The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System
Purpose To evaluate the operational and financial impact of an interventional radiology (IR) clinic at a tertiary county hospital system. Methods The IR clinic, which opened in January 2017, evaluates outpatient referrals and completes preprocedure workups, nonimage-guided procedures, and postproce...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-01-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723045 |
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| author | Joseph L. McDevitt Rehan S. Quadri Patrick D. Sutphin Mark Reddick |
| author_facet | Joseph L. McDevitt Rehan S. Quadri Patrick D. Sutphin Mark Reddick |
| author_sort | Joseph L. McDevitt |
| collection | DOAJ |
| description | Purpose To evaluate the operational and financial impact of an interventional radiology (IR) clinic at a tertiary county hospital system.
Methods The IR clinic, which opened in January 2017, evaluates outpatient referrals and completes preprocedure workups, nonimage-guided procedures, and postprocedure follow-up visits. Procedural volumes, locations, start times, and end times were analyzed from September 2015 to June 2018, with comparison of pre- and postclinic values by t-tests.
Results Relative to the preclinic period, the number of IR cases completed each quarter has increased by an average of 12% (pre: 953 ± 63, post: 1063 ± 34, p = 0.01). Procedures that saw the largest quarterly growth included port placements (44% increase; pre: 82 ± 8, post: 118 ± 17, p = 0.002), inferior vena cava (IVC) filter placements (24% increase; pre: 33 ± 12, post: 41 ± 8, p = 0.20), IVC filter removals (72% increase; pre: 18 ± 7, post: 31 ± 8, p = 0.02), and treatments of lower extremity venous disease (100% increase; pre: 7 ± 2, post: 14 ± 6, p = 0.04). Completion of 119 cases/quarter in clinic (removal of tunneled catheters and infusion ports), as well as a reduction of emergent nephrostomy exchanges, reduced quarterly facility charges for these procedures by $350,000. Since the opening of the IR clinic, the first outpatient case started 36 minutes earlier (p < 0.001) and the last case finished 19 minutes earlier (p = 0.004).
Conclusion Opening an IR clinic resulted in a significant increase in case volume while reducing avoidable costs and improving efficiency of the angiography suite. |
| format | Article |
| id | doaj-art-e4aa0cea3ecf435d800c11bb4cc8f05e |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-e4aa0cea3ecf435d800c11bb4cc8f05e2025-08-20T02:21:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692021-01-01501162110.1055/s-0041-1723045The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital SystemJoseph L. McDevitt0Rehan S. Quadri1Patrick D. Sutphin2Mark Reddick3Department of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United StatesDepartment of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United StatesDepartment of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United StatesDepartment of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United StatesPurpose To evaluate the operational and financial impact of an interventional radiology (IR) clinic at a tertiary county hospital system. Methods The IR clinic, which opened in January 2017, evaluates outpatient referrals and completes preprocedure workups, nonimage-guided procedures, and postprocedure follow-up visits. Procedural volumes, locations, start times, and end times were analyzed from September 2015 to June 2018, with comparison of pre- and postclinic values by t-tests. Results Relative to the preclinic period, the number of IR cases completed each quarter has increased by an average of 12% (pre: 953 ± 63, post: 1063 ± 34, p = 0.01). Procedures that saw the largest quarterly growth included port placements (44% increase; pre: 82 ± 8, post: 118 ± 17, p = 0.002), inferior vena cava (IVC) filter placements (24% increase; pre: 33 ± 12, post: 41 ± 8, p = 0.20), IVC filter removals (72% increase; pre: 18 ± 7, post: 31 ± 8, p = 0.02), and treatments of lower extremity venous disease (100% increase; pre: 7 ± 2, post: 14 ± 6, p = 0.04). Completion of 119 cases/quarter in clinic (removal of tunneled catheters and infusion ports), as well as a reduction of emergent nephrostomy exchanges, reduced quarterly facility charges for these procedures by $350,000. Since the opening of the IR clinic, the first outpatient case started 36 minutes earlier (p < 0.001) and the last case finished 19 minutes earlier (p = 0.004). Conclusion Opening an IR clinic resulted in a significant increase in case volume while reducing avoidable costs and improving efficiency of the angiography suite.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723045interventional radiologyclinic-based modelpublic hospital systemsquality improvement |
| spellingShingle | Joseph L. McDevitt Rehan S. Quadri Patrick D. Sutphin Mark Reddick The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System Journal of Clinical Interventional Radiology ISVIR interventional radiology clinic-based model public hospital systems quality improvement |
| title | The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System |
| title_full | The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System |
| title_fullStr | The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System |
| title_full_unstemmed | The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System |
| title_short | The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System |
| title_sort | operational and financial value of an interventional radiology clinic at a large academic tertiary public hospital system |
| topic | interventional radiology clinic-based model public hospital systems quality improvement |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723045 |
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