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Trends in Case-Mix-Adjusted Use of Radiology Resources at an Urban Level 1 Trauma Center

M. Bradford Henley1, Frederick A. Mann2, Sarah Holt1 and Joseph Marotta2

1 Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Box 359798, 325 9th Ave., Seattle, WA 98104-2499.
2 Department of Radiology, Harborview Medical Center, Harborview Injury Prevention and Research Center, Seattle, WA 98104-2499.



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Fig. 1. Bar graph shows that at Harborview Medical Center from 1993 to 1998, complexity and severity of illnesses in admitted patients have increased more than raw count of patient admissions. Gray = admissions, black = adjusted admissions.

 


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Fig. 2. Bar graph shows that annual use of radiology resources, measured as un-adjusted relative value units (RVUs), increased for all types of patients from 1993 to 1998. light gray = RVUs for emergency department, dark gray = RVUs for inpatients, black = RVUs for outpatients.

 


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Fig. 3. Trend line graph shows increased use of all imaging techniques for inpatients from 1993 to 1998. {blacksquare} = CT, {square} = angiography, {diamond} = diagnostic radiology, {diamondsuit} = MR imaging, x = portable radiography, {blacktriangleup} = nuclear medicine, {triangleup} = sonography.

 


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Fig. 4. Trend line graph shows increased use of all imaging techniques for outpatient visits from 1993 to 1998. {blacksquare} = CT, {square} = angiography, {diamond} = diagnostic radiology, {diamond} = MR imaging, {blacktriangleup} = nuclear medicine, {triangleup} = sonography.

 


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Fig. 5. Trend line graph shows emergency department imaging resource use, measured as unadjusted relative value units, from 1993 to 1998. Note sharp increase in use of CT ({blacksquare}), which was attributed to changes in practice patterns, compared with angiography ({square}), diagnostic radiology ({diamond}), and MR imaging ({diamondsuit}).

 

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