Merative Blog | Technology, Data, and Analytics in Healthcare

Workflow orchestration streamlines imaging workflows in radiology and beyond

Written by Linda Bagley | Oct 7, 2025 1:00:03 PM

Radiologists continue to face challenges. Study volumes climb while staffing shortages lead to unsustainable workloads that contribute to burnout and turnover. Meanwhile, the complexity of managing multiple systems and worklists adds repetitive tasks and administrative burden that takes time away from patient care and impairs morale and job satisfaction— both for clinicians and the technical teams that support them.   

One solution lies in workflow orchestration: a comprehensive approach that unifies disparate siloed legacy systems and complex processes into a single, intelligent interface designed to optimize and streamline end-to-end imaging processes, from image acquisition through reporting.  Going beyond workflow automation approaches that are widely used in health systems and healthcare organizations, workflow orchestration provides deeper ways to shape healthcare processes, improves transparency for new ways of decision-making about how to streamline and optimize, and creates newfound visibility into protecting patient safety and growing patient satisfaction. 

This technology doesn't just streamline processes through automation; it fundamentally transforms how imaging departments operate across many use cases and functions, delivering measurable improvements in efficiency, physician satisfaction, and patient care. Workflow orchestration’s impacts aren’t just on the clinical side either; it also simplifies healthcare IT management for system administrators .  

Understanding workflow orchestration in medical imaging  

Workflow orchestration consolidates multiple worklists from across your imaging environment into one unified interface. Rather than radiologists switching between different PACS, RIS, and specialty systems throughout their day, they access all studies from a single workspace that functions to intelligently organize and prioritize their caseload.  

This unified approach to process orchestration extends beyond simple consolidation. Advanced workflow orchestrators incorporate AI-driven insights, automated case distribution, and seamless end-to-end integration with existing systems to create a truly intelligent reading environment.  

The 4 key use cases and benefits that workflow orchestration brings to the table  

1. Unified worklist management 

Instead of managing separate worklists for different modalities or locations, radiologists work from one comprehensive view that consolidates the tools they need with more automated tasks. This reduces the burden of needing to track multiple systems and eliminates the inefficiency of constantly switching between apps and interfaces.   

Unifying worklists between systems and departments affords additional benefits at the enterprise level: business processes become visible across systems, departments, and locations in real-time to offer new operational insights for improving scalability and efficiency in patient care delivery.  

2. Intelligent case distribution 

Advanced automation can ensure more equitable workload distribution. This use case is critical for resource allocation across imaging teams, especially for teams that are spread out across different locations. Automatically routing cases based on subspecialty, availability, and urgency levels eliminates time-consuming and manual distribution steps, reducing — even eliminating-- the potential risk for cherry-picking.   

This is essential for managing outsourced reading services, where teleradiology providers must be seamlessly integrated with a healthcare provider’s processes and systems.   

3. Enhanced collaboration 

Built-in communication and image-sharing tools in the workspace enable secure consultation and case discussion between members of the care team, without having to actually leave the reading environment or switch workstations. Being interrupted from reading cases to answer the phone or respond to emails is highly disruptive for reading physicians. Studies show that it can take up to 20 minutes for a radiologist to get back on track after an interruption.   

Workflow orchestration benefits stakeholders and care teams by helping to streamline the consultation process with radiologists and increase the scalability of care coordination across departments and sites.   

4. Seamless integration of insights from artificial intelligence  

The best workflow orchestration platforms provide a unified environment for AI-powered insights. By provisioning apps from best-of-breed imaging AI vendors with API’s, these orchestration platforms present critical findings directly within the radiologist's workspace. Urgent findings are automatically flagged with notifications, ensuring timely attention to critical cases.  

Real-world impact of streamlining imaging operations 

Healthcare organizations implementing workflow orchestration report significant operational improvements – mostly due to improving how they are managing complex workflows. 

Improved productivity: Many organizations report increased radiologist productivity after provisioning their platform and onboarding radiologists, primarily due to less time spent on repetitive tasks and getting faster access to relevant patient information. 

Faster turnaround times: Machine learning-driven intelligent case distribution both accelerates turnaround times for studies and improves workload equity across physician teams, leading to better patient care and increased physician satisfaction. 

Easier IT maintenance: For IT teams, workflow orchestration simplifies system management by reducing the number of interfaces requiring support and maintenance. This centralized approach also enhances security by providing unified access controls, error-handling, and audit trails across the legacy systems underneath all imaging workflows. Cloud-based orchestration platforms based on Microsoft Azure, AWS, IBM, or other large providers carry the additional benefits of industrial-grade security, uptime, scalability, and flexible usage-based pricing. 

Key considerations for workflow orchestrator implementation 

When evaluating workflow orchestration solutions, focus on systems that can already integrate seamlessly with your existing infrastructure and business processes. 

That means looking for cloud-native, cloud-based, or hybrid (a combination of cloud and on-premises) platforms that can scale with your organization as your healthcare IT strategy evolves. 

You should also consider solutions that offer robust caseload management capabilities and workflow automation, including AI-powered distribution engines that learn from your organization's patterns over time. The ability to configure business rules for case routing helps the system adapt to your specific operational requirements. Other automations include voice-to-text reporting, or operational AI that can automate claim codes for reimbursements. 

Of course, user experience (read: customer satisfaction) should be a primary consideration as well. The most effective workflow orchestrators feature intuitive interfaces and orchestration tools that already feel familiar to radiologists and other reading physicians, reducing training time and encouraging adoption across your team. 

The future of radiology workflow management 

As imaging AI continues to mature, workflow orchestration platforms will become more adept in their ability to predict workload patterns, suggest optimal case sequencing, optimize data flows and data orchestration, and provide personalized reading environments with AI-powered workflow orchestration tools for individual radiologists. 

Integration with predictive analytics may soon enable proactive staffing decisions that can have a positive impact on the customer experience — for both patients and physicians. Enhanced natural language processing will streamline reporting workflows, reducing human errors and improving complex clinical documentation quality. 

Cloud-based systems that leverage big data, machine learning, and other AI-powered innovations will eliminate bottlenecks and dependencies of today’s on-premise legacy environments, ushering in new automation approaches to solving complex workflows. 

Evaluating workflow orchestration vendors 

Successful implementation depends on choosing a partner with deep imaging expertise and a proven track record in healthcare technology. Look for vendors offering comprehensive implementation support, including change management assistance, process orchestration, and data orchestration capabilities with ongoing clinical optimization services. 

Ensure your chosen solution provider offers robust training programs and technical support, as physician adoption is critical to realizing the full benefits of workflow orchestration. 

Cloud-based orchestration platforms and workflow automation innovations are generating a fundamental shift toward more intelligent, efficient, real-time imaging operations.  Healthcare organizations looking to reimagine their imaging worklist by embracing implementing workflow orchestration today position themselves to better manage growing imaging volumes tomorrow – all while improving both physician experience and patient care quality.