TY - JOUR
T1 - The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System
AU - Mcdevitt, Joseph L.
AU - Quadri, Rehan S.
AU - Sutphin, Patrick D.
AU - Reddick, Mark
N1 - Publisher Copyright:
© 2021 Georg Thieme Verlag. All rights reserved.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - 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- A nd 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.
AB - 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- A nd 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.
KW - clinic-based model
KW - interventional radiology
KW - public hospital systems
KW - quality improvement
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U2 - 10.1055/s-0041-1723045
DO - 10.1055/s-0041-1723045
M3 - Article
AN - SCOPUS:85107085481
SN - 2456-4869
VL - 5
SP - 16
EP - 21
JO - Journal of Clinical Interventional Radiology ISVIR
JF - Journal of Clinical Interventional Radiology ISVIR
IS - 1
M1 - JCIR2000060
ER -