In RBJ’s 11th annual survey recognizing 100 of the largest practices in the U.S., consolidation emerges as perhaps the single most inescapable sign of disruption throughout the profession. An analysis of this year’s list, together with respondents’ comments, details how hard it has become to identify a representative sampling of the largest practices in the land.

Workflow is both the magic and worry of radiology. To borrow a phrase from a nursery rhyme: when it is good, it is very good indeed, but when it is bad, it is horrid. While many radiology groups enjoy good workflow, most have room for improvement in measuring productivity, managing studies and balancing workloads to boost business and burn out physician burnout and ease fatigue. Here’s how two leading radiology group practices are making workflow better.

Enterprise imaging continues to gain importance in healthcare as technologies evolve and providers grow larger and larger. Mix in the industry’s laser-like focus on such topics as data analytics, security, and interoperability and it’s easy to see why so many organizations are working around the clock to beef up their enterprise imaging strategies and plan for the years ahead.

Campbell County Memorial Hospital is an acute care hospital in Gillette, Wyoming, and the centerpiece of the Campbell County Health healthcare system. Like Gillette—a city that saw its total population jump by nearly 40 percent from 2000 to 2010—Campbell County Memorial Hospital has seen significant growth in recent years, opening a cath lab and enhancing its radiology department with new imaging equipment.

PACS is powering better workflow in breast imaging, transforming the way breast imaging radiologists read studies and interact with one another by improving physician efficiency, accuracy and saving time. Metrics matter in healthcare today and now excellent efficiency, productivity, quality of care and provider and patient satisfaction are measures of success that belong together in the pursuit of better breast imaging.

Having been in the Sectra PACS fold since 2004, members of the radiology department at six-hospital CoxHealth in Springfield, Mo., didn’t need much convincing to “VNAble” their existing system so it could handle cardiology workflows on top of their own.

Cleveland is yet again blazing new ground in healthcare. This time, myriad health systems are actively collaborating to share images. A first for the U.S., we believe. University Hospitals Health System (UH) is leading the charge that now includes more than two dozen hospitals, providers sites and health systems and counting. Here’s how they did it.

When the American College of Radiology (ACR) opened the ACR Education Center in Reston, Virginia, back in 2008, it was with a very specific goal in mind—to provide radiologists with thorough, hands-on training they can then take home and use in their daily practice.