AI Advanced Peer ReviewAdmin Manual

Table of Contents Introduction to AI Advanced Peer Review 3 ...................................................

Audience 3 ...................................................................................................Where to find the system 3 .............................................................................Browser compatibility 3 ...................................................................................Document version 3 ........................................................................................

Logging In 4 ...........................................................................................

Manage Reminders 5 ...............................................................................

Manage Adjudicators 6 ..............................................................................

Site Configuration 7 .................................................................................Manual URLs 7 ..............................................................................................Procedure Specialty or Radiologist Specialty based worklists 8 .................................Reply to Email 8 ...........................................................................................Bcc Email Address 8 ........................................................................................Cron API Key 8 ..............................................................................................Peer Reviewers 8 ...........................................................................................

Prospective Config 9 ................................................................................Outstanding Cases 9 .......................................................................................Percent of cases to be reviewed 9 ......................................................................Modality Exclusions 10 ....................................................................................Manually Reset Outstanding Cases 10 ..................................................................

Integrations 11.......................................................................................

2Analytical Informatics Inc. – Copyright 2017

Introduction to AI Advanced Peer Review AudienceThis manual is intended for the administrator of the Peer Review application.

Where to find the system The system is entirely web-based and located as a launch-able link from your AI portal page.

Browser compatibilityThe system relies on HTML5, CSS3, JavaScript and other web standards. Each web browser may implement part or all of these standards. To ensure you have the best experience please use one of the following browsers versions. The system currently supports the Chrome (>=42.x), Safari (>=8.x), Firefox (>=37.x) and Internet Explorer (>=9). The system has also been tested and validated for use on tablet computers.

Document versionThis document is version 20170512 and covers software versions of AI Peer Review up to Version v2.1.2.

3Analytical Informatics Inc. – Copyright 2017

Logging InThe system displays protected health information and requires a user to login to the system via the main portal page, typically with their enterprise login ID. The system does not directly manage user names and passwords but delegates to the hospital central enterprise directory system. All page views are logged in the auditing system based on the authorized user ID.

4Analytical Informatics Inc. – Copyright 2017

Manage Reminders

The monthly digest is a reminder which is emailed to you at the end of the month that shows you how many reviews you have completed along with other relevant statistics and data.

A reminder is available and can be administered by specialty. To toggle reminder on or off click the reminder you would like to enable, indicated by a green button or disable. Indicated by a red button.

5Analytical Informatics Inc. – Copyright 2017

Manage Adjudicators

The adjudicator selected during a peer review specifies who should resolve a review disagreement. The manage adjudicators page is only available to it-staff and ai-staff. In some situations the adjudicator does not always match the specialty and having additional flexibility is required.

The list is defaulted to the list of specialties in Bridge. Additional adjudicators can be managed to create, edit, enable or disable individually.

To create a new adjudicator:1. Go to the Admin Tab2. Click the Manage Adjudicators 3. Click New4. Name the specialty5. Choose the adjudicator from the list 6. Select Enabled to enable the adjudicator7. Click Create

6Analytical Informatics Inc. – Copyright 2017

Site Configuration

Manual URLs By default, the application help manuals for both end users and administrators are linked to internet-hosted PDFs. These URLs can be manually configured if alternative hosting is required. Click the Update button to save changes. Defaults can be restored by clearing the field and hitting update.

Prospective Quota PercentageThe quota percentage in site configuration sets the minimum quota for the radiologists, based on the percentage of cases read the previous week. The default quota is 3% and can be changed at any time. The change will take effect the next week when quotas are regenerated, unless manually updated (see Prospective Config below). For example, if a radiologist read 100 cases the previous week, the quota generated for this week would be 3.

7Analytical Informatics Inc. – Copyright 2017

Available SitesOnly exams from the sites selected from the drop down will be considered for prospective peer review. If no sites are specified, the default will then be to show all of the sites.

Procedure Specialty or Radiologist Specialty based worklists Prospective case lists are built by procedure-specialty mappings or employee-specialty mappings. Employee-specialty mappings means that employees see prospective cases from other employees with the same primary specialty. Procedure-specialty mappings means that employee will review exams with procedures codes mapped to the specialty that matches their specialty.

Reply to Email The email used as the reply-to address for Peer Review notifications.

Bcc Email AddressAn email bcc’d on all communication from the Peer Review application.

Cron API KeyThe API Key is used for schedule tasks for the application to function and is auto-generated.

Peer ReviewersThe clinical roles allowed to complete peer reviews are configurable, by default they only include attending radiologists.

8Analytical Informatics Inc. – Copyright 2017

Prospective ConfigProspective config is available to it-staff and ai-staff. Attending radiologists with the supervisor role can also see prospective config page for their section only. On the Reviews page, under the “Track Progress” tab, individual radiologist quotas and modalities can be managed. Click “Track Progress”, choose a specialty, then select the “Prospective Config” tab. For each radiologist in the section you can make additional configuration changes that impact the radiologist and section case lists.

Outstanding CasesThe radiologist’s current outstanding quota of reports to review is displayed in the “Outstanding Cases” column. This value can be manually adjusted to override the current value. Each week the quota will be increased based on the prospective quota (see Site Configuration above).

Percent of cases to be reviewedThe pool of eligible exams for a radiologist to review in the prospective case list is a random selection from a pool of all exams read by other radiologists in the same specialty (pending Modality Exclusions, below) with a bias toward more recent exams (the system will grow the date range the pool looks at until the quota can be met).

By default, there is no minimum number of cases reviewed for a specific radiologist in a section, but a minimum can be set to ensure that a radiologists cases are given additional scrutiny (e.g. a junior radiologist).

9Analytical Informatics Inc. – Copyright 2017

Setting the “Percent of cases to be reviewed” slider creates a higher-priority pool of exams that will take precedence over the default random selection pool. This minimum is calculated based on the previous weeks volume (like the normal quota) and will be satisfied by any other radiologist in the specialty reviewing reports. If there are multiple radiologists with manual minimums set, those manual minimums will be selected randomly in the pool until all are satisfied, then the default pool logic will resume. We suggest reviewing the statistics on the “Prospective Data” to understand the implications of setting minimums in excess of the default quota, since larger values may result in a pool of reports composed exclusively of the radiologist with a high minimum.

Modality ExclusionsBy default, all reports read by a radiologist in a section will be eligible for review. You can disable modalities from this list to exclude them from the eligibility pool, so long as at least one modality type is enabled. For example, if CT is disabled, that means that any modality type except CT read by the radiologist will be eligible for review.

Manually Reset Outstanding CasesThe button on the bottom of the page will reset all radiologists’ quotas within the section based on the exam volume of the previous week.

10Analytical Informatics Inc. – Copyright 2017

IntegrationsAdvanced Peer Review can be launched in context by URL integration to create new reviews.

The URL launcher requires the exam accession number and the relevant patient MRN. The URL has the following format:

AI_URL/peer-review/?accession=ACC_VALUE&mrn=MRN_VALUE

AI_URL = base URL for the Analytical Informatics Platform InstallACC_VALUE = accession value for the examMRN_VALUE = MRN value for the patient associated with the exam

PS360 Integration Example:1) Log into PS360’s RadPortal2) Goto “Setup” > “Sites” and select your site to edit configuration3) Add a “PACS” integration with the following * Type: 'RadWhere URL/XML' * Name: 'AI Advanced Peer Review' * Description: 'AI Advanced Peer Review' * Master URL: 'servername.example.com/peer-review/?accession={accession}&mrn={mrn}4) Save and repeat for each site

11Analytical Informatics Inc. – Copyright 2017

For more information visit us at:

Analytical Informatics, Inc.8 Market Place, Suite 401Baltimore, MD 21202Web: www.analytical.infoTwitter: @analyticalinfoDocumentation: https://docs.analytical.info

12Analytical Informatics Inc. – Copyright 2017