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Home Teleradiology Workflow
Teleradiology Workflow

Before Telemed Providers start providing Teleradiology service to the clients, our specialists begin with assessment of the client's needs regarding workload and number of cases/day, required hours of coverage (day or night), required radiologist credentials (ABR, EBR, MD or MS) and required TAT for cases (regular/STAT). Assessment also includes the status of the client's infrastructure, hardware, types of scanning machines, availability of PACS/DICOM workstations, internet connection and ability to create and DICOM connection. By the end of the assessment process, we provide the client with a full report which includes the degree of readiness to start a teleradiology setting and the any additional required items.

The steps of a typical Teleradiology Workflow is as follows:

Step 1: Images Acquisition & Distribution:

  • Telemed Providers offers to provide the client with standard protocols for scanning and images sequences for multiple modalities and regions as required.
  • Scanning is performed at the facility.
  • The modality is connected to our PACS server via a DICOM connection, and images are uploaded to our PACS.  If the client does not use it won PACS system, Telemed Providers can provide a wide range of DICOM push solutions including DICOM workstations and also cost-effective PACS systems which are fully integrated with the Hospital/center HIS/RIS.
  • With every set of images the client sends a fax request indicating the patient demographics, reason of Exam/History, type of the study and any other required information.

Step 2: Radiology Operations Control (Order entry, Images review and case assigning):

  • Our ROC agent receives the faxed study request and opens the images to ensure information is complete and matching the request (number of images, imaging sequences, … etc).
  • Then ROC agent enters order into our RIS system and assigns the studies to the appropriate radiologist's worklist according to their subspecialty expertise and availability.

Step 3: Reading/Interpretation:

  • The radiologist opens the images on his workstation, reviews the study and dictates the report.  If the study is for a regular case the radiologist dictates a final report and voice files is sent to the transcription.  For STAT cases, radiologist provides a preliminary report and signs it and the RIS system sends that prelim to the facility directly.  Also radiologist may consult with the referring physician as needed according to the status of the patient.

Step 4: Transcription:

  • Our transcription team receives the dictated voice files and type them.
  • The typed report is reviewed by the QA editor and then sent to the radiologists signing worklist.

Step 5:  Report Signing:

  • Radiologist opens the typed report and reviews it then signs it using electronic signing.

Step 6:  Report Distribution:

  • Once the report is signed, the RIS system sends it in a fax to the client or the client's staff can access our RIS system to print the report as required.

Step 7:  Support and Services:

  • Our ROC agents are continuously monitoring the workflow process and protocols through all stages making sure that every step is done within its appropriate time to ensure report delivery within the required TAT.
  • Our ROC agents are available 24/7 to provide support and answer any client inquires regarding their cases or any questions for the radiologists.
  • Our IT team is ready 24/7 to provide full technical support and troubleshooting.