Neuroimaging

Diagnostic Neuroimaging

Brain Attack Head CT Turnaround Times

2014 – 2018

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 should be performed within 20 minutes of presentation and an interpretation should be provided to the responsible licensed independent practitioner within 45 minutes of presentation or within 20 minutes of the acquisition. The graph demonstrates a slight downward trend in the mean turnaround times over the past 5 years.

Brain Attack Head CT Reporting - Mean Turnaround Times 2018

2018

Cleveland Clinic Hospitals

The overall mean for the health system during 2018 across the 11 hospitals with over 3600 exams was 6.29 minutes. N = the overall number of brain attack head CTs performed for acute stroke. Compliance for relaying the interpretation of brain attack scans to the responsible licensed independent practitioner within 45 minutes of presentation or within 20 minutes of acquisition was 98%.

Global Reporting Turnaround Times

2018

The reporting of emergency room and STAT 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 and STAT reports are generally completed in < 10 minutes, inpatient reports < 30 minutes, and outpatient reports in < 1 hour.

Median Reporting Turnaround Times

2018

The overall median turnaround times for outpatient and inpatient studies during 2018 were < 100 and < 30 minutes, respectively, while the median times for emergency room and STAT studies were ≤ 5 minutes. These times were all well within the targeted turnaround times, regardless of the time of day or day of the week.

Median Outpatient Turnaround Times

2014 - 2018

While emergency room and STAT studies are assigned a higher priority, all outpatient reports are now generally available within 100 minutes over all 3 shifts. The higher median for outpatients during shift 2 is somewhat longer as routine studies performed during the evening may be dictated first thing in the morning to accommodate the increasing demand and acuity of emergency and inpatient studies during the evening.

Median Inpatient Turnaround Times

2014 - 2018

Median turnaround for inpatient studies times have remained stable or decreased over the past 5 years for all 3 shifts despite rising volumes, and all turnaround times are all < 1 hour, well below the Institute's goal of 6 hours.

Median Emergency Room and STAT Studies Turnaround Times

2014 - 2018

Emergency room and STAT studies are assigned highest priority and the graph demonstrates a downward trend in these times over the past 5 years, all of which are substantially below the institutional and national guidelines of 30 minutes.