The Royal Australian and New Zealand College of Radiologists (RANZCR) relative value unit workload model, its limitations and the evolution to a safety, quality and performance framework

Pitman, A., Jones, D.N., Stuart, D., Lloydhope, K., Mallitt, K. and O'Rourke, P. (2009) The Royal Australian and New Zealand College of Radiologists (RANZCR) relative value unit workload model, its limitations and the evolution to a safety, quality and performance framework. Journal of Medical Imaging and Radiation Oncology, 53 5: 450-458. doi:10.1111/j.1754-9485.2009.02094.x


Author Pitman, A.
Jones, D.N.
Stuart, D.
Lloydhope, K.
Mallitt, K.
O'Rourke, P.
Title The Royal Australian and New Zealand College of Radiologists (RANZCR) relative value unit workload model, its limitations and the evolution to a safety, quality and performance framework
Journal name Journal of Medical Imaging and Radiation Oncology   Check publisher's open access policy
ISSN 1754-9477
Publication date 2009-10
Sub-type Article (original research)
DOI 10.1111/j.1754-9485.2009.02094.x
Volume 53
Issue 5
Start page 450
End page 458
Total pages 9
Place of publication Austraila
Publisher Wiley-Blackwell Publishing Asia
Language eng
Abstract The study reports on the evolution of the Australian radiologist relative value unit (RVU) model of measuring radiologist reporting workloads in teaching hospital departments, and aims to outline a way forward for the development of a broad national safety, quality and performance framework that enables value mapping, measurement and benchmarking. The Radiology International Benchmarking Project of Queensland Health provided a suitable high-level national forum where the existing Pitman-Jones RVU model was applied to contemporaneous data, and its shortcomings and potential avenues for future development were analysed. Application of the Pitman-Jones model to Queensland data and also a Victorian benchmark showed that the original recommendation of 40 000 crude RVU per full-time equivalent consultant radiologist (97-98 baseline level) has risen only moderately, to now lie around 45 000 crude RVU/full-time equivalent. Notwithstanding this, the model has a number of weaknesses and is becoming outdated, as it cannot capture newer time-consuming examinations particularly in CT. A significant re-evaluation of the value of medical imaging is required, and is now occurring. We must rethink how we measure, benchmark, display and continually improve medical imaging safety, quality and performance, throughout the imaging care cycle and beyond. It will be necessary to ensure alignment with patient needs, as well as clinical and organisational objectives. Clear recommendations for the development of an updated national reporting workload RVU system are available, and an opportunity now exists for developing a much broader national model. A more sophisticated and balanced multidimensional safety, quality and performance framework that enables measurement and benchmarking of all important elements of health-care service is needed.
Keyword Benchmarking
Quality
Radiologist
Relative value unit
Safety
Workload
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Thu, 12 Nov 2009, 11:58:28 EST by Mr Andrew Martlew on behalf of Queensland Centre for Intellectual and Developmental Disability