An Opportunity to be a Quality Leader Programmatic

An Opportunity to be a Quality Leader: Programmatic Approach to CT Imaging 1 2/11/2022

Increasing focus on radiation use in medical imaging 2 2/11/2022

CT imaging… opportunity to lead in low-dose management Media Joint Commission Opportunity to lead by measuring, tracking, reporting and reducing patient exposures Governments NQF, ACR DIR 3 2/11/2022

CT imaging… opportunity to lead in low-dose management Greater media focus on radiation 10/11: California SB 1237 requires dose reporting Media Joint Commission 8/11: Joint Commission issues Sentinel Event #47, Radiation Risks of Diagnostic Imaging 4/12: IAEA, FDA, WHO and others issue statement calling for patient exposure tracking Opportunity to lead by measuring, tracking, reporting and reducing patient exposures NQF, ACR DIR Governments 8/11: NQF endorses 2 CT dose metrics 5/11: ACR’s CT Dose Index Registry provides benchmarking of CT dose performance 4 2/11/2022

Programmatic approach to help you reach your goals Leadership High-performance imaging programs Technology Practices 5 2/11/2022

Programmatic approach to help you reach your goals Culture, organization structure, people Leadership High-performance imaging programs Technology CT scanners & features, dose information systems, maintenance and quality assurance Practices Protocols, practices and processes, e. g. dose alerting/investigation, protocol optimization, appropriateness screening, dose metrics review, … 6 2/11/2022

GE Blueprint: Lower Dose by Design program Some CT Programs Low Dose by Design Program Limited dose monitoring End-to-end performance improvement Some/no dose-lowering technologies Unknown variation: • Patient/patient • Protocol/protocol • Facility/facility • Day/day • Operator/operator Few/weak processes • Protocol management • Incident reporting/investigation • Protocol optimization • Staff assessment & training High-performance CT Program goals Lower dose, less variation Leadership Real-time monitoring and alerting Consistent performance across patients, devices, facilities, operators Technology Practices Improved staff competency and performance Stronger, data-driven processes Defined finance program to meet current/future technology needs High-performance CT program 7 2/11/2022

GE Blueprint: Lower Dose by Design program Program Assessment People Assessment Technology Planning Leadership, Practices, Technology assessment & gap analysis Competency assessment & recommendations Dose technology assessment & plan Three tools to help provider’s understanding where they are on the low-dose path 8 2/11/2022

GE Blueprint: Program Assessment Leadership Culture, organization, people Practices Protocols, practices, processes Comprehensive CT program assessment & gap analysis Technology Scanners, information systems, maintenance/QA 9 2/11/2022

GE Healthcare solution components GE Blueprint: Lower Dose by Design Technology planning Technology Custom program assessment & gap analysis by GE’s Low-dose Architects™ Prioritized, multi-year acquisition plans based on health system goals Discovery, Optima, Bright. Speed CTs with advance dose-lowering Veo™ & ASi. R™ Information systems Performance optimization Staff education and training Dose. Watch dose monitoring, alerting, and reporting information system Assist with protocol optimization, clinical performance & throughput improvement Provide radiation safety and dose-optimization training / education for clinical staff Offer planning, leases, tax-exempt bonds, obsolescence protection, usage-based billing Financial planning & financing Assist with provider-to-consumer marketing plan development and implementation Marketing services 10 2/11/2022

Results of a programmatic approach to lowering dose Change in mean exam dose Protocol Chest CT (PE) Abdominal Pain Pre (DLP) Post (DLP) % Change 319 1, 152 1, 158 214 650 710 -33. 6 -43. 6 -38. 7 • Example from Weill Cornell Imaging at New. York-Presbyterian • Measurements before and after implementation of a programmatic approach to lowering dose • Same technology, same radiologists, same technologists Source: A Guide to Radiation Dose Management, Developed in conjunction with Weill Cornell Imaging at New. York -Presbyterian, GE Healthcare 2012 11 2/11/2022

Summary Opportunity to be a quality leader… requires programmatic approach GE healthcare can help customize a solution for your health system Our approach starts with the GE Blueprint: Lower Dose by Design program assessment 12 2/11/2022