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Care Optimization

 

An abscess is one of the few breast-specific emergencies that require urgent treatment in emergency departments (EDs). A new study, presented at RSNA 2017 in Chicago, found that ED environments generate unnecessary exams in addition to some that incompletely identify malignancies.

Discussion about the safety of using gadolinium-based contrast agents (GBCAs) in medical imaging has increased in recent years as a result of the element being found in patients’ brains following MRIs. In a new study presented Wednesday at RSNA 2017 in Chicago, however, researchers found no evidence of harm from the gadolinium being retained.

The Radiological Society of North America (RSNA) is once again gearing up for its annual meeting at McCormick Place in the beautiful city of Chicago. What does RSNA have in store for attendees this year? Richard L. Ehman, MD, president of the RSNA Board of Directors, gave us a sneak peek. Ehman, a professor of radiology and Blanche R. & Richard J. Erlanger Professor of Medical Research at the Mayo Clinic in Rochester, Minn., previewed RSNA 2017 and reviewed some of the biggest issues affecting medical imaging today.

Patient-centric care is so important to Solis Mammography that every member of its staff keeps a “Promise Book” containing the practice’s guiding principles close at hand. The book offers an important reminder to the 600 or so team members spanning 44 sites: “Our promise is an exceptional experience, exceptionally accurate results and peace of mind for everyone we serve.”

Cleveland Clinic entered the rapidly consolidating world of radiology in 2016, developing strategic partnerships and mergers with independent radiology groups, and hasn’t looked back since. The health system reported revenues of $8 billion in 2016, a jump of almost 12 percent, and 11 percent of that revenue came from its radiology arm, the Imaging Institute.

 

Recent Headlines

Could mild TBI, concussion increase the risk of Alzheimer's?

A new study has linked people who experience mild traumatic brain injury (TBI) as being associated with greater neurodegeneration in those at risk for Alzheimer’s disease.

Strong Leadership in the Era of Value-Based Care

Scott Hazelbaker, CRA, MS, remembers a time when leaders in the radiology industry were unapologetically firm and new hires were expected to do as they were told, no matter what.

Maximum Efficiency, Minimal Intrusion - 7 Steps Toward Optimized CDS Implementation

When CMS finally named a firm start date for its clinical decision support (CDS)/appropriate use criteria (AUC) program last November—financial incentives for appropriately using CDS will kick in Jan. 1, 2018—two key stakeholder groups finally had information they'd been wanting for quite some time. 

Standardized Imaging Protocols - The Next Step For Providers Seeking Consistency, Added Value

Over the last several years, there has been an increased focus throughout the imaging industry on imaging protocol standardization, or more often, the lack thereof.

Fulfilling the VNA Promise - How to Get the Most Out of Your Facility's Vendor-Neutral Archive

In the not-too-distant past, picture archiving communication systems, or PACS, were the backbone of every image capture and storage strategy. However, the tide is turning as some healthcare providers gravitate toward vendor-neutral archives (VNAs), in which images and clinical data are stored in a standard format and with a standard interface that make them accessible by systems from disparate vendors.

HIMSS17 Spotlight: Imaging societies join forces to tackle enterprise imaging

Not everyone in the medical imaging community is involved with enterprise imaging, but nearly every stakeholder is at least thinking and talking about it. The concept represents an eminently logical next big step in the technology-driven evolution of U.S. healthcare delivery: Imagine a world in which any diagnostic image captured from any image-producing specialty is viewable by any credentialed clinician anywhere and at any time. 

Radiology’s Role as a Value Center: How to Excel in Both Quality and Accountability

Our University of Utah Health Care system was recently ranked No. 1 in Vizient’s 2016 Quality and Accountability Study Rankings. One critical contribution to this success was an innovative cost/outcome accounting system called Value Driven Outcomes (VDO). Created by Vivian S. Lee, MD, PhD, MBA, senior vice president, dean of the school of medicine and the CEO of the University of Utah Health Care System, VDO captures the true costs of healthcare across the entire enterprise and connects them to patient outcomes, supporting growth through the value equation: Value = (Quality + Service) / Cost.

Practice Leaders Can Improve Care by Engaging the Five Senses

Consider the average turnaround time (TAT) per patient for the majority of tests you perform daily. TAT matters because it has become one of the most common performance metrics in the imaging industry. But patient-centered care also has become more of a priority. And while serving in your role as a radiology provider, how do you maintain that quick TAT while also providing quality and focusing on the patient? It’s a difficult balance. 

Fatigue in Radiology: What is its Impact and What Can Be Done?

A typical workday for today’s radiologist is probably anywhere from 10 to 12 hours a day, and in most settings, nearly all of those hours are spent reading images at a PACS workstation. This may be a good thing from a healthcare enterprise and business perspective, but what happens to a radiologist’s diagnostic performance after even just eight hours of clinical work? Is it the same as when they started first thing in the morning? Are residents impacted more or less by fatigue given their fluctuating work hours and the pressures of learning their craft? 

Stereotactic radiosurgery vs. whole-brain radiation for treating brain tumors

A new study led by researchers from the University of Missouri School of Medicine compared two common postsurgical therapies for metastatic brain tumors, the most common in adults, and found that stereotactic radiosurgery can provide improved outcomes for patients compared to whole-brain radiation.

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