Medical Center Radiology Group - Care

Quality

Improvements in Quality Care

PEER REVIEW: The cornerstone of MCRG’s quality assurance program for the past several years has been Radpeer, the American College of Radiology (ACR) and recognized industry standard in peer review. From 2013 to 2015 the group has reviewed nearly 55,000 cases. Even more impressive is the maintenance of a significant variance rate of approximately 0.1 percent. This data provides objective support of MCRG’s reputation for outstanding quality in radiology interpretation services.

EXAM STANDARDIZATION: The Quality Committee is actively developing a protocol to standardize the acquisition and reconstruction of brain CT’s. This project is intended to reduce the likelihood of overlooking subtle abnormalities by increasing their conspicuity, for example isodense/small subdural bleeds and linear skull fractures. A second benefit will be an overall reduction in radiation dose per patient.

Patient Safety

Advances in Patient Safety

ENTERAL CONTRAST: In collaboration with the South Seminole Hospital’s Quality Office, a process has been developed to improve the safety of enteral contrast usage in radiology. A pilot program was launched to test the effectiveness and feasibility of a screening tool used on every patient. The data confirmed its effectiveness in flagging patients at increased risk of aspiration. It has recently been introduced at Dr. P. Phillips Hospital and will be introduced throughout the entire MCRG practice within the next six months.

CESSATION OF GASTROGRAFFIN USAGE: The harm associated with Gastrograffin aspiration is well documented. To decrease this risk we implemented a practice of only using Gastrograffin per rectum except in rare special circumstances such as therapeutic small bowel series to relieve obstruction.

ASPIRATION PNEUMONIA TASK FORCE: The Orlando Health system is vigorously evaluating new measures related to aspiration pneumonia. MCRG’s Quality Office was key in developing the first component of that effort – the production of a system-wide alert to all team members based largely on the Enteral Contrast Screening Tool we developed. We are looking to the next phase of our work to institute measures throughout the system.

G-TUBE PLACEMENT AND CARE IMPROVEMENT: To evaluate a cluster of cases related to G-tube positioning, a collaborative team was created consisting of Orlando Regional Medical Center quality officers and representatives from MCRG. After reviewing specifics of the events, the team discovered several opportunities for improvement and have changed several significant aspects related to placement, care and follow up of G-tubes.

EVALUATION OF OBSTRUCTIVE UROPATHY PATIENTS: The MCRG Quality Division has partnered with the ORMC Emergency Medicine and Urology departments to create a clinical algorithm for patients presenting to the emergency department with symptoms of urinary obstruction. The main goal was to drastically decrease the radiation dosage from repeated abdominal CT scans. This lead to the development and implementation of a low dose CT protocol, which included the development of a standardized reporting template. The dosage of these scans is 5-10 times less than a conventional scan. As these patients can undergo multiple episodes of symptoms, the reduction in dosage will greatly decrease their risk of harm associated with radiation exposure.

MCRG is proud to have earned affiliation with Strategic Radiology, a consortium of geographically diverse and forward-thinking U.S.-based radiology group practices representing more than 1,300 radiologists.

Through affiliation with SR, MCRG adds value for its practice and hospital partners in many ways, including participation in the SR Patient Safety Organization (PSO), the Group Purchasing Organization (GPO), SR Sub-specialty Teleradiology Partners (SRSTP) collaborative national reading pool, and SR forums in which MCRG radiologists can interact with their peers on both business operations and quality discussions. These products have been proven to bring value back to existing SR member groups that ultimately benefit the patients, physicians, and hospitals that put their trust in them.

Community

In its commitment to the highest quality of patient care and its dedication to improving the quality of life in Central Florida, MCRG physicians have always participated in professional associations, hospital boards, local and state medical education initiatives and community partnerships.

Community & Professional Service

  • Florida Medical Association, 2013 Annual Meeting and Chapter Leadership Conference
  • Young Physicians Alternate Councilor, American College of Radiology
  • Florida Radiology Society, FMA Annual Meeting Representative
  • JoMa Foundation Guest Lecturer, Breast Cancer Awareness Month
  • Shepherds’ Hope Health Center
  • Central Florida Medical Society, Past President
  • United Cerebral Palsy, Past Board Director
  • Central Florida American Cancer Society Board of Directors
  • TYCO Health Care Award for Community Service
  • Orlando Health Women’s Institute, Physician Governance Council
  • Florida Board of Medicine, Past Chairman
  • American Institute of Ultrasound Medicine, Past President
  • Central Florida Association of Physicians from the Indian Subcontinent, President-Elect
  • American Association of Academic Chief Residents in Radiology
  • Central Florida Ultrasound Society, President
  • Orange County Medical Society, President
  • ACR Councilor for the Florida Radiologic Society
  • Society of Skeletal Radiology, Member
  • State Liaison for Radiology Advocacy Network (RAN),
  • Society of Breast Imaging, Member
  • Women’s Health Advisory Board – Siemens Medical
  • American Roentgen Ray Society, Member

Hospitals

  • Orlando Health Foundation Board, Chair
  • South Seminole Hospital, Chief of Staff
  • Orlando Health Radiology Imaging Joint Venture, President
  • Health Central Foundation, Former Board Director
  • Physician Champion/Orlando Health Radiology Council
  • Dr. Phillips Hospital Leadership Committee
  • Dr. Phillips Hospital Quality Improvement Committee
  • Dr. Phillips Hospital CCTA QA Committee
  • Orlando Health Corporate Cardiac CT Workgroup
  • Orlando Health Diagnostic QA Workgroup
  • Orlando Health Ultrasound Workgroup
  • Arnold Palmer Medical Center Leadership Committee
  • Arnold Palmer Hospital Quality Collaborative Committee
  • Arnold Palmer Medical Center Quality Leadership Council
  • Winter Park Hospital Collaborative Committee
  • Orlando Health Collaborative Quality Advisory Council, Vice Chairman

Academics

  • University of Florida Medical School, Adjunct Faculty
  • University of Florida Digital, Radiology Review Course, Lecturer & U.S. Section Coordinator
  • University of Central Florida Medical School, Adjunct Faculty
  • Florida State University Medical School, Adjunct Faculty
  • CAQ (or Sub-specialty Certification) Neuroradiology, Pediatrics and Interventional Radiology
  • MOC (Maintenance of Certification) Radiology
  • Valencia College Radiology Tech Program Lecturer
  • Central Florida Ultra Sound Society Lecturer
  • Valencia College Diagnostic Medical Sonography Program Director, Medical Advisor and Clinical Instructor
  • University of South Florida Musculoskeletal Radiology Fellowship
  • University of Florida Musculoskeletal Radiology Fellowship
  • University of Texas at Galveston Nuclear Medicine Fellowship
  • Case Western Reserve University Award for Excellence in Radiological Sciences
  • Cleveland Clinic Health System Abdominal Imaging Fellowship

Peer Review Publications

  • Radiographics
  • American Journal of Radiology
  • Pediatric Radiology
  • Skeletal Radiology
  • Radiology

Honors & Distinguished Service Recognition

  • Orlando Magazine – Premier Doctors 2015
  • Fellow of the American College of Radiology
  • Best Doctors in America® and the Top Doctors (Orlando magazine peer review)
  • Orlando Health Exemplary Physician Award
  • University of Miami Fellow of the Year
  • American Board of Radiology Examiners Oral Board
  • International Contrast Society Co-founder
  • Alpha Omega Alpha Medical Honor Society
  • Radiology Leadership Institute / Harvard School of Business Training Courses
  • Women’s Summit Award, Central Florida Women’s Resource Center
  • Alpha Kappa Alpha Sorority Legend
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