Table 1:

Project charter

Project Name: Reduce Head CT Studies in Children with Hydrocephalus
Green Belt:
Champion:
Master Black Belt:
Problem Statement:
Radiation is dangerous especially in children. There is an increasing rate of head CT orders in children with hydrocephalus. Many children with hydrocephalus need repeat imaging, adding additional risk for cumulative radiation, which may lead to cancer.
Project Goal:
Reduce the percentage of head CT orders for hydrocephalus by 50 percent in 6 months (project start date: January 24, 2014)
Project Y:
Percentage of each modality (head CT, ultrafast brain MRI, head US) per ordering department, time of the day, ordering physician rank
Scope:
All children with known or suspected hydrocephalus, 0–18 years of age, presenting to emergency department, inpatient, and outpatient services
Team Members:
Project leader, pediatric radiology and pediatric neuroradiology
Physician champion, pediatric radiology and pediatric neuroradiology
Member, pediatric emergency department
Member, pediatric neurosurgery
Member, radiology administrator
Member, radiology department, financial analyst
Member, pediatric radiology manager
Member, chief CT technologists
Member, chief US technologists
Member, radiology patient care coordinator
Member, chief pediatric MRI technologists
Benefits:
1) Eliminate radiation in evaluation of hydrocephalus
2) Reduce MRI time in the evaluation of hydrocephalus
3) Reduce cost with limited charge
4) Reduce shunt survey orders
Timeline:
Define/Measure: January 24–February 1, 2014
Analyze/Improve: March 10–May 30, 2014
Control: July 1–September 1, 2014