Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

Isotope Shortage Hinders Nuclear Medicine

It was the worst news that the nuclear-medicine community could receive when, on August 12, Atomic Energy of Canada Ltd (AECL), Chalk River, Ontario, announced that the National Research Universal (NRU) reactor would remain shut down until at least January 2010. The 51-year-old reactor, which has been inoperative since May owing to a heavy-water

OIC Reimbursement: The Multipronged Attack

In an illustration used for hospital clients, analyst Shay Pratt pinpoints imaging centers for sale around the country: four independents on the market in California, a four-center chain in Kansas, and a larger chain in central Florida with an asking price of $22.5 million. The list, with size and price variations, continues from coast to coast.

Too Much Health Care?

Of all the issues facing today’s imaging executives and radiologists, none sounds more cacophonous than the nearly universal cry that the United States spends too much on its health care. We do, indeed, allocate quite a bit more to health care, at 16% or so of the gross domestic product (GDP), than other nations do. By way of comparison, Japan, a

Whom Do You Trust?

There is perhaps no greater indicator of an organization’s cultural health than the degree to which members of the group—really, a community—trust one another. It is the case in large as well as small groups. Indeed, with individual relationships between two people, if there is no trust, there truly is no relationship. When groups have trust, they

Contract Research Organizations: Radiology’s Newest Revenue Stream

In the not-too-distant past, the use of imaging as an endpoint in clinical trials was at best considered a novel approach by pharmaceutical and device manufacturers alike. The times, however, are changing, and bringing with them a new revenue stream for the radiology community.

The Reality of Digital Mammography: How Digital Are You?

Digital mammograms are now being delivered at more than 50% of the mammography sites in the nation. While the technology was validated in the US National Cancer Institute’s Digital Mammographic Imaging Screening Trial,1 the small statistical advantage of digital over analog mammography was found primarily in younger, premenopausal patients with

The ASTRO Survey: Proposed 20% to 30% Cuts Would Devastate Radiation Oncology

Medicare has proposed a 19% overall reimbursement cut for radiation oncology, contained in the proposed physician fee schedule for 2010, and the American Society for Radiation Oncology (ASTRO) responded by surveying members to determine how these cuts would affect physician practices and patient care. The results were sobering.

Vertical Integration of Outpatient Cancer Care

In the multifaceted world of oncological imaging, there is no shortage of sophisticated technology: The missing element is more likely to be old-school communication. Vertically integrating the specialties of radiology, medical oncology, radiation oncology, and surgical oncology is one strategy being used to facilitate physician communication. It

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.