There is another perspective on the analysis of proposed CMS regulations as described in your article CMS plan could take a bite out of teleradiology night reads, published July 29.
The analysis of the regulations correctly states that motivated teleradiology companies will work hard to get their radiologists privileges at a hospital where it has contracted to provide extensive services. It also notes that hurdles to privileging might have the perverse effect of invoking resistance on the parts of hospitals when an incumbent radiology group seeks to obtain outsourced services.
But there is a problem with hospitals accepting the credentials of others (The Joint Commission, teleradiology companies, or other hospitals). That approach bypasses normal medical staff oversight. This is inimical to patient care and undermines the security of all medical staff: now radiologists-next, someone else.
At a time when there appears to be a reckless attitude on the part of shortsighted hospital CEOs and their boards of directors toward radiology service providers, many consultants and well-known radiologists are appropriately advising radiology practices to make medical staffs their allies. The benefits of these efforts are compounded because the medical staff has a strong role in credentialing.
Removing the local oversight of credentialing weakens what are potentially the only allies that patients and radiologists might have.
I submit that the benefits of medical staff involvement outweigh the potential disincentives to introducing teleradiology when a radiology practice seeks them out. In fact, the ACR has a policy that states, “The American College of Radiology regards care by onsite radiologists preferable to teleradiology, the latter being most useful as a supplement to onsite care for purposes such as subspecialty consultation and to provide coverage for underserved areas where the physical presence of a radiologist is not feasible.”
A decision to introduce outsourced providers to a hospital should be taken very seriously, and hurdles are appropriate.
Dr. Kaye chairs the radiology department at Bridgeport Hospital, Yale New Haven Health System, in Bridgeport, CT.
Comment: Hurdles to remote credentialing protect radiologists and quality of care
There is another perspective on the analysis of proposed CMS regulations as described in your article "CMS plan could take a bite out of teleradiology night reads," published July 29. There is a problem with hospitals accepting the credentials of others. That approach bypasses normal medical staff oversight. This is inimical to patient care and undermines the security of all medical staff: now radiologists-next, someone else.
There is another perspective on the analysis of proposed CMS regulations as described in your article CMS plan could take a bite out of teleradiology night reads, published July 29.
The analysis of the regulations correctly states that motivated teleradiology companies will work hard to get their radiologists privileges at a hospital where it has contracted to provide extensive services. It also notes that hurdles to privileging might have the perverse effect of invoking resistance on the parts of hospitals when an incumbent radiology group seeks to obtain outsourced services.
But there is a problem with hospitals accepting the credentials of others (The Joint Commission, teleradiology companies, or other hospitals). That approach bypasses normal medical staff oversight. This is inimical to patient care and undermines the security of all medical staff: now radiologists-next, someone else.
At a time when there appears to be a reckless attitude on the part of shortsighted hospital CEOs and their boards of directors toward radiology service providers, many consultants and well-known radiologists are appropriately advising radiology practices to make medical staffs their allies. The benefits of these efforts are compounded because the medical staff has a strong role in credentialing.
Removing the local oversight of credentialing weakens what are potentially the only allies that patients and radiologists might have.
I submit that the benefits of medical staff involvement outweigh the potential disincentives to introducing teleradiology when a radiology practice seeks them out. In fact, the ACR has a policy that states, “The American College of Radiology regards care by onsite radiologists preferable to teleradiology, the latter being most useful as a supplement to onsite care for purposes such as subspecialty consultation and to provide coverage for underserved areas where the physical presence of a radiologist is not feasible.”
A decision to introduce outsourced providers to a hospital should be taken very seriously, and hurdles are appropriate.
Dr. Kaye chairs the radiology department at Bridgeport Hospital, Yale New Haven Health System, in Bridgeport, CT.
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A model that combines MRI-based deep learning radiomics and clinical factors demonstrated an 84.8 percent ROC AUC and a 92.6 percent precision-recall AUC for predicting perineural invasion in prostate cancer cases.
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Breast MRI Study Examines Common Factors with False Negatives and False Positives
The absence of ipsilateral breast hypervascularity is three times more likely to be associated with false-negative findings on breast MRI and non-mass enhancement lesions have a 4.5-fold likelihood of being linked to false-positive results, according to new research.
The Reading Room Podcast: Emerging Concepts in Breast Cancer Screening and Health Equity Implications, Part 2
In the second episode of a three-part podcast, Anand Narayan, M.D., Ph.D., and Amy Patel, M.D., discuss recent studies published by the Journal of the American Medical Association (JAMA) that suggested moving to more of a risk-adapted model for mammography screening.
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Review the case and test your knowledge to make the correct diagnosis.
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