University of Cincinnati, 234, Goodman Street, Cincinnati, Ohio, 45267.
University of Cincinnati, 234, Goodman Street, Cincinnati, Ohio, 45267.
Acad Radiol. 2020 Oct;27(10):1343-1352. doi: 10.1016/j.acra.2020.08.002. Epub 2020 Aug 10.
Following state and institutional guidelines, our Radiology department launched the "Recover Wisely" for all nonurgent radiology care on May 4, 2020. Our objective is to report our practice implementation and experience of COVID-19 recovery during the resumption of routine imaging at a tertiary academic medical center.
We used the SQUIRE 2.0 guidelines for this practice implementation. Recover Wisely focused on a data driven, strategic rescheduling and redesigning patient flow process. We used scheduling simulations and meticulous monitoring and control of outpatient medical imaging volumes to achieve a linear restoration to our pre-COVID imaging studies. We had a tiered plan to address the backlog of rescheduled patients with gradual opening of our imaging facilities, while maintaining broad communication with our patients and referring clinicians.
Recover Wisely followed our anticipated linear modeling. Considering the last 10 weeks in the recovery, outpatient growth was linear with an increase of approximately 172 cases per week, (R =0.97). We achieved an overall recovery of 102% in week 10, as compared to average weekly pre-COVID outpatient volumes. The modalities recovered as follows in outpatient volumes: CT (113%), MRI (101%), nuclear medicine including PET (138%), mammograms (97%), ultrasound (99%) and interventional radiology (106%). When compared to identical 2019 calendar weeks (May 4, 2020-July 10, 2020), the total 2020 radiology volume was 11% reduced from the 2019 volume. The reduction in total weighted relative value units was 8% in this time period, as compared to 2019.
Our department utilized a data-driven, team approach based on our guiding principles to "Recover Wisely." We created and implemented a methodology that achieved a linear increase in outpatient studies over a 10-week recovery period.
根据州和机构的指导方针，我们放射科于 2020 年 5 月 4 日为所有非紧急放射科护理推出了“明智恢复”。我们的目标是报告我们在一家三级学术医疗中心恢复常规成像时的 COVID-19 恢复实践实施和经验。
我们使用 SQUIRE 2.0 指南进行了这项实践实施。“明智恢复”专注于数据驱动、战略重新安排和重新设计患者流程。我们使用调度模拟和对门诊医疗成像量的细致监测和控制，实现了向 COVID 前成像研究的线性恢复。我们有一个分层计划来解决重新安排的患者积压问题，逐步开放我们的成像设施，同时与我们的患者和转诊临床医生保持广泛沟通。
“明智恢复”遵循了我们预期的线性模型。考虑到恢复的最后 10 周，门诊量的增长是线性的，每周增加约 172 例（R = 0.97）。与 COVID 前每周平均门诊量相比，我们在第 10 周实现了 102%的总体恢复。门诊量恢复的方式如下：CT（113%）、MRI（101%）、核医学包括 PET（138%）、乳房 X 光片（97%）、超声（99%）和介入放射学（106%）。与 2019 年相同的日历周（2020 年 5 月 4 日至 7 月 10 日）相比，2020 年放射科的总工作量减少了 11%，而在此期间，加权相对价值单位的减少量为 8%，与 2019 年相比。
我们的部门利用了一种基于指导原则的以数据为驱动、团队为基础的方法来“明智恢复”。我们创建并实施了一种方法，在 10 周的恢复期间实现了门诊研究的线性增加。
