Case Studies

Today’s radiology leaders face a significant number of challenges, including complex reimbursement policies, evolving technologies, and increasing demands for 24/7 subspecialty care. MEDNAX Radiology Solutions hosted a webinar on Feb. 21, 2018, that focused on these challenges and what leaders can do to ensure their practices thrive in today’s growing, competitive marketplace.

When five-hospital health system HIMA San Pablo sent an imaging contingent from its home base in Puerto Rico to RSNA in Chicago back in 2003, no one in the group could have foreseen how fortuitous their trip to the Windy City would prove almost a decade and a half later. 

If you’re going to operate a hospital outpatient imaging facility so distant to the nearest city that your location overlooks a sprawling cow pasture, you need to give patients a reason to make the drive. OGH Imaging in Grand Coteau, LA.—population 939—has been doing just that ever since opening its doors in 2005. 

Six years ago, the non-invasive cardiovascular lab (NICL) at 540-bed St. Dominic Hospital in Jackson, Mississippi, faced something of an uncertain future. The rules for maintaining accreditation, set by intersocietal accreditation commissions, require that all vascular exams get interpreted within 48 hours of image acquisition. For cardiac exams, the read must wait no longer than 24 hours.

When it comes to ramping up on imaging clinical decision support, now is the time to assess your choices, set expectations, map out a plan and get the wheels of implementation turning. Imaging leaders need to play a key role in implementing CDS, educating ordering physicians and ensuring program success. 

West Feliciana Hospital (WFH) has been serving patients in the small town of St. Francisville, Louisiana, since 1970, but its imaging capabilities were limited for a long time. As a result, the hospital gained a bit of a reputation among referring physicians in the area—when in doubt, they would just avoid WFH altogether and send patients more than 30 miles away to Baton Rouge.

Artificial intelligence (AI) was the center of attention at RSNA 2017 in Chicago, and FUJIFILM Medical Systems U.S.A., Inc. got in on the fun by unveiling its new AI development initiative from its booth at McCormick Place. Bill Lacy, FUJIFILM Medical Systems U.S.A., Inc. vice president of medical informatics, spoke to us after the show about both the history behind the initiative and its bright future.

If you put a leading-edge 3D visualization platform in the hands of a fearlessly tech-forward radiologist, don’t be surprised if some real innovation emerges. That’s one lesson to be drawn from a recent cross-subspecialty adaptation of a Fujifilm Synapse® 3D component called Sector MPR. 

To the surprise of absolutely no one, artificial intelligence (AI) and deep learning technologies were the talk of RSNA 2017 in Chicago. More than 70 sessions were devoted to AI, and you couldn’t walk ten feet without reading or hearing the words “machine learning” or “algorithm.” 

Heading into the economically and politically turbulent year that 2018 is sure to be, radiology practices need all the navigational help they can get if they want to not only survive, but thrive in these uncertain times. In-depth assists are available, for free, from vRad for those dealing with staffing shortages, data security concerns, final-read demands and overall practice-performance issues. Here are descriptions and links to online resources that will help practice leaders navigate the course to becoming a high performance radiology practice.

Look to RSNA 2017 for hints on what to prepare for in 2018 and you may take some comfort in the familiar: The profession-wide challenges and opportunities that were common across radiology over the past year aren’t clearing out to make room for entirely new concerns and changes. However, you’ll also need to reckon with the reality of ever-advancing—and in many areas, only accelerating—change.

University of California San Francisco Medical Center has a long history of setting the standards in breast imaging and breast cancer care. Now it’s also setting the standard when it comes to reading and managing digital breast images and facilitating workflow efficiency.