Generating R-SCAN Using The Web Portal
Using the Web Portal, R-SCAN participants can generate baseline and post-education reports in one of two ways. The method of choice should be based upon factors such as the number of cases to be reviewed for the baseline and post-education project phases (at least 25 for each phase is recommended) and whether the topic is a standard R-SCAN Choosing Wisely topic or a unique practice-defined topic.
1. Use of the R-SCAN Portal for Generating Case Review ReportsThis method of generating R-SCAN reports uses the browser-based CareSelect portal to enter each case manually. Once a practice has registered for a topic, participants will login to the R-SCAN Workspace, navigate to the “Enter Cases” page and then begin entering data by clicking “Enter baseline data” for their registered topic. After the baseline data and educational program are completed, post-education cases are entered in the same manner.
The CareSelect portal allows participants to enter each relevant case one at a time by selecting the age and gender of the patient, the body area or imaging modality, the clinical scenario and finally the type of imaging exam ordered for that case. The imaging exam and associated appropriateness rating is selected and added to the facility’s R-SCAN report by clicking “Select this exam” and then “Accept.”
For guidance, each registered topic on the “Enter Cases” page includes a description of the CareSelect “pathway” to help users select the correct clinical scenario for each topic. Entering Case Data PDF.
Benefits of Using the Portal: Easy-to-use and straightforward method of data entry, especially for practices working with a small baseline and post-education data sets of 25 to 50 cases each.
Considerations: May be burdensome for projects involving a large data set since cases must be entered one at a time.
2. Use of an Excel Report for Uploading Data and Generating Case Review Reports
Participants who wish to bulk-upload retrospective data can enter their cases into an Excel template that allows for recording all data for generating R-SCAN reports. A topic-specific template is available for each R-SCAN topic and can be created for practice-defined topics. Data are entered by selecting indications and exams from drop-down lists specific to the chosen topic and certain fields are autopopulated.
Benefits of Using the Excel Data Upload: Allows for easy importing of larger numbers of cases. Provides an opportunity to add an extra field for participants who wish to track more data than what is required for an R-SCAN project (e.g., exam positivity, referring physician’s name).
Considerations: Appropriateness ratings for each exam must be looked up in the Appropriateness Criteria Table available on the R-SCAN website.
Generating R-SCAN Reports Using the CDS R-SCAN Registry
Facilities with CareSelect Imaging clinical decision support can now conduct a project using data available through the CDS R-SCAN Registry. Click here for more information.