Abstract
How is a clinical need translated into a specific imaging service? This chapter describes how radiology departments may try to satisfy the needs captured in the order by offering a range of services, how the details of those services are specified, and how they are translated into the Current Procedure Terminology (CPT) codes that are necessary for billing. Along the way it considers who may create an examination, and who should specify the “protocol” (and when), and gives some suggestions about how to keep those protocols safe and manageable.
“When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just what I choose it to mean—neither more nor less.” [1]
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References
Carroll L. Through the looking-glass. Illustrated by John Tenniel. 1871 MacMillan Co, London, p. 208.
CPT 2017 Professional. 4th ed. Chicago: American Medical Association; 2016.
Davis D, Mulligan M, Moszkowicz A, Resnik C. Patient-centered care in diagnostic radiology: lessons learned from patient interviews prior to musculoskeletal magnetic resonance imaging. Qual Manag Health Care. 2015;24(1):38–44.
Glazer D, Alper D, Lee L, Wach R, Hooton S, Boland G, Khoraani R. Technologist productivity and accuracy in assigning protocols for abdominal CT and MRI examinations in an academic medical center: implications for physician workload. AJR Am J Roentgenol. 2019;213(5):1003–7.
Tudor J, Klochko C, Patel M, Siegal D. Order entry protocols are an amenable target for workflow automation. J Am Coll Radiol. 2018;15(6):854–8.
Wessman B, et al. Reducing barriers to timely MR imaging scheduling. Radiographics. 2014;34(7):2064–70.
DiRoberto C, et al. Prioritizing the protocol: improving the process of scheduling imaging examinations in a radiology department with partially integrated IT systems. J Am Coll Radiol. 2017;14(3):444–8.
O’Brien J, Stormann J, Roche K, Cabral-Goncalves I, Monks A, Hallett D, et al. Optimizing MRI logistics: focused process improvements can increase throughput in an academic radiology department. AJR Am J Roentgenol. 2017;208(2):W38–44.
Chhor C, Mercado C. Abbreviated MRI protocols: wave of the future for breast cancer screening. AJR Am J Roentgenol. 2017;208(2):284–9.
O’Brien JJS, Roche K, Cabral-Goncalves I, Monks A, Hallett D, Mortele KJ. Optimizing MRI logistics: focused process improvements can increase throughput in an academic radiology department. AJR Am J Roentgenol. 2017;208(2):W38–44.
Alaia E, Benedick A, Obuchowski N, Polster J, Beltran L, Schils J, Garwood E, Burke C, Chang I, Gyftopoulos S, Subhas N. Comparison of a fast 5-min knee MRI protocol with a standard knee MRI protocol: a multi-institutional multi-reader study. Skelet Radiol. 2018;47(1):107–16.
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Rosenthal, D., Pianykh, O. (2021). Examinations, Protocols, and “Auto” Protocols. In: Efficient Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-53610-7_5
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DOI: https://doi.org/10.1007/978-3-030-53610-7_5
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