Measuring Diagnostic Radiologists: What Measurements Should We Use?
J Am Coll Radiol. 2019 Mar;16(3):333-335. doi: 10.1016/j.jacr.2018.12.011. Epub 2019 Feb 2.
Davenport MS1, Larson DB2.
For years, radiologists (and their administrators) have been attempting to measure diagnostic radiologist performance . The premise is that patients must be protected from practitioners who deviate from standards of care, and identifying suboptimal individual outliers will in some way provide information that can be used to remediate performance. Such logic has engendered regulatory requirements, such as those of the Joint Commission, that expect provider-level quality assurance data to be reported and acted upon for all physicians . Measurement of diagnostic radiologist performance outside breast imaging usually is done by aggregating data from scoring systems (eg, RADPEER™ )applied in pseudo-anonymous case-based peer-to-peer review . As of 2017, more than 1,100 groups and 18,000 radiologists were utilizing the ACR RADPEER scoring system for this purpose .