QUINTE MRI CASE
Who are the customers of the MRI?
Quinte MRI serves three distinct client groups:
Hospitals seeking to outsource their diagnostic imaging services: they demand service reliability, access to the diagnostic equipment 24 hours per day, seven days per week and reasonable cost -
Physicians wanting to be partners in an independent diagnostic imaging center: they expect cash flow, accessibility to the equipment and a strong relationship with their diagnostic imagining partner -
Individuals wanting to operate their own diagnostic imaging center, using Qunite MRI as a consultant to develop and carry out the necessary steps to establish the clinic: they want freedom from the hassles establishing the business and are willing to pay a 10% project development fee
Examine the process flows for the patient, the technologists’ process for serving clients (patients and radiologists) and the transcription report. Identify value adding and non-value adding tasks.
Process Flow for Patients:
Patients must first receive a referral from their doctor 2.
Patients or doctor’s assistant contact the MRI scheduling department to get appointment 3.
Receptionist at scheduling department writes the patient’s name and type of procedure on the daily schedule form (8 time slots, each for a one-hour increment) 4.
Patients check in with the receptionist upon arrival and wait for the MR technologist to escort them to the MR machine in the magnet room 5.
Patients are questioned about possible health risks and if detected, they get sent home 6.
Patients are checked for metal components on clothing, if so they are required to change into a hospital gown (additional 4 minutes) 7.
Patients receive a brief orientation in the magnet room and lie on a bench of the machine 8.
Patients are moved in to the bore where the scanning takes place – VALUE-ADDED 9.
Upon completion of the scan, patients are escorted to the front desk or directed to the change room if needed
Process Flow for Technologists
Technologist picks up patient from the front desk and escorts him to the MR machine in the magnet room (5 minutes) 2.
While escorting the patient, the technologist asks questions to determine whether there are any health reasons that MRI scans cannot be completed on the patient 3.
Technologist checks on patients wearing clothes with metal components (4 minutes waiting if change of clothes is needed) 4.
Technologist provides a brief orientation and verifies paperwork in the magnet room (1 minute) 5.
Technologist positions the coil and moves the patient into the MRI tunnel (4 minutes) 6.
Technologist obtains the images requested (16.5 minutes on average) VALUE-ADDED 7.
While scans are in progress, technologist enters the patient’s information into the hospital information system for data tracking (1 minute) 8.
After the MRI scan, the technologist prints the MRI films and removes the patient from the machine VALUE-ADDED 9.
Technologist escorts the patient back to the front desk (2 minutes), stopping at the change room if needed (4 minutes) 10.
Technologist checks off the patient’s name on the log to confirm completion of the scan 11.
Technologist greets the next patient and the flow starts all over again.
Process Flow for Transcription Report
The MR technologist prints each sheet of the film from the MRI scan 2.
The technologist collects, sorts, labels and then transfers the film to the radiologist’s office on his way to pick up another patient. 3.
The radiologist takes approximately 5 minutes to read the film and dictate a diagnosis into a recorder. VALUE-ADDED 4.
The dictation is transferred electronically to the transcription department where the report is typed. 5.
1-3 hours after they receive the transcription, the transcription department returns the typed diagnosis to the radiologist for final approval. 6.
Every two hours the radiologist verifies and signs a group of transcriptions. 7.
Once approved by the...
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