Ultrasound

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Time allowed for various OB sonos

  • 1.  Time allowed for various OB sonos

    Posted 12-11-2018 10:50
    Does anyone know if there are established standards for the time allowed for sono technicians to perform the various types of OB Ultrasound studies and prepare the report?  I think I saw it somewhere but I forgot where.  A list with allotted time for all the OB studies from 76801 through 76821 would be very helpful.
    If anyone has such a list to share here, it would be great.
    Thanks

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    Georges Sylvestre
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  • 2.  RE: Time allowed for various OB sonos

    Posted 12-12-2018 13:13
      |   view attached
    ​I'd be interested in seeing this too. There is some information in the practice management library here but maybe not as complete as you're looking for.

    Actually, I was identifying some 'best in class' metrics for my team recently (we're a lean/six sigma organization) and stumbled upon the attached metric at advisory.com indicating that the top 10%tile of outpatient ultrasound reports are signed final within 48 minutes of exam ready to read. If you have access, it's located in their Imaging productivity and efficiency report. Attached an image.


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    Kimberly Montero
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  • 3.  RE: Time allowed for various OB sonos

    Posted 12-13-2018 06:53
    In terms of reporting, AIUM accredited practices are required to have a final report of the study within 24 hours or one business day.
    In my practice (both private and at a teaching hospital) it is expected that in almost all circumstances, the final report is generated (electronically signed and dated) within the same work day as the patient was seen.

    I don't have an answer to 'how long' a sonographer  is expected to have to perform an examination.  There is a lot of variability in practice over the country.


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    Bryann Bromley
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  • 4.  RE: Time allowed for various OB sonos

    Posted 12-14-2018 07:31
      |   view attached
    There is some data on this in the original 2011 benchmarking study for 76805,11,16.
    There is no further data since that time although I do not believe it would change.
    I agree with Bryann as this is very variable from institution to institution and highly dependent on how your practice runs and how hands on your providers are in practice with actual scanning vs reading

    https://s3.amazonaws.com/cdn.smfm.org/media/1317/AMFMM_Benchmarking_2011.pdf

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    Brian Iriye
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  • 5.  RE: Time allowed for various OB sonos

    Posted 12-15-2018 10:31
    ​We currently allow 60 minutes for anatomy scan per fetus and 30 min for rest scans; 15 minutes for fluid checks (recognizing some maybe BPP).
    We used to allow half that time 7-8 years ago but changed because of input from sonographers, and seeing what a mess it would be if there were add-ons or an abnormality diagnosed.
    With our current schedule, we are able to allow free add-ons, less sonographer burn-out and injury, and over-all has been working well for us.

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    Meena Khandelwal
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  • 6.  RE: Time allowed for various OB sonos

    Posted 12-16-2018 13:34
    At our center, these are the times per exam:

    • 76805 / 76811: 75 minutes 
    • 76816 (Follow-up): 45 minutes 
    • 76813 (1st trimester): 45minutes
    • 76815 (BPP, cervical check, dopplers or hydrops check): 45 minutes 
    In a setting with multiples specifically, twins:
    • Anatomy: 120 min
    • Follow-up: 60 min 
    We run eight rooms averaging about seven patients per day and usually keep 1 to 2 emergency slots open for add-ons or procedures. We have two 15- minute breaks (AM and PM) in between difficult scans (i.e. high BMI, anatomy scans or multiples) scheduled back to back. This allows recovery time and rests for Sonographers. Majority of our Sonographers scan in pain or have had a previous injury. We've experimented with different time templates throughout the years and found this to work for all of us, including our MFMs. Hope this helps.

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    Mishella Perez BS, RDMS, RDCS
    University of California San Diego Medical Center (UC San Diego Health)
    Department of Maternal - Fetal Care & Genetics

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  • 7.  RE: Time allowed for various OB sonos

    Posted 12-16-2018 15:11
      |   view attached
    I also wanted to add the sonographer average, median, and percentile work from our last study as I think this is helpful.


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    Brian Iriye
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