OBJECTIVETo describe the rate and timeliness of diagnostic resolution after an abnormal screening mammogram in the ACR's National Mammography Database.METHODSAbnormal screening mammograms (BI-RADS 0 assessment) in the National Mammography Database from January 1, 2008, to December 31, 2021, were retrospectively identified. The rates and timeliness of follow-up with diagnostic evaluation and biopsy were assessed and compared across patient and facility demographics.RESULTSAmong the 2,874,310 screening mammograms reported as abnormal, follow-up was documented in 66.4% (n = 1,909,326). Lower follow-up rates were observed in younger women (59.4% in women < 30 years, 63.2% in women 30-39 years), Black (57.4%) and American Indian (59.5%) women, and women with no breast cancer family history (63.0%). The overall median time to diagnostic evaluation was 9 days. Longer median diagnostic evaluation time was noted in Black (14 days), other or mixed race (14 days), and Hispanic women (13 days). Of the 318,977 recalled screening mammograms recommended for biopsy, 238,556 (74.8%) biopsies were documented. Lower biopsy rates were noted in older women (71.5% in women aged ≥80) and Black (71.5%) and American Indian (52.2%) women. The overall median time from diagnostic evaluation to biopsy was 21 days. Longer median biopsy time was noted in older (23 days aged ≥80), Black (25 days), mixed or other race (26 days), and Hispanic women (23 days), and rural (24 days) or community hospital affiliated facilities (22 days).DISCUSSIONThere is variability in the rates and timeliness of diagnostic evaluation and biopsy in women with abnormal screening mammogram. Subsets of women and facilities could benefit from targeted interventions to promote timely diagnostic resolution and biopsy after an abnormal screening mammogram.

2023-12-01·Annals of Surgical Oncology

ASO Visual Abstract: Exploring Breast Surgeons’ Attitudes on Universal Genetic Testing: A Qualitative Study

Article

作者: Lapkus, Morta ; Yao, Katharine ; Poli, Elizabeth ; Smith, Thomas W ; Victorson, David ; Horowitz, Bruriah ; Kopkash, Katherine ; Pesce, Catherine ; Sauer, Christina

项与 Evanston Hospital Corp. 相关的新闻（医药）

2024-09-18

·Business Wire

Vizient Announces 2024 Top Performers in Clinical Quality, Supplier Diversity and Environmental Sustainability Excellence

IRVING, Texas--( BUSINESS WIRE )-- Vizient, Inc. announced top performers in clinical quality, supplier diversity and environmental sustainability excellence. The awards recognize the achievements of participating hospitals and health systems in patient care quality and supply chain excellence and were announced at Vizient Connections Summit Sept. 17 in Las Vegas. “Top performers set a precedent in leadership and culture for other health systems and hospitals to follow," said Byron Jobe , Vizient president and CEO. "We celebrate each of these organizations for their efforts to deliver cost-effective, high-quality patient care in their communities." The Bernard A. Birnbaum, MD, Quality Leadership Award recognizes participating healthcare organizations in four cohorts through the Vizient Quality and Accountability Study, which measures performance on the quality of patient care in six domains: safety, mortality, effectiveness, efficiency, patient centeredness and equity. The study factors in measures from the Vizient Clinical Data Base and includes performance data from the HCAHPS survey and the CDC's National Healthcare Safety Network. Top performers in the comprehensive academic medical center cohort are: NYU Langone Health Rush University Medical Center UC Irvine Medical Center Houston Methodist Hospital Intermountain Medical Center Memorial Hermann - Texas Medical Center UCSF Medical Center Froedtert Health - Froedtert Hospital UC San Diego Health Northwestern Memorial Hospital Mayo Clinic Rochester The University of Kansas Hospital Keck Hospital of USC University of Utah Hospitals and Clinics Top performers in the large, specialized complex care medical center cohort are: St George Regional Hospital Houston Methodist Willowbrook Hospital NYU Langone Hospital - Long Island Cleveland Clinic - Fairview Hospital Baptist Memorial Hospital - North Mississippi ThedaCare Regional Medical Center-Neenah Novant Health Presbyterian Medical Center Memorial Hermann - The Woodlands Hospital Mayo Clinic Health System in Eau Claire NewYork-Presbyterian - Brooklyn Methodist Hospital Mayo Clinic Florida McKay-Dee Hospital Center NYU Langone Hospital - Brooklyn Utah Valley Regional Medical Center Fairview Southdale Hospital Endeavor Health - Evanston Hospital Northwestern Medicine Central DuPage Hospital AdventHealth Daytona Beach Top performers in the complex care medical center cohort are: Houston Methodist The Woodlands Hospital Houston Methodist West Houston Hospital Houston Methodist Baytown Hospital Houston Methodist Sugar Land Hospital Northwestern Medicine Delnor Hospital AdventHealth Fish Memorial AdventHealth Palm Coast Odessa Regional Medical Center Northwestern Medicine Lake Forest Hospital The Chester County Hospital and Health System Northwestern Medicine McHenry Hospital ThedaCare Regional Medical Center-Appleton Corewell Health Grosse Pointe Hospital AdventHealth New Smyrna Beach Greenwich Hospital St. Joseph Medical Center Prisma Health Baptist Hospital AdventHealth Celebration The Medical Center of Southeast Texas Saddleback Memorial Medical Center-Laguna Hills Campus UCHealth Highlands Ranch Hospital Stanford Tri-Valley Endeavor Health - Highland Park Hospital Top performers in the community hospital cohort are: Novant Health Mint Hill Medical Center Alta View Hospital Parkview Huntington Hospital Cedar City Hospital Mountain West Medical Center Lehigh Valley Hospital - Hecktown Oaks Parkview Noble Hospital University of Kansas Health Systems - Great Bend Campus Garrett Regional Medical Center Riverton Hospital Parkview Whitley Hospital Corewell Health Zeeland Hospital Fairview Northland Regional Hospital Houston Methodist Clear Lake Hospital Barnes-Jewish West County Hospital Mayo Clinic Health System in Fairmont Prisma Health Hillcrest Hospital Layton Hospital Prisma Health Greer Memorial Hospital OhioHealth O'Bleness Hospital Froedtert & the Medical College of Wisconsin Holy Family Memorial Southeast Georgia Health System-Camden Campus INTEGRIS Grove Hospital Sharon Hospital Baptist Medical Center - Nassau Fairview Lakes Medical Center Integris Miami CHRISTUS Spohn Hospital Beeville The Rising Star Award recognizes academic medical centers that made significant improvement in care quality, measured by a rise in at least 20 positions in the annual Vizient Quality and Accountability Study from the prior year and scoring in the top 25. Rising Stars are: Penn State Health Milton S Hershey Medical Center NewYork-Presbyterian Weill Cornell Medical Center University of Chicago Medicine The Vizient Ambulatory Quality and Accountability Award measures the quality of outpatient care in five domains: access to care, continuum of care, quality, efficiency, and equity. The composite scoring system uses patient-level data from the AAMC-Vizient Clinical Practice Solutions Center ® , Vizient Access and Throughput data, as well as data from the Vizient Clinical Data Base. Top performers are: UCLA Health Systems Clinics NYU Langone Health University of Utah Health UCI Health Rush University Medical Group The Vizient Supplier Diversity Excellence Award recognizes provider clients across five cohorts on how they champion inclusion in their supply chain and accelerate economic growth in their local community. Selection criteria is based on contract purchases of minority-, woman-, veteran-, LGBT- and disabled person-owned business enterprises as a percentage of a provider client’s Vizient spend. The top performers are: Comprehensive academic medical center: University of Maryland Medical System Large, specialized complex care medical center: Novant Health Complex care medical center: Memorial Hermann Health System Pediatric cohort: Children’s Hospital of Philadelphia The Environmental Sustainability Excellence Award ranks members across five cohorts on contributions to human and environmental health through responsible purchasing decisions. Ranking is based on the purchase of products that meet Vizient's Environmentally Preferred Purchasing Standard as well as those who commit to the White House-Health and Human Services Health Sector Climate Pledge. The top performers are: Comprehensive academic medical center: Stony Brook University Hospital Large, specialized complex care medical center: Memorial Health Complex care medical center cohort: Legacy Health Community hospitals: Buchanan General Hospital Pediatric: Children’s Hospital Los Angeles About Vizient, Inc. Vizient, Inc. , the nation’s largest provider-driven healthcare performance improvement company, serves more than 65% of the nation’s acute care providers, including 97% of the nation’s academic medical centers, and more than 35% of the non-acute market. The Vizient contract portfolio represents $140 billion in annual purchasing volume enabling the delivery of cost-effective, high-value care. With its acquisition of Kaufman Hall in 2024, Vizient expanded its advisory services to help providers achieve financial, strategic, clinical and operational excellence. Headquartered in Irving, Texas, Vizient has offices throughout the United States. Learn more at www.vizientinc.com .

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