- Brian Baker

Over the past 20 years, the radiology specialty has adapted well to increasing volumes, while maintaining a high caliber of service.  However, certain macro-trends are bringing change: the move to fee-for-value vs. fee-for-volume means radiologists must navigate a new and radically different healthcare payment environment, says Brian Baker, founder and CEO of Franklin, Tenn.-based health care research firm Carealytics.

 - staffing

In imaging services, “getting it right” is of utmost importance when it comes to selecting the appropriate equipment, administering the correct radiation dose and delivering excellent patient care. Getting it right also is an imperative where staffing is concerned.

 - New Perspective

Despite the considerable progress that’s been made to bridge the gap between IT and radiology, in part through the development of sophisticated IT-based radiology practice solutions, a considerable understanding gap remains between those who implement and support solutions and those who use them.  According to results from a recent survey conducted by Adam H. Kaye, MD, MBA, of the Hospital of the University of Pennsylvania, and presented at the 2014 annual meeting of the Society of Imaging Informatics in Medicine (SIIM), individuals from IT and radiology staff working in the same facility feel like fish out of water when asked about the specific day-to-day workflows and decision-making processes of the other group. After completing a survey and participating in a shadowing experiment, the two groups gained alignment, achieved only because they were able to experience and understand the needs of the other group and recognize the importance of communication. 

 - Kal Dulaimy, MD, chief of diagnostic imaging and medical director of radiology informatics, at Baystate Medical Center, Springfield, Mass.

The seamless interface of information systems within an enterprise is the Holy Grail in health systems for good reason: Tight integrations can yield big benefits. After replacing its PACS and tightly interfacing the new system with its electronic medical record (EMR), Springfield, Mass.-based Baystate Health is reaping the benefits of streamlined workflow and improved patient care across its four hospitals, more than 10,000 employees, cancer center and heart and vascular center. 

 - Andrew Wells, MD, a radiologist with Hendersonville Radiological Consultants, Hendersonville, NC

When it comes to electronic communications for radiology, it’s all in the workflow, says Andrew Wells, MD, a radiologist with Hendersonville Radiological Consultants, an eight-partner practice that covers three hospitals in western North Carolina.