Inpatient imaging utilization: Trends of the past decade

American Journal of Roentgenology

Volumn 202, Issue 3, 2014, Pages

  Shinagare, Atul B ^a   Ip, Ivan K ^a   Abbett, Sarah K ^a   Hanson, Richard ^a   Seltzer, Steven E ^a   Khorasani, Ramin ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Health care costs; Imaging utilization; Inpatient imaging; Radiology services; Radiology workload

Indexed keywords

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; FLUOROSCOPY; HEALTH CARE UTILIZATION; HOSPITAL PATIENT; HUMAN; IMAGING SYSTEM; MAJOR CLINICAL STUDY; NUCLEAR MAGNETIC RESONANCE IMAGING; NUCLEAR MEDICINE; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIOGRAPHY; RETROSPECTIVE STUDY; TERTIARY CARE CENTER; ULTRASOUND;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BOSTON; DIAGNOSTIC IMAGING; FEMALE; HOSPITALIZATION; HUMANS; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; UTILIZATION REVIEW; YOUNG ADULT;

EID: 84896730738     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.13.10986     Document Type: Article

References (36)

1. Steinwald AB. Medicare Part B imaging services: rapid spending growth and shift to physician offices indicate need for CMS to consider additional management practices. Darby, PA: Diane Publishing, 2009
2. Mitchell JM, Lagalia RR. Controlling the escalating use of advanced imaging: the role of radiology benefit management programs. Med Care Res Rev 2009; 66:339-351
3. Brenner DJ, Hall EJ. Computed tomography - an increasing source of radiation exposure. N Engl J Med 2007; 357:2277-2284 (Pubitemid 350190758)
4. Sodickson A, Baeyens PF, Andriole KP, et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 2009; 251:175-184
5. Smith-Bindman R, Miglioretti DL, Johnson E, et al. Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996-2010. JAMA 2012; 307:2400-2409
6. Levin DC, Bree RL, Rao VM, Johnson J. A prior authorization program of a radiology benefits management company and how it has affected utilization of advanced diagnostic imaging. J Am Coll Radiol 2010; 7:33-38
7. Image Wisely: radiation safety in adult medical imaging. www.imagewisely.org. Accessed January 11, 2014
8. Image Gently website. pedrad.org/associations/5364/ig/Home.aspx. Accessed January 11, 2014
9. Stage 2. Centers for Medicare & Medicaid Services website. www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/stage-2. html. Accessed January 11, 2014
10. Notices of Proposed Rule-Making (NPRMs) for Meaningful Use Stage 2. www.healthit.gov/policy-researchers-implementers/meaningful-use-regulations
11. Khorasani R. Computerized physician order entry and decision support: improving the quality of care. RadioGraphics 2001; 21:1015-1018
12. Duszak R Jr, Berlin JW. Utilization management in radiology. Part 1. Rationale, history, and current status. J Am Coll Radiol 2012; 9:694-699
13. Duszak R Jr, Berlin JW. Utilization management in radiology. Part 2. Perspectives and future directions. J Am Coll Radiol 2012; 9:700-703
14. Raja AS, Ip IK, Prevedello LM, et al. Effect of computerized clinical decision support on the use and yield of CT pulmonary angiography in the emergency department. Radiology 2012; 262:468-474
15. Ip IK, Schneider LI, Seltzer S, et al. Impact of provider-led, technology-enabled radiology management program on imaging. Am J Med 2013; 126:687-692
16. Chrysanthopoulou A, Kalogeropoulos A, Terzis G, et al. Trends and future needs in clinical radiology: insights from an academic medical center. Health Policy 2007; 80:194-201 (Pubitemid 44750284)
17. Bhargavan M, Sunshine JH. Utilization of radiology services in the United States: levels and trends in modalities, regions, and populations. Radiology 2005; 234:824-832 (Pubitemid 40250826)
18. Agarwal R, Bergey M, Sonnad S, Butowsky H, Bhargavan M, Bleshman MH. Inpatient CT and MRI utilization: trends in the academic hospital setting. J Am Coll Radiol 2010; 7:949-955
19. Rankey D, Leach JL, Leach SD. Emergency MRI utilization trends at a tertiary care academic medical center: baseline data. Acad Radiol 2008; 15:438-443 (Pubitemid 351375128)
20. Bhargavan M. Trends in the utilization of medical procedures that use ionizing radiation. Health Phys 2008; 95:612-627
21. Levin DC, Rao VM, Parker L. The recent downturn in utilization of CT: the start of a new trend? J Am Coll Radiol 2012; 9:795-798
22. Lee DW, Levy F. The sharp slowdown in growth of medical imaging: an early analysis suggests combination of policies was the cause. Health Aff (Millwood) 2012; 31:1876-1884
23. Forman HP, Larson DB, Kazerooni EA, et al. Masters of radiology panel discussion - is imaging in decline? AJR 2013; 200:127-131
24. Khorasani R, Goel PK, Ma'luf NM, Fox LA, Seltzer SE, Bates DW. Trends in the use of radiology with inpatients: what has changed in a decade? AJR 1998; 170:859-861 (Pubitemid 28172861)
25. Matin A, Bates DW, Sussman A, Ros P, Hanson R, Khorasani R. Inpatient radiology utilization: trends over the past decade. AJR 2006; 186:7-11 (Pubitemid 46100353)
26. Details for title: case mix index. Centers for Medicare and Medicaid Services website. www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/Acute-Inpatient-Files-for-Download-Items/CMS022630.html. Accessed January 11, 2014
27. Henley MB, Mann FA, Holt S, Marotta J. Trends in case-mix-adjusted use of radiology resources at an urban level 1 trauma center. AJR 2001; 176:851-854 (Pubitemid 32240921)
28. Maitino AJ, Levin DC, Parker L, Rao VM, Sunshine JH. Nationwide trends in rates of utilization of noninvasive diagnostic imaging among the Medicare population between 1993 and 1999. Radiology 2003; 227:113-117 (Pubitemid 36388727)
29. Bhargavan M, Sunshine JH. Workload of radiologists in the United States in 1998-1999 and trends since 1995-1996. AJR 2002; 179:1123-1128 (Pubitemid 35210164)
30. Mettler FA Jr, Briggs JE, Carchman R, Altobelli KK, Hart BL, Kelsey CA. Use of radiology in U.S. general short-term hospitals: 1980-1990. Radiology 1993; 189:377-380 (Pubitemid 23321413)
31. Sodickson A, Opraseuth J, Ledbetter S. Outside imaging in emergency department transfer patients: CD import reduces rates of subsequent imaging utilization. Radiology 2011; 260:408-413
32. Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. AJR 2009; 192:887-892
33. Ip IK, Schneider LI, Hanson R, et al. Adoption and meaningful use of computerized physician order entry with an integrated clinical decision support system for radiology: ten-year analysis in an urban teaching hospital. J Am Coll Radiol 2012; 9:129-136
34. Wasser EJ, Prevedello LM, Sodickson A, Mar W, Khorasani R. Impact of a real-time computerized duplicate alert system on the utilization of computed tomography. JAMA Intern Med 2013; 173:1024-1026
35. Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med 2001; 135:98-107 (Pubitemid 32661192)
36. Wolf SJ, McCubbin TR, Feldhaus KM, Faragher JP, Adcock DM. Prospective validation of Wells criteria in the evaluation of patients with suspected pulmonary embolism. Ann Emerg Med 2004; 44:503-510 (Pubitemid 39425052)