NYU’s Video Reporting Experiment

A new AJR study out of NYU just provided what might be the first significant insights into how patient-friendly video reports might impact radiologists and patients.

Leveraging a new Visage 7 video feature and 3D rendering from Siemens Healthineers, NYU organized a four-month study that encouraged and evaluated patient-centered video reports (w/ simple video + audio explanations). 

During the study period, just 105 out of 227 NYU radiologists created videos, resulting in 3,763 total video reports. The videos were included within NYU’s standard radiology reports and made available via its patient portal.

The video reports added an average of 4 minutes of recording time to radiologists’ workflows (± 2:21), with abnormal reports understandably taking longer than normal reports (5:30 vs. 4:15; still statistically similar). The authors admitted that video creation has to get faster in order to achieve clinical adoption, revealing plans to use standardized voice macros to streamline this process.

Patients viewed just 864 unique video reports, leaving 2,899 videos unviewed. However, when NYU moved the video links above the written section late in the study period, the share of patients who watched their videos jumped from 20% to 40%. Patients who watched the videos also really liked them:

  • Patients scored their overall video report experiences a 4.7 out of 5
  • The videos’ contribution to patients’ diagnostic understanding also scored 4.7 of 5
  • 56% of patients reported reduced anxiety due to the videos (via 1% increased) 
  • 91% of patients preferred video + written reports (vs. 2% w/ written-only)

Although not the videos’ intended audience, referring physicians viewed 214 unique video reports, and anecdotes suggested that the videos helped referrers explain findings to their patients.

The Takeaway

We’ve covered plenty of studies showing that patients want to review their radiology reports, but struggle to understand them. We’ve also seen plenty of suggestions that radiologists want to improve their visibility to patients and highlight their role in patient care.

This study shows that video reports could satisfy both of those needs, while confirming that adopting video reporting wouldn’t require significant infrastructure changes (if your PACS supports video), but they would add four minutes to radiologist reporting workflows.

That doesn’t suggest a major increase in video reporting will come any time soon, especially considering most practices/departments’ focus on efficiency, but it does make future video reporting adoption seem a lot more realistic (or at least possible).

Visage Adds Videos

Visage Imaging now allows radiologists to create and distribute video reports from the Visage 7 platform, representing an interesting milestone for radiology patient engagement and multimedia reporting.

About Visage Videos – The latest Visage 7 version (7.1.17) allows radiologists to quickly create and edit one minute multimedia video reports (video, audio, 2D/3D manipulations) at their workstations (same setup & dictation system), and use these videos to explain key findings to patients. Visage developed its new Video Reports feature with NYU Langone Health, which already had over 70 rads create more than 1k video reports, and found it to be valuable for both patients and referring physicians.

Patient Readiness – We’ve covered plenty of studies detailing how patients want to review their radiology reports, but struggle to understand them. We’ve also seen video communication and patient portals gain increasingly prominent roles in patient care. Based on those factors, Visage’s new Video Reports seem to have a solid product-market fit… if only patients were the decision makers.

Radiologist Adjustments – Visage’s Video Reports will expand radiologists’ reporting audience to patients for the first time, which would require mindset changes (simple language, referrer etiquette) and add workflow steps (rads would have to create two reports). These adjustments might initially make video reports a better fit for the most patient-centric radiology teams, but that could change over time. Plus, the Video Reports tool comes standard with Visage 7, so it will be available if/when the other groups change their mind.

The Video Trend – Given the telehealth and patient engagement revolutions taking place, it’s a solid bet that all types of clinicians will be expected to increase their digital / virtual patient interactions in the future. For radiologists, this might come in the form of Visage-style recorded videos or real-time primary care teleconsultations like MGH piloted earlier this year, but more patient-centric communications are coming.

The Takeaway – Visage’s new Video Reporting feature might be a small part of the overall Visage 7 platform, and its initial adoption might also be relatively small given most rad groups’ focus on productivity. However, this “small” video feature could prove to be part of a very big change in how radiologists engage with their patients.

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-- The Imaging Wire team