title: Implementing a Structured Reporting Initiative Using a Collaborative Multistep Approach.
abstract: OBJECTIVE
  To describe the successful implementation of a structured reporting initiative in a large urban academic radiology department.
  
  
  METHODS
  We describe our process, compromises, and top 10 lessons learned in overhauling traditional reporting practices and comprehensively implementing structured reporting at our institution. To achieve our goals, we took deliberate steps toward consensus building, undertook multistep template refinement, and achieved close collaboration with the technical staff, department coders, and hospital information technologists. Following institutional review board exemption, we audited radiologist compliance by evaluating 100 consecutive cases of 12 common examination types. Fisher exact test was applied to determine significance of association between trainee initial report drafting and template compliance.
  
  
  RESULTS
  We produced and implemented structured reporting templates for 95% of all departmental computed tomography, magnetic resonance, and ultrasound examinations. Structured templates include specialized reports adhering to the American College of Radiology's Reporting and Data Systems (ACR's RADS) recommendations (eg, Lung-RADS and Li-RADS). We attained 94% radiologist compliance within 2 years, without any financial incentives.
  
  
  CONCLUSIONS
  We provide a blueprint of how to successfully achieve structured reporting using a collaborative multistep approach.
authors.affiliation: Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY. Electronic address: sgoldberg@montefiore.org.
authors.forename: Shlomit
authors.initials: S
authors.lastname: Goldberg-Stein
authors.affiliation: Department of Radiology, NYU Langone Medical Center, New York, NY.
authors.forename: William R
authors.initials: WR
authors.lastname: Walter
authors.affiliation: Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY.
authors.forename: E Stephen
authors.initials: ES
authors.lastname: Amis
authors.affiliation: Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY.
authors.forename: Meir H
authors.initials: MH
authors.lastname: Scheinfeld
mesh_terms: D001291:Attitude of Health Personnel; D004282:Documentation / Q000592:standards*; D006801:Humans; D033181:Information Dissemination; D016730:Program Development; D015397:Program Evaluation; D011872:Radiology Department, Hospital / Q000458:organization & administration*; D011873:Radiology Information Systems / Q000458:organization & administration*; D017749:Total Quality Management