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Report Preparation on Result Turnaround Time and Savings in Cost,Time, and Space
Institution:1. Medical Research Council Centre for Neuropsychiatric Genetics and Genomics;2. Neuroscience and Mental Health Research Institute;3. Cardiff School of Biosciences, Cardiff University, Cardiff, United Kingdom;1. Department of Psychiatry;2. Vanderbilt Kennedy Center for Research on Human Development, Vanderbilt University, Nashville, Tennessee;3. Department of Psychiatry, University of Szeged, Szeged, Hungary;1. Departments of Psychiatry, Genetics, and Neurobiology, Yale School of Medicine, New Haven;2. Department of Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut.;1. Department of Psychiatry, Yale University School of Medicine, New Haven;2. Olin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, Connecticut;3. Department of Genetics, Texas Biomedical Research Institute, San Antonio, Texas;4. Centre for Functional MRI of the Brain, University of Oxford, Oxford, United Kingdom;5. Research Imaging Institute, University of Texas Health Science Center San Antonio, San Antonio, Texas;6. Department of Psychiatry, University of Texas Health Science Center San Antonio, San Antonio, Texas;7. Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.;8. State Key Laboratory for Brain and Cognitive Sciences, University of Hong Kong
Abstract:ObjectiveTo evaluate whether introduction of a densitometry workflow, data-storage, and reporting software system would result in streamlined workflow with fewer expenses and quicker result turnaround time.MethodsBoneStation was implemented March 30, 2009, in a large, urban, tertiary referral center performing more than 6000 bone mineral density studies annually at 3 different geographic sites. The times of scan acquisition, report preparation, and final signature in the online medical record were recorded, and the delays from scan to report and from scan to final signature in the online medical record were calculated for each patient during 2 representative weeks before (n = 274) and 2 weeks after (n = 235) implementation of BoneStation.ResultsUse of BoneStation reduced time from scan to report from 2.11 ± 0.16 days to 0.46 ± 0.05 days (P <.001). BoneStation saved our practice $8.94 per scan, while costing only $3 per scan, resulting in net savings. Considering that the total reimbursement from Medicare in 2010 for dual-energy x-ray absorptiometry is projected to be $55.44, this constitutes cost savings of 10.7% of the total reimbursement.ConclusionThe introduction of a specialized electronic medical system for data storage and reporting reduced costs and improved result turnaround time in a densitometry practice. (Endocr Pract. 2010;16:30-35)
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