Computed tomography (CT) scanning in mid-Michigan, 1981

Technical Report · Thu Jan 01 04:00:00 EST 1981

OSTI ID:5134241

During February and March 1981, data on computed tomography (CT) utilization was collected from hospitals, referring physicians, and CT facilities in the Lansing, Michigan, area. Regional need was projected using both population-based and Leonard methodologies. Both projections fall within 10 percent of actual head scan utilization, but body scan utilization is only 50 percent of the lower projection. Sixty-one percent of scans were performed on outpatients, and 50 percent of the inpatients receiving scans required transportation to another facility. The financial break-even level for the two area scanners is approximately 2,000 visits annually per scanner. Both scanners were maintaining a positive net present value. Further evaluation of the medical appropriateness of CT scans and an update of the screening criteria are recommended. Reimbursement policies for CT scanning should be evaluated, education sessions on appropriate CT use should be conducted, and in-depth reviews of selected types of CT orders should be performed. Appendices include survey instruments; indications and criteria for CT head and body scanning; sample protocols; the Leonard methodology; the CT planning policies of the Michigan Department of Public Health; and comments on net present value analysis. A bibliography, glossary, tables, and figures are included.

• Research Organization: Central Michigan Medical Care Review, Inc., East Lansing (USA)
• OSTI ID: 5134241
• Report Number(s): HRP-0904070/0
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BUILDINGS
CAT SCANNING
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
FEDERAL REGION V
HOSPITALS
MEDICAL CENTERS
MICHIGAN
NORTH AMERICA
REGIONAL ANALYSIS
TOMOGRAPHY
USA