Neuroimaging

Diagnostic Neuroimaging

Brain Attack Head CT Turnaround Times

2013 – 2017

The Center for Neuroimaging is responsible for the interpretation of brain attack head CTs and CT angiography for the entire Cleveland Clinic health system. Guidelines for Primary and Comprehensive Stroke Centers dictate that a noncontrast head CT be performed within 25 minutes of presentation and an interpretation be provided to the responsible licensed independent practitioner within 45 minutes of presentation or within 20 minutes of acquisition. The graph demonstrates a slight downward trend in the mean turnaround times over the past 5years. The overall mean for Cleveland Clinic during 2017 across 11 hospitals with over 3100 exams was calculated to be 6.87 minutes. N = the overall number of brain attack head CTs performed for acute stroke.

Global Reporting Turnaround Times

2017

Emergency imaging studies are assigned a higher priority than routine inpatient and outpatient studies in the Center for Neuroimaging. Currently, median turnaround times indicate that emergency reports are generally completed in <10 minutes, inpatient reports in < 30 minutes, and outpatient reports in well < 1 hour.

Median Outpatient Turnaround Times

The Center for Neuroimaging maintains 24/7 coverage for the entire Cleveland Clinic health system, including afterhours coverage for affiliates in Akron, Ohio, and Weston, Florida. Turnaround time is measured from the time of exam completion to the time that the finalized report is available in the electronic medical record for the requesting service. While Emergency Room and STAT studies are assigned a higher priority, all outpatient reports are now generally available in < 45 minutes. The reporting of outpatient studies has remained relatively constant over time during the first and third shifts. Due to high demands during second shift, the center increased staffing, which resulted in striking reductions in turnaround times that have remained constant over the past 3 years.

Median Inpatient Turnaround Times

The Center for Neuroimaging maintains 24/7 coverage for the entire Cleveland Clinic health system, including afterhours coverage for affiliates in Akron, Ohio, and Weston, Florida. Turnaround time is measured from the time of exam completion to the time that the finalized report is available to the requesting service in the electronic medical record. There has been a stable or slight downward trend in the median turnaround times for inpatient studies over the past 5 years for all 3 shifts despite rising volumes, and all times are < 1 hour, well below the center’s goal of 6 hours.