Evidence Based Management In Health Care

Healthcare is constantly changing in advancements and regulations. As healthcare changes facilities and practices need to monitor these changes to decide if, how, and when the advancements and regulations will impact their practices and protocol. Practices are continually having to revise their systems, techniques, protocols, rules and regulations to keep up with and meet the demands of the changing healthcare industry. Evidence-based management is a great way to do this in an effective and knowledgeable manner. Using evidence-based management allows the practice to assess the current procedure/protocol, gain information from reliable and credible sources on the new methodology, appraise the newly gathered information to decide what and how to integrate it into their system, and finally assess the

Our particular prior authorization group is focused on radiology and nuclear medicine procedures. On a daily basis we either discover test that have been ordered incorrectly or have orders changed by the radiologist due to not meeting guidelines. The physicians that place orders with us range from orthopedic specialist and cardiologist to family and internal medicine doctors. The amount of resources and money that are utilized in discovering and correcting these errors cost over $30,000 monthly. Our facility has been trying to encourage the providers to utilize the ordering guidelines available to them to no avail. We have also tried to encourage them to contact the radiologist prior to ordering to ensure they order the most appropriate examination. A committee was started to investigate other options for this costly problem that is greatly impacting patient healthcare. After doing research, studying facts and figures, discussing options with a group of physician and our radiologist it was determine that we look at ACR Select. ACR Select is a computerized system that assists providers in ordering medically