Routing rules
- By modality, so each study reaches the right pool
- By subspecialty: neuro, body, MSK, chest
- By shift: who is on and free right now
- Plain rules you can change any time
For teleradiology groups
More reads per radiologist, same team.
Every gap between studies is turnaround you owe a hospital: logging in to their PACS, waiting for an assignment, hunting the prior, a QA desk reading behind the radiologist, pasting the report back. Skia closes the gaps and checks every report before it leaves, so shift hours turn into signed reads and the SLAs hold.
- One worklist across every hospital PACS
- Studies assign themselves
- Every report checked before it leaves
- Reports land back in the hospital's PACS
01Why this exists
Throughput is lost between reads, not during them
A radiologist can sign a CT head in minutes. What stretches turnaround is everything around it. Each hospital you cover has its own PACS, its own login, its own queue. Someone has to notice the study, decide who reads it, tell them, find the prior, and get the report back into the right system.
None of that is reading, and all of it scales with volume. Add a hospital and you add a login to every shift, a queue to watch, and a report format to maintain. Add studies and you add coordinators. The group grows, the payroll grows, and reads per radiologist per shift stay flat.
Hiring fixes volume. It does not fix turnaround. Closing the gaps fixes both, with the roster you already have.
02Where the time goes
Seven jobs wrap around every read. Skia takes them off the shift.
Follow one study from arrival to signed report. Every row below is turnaround you pay for today, in coordinator hours or radiologist minutes, that Skia takes off the shift.
Step Today With Skia
Finding the study
Today Log in to each hospital's PACS and check every queue for new work.
With Skia Studies from every site land in one worklist the moment they arrive.
Assigning it
Today A coordinator sorts by hand, or radiologists cherry pick the easy studies while STATs age.
With Skia Routed by modality, subspecialty, and who is on shift. No coordinator in the loop.
Noticing it
Today Someone watches the queue so a STAT does not blow its turnaround.
With Skia The reader is pinged on the channel they already use, the moment it lands.
Getting context
Today Search for the prior report and the right comparison across windows.
With Skia History is summarized and the relevant prior is pulled before the read.
Writing the report
Today Dictate, wait, read back, correct, then reformat to the hospital's template.
With Skia ClickMatic builds the report from clicked findings, in each hospital's format.
Checking it
Today A QA coordinator reads behind the radiologist for a wrong side, a missing comparison, a contradiction.
With Skia SkiaQA checks every report for contradictions and misses before it submits. No QA desk.
Sending it back
Today Copy and paste into the hospital's system, then confirm it landed.
With Skia The signed report submits straight back to the PACS it came from.
The one step left is the one you bill for: reading the images.
03Multi PACS integration
Every hospital's PACS, one place to report
Skia connects to the PACS at each hospital you cover and brings their studies into a single worklist. Radiologists stop switching between client systems. They open one platform, read, sign, and move on to the next study.
When a report is signed, it goes straight back to the PACS the study came from. No copy paste, no transcription between systems, no wondering whether it arrived.
Each hospital keeps the system it already has, which is the part that usually stalls a contract. Onboarding a new client adds a site to the worklist, not another login to every shift.
04Auto assignment
Nobody sorts the worklist anymore
Manual assignment is a hidden bottleneck. Studies wait for a coordinator, or radiologists pick the quick ones and leave the hard ones to age. Both cost turnaround, and turnaround is what your contracts promise.
Skia routes each study the moment it arrives, using rules you set: modality, subspecialty, and who is on shift right now. Neuro goes to neuro. MSK goes to MSK. The subspecialty reads you sold are the subspecialty reads you deliver, and the queue balances itself without a coordinator watching it.
05Notifications
The worklist calls the radiologist, not the other way round
A study assigned but unnoticed is turnaround ticking. Skia tells the right person the moment something needs them, on the channel they already watch, so nobody is paid to stare at a queue.
1
New study alerts
The assigned radiologist knows the moment a study lands, so turnaround starts with the read, not with someone noticing.
2
Critical finding alerts
Managers hear about a critical result the instant it is reported, not when someone checks email, so the call to the hospital happens now.
3
QA and error alerts
Quality flags reach the people accountable for them, without paying anyone to read behind every radiologist.
MessagesWhatsAppSlackTelegramEmail
06SkiaQA
Retire the QA desk
Most groups run a QA pass with people who are not radiologists: coordinators reading behind every report for a wrong side, a missing comparison, an impression that forgot a finding. It is payroll that scales with volume, it slows every report on its way out, and it still misses things at 2am.
SkiaQA reads every report against your clinical consistency rules before it submits. Not a sample, not the high risk cases, every one, in seconds. The radiologist sees the flag inline and fixes it before anyone else could. Contradictions and misses stop reaching hospital clients, and nobody is paid to proofread reports that were already fine.
Volume grows without growing the QA headcount, and the quality answer you give hospitals gets stronger, not thinner.
Every report, not a sample Seconds, before submit Flag goes to the radiologist
Explore SkiaQA Checked on every report, before it leaves
- Laterality that disagrees between findings and impression
- Statements that contradict each other
- Missing or mismatched comparison dates
- A finding the impression left out
- Missing history, technique, or required sections
- Critical findings that need to be communicated
- Spelling and grammar, without changing meaning
Radiologist peer review of the images stays yours. The proofreading pass does not.
07Faster reads on top
Then shorten the read itself
With the coordination and the QA pass handled, the remaining time is the report. ClickMatic in SkiaReporter takes that on: radiologists click findings instead of dictating them, and the report and impression assemble themselves in each hospital's format.
30 to 40% faster reporting in early deployments, which is more signed studies per shift at the same headcount.
What the radiologist stops doing
- Dictating, then waiting for recognition
- Reading the report back to fix what it misheard
- Writing an impression that repeats the findings
- Reformatting for each hospital's template
What changes
The same roster signs more, and nobody watches the queue
- One
- Worklist across every hospital you cover
- Auto
- Assignment by modality, subspecialty, shift
- Every
- Report checked before it leaves. No QA desk.
- 30 to 40%
- Faster reporting with ClickMatic
Reporting speed observed in early deployments. Results vary by case mix, modality, and team.
Your data never leaves your PACS. Skia stores zero patient data, and most teams are live within 48 hours.
08Common questions
Asked by every group we meet
Does Skia replace our PACS or RIS?
No. Skia runs around the systems you already have. Studies sync in from each client's PACS, and finished reports go straight back to the PACS the study came from. Each hospital keeps its own setup.
We read for several hospitals on different PACS. Can radiologists work from one place?
Yes. That is the core of it. Studies from every connected hospital appear in one worklist, sorted and assigned together, so a radiologist never logs in to a client system just to find the next study, and onboarding a new hospital adds a site, not a login.
How does auto assignment decide who reads what?
Routing rules you control, based on modality, subspecialty, and who is on shift. Studies reach a reader who is credentialed for them and free, STATs stop aging behind easy studies, and nobody sorts the worklist by hand.
Where do notifications go?
Messages, WhatsApp, Slack, Telegram, or email, configurable per person and per event. Radiologists hear about new assignments, managers hear about critical results and QA flags.
Can SkiaQA replace our QA staff?
The non radiologist QA pass, yes. SkiaQA reads every report, not a sample, for laterality, internal contradictions, missing or mismatched comparisons, findings the impression left out, incomplete sections, and spelling, in seconds before it submits. It does not replace radiologist peer review of the images. It replaces the people paid to proofread reports that were already fine.
Does this work for overnight and prelim coverage?
Yes. Routing follows who is on shift, alerts reach the overnight reader on their phone, and SkiaQA checks a prelim the same way it checks a final, so the wording holds up when the day team reads it back.
Do our radiologists have to change how they report?
No. The worklist, assignment, notifications, and direct submit work with however your team reports today. ClickMatic and SkiaQA add speed and a quality check on top, and each radiologist can adopt them at their own pace.
Where does patient data go?
Your data never leaves your PACS. Skia stores zero patient data.
How long does it take to go live?
No setup fees, no IT project, no training required. Most teams are live within 48 hours.
09Further reading
Go deeper on the problems this solves
Teleradiology worklist management that keeps queues moving
Improve teleradiology worklist management with better routing, faster visibility, and cleaner escalation so studies move quickly without constant supervision.
Read articleHow to reduce radiology turnaround time step by step
Learn how to reduce radiology turnaround time by breaking delays into segments, fixing coordination waste, and smoothing report delivery end to end reliably.
Read articlePACS Integration for Reporting Tools: What Radiology Managers Need to Know
PACS integration is the biggest anxiety point when adopting a new radiology reporting tool. What the process involves, what to ask, and the timeline to expect.
Read articleNighthawk radiology: how overnight prelim reads work
A practical guide to nighthawk radiology covering overnight prelim workflows, QA, turnaround, escalation, provider oversight, and cleaner morning handoffs.
Read articleHow other teams use Skia
Built for the way your team works
See your hospitals in one worklist
Twenty minutes with your case mix and your client list. We will show you where the turnaround is hiding.