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The Effect of Imaging Guidelines on the Number and Quality of Outpatient Radiographic Examinations

Harold Moskowitz1,2, Jonathan Sunshine3, Donald Grossman4, Leslie Adams1,2 and Lynn Gelinas4

1 Magellan Specialty Health, Windsor, CT 06095.
2 University of Connecticut School of Medicine, Farmington, CT.
3 Research Department, American College of Radiology, Reston, VA 20191.
4 CIGNA HealthCare of Connecticut, Bloomfield, CT 06002.



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  		Fig. 1. —Form shows second page of technology assessment questionnaire. This questionnaire requires provider to respond to questions regarding imaging equipment, personnel, and quality assurance programs in each office. D.B.A. = doing business as.

 


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  		Fig. 2. —Form shows page one of three-page inspection document. This document details inspectors' findings regarding equipment service records, patient safety, image quality, and reporting methods. N/A = not applicable, OSHA = Occupational Safety and Health Administration.

 


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  		Fig. 3. —Graph shows radiographs per 1000 enrollees. Once plan was instituted, total (solid line) decreased 20-25% below previous trend (dashed line) and 6% in absolute terms below preplan year. Area with diagonal lines = radiographs obtained by nonradiologists, gray area = radiographs obtained by radiologists.

 

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