Features

Radiology’s Next Move: Bigger Data

by George Wiley

In the 1990s, it was easy to be a success. You had to work hard not to be a success. That’s not true any more,” according to Michael P. Recht, MD, Louis Marx professor of radiology at New York University School of Medicine and chair of the radiology department at NYU Langone Medical Center (New York, New York).

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

by Julie Ritzer Ross

The ACO, a relatively new concept that met with great skepticism when it appeared in the Patient Protection and Affordable Care Act, now ranks at the top of the conversation-starter list in the radiology community. Imaging providers have debated whether it is necessary for them to engage with these entities, and, if they do, what roles they would play. The current consensus not only is that radiology cannot afford to ignore the ACO model, but also that a strategic approach must be followed if providers are to assume their positions successfully under the ACO umbrella.

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From Quality to Outcomes: Deploying Clinical Analytics

by Joseph Dobrian

Although radiology has employed clinical analytics for more than a decade, the field is in its infancy. Nonetheless, the possibilities are tantalizing—if technological, economic, political, and interoperability hurdles can be cleared.

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Priors

Radiologist As Gatekeeper, Part I

by Cheryl Proval

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 patients get imaging. Due to concerns about referring physicians, the mouse, to date, remains elusive. The ascent of value creation in health care, however, has radiology not just thinking about a gatekeeping role, but preparing to assume one.

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Big Data: Different From Small Data

by Cheryl Proval

Three factors distinguish big data from the analytics that many executive leaders are familiar with: volume, velocity, and variety. In a recent article that appeared in Harvard Business Review, McAfee and Brynjolfsson1 make the distinction and open a window on how two companies are harnessing big data to make more accurate predictions, better decisions, and more precise interventions—on an accelerated timetable.

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Departments

Is the Small Practice Dead?

by Anil Narang, DO

With the rapid changes in health care, radiology (like other specialties) has had to adapt to survive. Smaller practices have been acquired or consolidated with larger practices. This allows greater emphasis on efficiency, shared risk, and economies of scale. There is also a perceived sense of security that comes with the size of the organization. Larger organizations, in addition, have greater negotiating power with both providers and insurers. These practices have the ability to attract top-level management and administrative talent as well.

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A Big Idea—and Bigger Challenges

by Cheryl Proval

Every once in a while, a big idea floats, like a sweet vapor, across the popular consciousness, invading every corner of US life, from science to commerce to entertainment. Curr-ently, our society (and business, in particular) is smitten with big data, and to be accurate,
its reach is global, even unto health care.

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Resources

Get Your CT Lung Cancer Screening at the Mall

One of the developments advocates for responsible screening of patients for lung cancer with low-dose CT specifically have warned about is screening occurring outside experienced facilities where patients can receive counseling about risks and benefits, as well as help reading their results. However, there is little they may be able to do to stop such practices


 

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