Facility Management

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Radiologists must get used to the idea of competing with nontraditional companies such as teleradiology provider Radisphere if they hope to survive, according to a radiology practice expert. In particular they must provide subspecialty coverage, otherwise it’s all too easy to replace them.

A physician, who at the time was the principal doctor of a major medical clinic, once approached me about radiation dose issues and asked me to compare a chest x-ray to a chest and abdomen CT scan. I was prepared, having dealt with similar concerns expressed by other medical practitioners, and explained briefly how it can vary greatly and how the potential health hazards are weighed against the benefits. It was not the first time I had an inquiry about dose-saving techniques from the medical community or from patients. I started realizing how more and more the general public is being affected by media coverage and how the medical community should be able to react.

The first article in this series discussed why productivity-based compensation is controversial based on the various production levels in the group: the racehorses, plowhorses, and plodders. Once productivity-based compensation has passed the conceptual stage, the real work begins. And this phase, due to its potential complexity and the reality of potential salary adjustments, often represents the point at which the wheels fall off.

In response to a dramatic increase in the volume and cost of diagnostic imaging and other ancillary services furnished to Medicare patients in referring physicians’ offices, the Medicare Patient Advisory Commission is considering ways to rein in both.

A dramatic shift in R&D toward patient safety has taken place in the CT industry, a shift most clearly seen in efforts to reduce patient radiation dose. Iterative reconstruction algorithms are a prominent fixture at the ISCT meeting this year, as they and their future development are increasingly seen as providing the means to cut dose, while maintaining or even boosting image quality.

A dramatic shift in R&D toward patient safety has taken place in the CT industry, a shift most clearly seen in efforts to reduce patient radiation dose. Iterative reconstruction algorithms are a prominent fixture at the ISCT meeting this year, as they and their future development are increasingly seen as providing the means to cut dose, while maintaining or even boosting image quality.

Reduced or no “padding” during ECG-triggered coronary CT angiography results in a substantial reduction in radiation dose without affecting image quality and interpretability, according to a study in the April American Journal of Roentgenology.

The use -- and cost -- of modern imaging was rising among Medicare patients with cancer as they entered the 21st century, according to research released April 27 by the Journal of the American Medical Association. From 1999 through 2006, imaging costs rose at a faster rate among Medicare beneficiaries than any other cost associated with their fight against cancer.