Peer Review

Summary

This enhancement to Peer Review changes the logic for selecting forced peer review cases to automatically prioritize any manually assigned studies when a forced peer review occurs.

Previously, forced peer review only prioritized reviews for the most overdue modality type, and did not consider the origin of the review.

With this change, studies that were manually assigned to a Radiologist for Peer Review are the first to be presented when a forced peer review is due. If the user has no studies specifically assigned to them, but there are other unassigned studies that were manually sent for Peer Review, those will be prioritized.

Within those categories, the existing logic is unchanged and will continue prioritize reviews for the modality type that is most overdue.

For example, if the Radiologist is most overdue to peer review a Mammo but has only one study that is assigned to her for Peer Review and it is a CT, she should be given that CT for her forced peer review. For her next forced peer review, if she has no other studies directly assigned to her but there are a number of manually added peer reviews that are Unassigned, she should receive one of those studies, preferably a Mammo if available.

Configuration Instructions

No System Administrator actions are necessary to enable this feature.

Summary

This enhancement to Peer Review updates the logic for selecting peer review candidate cases to automatically utilize a radiologist's previous activity to select cases appropriate for that radiologist to peer review rather than relying only on configuration.

Previously, when a radiologist began reading a modality type, their RADPeerReviewAssignment configuration would be manually updated to include that modality (unless they were already configured for "all" modalities) and their Reports to Peer Review worklist would be populated with all procedures for that modality. However, because no filtering of specific procedure codes occurred, they would be presented with reviews for any exam that was performed on that modality, including procedure codes that they do not read. This forced them to frequently use the Skip option to bypass these procedures.

With this change, in combination with the existing configuration criteria to include specific modality types, the selection of peer review candidate cases will now also consider the types of procedures the radiologist has dictated or signed (as Contributor A, B, or Final Sign) within the past number of months when populating the Reports to Peer Review worklist or when forcing a peer review.

In this way, when radiologists start to read new types of procedures (or stop reading certain procedures), only relevant procedures from the previous number of months, as defined by the new PeerReviewProcedureEligibilityTimeFrame RIS System Configuration setting, will be selected without requiring RIS Administrators to manually adjust configuration.

For example, Radiologist Joe is assigned to peer review MRI exams and PeerReviewProcedureEligibilityTimeFrame is configured to 3 months. When populating Joe's Reports to Peer Review worklist or forcing a peer review, RIS will only include MRI procedures of the same type that Joe dictated or signed in the past 3 months. If Joe then begins to read MR Brain exams for the first time, then his worklist will begin to be populated with that procedure as well.

If Joe is then trained to start reading CT exams, his RadPeerReviewAssignment configuration should then be updated to include either the MRI or CT Modality Type. Nothing will immediately change until Joe reads his first CT Spine, at which point his Peer Review worklist will soon begin to be populated with that procedure. As Joe reads a wider variety of CT procedures, the variety of CT Peer Reviews will also expand.

Even if Joe never reads another CT Spine, he will continue to be presented with CT Spine exams to review for the following 3 months (although he may use the Skip reason if desired).

Configuration Instructions

System Administrators must complete the following actions to enable this feature:

RIS Client

Changes to RadPeerReviewAssignment Settings

·         Optionally, adjust Modality Type assignments for participating Radiologists.

Changes to RIS System Configuration Settings

·         Optionally, adjust PeerReviewProcedureEligibilityTimeFrame to your preferred duration.

The following related settings were added or updated:

Summary

This enhancement to Peer Review introduces a new database field to distinguish Peer Review types, allowing Management Reports to distinguish the manner in which a Peer Review was initiated

Previously, these values were not tracked.

With this change, Worklist, Injected, Adhoc, and QA Peer Review types will be recorded in the database via a new peer_review_type column in the c_interpretation_peer_review table.

·         Worklist - The user has chosen to perform a Peer Review from the Reports to Peer Review worklist.

·         Injected - A Peer Review has been inserted into a user's dictation workflow because they have fallen below the target percentage.

·         Adhoc - The user has chosen to perform an optional Peer Review on an eligible prior study during the course of normal workflow.

·         QA - The user has performed a Peer Review from the Peer Review QA workflow.

Configuration Instructions

No System Administrator actions are necessary to enable this feature.

Summary

This enhancement to Peer Review provides a condensed view of the Peer Review counter when running RIS in lower resolutions.

Previously, some radiologists were not able to see the Peer Review counter as their monitors were configured in a vertical orientation, which reduces the horizontal resolution.

With this change, adjustments to the status bar spacing ensure that Peer Review information is viewable at supported resolutions.

Known Limitations

The following limitation has been identified and should be communicated to affected users:

·         Bug #31008 - Peer Review counter display issues due to screen resolution

The Peer Review counter can disappear when the assigned Radiologist has a very long name or when a dated worklist is opened (Reception/Tech).

Configuration Instructions

No System Administrator actions are necessary to enable this feature.