Preliminary data shows our ordering providers agree with radiologists’ follow-up recommendations almost 90% of the time, and the program has been well received by various members of hospital leadership.
In collaboration with the Department of Quality and Safety at BWH, the Department of Radiology launched a new initiative in October 2019 called Addressing Radiology Recommendations Collaboratively (ARRC).
The primary goals of this initiative are to:
Reduce delays and missed diagnoses
Reduce missed and delayed diagnoses from imaging findings by establishing a collaborative care plan between radiologists and ordering providers.
Assist in the ordering, scheduling, and timely performance of imaging exams.
Here's how ARRC works:
As part of ARRC, radiologists are asked to use a Blue ANCR to document an imaging follow-up recommendation.
Provider Interacts with Recommendation
If the ordering provider agrees to the recommendation, a member of the Radiology Care Coordination team places the order on behalf of the ordering provider for co-signature in Epic and schedules the imaging exam with the patient.
Connect to Outside Providers
If the patient’s appropriate longitudinal provider is not part of BWH, a member of the Safety Net Team sends a letter with the relevant imaging findings and follow-up recommendation to the patient and the patient’s non-BWH primary care physician.
Ensure Safety Net
An ARRC Operations Team regularly tracks all Blue ANCR follow-up recommendations to ensure follow-up imaging exams are obtained, or the patients received a letter from the Safety Net Team.
Neena Kapoor, et al. (October, 2022). Predictors of Completion of Clinically Necessary Radiologist-Recommended Follow-up Imaging: Assessment Using an Automated Closed-Loop Communication and Tracking Tool. https://www.ajronline.org/doi/10.2214/AJR.22.28378.