Quality

The focus of quality improvement in healthcare is to bolster performance and processes related to diagnostic and therapeutic procedures. Leaders in this space also ensure the proper selection of imaging exams and procedures, and monitor the safety of services, among other duties. Reimbursement programs such as the Merit-based Incentive Payment System (MIPS) utilize financial incentives to improve quality. This also includes setting and maintaining care quality initiatives, such as the requirements set by the Joint Commission.

Radiologists and emergency physicians agree: Imaging overuse in the ED is an ongoing problem

The issue particularly pertains to CT overuse, with several factors driving up ordering numbers, according to recently published survey data. 

'Too many cooks in the kitchen': How AI is both helpful and a hindrance to radiologists

Recent research suggests that, in many cases, radiologist performance only improves minimally with AI assistance.

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Biopsy before ablation has no cost advantage over both-at-once approach

Established guidelines recommend biopsying small tumors of the kidney ahead of any procedure to ablate them. A new study confirms the validity of pursuing another pathway.

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Same-day discharge after interventional radiology procedure saves money without impacting outcomes

Amid the COVID-19 pandemic, with bed space at a premium, UAB Medicine started sending patients home after percutaneous cryoablation of renal tumors. 

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Collaborative bolsters prostate MRI quality, with 1 site realizing $559,000 in reimbursement gains

Some of the most commonly deployed interventions included protocol adjustments, standardized patient prep instructions and personnel training. 

radiation dose advanced imaging computed tomography

IAEA: When selecting medical imaging equipment, don’t assume ‘new’ means ‘low dose’

Advanced imaging equipment using ionizing radiation enters the global market at the rate of one new technology every five years.

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American College of Radiology adds 6 new topics to its influential imaging appropriateness criteria

The update covers scenarios such as thoracic back pain (where imaging usually isn't appropriate) and penetrating torso trauma (which sometimes requires X-rays or CT). 

quality

Radiologists at a clear disadvantage in Medicare’s MIPS program, new study shows

In 2021, there were only nine available MIPS measures for diagnostic radiology versus 65 in family medicine, Neiman Health Policy Institute experts report. 

Around the web

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

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.