Please Join Us in Our Effort in Improving Appropriate Ordering of Lumbar Spine CTs

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Please Join Us in Our Effort in Improving Appropriate Ordering of Lumbar Spine CTs

20-Sep-2017

As part of the provincial health care system’s Appropriateness of Care Program, a CT Lumbar Spine Checklist is being trialled in four health regions in Saskatchewan, including Regina Qu’Appelle Health Region (RQHR).

The checklist is a decision support tool developed based on best practice guidelines to assist physicians in improving appropriate ordering of CT lumbar spine. It was developed by a provincial Clinical Development Team including radiologists, neurosurgeons, orthopedic surgeons, family physicians and a chiropractor as well as patient advisors.

The checklist is now considered a portion of the Patient Request for CT Imaging in RQHR. This means that a copy of the completed CT Lumbar Spine Checklist must accompany the patient’s request for service for the person to be scheduled and receive their exam. If the patient request arrives with no checklist, or with incomplete checklist, the request will be returned to referring physician’s office to resubmit once completed and the CT won’t be booked until the checklist is received.

Attached are the communiqué from the Clinical Development Team, a copy of the CT Lumbar Spine Checklist, as well as patient information pamphlet developed by Choosing Wisely Canada to help patients understand appropriate imaging tests for lower back pain.

The trial will be conducted until Nov. 30, 2017. The data collected during the trial will be reviewed by the Clinical Development Team. Once the checklist is revised based on the feedback and findings from the trial, it will be rolled out provincially.

On behalf of the Appropriateness of Care Clinical Development Team, as well as all of the staff within the Medical Imaging CT Departments at the Regina General Hospital and the Pasqua Hospital, thank you for supporting this project! Should you have any questions or concerns, email contact information for the co-leads of the provincial Appropriateness of Care Program are stated on the second page of the communiqué from the Clinical Development Team.

Submitted by: Dr. David Kopriva