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Editorial
. 2024 Jul;312(1):e240335.
doi: 10.1148/radiol.240335.

Administrative Alignment for Integrated Diagnostics Leads to Shortened Time to Diagnose and Service Optimization

Miriam A Bredella  1 , Florian J Fintelmann  1 , A John Iafrate  1 , Ibiayi Dagogo-Jack  1 , Keith J Dreyer  1 , David N Louis  1 , James A Brink  1 , Jochen K Lennerz  1
Affiliations
Editorial

Administrative Alignment for Integrated Diagnostics Leads to Shortened Time to Diagnose and Service Optimization

Miriam A Bredella et al. Radiology. 2024 Jul.
No abstract available

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Conflict of interest statement

Disclosures of conflicts of interest: M.A.B. No relevant relationships. F.J.F. Research support from Pfizer; consulting fees from Boston Scientific; payment or honoraria for lectures from Boston Scientific. A.J.I. Royalties or licenses from Invitae, IDT; consulting fees from SequreDX, Intellia, Kinnate Biopharma; stock/stock options from Oncoclinicas Brazil, Kinnate Biopharma, Paige.AI. I.D.J. Consulting fees from AstraZeneca, Boehringer Ingelheim, Bayer, BostonGene, Bristol Meyers Squibb, Catalyst, Genentech, Gilead, Janssen, Merus, Novocure, Pfizer, Roche, Sanofi-Genzyme, Syros, ThermoFisher Scientific, Xcovery; payment or honoraria for lectures from Foundation Medicine, Creative Education Concepts, OncLive, ASCO Post, DAVA Oncology, Medscape, Research to Practice, Total Health, Aptitude Health, American Lung Association, PeerView. K.J.D. No relevant relationships. D.N.L. President of the International Society of Neuropathology. J.A.B. Board of Directors for Accumen. J.K.L. Employed by BostonGene.

Figures

Images in a 43-year-old woman with a 2-month history of persistent cough. (A) Frontal radiograph shows consolidation in the left lower lobe (*). The patient was treated with antibiotics, which did not improve symptoms. (B) Axial chest CT scan obtained to evaluate for tuberculosis shows a mass in the left lower lobe (*) and multiple lung nodules, suspicious for metastatic lung cancer. (C) Axial image from the CT-guided fine-needle biopsy performed 3 days after presentation to the emergency department (ED) and after completion of staging studies revealed EGFR mutation exon19del, which triggered molecularly targeted therapy. (D) Axial chest CT scan obtained 30 days after the biopsy shows response to molecularly targeted therapy, with marked reduction in tumor size (*).
Figure 1:
Images in a 43-year-old woman with a 2-month history of persistent cough. (A) Frontal radiograph shows consolidation in the left lower lobe (*). The patient was treated with antibiotics, which did not improve symptoms. (B) Axial chest CT scan obtained to evaluate for tuberculosis shows a mass in the left lower lobe (*) and multiple lung nodules, suspicious for metastatic lung cancer. (C) Axial image from the CT-guided fine-needle biopsy performed 3 days after presentation to the emergency department (ED) and after completion of staging studies revealed EGFR mutation exon19del, which triggered molecularly targeted therapy. (D) Axial chest CT scan obtained 30 days after the biopsy shows response to molecularly targeted therapy, with marked reduction in tumor size (*).
Traditional versus integrated diagnostic (IDx) workflow. (A) Example of the principal workflow steps of a patient with cancer from diagnostic confirmation to therapy. Note the siloed nature of radiology, pathology, and pharmacy and the coordination of care residing with the treating physician. (B) IDx workflow with longitudinal coordination of radiology, pathology, and pharmacy for expedited diagnosis and functional administrative alignment for coordinated benefit management. The traditional and integrated diagnostic workflows create real-world data that can be integrated into real-world evidence to drive payor strategies. We define integrated diagnostics as an integration of clinical workflows and coordination of relevant administrative functions to enable financially cognizant synergies for the optimization of patient care. (C) Graphs show days to treatment (left) measured from order by the oncologist to treatment start and normalized reimbursement data (right) from line-item analysis; P values obtained from a t test. CPT = Current Procedural Terminology, ICD = International Classification of Diseases, MTM = medication therapy management, RCM = revenue cycle management.
Figure 2:
Traditional versus integrated diagnostic (IDx) workflow. (A) Example of the principal workflow steps of a patient with cancer from diagnostic confirmation to therapy. Note the siloed nature of radiology, pathology, and pharmacy and the coordination of care residing with the treating physician. (B) IDx workflow with longitudinal coordination of radiology, pathology, and pharmacy for expedited diagnosis and functional administrative alignment for coordinated benefit management. The traditional and integrated diagnostic workflows create real-world data that can be integrated into real-world evidence to drive payor strategies. We define integrated diagnostics as an integration of clinical workflows and coordination of relevant administrative functions to enable financially cognizant synergies for the optimization of patient care. (C) Graphs show days to treatment (left) measured from order by the oncologist to treatment start and normalized reimbursement data (right) from line-item analysis; P values obtained from a t test. CPT = Current Procedural Terminology, ICD = International Classification of Diseases, MTM = medication therapy management, RCM = revenue cycle management.
Key considerations for administrative alignment in integrated diagnostics.
Figure 3:
Key considerations for administrative alignment in integrated diagnostics.
See this image and copyright information in PMC

References

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