The 2014 ACR Strategic Plan
Defining our vision for the future and the roadmap to get us there
The disruptions from health care reform, changing practice patterns, and declining reimbursement that have created unprecedented challenges for our specialty and our practices also challenge our professional organizations to be responsive to the changing practice environments of our members.
Gone but Not Forgotten
Malpractice claims can be kept out of court, but not the National Practitioner Data Bank.
A Note from ACR Legal Counsel
Medical malpractice claims are settled for many reasons, whether or not the claims are actually valid. Among those reasons is the desire to avoid a liability report on the physician’s record.
Q: What is the one thing you wish your patients knew?
I wish they knew that, as radiologists, most of what we see we recognize and know well, but we don’t always have the right answer. That’s just the nature of the beast.
Eating Our Seed Corn
Our youngest members are entering practice amid tectonic changes in the landscape of medicine. How are we supporting the next generation of radiologists?
One of the most rewarding aspects of my job as chair of the Commission on Economics is the work I do with the Resident and Fellow Section.
Liaison Outreach and Development of ACR Policy
CSC members focus on their primary roles and welcome member involvement.
During the summer and fall, the Council Steering Committee (CSC) has expended a significant amount of effort to support its mission and engage in both liaison work and the development of policy resolutions.
Who’s Who in the ACR Leadership
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The ACR Council passed a resolution in 1998 (which was then renewed in 2008) to include demographic information in the ACR Bulletin about the Board of Chancellors, Council Steering Committee, ACR Councilors, and ACR Alternate Councilors. The following information is provided in accordance with that policy.
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Who Will You Nominate?
It’s time to submit your candidates for next year’s elected and selected positions. Among the open elected positions are president and vice president of the College; four positions on the BOC, three of which are held by incumbents eligible to run for a second term; four positions on the Council Steering Committee; three positions on the College Nominating Committee (CNC); and two member-in-training representatives to the Intersociety Conference. Additionally, the CNC will select a private-practice representative to the 2015 and 2016 ISC meetings.
Working Hard for You
Every day, the College works hard to advocate for the specialty and ensure that radiologists are ahead of the game when it comes to local and federal legislation. Here are just some of the recent victories that we’ve helped win:
The federal government, beginning January 1, 2015, will require private insurers to pay for lung cancer screening using low-dose CT for high-risk patients. This decision is due in large part to the National Lung Cancer Trial conducted by ACRIN ®.
- The ACR, working with other medical organizations and Congress, was able to delay a 24 percent reduction in Medicare physician reimbursement as part of the sustainable growth rate legislation.
- The Protecting Access to Medicare Act included an ACR-supported provision mandating the use of specialty society appropriateness criteria when referring Medicare patients for advanced imaging procedures. That same law included an ACR-backed provision that would require CMS to disclose data used to justify a 25 percent multiple procedure reduction to the professional component of advanced imaging procedures.
As the only organization that advocates for, promotes, and advances the field of radiology, the ACR is front and center working for you to ensure the ongoing vitality of the profession. This allows you to concentrate on what you do best, providing quality services to your patients. Renew your membership now at acr.org/renew.
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Announcing the ACRF Humanitarian Awards
Photo: ACR members visit Haiti on behalf of the ACR Foundation.
The ACR Foundation Board is excited to announce the ACR Foundation Global Humanitarian Awards. The awards will be given to individuals and organizations making a significant contribution in providing or increasing access to quality radiological services for patients in the United States and the developing world.
The awards will be given in three distinct categories: individual radiologists, organizations (including non-profit and industry groups), and non-radiologists (including medical physicists, radiologic technologists, ultrasonographers, and other radiological personnel).
Since the ACR Foundation’s inception in the mid-2000s, its involvement in international outreach has revealed a significant level of activity aimed at improving access to sustainable, quality radiological care in the developing world. The foundation believes that these awards will recognize individuals and organizations for their humanitarian efforts while focusing attention on the ongoing need for radiological service throughout the world.
Applicants for the award may either be self-nominated or nominated by a peer. Information about the award, including the official application, may be found at http://bit.ly/ACRHumanitarianAward or you may contact the ACR Foundation International Outreach Program staff at 800-227-5463 ext. 4956.
Check out ACR at RSNA!
Come visit the ACR booth at RSNA. Learn more about all the new products and events, including ACR 2015.
The ACR booth will have on-site discounted registration for many ACR products and meetings, as well as membership renewal. You don’t want to miss this opportunity to save. Visit www.acr.org/Annual-Meeting/Registration for more information.
Showcase Your Work at ACR 2015™
Submissions are now open for abstracts at ACR 2015. Accepted abstracts give authors an opportunity to network and discuss their research with experts in the field.
Submissions are open to all radiology professionals. Submissions are due by Friday, January 9. For more information, visit http://bit.ly/ACR2015CallforAbstracts.
EHRs Might Influence Your Report More Than You Think
Nearly everyone agrees that EHRs have a lot of potential benefits for radiologists, especially the enhanced ability for information sharing. But not everyone realizes how significant those benefits actually are. A recent study published in Health Affairs reinforces the importance of having access to EHR data when it comes to radiologist decision-making in emergency departments.
In the study, three neuroradiologists without access to EHR data looked at 2,000 head CT scans. The neuroradiologists then analyzed the medical information gathered and entered by emergency physicians and compared it to the information that had been entered in the EHR. In about 22 percent of the cases, the neuroradiologists agreed that the extra information in the EHR would “very likely” or “possibly” affect the interpretation and treatment. Without access to the full EHR data, radiologists could have recommended inappropriate imaging or failed to recommend further appropriate imaging. Although the sample size is small, it is still telling, noted one of the researchers, John M. Ulmer, MD, in an interview with DOTmed News. “Larger studies across multiple institutions and multiple scenarios would give us a better appreciation for how well this reflects the impact of the EHR on interpretations of imaging studies elsewhere or in other scenarios,” he said. Read more about the study at http://bit.ly/EHRPositivity.
Closed-Loop Obstruction Secondary to Adhesions
Submitted by John W. Fan, MD, and Bernard Chow, MD
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The most popular Case in Point (CIP) submission of January 2013, as chosen by CIP users, was “Closed-Loop Obstruction Secondary to Adhesions.” January’s reader favorite explores the case of a 72-year-old man who presented to the emergency department with diffuse abdominal pain and vomiting.
Roadmap to Quality
This year’s ACR Conference on Quality and Safety gives attendees the tools they need to transform their practices and bring new value to their patients.
The Bulletin caught up with Quality and Safety Conference chair C. Daniel Johnson, MD, FACR, who also chairs the department of radiology at Mayo Clinic Arizona in Scottsdale, Ariz., to discuss what participants can look forward to at the 2015 conference and why it’s time to get involved in quality and safety projects.
Paving the Way
The American Institute for Radiologic Pathology (AIRP™) unveils its new radiation oncology course.
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Beginning in February, residents will be able to attend the new radiation oncology offering at AIRP™, a four-day categorical course that will present a comprehensive view of imaging with emphasis on principles of radiologic-pathologic correlation.
The Secret Ingredient
Leadership skills can make the difference between helping your practice succeed and watching your group fall behind the curve.
Frank J. Lexa, MD, MBA, chair of the ACR Practice Leaders Meeting and professor and vice chair of research and academic affairs at the Drexel University College of Medicine department of radiological sciences, discusses new payment models, redefining success, and why leadership matters for radiologists.
Should limited job opportunities for radiologists lead us to reduce residency training program sizes?
The ACR Commission on Human Resources has reported the results of its 2014 Workforce Survey, indicating that the number of job opportunities available in 2014 will be approximately 1,100,1 similar to the figures in 2013.2 (Read more about the 2014 results at http://bit.ly/JACRworkforce2014.)
Reaching An Agreement
Chances are you’re handling negotiations every day. Are you making the most of these interactions?
Two men enter a conference room in New York City. They sit on opposite sides of a large table and begin discussing the possible merger of their two companies.
Tools of the Trade
As medicine shifts, groups are hiring radiologists who can not only interpret images appropriately but also serve as practice builders.
In many professions, it is not unusual for people to change employers often. In fact, the Bureau of Labor Statistics reports that in 2012, the median number of years that wage and salary workers had been with their current employer was just 4.6.1 That means that people tend to change employers nearly as often as the nation holds a presidential election. But radiology is different.
Follow these tips for a successful first job search.
The job search is anything but ordinary for radiologists — most of whom went directly from college to medical school and on to internship, residency, and fellowship. “For a lot of us, this is the first time we’re looking for a job,” says Jonathan Flug, MD, MBA, assistant professor of radiology at the University of Colorado in Aurora, Colo. “And I think that, for a lot of people, it’s hard at first.”