Looking Forward and Looking Back: On 20 Years in Imaging

The radiology industry has seen its shares of ups and downs during the past two decades. “In 1993, health care was in a period of...

Inside the Hospital–Radiology Contract of the Future

Contracts between hospitals and radiology groups are evolving to reflect the shifting requirements of health care—and both parties can expect to continue to...

Six Steps to Improving Patient Satisfaction

Patient satisfaction is often misunderstood by health-care providers, according to William R. Johnson, CRA, MBA, RT, system director of patient experience with Memorial Health...

Four Deal-breakers in Hospital Imaging Transactions and How to Avoid Them

When the hospital is the buying party in an imaging joint venture, there are four potential issues that could terminate the transaction, all of...

Meaningful Use and Radiology: Fully Certified Versus Modular Approaches

“Why make your RIS into an electronic health record (EHR) just to satisfy meaningful use?” David Avrin, MD, PhD, asks. It is a question...

Change the Conversation

Here’s a confession: Though a bit of a snob about most of what’s on television these days, I’m obsessed with AMC...

Appropriateness and the ACO: How Radiology Can Position Itself to Lead

Radiology groups’ conversations with their hospital partners are undergoing an evolution, in the experience of Edward Rittweger, MD, president of Navesink Radiology (Red Bank,...

The Growth Paradox: How Should Radiologists’ Behavior Be Rewarded?

All over the country, radiology practices are merging, consolidating, and forming networks in order to grow in size and, in theory, negotiate from a...

Using Analytics to Achieve Strategic Goals: Quantum Imaging & Therapeutic Associates

Clinical analytics for radiology can play a critical strategic role in practice development and growth, but only if the approach to aggregating and sharing...

Perspectives on Quality

In the last issue of RadAnalytics, I wrote about productivity and efficiency, with an...

From Quality to Outcomes: Deploying Clinical Analytics

Although radiology has employed clinical analytics for more than a decade, the field is in its infancy. Nonetheless, the possibilities are tantalizing—if technological,...

Radiology’s ACO Play: Get in the Game—Now

The ACO, a relatively new concept that met with great skepticism when it appeared in the Patient Protection and Affordable Care Act, now ranks...

Radiology’s Next Move: Bigger Data

In the 1990s, it was easy to be a success. You had to work hard not to be a success. That’s not true...

Radiologist As Gatekeeper, Part I

For at least a dozen years, radiology has played a cat-and-mouse game with the notion of assuming a more active role in determining which...



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Appropriateness and the ACO: How Radiology Can Position Itself to Lead

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Using Analytics to Achieve Strategic Goals: Quantum Imaging & Therapeutic Associates

Perspectives on Quality



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The Jig Is Up

For many years, hospitals and physician practices have engaged with payors in a little game we play in a free market society called “negotiation.” This game enables the players to use whatever tools and stratagems they possess to leverage as good a price possible for their services/business in an increasingly price-conscious marketplace. On the provider side, good means high, and on the payor side, good means low. Providers might negotiate from a position



Perspectives
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Cheryl Proval
The Jig is Up
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Curtis Kauffman-Pickelle
Video: Influence and Leadership

Big Data: Different From Small Data

Three factors distinguish big data from the analytics that many executive leaders are familiar with: volume, velocity, and variety. In a recent article that...

Is the Small Practice Dead?

With the rapid changes in health care, radiology (like other specialties) has had to adapt to survive. Smaller practices have been acquired or consolidated...

A Big Idea—and Bigger Challenges

Every once in a while, a big idea floats, like a sweet vapor, across the popular consciousness, invading every corner of US life, from...

Health Care Data in the Public Domain: Empowering Patients

The aggregation and utilization of data in health care has two sides, according to Lynn Gibson, vice president and CTO of Christus Health, Irving,...

Transitioning to Integrated Delivery: Measuring and Redesigning Care

Successful health-care organizations will reengineer both their structure and processes as reimbursement shifts towards managing populations, and measurements are required to both support this...

Where Culture and Data Meet: Imaging’s Imperative to Change

In a February 2013 article for JACR: The Journal of the American College of Radiology entitled “Culture Shift: An Imperative for Future Survival,” Lawrence R....

Patient Engagement: Man Finds Own Cancer!

Patient engagement in health care (or patient-centered communication, as it’s often called) has been compared to marriage, where the relationship between care seeker...

Diagnostic Professionals Monitors Patient Care With Pulse

A decade after starting Diagnostic Professionals, Inc (DPI), Claude Hanuschak, its COO, still refuses to let federal payment policy thwart his success. When faced...

A Conversation With Mark Alfonso, MD: What Is Patient-centered Radiology?

If the triple aim—improved access to better-quality health care at a lower cost—is the goal of health-care reform, then patient-centered care is...

Putting Patients First: How Imaging Technology Augments Satisfaction

Orthopedic practices are no strangers to pursuing optimum patient satisfaction with imaging as part of a growth strategy; in fact, their growth is often...

Radiology Alignment: Common Structures and the Value of Radiologists’ Services

Whether given incentives by the continued cuts in reimbursement levels or by the desire to monetize an operating asset, radiologists in the market continue...

Bundled Payments and Imaging: Education and Practice for ACOs to Come

As the momentum concerning accountable-care organizations (ACOs) continues to mount, forward-looking radiology groups already are anticipating participation in bundled-payment initiatives, according to Ed Gaines,...

Patient Comfort in a Competitive Outpatient Imaging Market: West Boca Medical Center

Boca Raton, Florida, became a competitive market for medical imaging when entrepreneurial nonphysicians began opening freestanding imaging centers in the late 1990s and early 200...

PACS Continuity in the Eye of Hurricane Sandy: Bellevue Hospital Center

When Hurricane Sandy and its aftermath devastated New York, New York, in October 2012, perhaps no one was more vulnerable than the patients needing care...

When Bigger Isn’t Better

It seems that I was not the only one alarmed by “Bitter Pill,”¹ about which I wrote in my commentary last month. In...

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