open access

Vol 22, No 5 (2017)
Original research articles
Published online: 2017-09-01
Submitted: 2016-07-03
Get Citation

Assessment of performance indicators of a radiotherapy department using an electronic medical record system

Yasir A. Bahadur, Camelia Constantinescu, Ammar Y. Bahadur, Ruba Y. Bahadur
DOI: 10.1016/j.rpor.2017.06.002
·
Rep Pract Oncol Radiother 2017;22(5):360-367.

open access

Vol 22, No 5 (2017)
Original research articles
Published online: 2017-09-01
Submitted: 2016-07-03

Abstract

Aim

To retrospectively assess the performance indicators of our radiotherapy department and their temporal trends, using a commercially available electronic-medical-record (EMR) system.

Background

A recent trend in healthcare quality is to define and evaluate performance indicators of the service provided.

Materials and methods

Patient and external-beam-radiotherapy-treatments data were retrieved using the Mosaiq EMR system from 1-January-2012 till 31-December-2015.

Annual performance indicators were evaluated as: productivity (number of new cases/year and diagnosis distribution); complexity (ratio of Volumetric-Modulated-Arc-Therapy (VMAT) courses, average number of imaging procedures/patient); and quality (average, median and 90th percentile waiting times from admission to first treatment).

The temporal trends of all performance indicators were assessed by linear regression.

Results

Productivity: the number of new cases/year increased with an average rate of 4%. Diagnosis distribution showed that breast is the main pathology treated, followed by gastro-intestinal and head-and-neck.

Complexity: the ratio of VMAT courses increased from 13% to 35%, with an average rate of 7% per year. The average number of imaging procedures/patient increased from 8 to 11.

Quality: the waiting times from admission to treatment remained stable over time (R2[[ce:hsp sp="0.25"/]]≤[[ce:hsp sp="0.25"/]]0.1), with average, median and 90th percentile values around 20, 15, and 31 days, respectively.

Conclusions

An EMR system can be used to: monitor the performance indicators of a radiotherapy department, identify workflow processes needing attention and improvement, estimate future demands of resources.

Temporal analysis of our data showed an increasing trend in productivity and complexity paired with constant waiting times.

Abstract

Aim

To retrospectively assess the performance indicators of our radiotherapy department and their temporal trends, using a commercially available electronic-medical-record (EMR) system.

Background

A recent trend in healthcare quality is to define and evaluate performance indicators of the service provided.

Materials and methods

Patient and external-beam-radiotherapy-treatments data were retrieved using the Mosaiq EMR system from 1-January-2012 till 31-December-2015.

Annual performance indicators were evaluated as: productivity (number of new cases/year and diagnosis distribution); complexity (ratio of Volumetric-Modulated-Arc-Therapy (VMAT) courses, average number of imaging procedures/patient); and quality (average, median and 90th percentile waiting times from admission to first treatment).

The temporal trends of all performance indicators were assessed by linear regression.

Results

Productivity: the number of new cases/year increased with an average rate of 4%. Diagnosis distribution showed that breast is the main pathology treated, followed by gastro-intestinal and head-and-neck.

Complexity: the ratio of VMAT courses increased from 13% to 35%, with an average rate of 7% per year. The average number of imaging procedures/patient increased from 8 to 11.

Quality: the waiting times from admission to treatment remained stable over time (R2[[ce:hsp sp="0.25"/]]≤[[ce:hsp sp="0.25"/]]0.1), with average, median and 90th percentile values around 20, 15, and 31 days, respectively.

Conclusions

An EMR system can be used to: monitor the performance indicators of a radiotherapy department, identify workflow processes needing attention and improvement, estimate future demands of resources.

Temporal analysis of our data showed an increasing trend in productivity and complexity paired with constant waiting times.

Get Citation

Keywords

Performance indicators; Electronic medical record system; Radiotherapy

About this article
Title

Assessment of performance indicators of a radiotherapy department using an electronic medical record system

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 22, No 5 (2017)

Pages

360-367

Published online

2017-09-01

DOI

10.1016/j.rpor.2017.06.002

Bibliographic record

Rep Pract Oncol Radiother 2017;22(5):360-367.

Keywords

Performance indicators
Electronic medical record system
Radiotherapy

Authors

Yasir A. Bahadur
Camelia Constantinescu
Ammar Y. Bahadur
Ruba Y. Bahadur

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl