Dispatches: News from the College and Beyond
Imaging 3.0®: Collaboration Takes Flight
As health care moves from volume to value, radiologists must work in partnership with referring clinicians and other team members to provide high-quality patient care at lower costs. To that end, neuroradiologists in Wisconsin have joined oncologists and neurosurgeons in the clinic and the operating room, where they use imaging to help chart the most appropriate course of treatment. As a result, the neurosurgical oncology team reports a 30 to 40 percent reduction in length of stay, mortality, and readmission rates, as well as a 10 percent reduction in cost per case.
Radiologists Can Help Identify Elder Abuse
Radiologists are often poised to identify abuse in pediatric patients, but detecting elder abuse can be more difficult. Researchers at Weill Cornell Medical College, in New York City, interviewed 19 radiologists about elder abuse. Only two radiologists reported specific training in identifying the issue, but all interviewees thought they had missed diagnosing abuse in the past and were interested in additional training. The study authors noted that while the age of pediatric patients helps radiologists identify patterns that indicate abuse, elder abuse is more difficult to spot due to factors like age-related osteopenia, use of anticoagulant medications, and the frequency of accidental injuries from falls. As radiologists can play a significant role in identifying child abuse, additional education opportunities can help them also screen geriatric patients for abuse.
"Patients are absolutely at the center and heart of what we do. they are our inspiration. Their wellness is our reason." — Kristina E. Hoque (@KristinaHoque)
Radiology Under MACRA Examined in HPI Reports
Looking for more help with MACRA? Recent reports supported by the Neiman Health Policy Institute® (HPI) review expectations for radiologists under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Payment adjustments under MACRA will begin in 2019 and will reflect performance during 2017.
The first article provides an overview of how radiologists can prepare for MACRA implementation via the Quality Payment Program, paying specific attention to the implications for radiologists under the Merit-Based Incentive Payment System (MIPS). Radiologists should be aware of reporting strategies that may help improve reimbursement. CMS did build in special considerations for physicians who don’t have frequent face-to-face patient interaction. The second article reports the authors’ analysis of the considerations provided to those with limited face-to-face patient interaction, which showed that the proposed criteria for receiving such considerations may result in many radiologists being measured on benchmarks that do not optimally reflect radiologist practices. Alternative criteria could help ensure radiologists are provided a fair opportunity for success in performance review under MIPS.
Get Your CPI Pediatric Modules
Providing excellent health care for children is one of the highest priorities for radiologists as the radiology community moves toward quality-based health care. The ACR Continuous Professional Improvement (CPI) program has been providing high-quality practical publications for over two decades. Developed by more than 200 experts and subspecialists in ABR-required areas of study, each publication features 50 self-assessment questions designed to deliver a comprehensive learning experience. The newest pediatric publications — CPI Pediatric Radiology Module 2016, CPI Imaging in Pediatric Oncology Special Edition Module, and CPI Perinatal Imaging Special Edition Module — are available in print, online, and digital formats, each offering 8 CME and 8 SA-CME.
Nominate Your Colleagues for ACR Fellowship
"It's a natural reaction for radiologists to think the computer is going to replace them, but this fear represents an oversimplification of what a computer can do and what the profession of radiology is. What machine learning can do is help remove the humdrum and make the profession more vibrant and exciting." — Bradley J. Erickson, MD, PhD, panelist on machine learning and radiology at RSNA 2016
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Free JACR® CME
Are you claiming your free CME from the JACR? Each month the JACR offers multiple articles eligible for free CME for ACR members.
Go to the Online CME Collection to find eligible articles, including the following:
- Patient- and Family-Centered Care: A Primer
- Succession Planning and Management: The Backbone of the Radiology's Future
- Difficult Doctors, Difficult Patients: Building Empathy