An operational analysis of a new medical imaging department

Abstract

The aim of this study was to establish what is already known within current work practices of the Medical Imaging Department of Mater Dei Hospital, consolidate and formalise practices such that they are transparent enough to be analysed critically, assess options for improvement or change and propose improvements in workflow. The approach taken for data collection was a one-to-one interview approach that enabled the researcher to retrieve as much information as possible from every contributor. Interviewees included radiologists, radiographers, clerks, transcriptionists, sectional administrators, managers and last but not least patients. Data gathered was compiled to assess effectiveness and efficiency of current practices and suggestions for improvement, all based on experience of the various stakeholders. It was found that processes and requirements varied with the different sections within the Medical Imaging Department. Operations were analysed on the basis of effectiveness, efficiency, patient satisfaction, responsiveness, accessibility and waiting lists in scheduling, synchronisation of appointments to reduce waiting room congestion, quick reporting and effective notification. The researcher used an approach which included process, organizational, information and operation perspectives, and also an integration of all approaches. The researcher also introduced a socio-cultural perspective to put the study into context. The service provided is effective overall and patients' complaints are low. With regards to efficiency, suggestions for added staff were made particularly in the number of radioiogists and aiso to a lesser extent radiographers in many areas. Further improvements are suggested in the scheduling lists and opening times for service outlets. The waiting lists for elective investigations, in theory, can be reduced in many areas, however increased resources are required. It was also suggested that economic evaluation will benefit the Medical Imaging Department, in the long term and it was suggested that to reduce demand on services, there should be meticulous screening of requests.