Quality, Patient Safety and Performance Improvement Using Informatics Tools to Measure, Display and Monitor Performance (2025)-R3-CIN2421-2025

Video Transcription

Video Summary

At Brigham and Women's Hospital in Boston, a program was established to improve radiologist performance by incentivizing adherence to quality and safety metrics. This initiative aims to shift from volume-based to quality-driven healthcare, in line with national trends and value-based payment models. The program, known as Radiology Performance Outcome Measures (RPOMs), ties 5% of each radiologist's salary to five quality metric targets, focusing on report timeliness, communication, and peer learning.<br /><br />The hospital ensures these metrics are within individual radiologists' control and continuously monitored. Adjustments are made to metrics and incentives to foster ongoing improvements. For instance, changes were made to the turnaround time targets and peer learning requirements after initial implementation, showing significant departmental improvements, including a reduction in report finalization time.<br /><br />Additionally, efforts to reduce errors in radiology orders were discussed, emphasizing simplification in the electronic health record system to avoid choice paralysis—a concept where too many choices reduce satisfaction and efficiency. Streamlining order processes aimed to ensure accurate scheduling and eliminate unnecessary procedure codes. Metrics' adaptable nature ensures the program remains effective and aligned with evolving healthcare standards, highlighting the importance of leadership commitment and tailored performance targets.

Keywords

radiologist performance

quality metrics

value-based healthcare

Radiology Performance Outcome Measures

report timeliness

peer learning

electronic health record

choice paralysis

leadership commitment