Enterprise Imaging

Enterprise imaging brings together all imaging exams, patient data and reports from across a healthcare system into one location to aid efficiency and economy of scale for data storage. This enables immediate access to images and reports any clinical user of the electronic medical record (EMR) across a healthcare system, regardless of location. Enterprise imaging (EI) systems replace the former system of using a variety of disparate, siloed picture archiving and communication systems (PACS), radiology information systems (RIS), and a variety of separate, dedicated workstations and logins to view or post-process different imaging modalities. Often these siloed systems cannot interoperate and cannot easily be connected. Web-based EI systems are becoming the standard across most healthcare systems to incorporate not only radiology, but also cardiology (CVIS), pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

Preventing a MAC Attack: The Importance of Radiology Charge-capture Audits

The advent of Medicare administrative contractors has emphasized the importance of ensuring that charge capture is consistent and accurate for the professional and technical components of care. This affects many areas, but arguably, none more greatly than outpatient diagnostic and interventional-radiology services. Hospitals and physicians

Engaging Physicians in Hospital Radiology Quality Initiatives

The question of how to engage physicians in hospital quality initiatives “is one that many organizations are grappling with,” according to Albert Bothe, MD, chief quality officer for Geisinger Health System, Danville, Pennsylvania. He believes that any commitment to quality must start at the top, with leaders demonstrating their commitment to

Radiology Billing, CSI: Managing Individual Payor Contracts

At NYU Langone Medical Center (NYULMC), New York, New York, even though the radiology department’s billing office adheres to the principle of a cross-trained staff pool, it practices the explicit division of labor: Coders do nothing but code, payment posters post payments, claims processors specialize in making sure exams are coded and processed

Stroke: Managing Emergency Beds for Overall Financial Health

Each year, nearly 800,000 people in the United States suffer strokes, making cerebrovascular disease the nation’s third leading cause of death (behind heart disease and cancer). Virtually all of these patients end up in hospital emergency departments, where the ability to distinguish between ischemic strokes and the less common hemorrhagic strokes

Marooned on Level 3: Leverage IT to Improve Reporting

Sponsored by FUJIFILM Healthcare Americas

In a December 2 session at RSNA 2009 in Chicago, Illinois, on using next-generation health care IT to improve radiology, David Avrin, MD, PhD, radiologist at the University of California–San Francisco Medical Center, opened with a comment made to him by one of his hospital administrators: “Images these days are so clear that even I can read them.”

Informatics: Linchpin of Personalized Medicine

Sponsored by FUJIFILM Healthcare Americas

In urging radiologists to adopt a new focus on quality improvement, RSNA outgoing president Gary Becker, MD, outlines the steps necessary to achieve this goal and calls informatics integral to the process. “As we enter the era of personalized medicine and value-based purchasing in medicine, delivery of the highest quality, most efficient care will

Federated-model HIE Connects 16 Unaffiliated Hospitals

Sponsored by FUJIFILM Healthcare Americas

When the 16 hospitals of the Western North Carolina Health Network (WNCHN) sat down to create a federated model for a health information exchange (HIE) four years ago, they could find no examples of unaffiliated institutions sharing health data, so WNCHN essentially began with a tabula rasa.

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The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.

And it can do so with almost 100% accuracy as a first reader, according to a new large-scale analysis.

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.