Key Quality Processes and Systems
20 years ago, TMC was built on the founding principle of making sure all patients can get access to high quality radiology services. The TMC medical organisation, processes and technology platform are designed to facilitate true sub speciality reporting. We have also decided to base our out-of-hours emergency radiology team in Australia for one reason – it secures a higher quality when the reporting can happen during normal daytime instead of during night hours. It also happens to be a very attractive location for our radiologists.
Our clinical quality assurance processes are based on the following key pillars:
Recruitment and onboarding
Test cases on a sub-specialised level for all new starting radiologists:
- All new radiologists are subject to a rigorous recruitment process, including subspecialised test cases within the relevant sub speciality area.
- A screening process is carried out to ensure all our radiologists hold the appropriate qualifications and authorisation to practice.
- The radiologists are provided with a professional radiology reporting workstation from TMC which for example includes medical monitors that can be calibrated remotely.
- All new radiologists are subject to 100% prospective peer review during an initial period until the relevant Head of Section decides that the radiologist can be included in the team of established TMC radiologists.
TMC defined sub specialist reporting:
- We decided to create one of the leading Collaborative Diagnostic Networks where our radiologists can focus on only the exam types within their specific expertise areas in tight collaboration with colleagues sharing the same sub speciality competence.
- At TMC our radiologists are divided into four sections of sub specialisation: Neuro, MSK, Body and Emergency. We then further divide each specialism into “Expert Groups” more narrowly defined by organ and/or modality, i.e., CT Colon, CT Angiography, HRCT, MRI Prostate etc.
- This level of sub specialisation ensures each exam is read by a dedicated expert, to provide the best level of care.
- Our proprietary Radiology Reporting Management System, Optemis, which is especially designed to support sub specialist reporting, automatically assigns the incoming exams with the correct experts. This process would have been impossible to do manually when managing close to 1 million cases annually.
All established TMC radiologists are subject to standardised sub-specialist secondary reading with systematic peer feedback and external audits. TMC has two methods of clinical audit:
- Peer review and peer feedback (minimum 5%)
a. Prospective peer review and peer feedback is performed before the report is released to the referrer. It follows a defined workflow that has been customised by the medical management and is supported in our Radiology Reporting Management System, Optemis.
b. Retrospective Retrospective peer review is done after the release of the report, more commonly practiced in our emergency reporting.
- External clinical audits To avoid any potential bias, TMC has defined an external audit programme with the aim to evaluate the service provided and quality of our reporting.
Incidents, Learning and Training:
- At TMC we have a dedicated Quality Department who manage and oversee all incidents, concerns and complaints and ensure that all are investigated, reviewed, and resolved to reduce or eliminate patient risk.
- In line with current RCR guidelines we hold regular Radiology Events and Learning Meetings (REALM) and clinical, case based, feedback and training sessions.
- We have developed our own training department, the TMC Academy, which provides on-line and on-site training with innovative training tools and EACCME CME accredited content.
Incidents and knowledge sharing
POL-TMC-013 TMC Policy framework
Get in touch for more
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