February/March 2010

With a health IT stimulus package valued at $19 billion1 in play, one of the least controversial subjects in the health-reform debate is the potential of health information exchanges (HIEs) to lower health care costs while improving efficiency and quality of care. A handful of players in health IT have been developing some form of exchange for a

MRI has come a long way since its inception, and it has yet to cease evolving. New developments continue to surface, bringing with them changes in radiology practice patterns and opportunities to bolster revenues by attracting new patient populations.

Few developments in radiology have been more productive (or disruptive) than the advent of PACS. To PACS, radiology owes its ability to increase productivity dramatically during the past 10 years, thereby conserving income levels at a time of diminishing reimbursement. To PACS, radiology also owes the very real threat of commoditization.

Within radiology, interoperability and sharing information are among our most challenging and important tasks. Not only does the coming wave of adoption of electronic medical record (EMR) technology mean that we need to be able to exchange electronic information with other providers and health-care software systems, but even within our enterprises,

EDITOR’S NOTE: Radiology Business Journal brings you this inaugural list of the largest academic radiology practices with our usual caveat: We know that this list is not complete. We publicized the survey through our e-journal ImagingBiz.com, and participation was completely voluntary. We extend our sincere gratitude to the representatives of those

It is taxing enough for radiology and IT decision makers to contend with the image-management consequences of multidetector CT, high–field-strength MRI, 3D reconstructions, and various recent other trends responsible for a rising tide of diagnostic data. Added to this are the burdens created by other disciplines across the enterprise when they use

A rapid-fire series of radiation-related events, beginning in mid-2009 and continuing into 2010, culminated in the recent bombshell that the FDA would begin regulating medical radiation. Both the industry and the specialty continue to reverberate.

Health care is a business like no other because its very purpose is to extend and improve quality of life. It is a business, nonetheless, with revenues and costs, and with bills, lenders, and employees to pay. A common phrase, among even the most charitable of not-for-profit health-care organizations, is no margin, no mission. I am proud of the

Hospitals are keeping a wary eye on Washington, and on several key payor trends with major implications for imaging service lines, for good reason.

The indefinite path to qualifying for Health Information Technology for Economic and Clinical Health Act funds just came into greater focus, but it’s not to everyone’s liking. At the end of December 2009, HHS released two notices of proposed rule making that specify, in numbing detail, the definitions of terms associated with the meaningful use of

Gary Becker, MD, outgoing president of the RSNA, read members the equivalent of the riot act in his presidential address on November 29 in Chicago, Illinois, kicking off the 2009 meeting and jump-starting the quality-improvement movement in radiology.

All across the country, in markets large and small, a drama once considered unimaginable is unfolding in ways that are shaking the confidence of many radiology practitioners and creating tension within the ranks of hospital administrators. The issue relates to the unilateral breaking apart of longstanding exclusive contracts with radiology groups,

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