Emergency Radiology in the Era of Imaging 3.0TM

Rathachai Kaewlai, MD Emergency Radiology Minicourse 2015, Jul 2015

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Medical Imaging: ���Evolution in Patient Care

A new kind of ray

Imaging 1.0

Imaging 2.0

Imaging 3.0

1896 1920 1990 2013

A New Kind of Ray���1896 - 1920 Discovery of X-rays by Wilhelm

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Medical applications

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Imaging 1.0 ���1920 – 1990 Imaging in medical care

Physicians began embracing imaging capability for diagnosis and treatment of patients

Contrast agents were developed New modalities were available

Imaging 2.0 ���1990 – present Technology explosion

Evolving modalities, more than ever before Advent of PACS Knowledge base increased dramatically

Radiologists become a consultant to referring physicians Unprecedented demand for imaging

Imaging 3.0

Differentiating “Value” from “Volume” and “Cost”

High value care is the ultimate aim Radiologists must be relevant in clinical care

Imaging 3.0

Blueprint for high value care

Radiologists must perform “Beyond image interpretation”

What else should we do “beyond” reading images to provide high value care?

Imaging 3.0 ���2013 and beyond Blueprint for high value care

“Beyond image interpretation” Assuring appropriateness Documenting quality and safety

Actionable reporting with evidence-based F/U Empowered patients

Imaging 3.0

Maximize radiologists’ value

Collaborate with other physicians to improve imaging care

Empower patients

Imaging 3.0 ���Optimize Patient Care

Imaging is first

considered

Referring physicians and patients fully

understand imaging results and

recommendations

Imaging interpreted

What’s Driving Imaging 3.0?

Healthcare movement toward value-based care

Cost cutting Fee for service will go away

Specialists vs. primary care gap

Current imaging culture

Why Do We Need To Go ���“Beyond Image Interpretation”?

What Can We Do?

Based on value

Consultative Patient centered Outcome focused

Integral

Take Home Messages

New era of imaging starts now, to stay relevant - our function must go beyond image interpretation

Imaging must be based on value, consultative, patient centered, outcome focused and integral

Radiologists are accountable for what we do