Development of a Point-of-Care Ultrasonography Workflow Within a Rural Clinic

Abstract

Abstract Background and Objectives: Healthcare has revolutionized with advancements in ultrasound technology. Among these advancements and the increasing availability of imaging modalities is point-of-care ultrasonography (POCUS) technology. Problem: While POCUS has gained considerable ground in primary care, infrastructure to support its utility is deficient. The purpose of this project was to design, pilot, and evaluate a POCUS workflow to facilitate technology utilization and increase access to care. Methods: Program development and evaluation involves the design, implementation, and evaluation of an evidence-based workflow for POCUS technology. The project was intended to address the needs of individuals in a rural setting. Participants included clinic staff and eligible patients (N=18). An innovative workflow with the development of a toolkit to support the use of POCUS technology was implemented. Descriptive statistics and thematic analysis were used in evaluating the POCUS Billing I-AIM Framework. Results: 10 patient assessments using POCUS were included out of 18 eligible patients. POCUS was used for a variety of purposes including pelvis and obstetrics (N=1, 10%), skin and soft tissue (N=4, 40%), and musculoskeletal (N=5, 50%). The total potential for reimbursement was noted in both technical ($328.68) and professional ($249.36) billing components. Staff semi-structured interviews revealed overall satisfaction regarding the POCUS workflow with patients’ perspective noted as well received. Conclusion: With concrete infrastructure comprised of an innovative workflow informed by the Billing I-AIM Framework, POCUS in the hands of general practitioners has the ability to become a fundamental aspect to clinical practice