in the scientific literature.

Please find the link for this article. https://www.ncbi.nlm.nih.gov/pubmed/20737281

Performance Data – 2016 and 2015

Teleradiology Solutions is an Emergency Teleradiology Service Provider. All preliminary reports issued by us are finalized by the clients which would mean we are peer reviewed at 100%.

Please see below Accuracy and Error Rate percentages for the year 2016 and 2015.

Year Accuracy Error Rate
2016 99.63% 0.4%
2015 99.67% 0.3%
  • Quality Assurance Over Read Services

Teleradiology Solutions also provides Over Read Services wherein our Radiologist group performs retrospective reviews on Specific Radiologists as per the client’s request and grades them based on the American College of Radiology Peer Review Scoring System. This helps our clients to determine the Reporting Quality of the Radiologist at their site.

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