1. A computer-implemented method of instituting a quality program in a medical application, comprising: recording a plurality of data elements into a database of a computer system, said data elements including a profile of a patient, a profile of a medical institution at which said patient was examined, imaging examinations performed on said patient, an examination profile of said patient, and a profile of an acquisition device used to perform said imaging examinations; performing a computerized measure of examination complexity based on said plurality of data elements and past performance measures and clinical outcomes of a service provider recorded in said database; and deriving an estimated examination interpretation time based upon said examination complexity, said estimated examination interpretation time which includes an individual user profile related to user experience, training, historical record of interpretation, speed, accuracy, and examination-specific attributes; wherein said estimated examination interpretation time is used to evaluate user efficiency.