Hospital seeks out efficiencies to cope with surging demand for MRIs


Laurie Casagrande, left, and Lori Bezarie put together the MRI for the subsequent affected person at Windsor Regional Hospital Met Campus in Windsor on Thursday, Sept. 24, 2015. (TYLER BROWNBRIDGE/The Windsor Star)

Everyone needs an MRI lately, placing such demand on Windsor Regional Hospital’s two machines that solely 20 per cent of the low-priority instances are getting scans inside the 28 day goal really helpful by medical specialists.

The extra pressing instances — akin to scans wanting for most cancers — are for probably the most half being executed inside the focused limits of 10 days for Level three, two days for Level 2 and instantly for Level 1, however in the event you want an MRI for your shoulder, again, knee or hip, you’ll wait 65 days on the hospital’s Met website and 94 days at its Ouellette location.

“It’s the Level 4s that are the issue,” says Dr. Andrew Petrakos, a common surgeon who’s the medical adviser for the hospital’s s

tandardization and optimization course of workforce, which is discovering efficiencies in each hospital division and standardizing one of the best practices following the merger of two hospital websites into one operation.

Petrakos stated there’s been a surge in requests for MRIs, an costly scan that’s actually good at analyzing tissue within the physique. A bit greater than a yr in the past, Met was receiving 385 requests for scans month-to-month. These days, Met and Ouellette are every receiving 1,00zero a month.

Despite the rising demand, the physician stated, hospital employees have been in a position to truly pare down wait occasions for Level 4s. The wait a year-and-a-half in the past for Level 4s was 110 to 115 days.

“The Level 4s are the ones that are deemed the least acute. They still need to be done, they’re just not urgent,” he stated.

“It’s a significant problem, absolutely, but there’s only so much time that’s available and we only have two MRIs.”

Hospital CEO David Musyj stated that the employees is squeezing each attainable minute out of those machines. Currently, every machine is getting used to scan two sufferers an hour, 18 hours a day, seven days every week. The provincial common is 1.5 sufferers per hour and the perfect hospital within the province does 2.three.

In the final 5 months, the variety of scans carried out has elevated 15 per cent on the Met campus. Combined, about 24,00zero MRI scans are achieved yearly at Windsor Regional’s two websites.

“We’re almost as efficient as we can be with what we have — the resources we have and the mix of patients we have,” stated Petrakos. Yet, the hospital has a great distance to go to attain the 28-day goal for Level 4s.

“Is 28 days a realistic wait for non-urgent problems? How can we fit more people to go from 64 days down to 28 days. I don’t know how we’re going to do it without obviously more resources.”

The wait time for MRIs was the topic of a current report to the Erie St. Clair Local Health Integration Network. While the share of Level 4s accomplished at Windsor Regional inside 28 days have been low, the LHIN acknowledges “it really is demand driven,” stated director of efficiency Pete Crvenkovski.

“We know their productivity is exceptional and their standardization across the two sites will continue to create gains.”

The causes demand for MRIs has risen so dramatically embrace:

  • Cancer Care Ontario has mandated staged remedy for sure cancers, which means earlier than working docs want to order an MRI to decide how in depth a affected person’s most cancers is to decide the right course of remedy.
  • Patients listed here are uncovered day by day to advertisements from Detroit extolling the advantages of MRIs, convincing them they want one.
  • Orthopedic surgeons are requiring that sufferers get an MRI earlier than they’re seen, so the docs have the knowledge they want.
  • Breast screening has advanced to now embrace some MRI scans.

“The issue is standards are changing all the time and there’s more and more requirements for MRIs to be the tool of choice,” stated Ralph Nicoletti, Windsor Regional’s vice-president of drugs and emergency providers.

Another problem is no-shows — 1,200 a yr — lots of which occur for night time appointments, that are scheduled up till midnight.

“A lot say ‘It’s too late at night. I fell asleep. I forgot about it,’” stated Colleen Nelson, director of diagnostic imaging.

One approach the hospital has elevated the variety of sufferers getting scans is by grouping them in blocks. “Do a group of knee patients, a group of hip patients, a group of back patients, a group of head patients,” stated Petrakos. “If you group them together you do more at one time before you have to switch the (MRI) coil or magnet and do another type, and that’s more efficient.”

Orthopedic doctor Dana Fleming stated whereas few orthopedic sufferers (needing surgery on backs, knees, shoulders and hips) are pressing instances, it’s not nice for a affected person to have to wait three or 4 months simply to get a scan.

If the MRI was a reasonable check, it will in all probability be much more obtainable, he stated.

“It’s a better tool (for looking at tissue, not bone), but there’s limited access and from a government point of view it’s an expensive tool and everything that’s expensive in our system has a wait list.”



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