CV RADIOLOGY: WHAT WORKS (AND WHAT DOESN'T) IN BUILDING A PRACTICE
|
|
|
- Percival Woods
- 6 years ago
- Views:
Transcription
1 CV RADIOLOGY: WHAT WORKS (AND WHAT DOESN'T) IN BUILDING A PRACTICE Richard L. Hallett, MD Section Chief, Cardiovascular Imaging Northwest Radiology Network Indianapolis, IN Adjunct Assistant Professor of Radiology Stanford University Hospital and Clinics Stanford, CA NASCI 2014 New Orleans, LA September 23, 2014
2 DISCLOSURES None
3 BACKGROUND Like other areas of medical imaging, building an effective CV imaging practice requires: Appropriate Utilization Appropriate Protocols Appropriate Communication: results, etc
4 OVERVIEW Unlike many other areas of medical imaging, effective CV imaging requires a number of specific additional considerations: Hardware and software Cross-Specialty Participation Must address all areas to build successful practice!!
5 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
6 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
7 TURF ISSUES
8 TURF ISSUES Is there an enemy? If so, who (or what)? Cardiologist? Radiologist? Something Else?
9 THE COMMON ENEMY Changing healthcare landscape Hospitals / Health Care systems / ACOs Mergers, acquisitions, centralization Government Reimbursement, compliance, etc
10 TURF ISSUES Recent reimbursement cuts and hospital acquisitions of physician practices have changed dynamics CVI is best done collaboratively! Synergism from cardiology and radiology working together Support from cardiologists improves ED buy-in for CCTA
11 TURF ISSUES Collaboration a number of advantages: Less Cost Less Risk Less Radiation More streamlined care
12 CVI AT ST. VINCENT HEALTH 2 radiologist CV imagers Private practice 52 radiologist group 1 (soon 2) cardiologist CV imagers Hospital employed cardiology group St. Vincent Heart Center of Indiana 2 physically separate locations: 100+ bed specialty hospital Within 700 bed tertiary referral center
13 CVI AT ST. VINCENT HEALTH Cardiologists read most CMR and CCTA at specialty Heart Hospital Radiologists read most CMR and CCTA at main hospital, most non-coronary CTA/MRA throughout Radiologist lung over-reads for CCTA ($)
14 CVI AT ST. VINCENT HEALTH Cardiologists also maintain a clinical cardiology practice Radiologists do non-cv imaging also
15 COLLABORATION Physically in same room Mutual respect Synergistic expertise Outside projects TAVI projects CCTA at rural hospitals
16 WHAT ABOUT YOUR SITUATION? Unique to your place Try to reach common ground COLLABORATE FOR BEST CARE! Shared billing / Lease arrangements in IR Hospitals interested in patient satisfaction, volume, and $$ bottom line, not as much in feelings or figuring out who is better 16
17 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
18 EDUCATING THE CONSUMER Case Study: Coronary CTA
19 CCTA IS DISRUPTIVE TECHNOLOGY! Referring MDs very busy - won t spend much time to change workflow for disruptive technology like CCTA! Most MDs do not have time (or inclination) to learn subtleties of cardiac imaging!
20 CCTA IS DISRUPTIVE TECHNOLOGY! Turn-around time (TAT) must be rapid, especially to ED! Have to be able to provide 24/7 coverage if doing ED patients?! To be successful, need to spend time/$$ for MD/RT/ clinician education, CME, inservices, decision support to build referral base!
21 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
22 EXAM ORDERING
23 EXAM ORDERING Goals: Appropriate exam ordered for each patient Adequate clinical history Chance for appropriate reimbursement
24 Streamlining Clinical Decision-Making! EDUCATE: CME talks given at each hospital! 2007: Laminated Cheat Sheet given to ED and referring MDs! 2011: Revised Cheat Sheet after new guidelines! 2013: ED-Specific cheat-sheet!
25 Appropriateness and Ordering! 24/7 Imaging Assistance! Structured Reporting / Wet Read Sheet! Pre-printed order sheets! Pre-printed Patient prep instructions!!
26 APPROPRIATE(INDICATIONS:(CORONARY(AND(CARDIAC(CT((2011)(( CLINICAL&SCENARIO& FOR&THESE&INDICATIONS:& ORDER&THIS:& SYMPTOMATIC,&NONACUTE&SX&&(?&Ischemic&Eq.)& NO&KNOWN&Heart&Disease& LOW&PreFtest&Probability:&ECG&uninterpretable&OR&unable&to&exercise& INTERMEDIATE&PreFTest&Probability&(+/F&&ECG&interpretable,&can&exercise)& CCTA& SYMPTOMATIC,&ACUTE&SX&(Urgent&PresentaSon)& NO&KNOWN&Heart&Disease& LOW&OR&INTERMEDIATE:&& Normal&ECG&and&biomarkers&&OR&&ECG&uninterpretable&&OR&&ECG&/&biomarkers&nonFdiagnosSc& CCTA& PRIOR&TEST&RESULTS& NORMAL&STRESS&ECG&TEST&WITH&CONTINUED&SX;&DUKE&TREADMILL&SCORE&INTERMEDIATE&RISK& NEW/WORSENING&SX&,&PREVIOUS&NORMAL&STRESS&IMAGING&STUDY& DISCORDANT&OR&EQUIVOCAL&STRESS&ECG&AND&IMAGING&RESULTS& CCTA& SYMPTOMATIC& Evaluate&suspected&CORONARY&ANOMALIES& CCTA& NEW&DX&OR&ONSET&HEART&FAILURE& (NO&PRIOR&CAD)& CARDIAC&MASS&/&THROMBUS&/&VALVULAR& DISEASES&/&PERICARDIAL&EVAL.& CONGENITAL&HEART&DISEASE& LOW&OR&INTERMEDIATE&RISK&paSents&with&reduced&EF& & If&limited&info&from&Echo,&TEE,&or&MRI&(problem&solving)& STRUCTURE&AND&FUNCTION& CCTA& Cardiac&CT& RISK&ASSESSMENT&POST&PCI&OR&CABG& CORONARY&CALCIUM&SCORE& SYMPTOMATIC&(ISCHEMIC&EQUIVALENT)&:&EVALUATE&GRAFT&PATENCY& Prior&to&ReFDo&CABG&(assess&posiSons&and&patency&of&bypass&gra^sF&esp.&LIMA)& ASYMPTOMATIC,&PRIOR&LEFT&MAIN&STENT&(>&3mm)& INTERMEDIATE&10FYEAR&RISK&FOR&CHD&EVENTS&(FRS&=&10F20%)& LOW&10FYEAR&RISK&BUT&FAMILY&HISTORY&OF&PREMATURE&CHD& CTA&CHESTF& BYPASS&GRAFT& CCTA& CAC&SCORE& CONTRAINDICATIONS&to&CORONARY&CTA:& (MOST&ARE&RELATIVE)& Weight&>300&lbs& Calcium&Score&>500& Iodine&(Contrast)&&allergy&(and¬&preFmedicated)& ContraindicaSon&to&BFblocker,&NTG& Severe&Asthma&or&COPD& AFIB& FRAMINGHAM RISK CALCULATOR: From:& &1.&Taylor&AJ,&et&al.&CirculaSon&2010;&122(21)&e525F55.& &2.&Greenland&P,&et&al.&&JACC&2007&49(3):&378F402& NWR Imaging Assistant:
27 APPROPRIATE(INDICATIONS:(EMERGENCY(DEPARTMENT(CORONARY(CTA((2013)(( CLINICAL&SCENARIO& FOR&THESE&INDICATIONS:& ORDER&THIS:& SYMPTOMATIC&F&NONACUTE&SX&& (?&Ischemic&Equivalent)& NO&KNOWN&Heart&Disease& SYMPTOMATIC&F&ACUTE&SX& (Urgent&PresentaSon)& NO&KNOWN&Heart&Disease& PRIOR&TEST&RESULTS& LOW&PreFtest&Probability:&ECG&uninterpretable&OR&unable&to& exercise& INTERMEDIATE&PreFTest&Probability&(+/F&&ECG&interpretable,& can&exercise)& LOW&OR&INTERMEDIATE:&& Normal&ECG&and&biomarkers&&OR&&ECG&uninterpretable&&OR&& ECG&/&biomarkers&nonFdiagnosSc& NORMAL&STRESS&ECG&TEST&WITH&CONTINUED&SX;&DUKE& TREADMILL&SCORE&INTERMEDIATE&RISK& NEW/WORSENING&SX&,&PREVIOUS&NORMAL&STRESS&IMAGING& STUDY& DISCORDANT&OR&EQUIVOCAL&STRESS&ECG&AND&IMAGING& RESULTS& CCTA& CCTA& CCTA& SYMPTOMATIC&PATIENTS& Evaluate&suspected&CORONARY&ANOMALIES& CCTA& NEW&DX&OR&ONSET&HEART& FAILURE& (NO&PRIOR&CAD)& CONTRAINDICATIONS&to& CORONARY&CTA:& (MOST&ARE&RELATIVE)& From:& LOW&OR&INTERMEDIATE&RISK&paSents&with&reduced&EF& & Weight&>300&lbs&or&BMI&>35& Calcium&Score&>500& Iodinated&Contrast&&allergy&(and¬&preFmedicated)& ContraindicaSon&to&BFblocker,&NTG& Severe&Asthma&or&COPD& AFIB& &1.&Taylor&AJ,&et&al.&CirculaSon&2010;&122(21)&e525F55.& &2.&Greenland&P,&et&al.&&JACC&2007&49(3):&378F402& CCTA& FRAMINGHAM RISK CALCULATOR:! NWR Imaging Assistant:
28 Cardiac CT Order Form (Outpatient) 28
29 Outpatient Cardiac CT Patient Prep Form 29
30 CCTA Reporting Form 30
31 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
32 PROVIDE A QUALITY PRODUCT
33 PROVIDE A QUALITY PRODUCT Accurate Results - Knowledge Training Requirements / Pathways NASCI, ACR CoAP, others 3D interrogation of data Technology Communication of Results
34 KNOWLEDGE BASE Cardiovascular Imaging exams are subspecialty exams, require specific knowledge Cardiovascular providers are sophisticated, appreciate (and expect) subspecialty interpretation Radiologists: CV education as residents, fellows is inconsistent
35 NASCI EDUCATION Online CV Imaging Curriculum: CardiovascularImagingCurriculum/ TableofContents.aspx
36
37 INTERPRETATION OF DATA 3D interpretation - Mandatory for CVI Volumetric datasets are best interpreted volumetrically Thin-Client or no-client / cloud-based options best for decentralized practices Output becomes essential part of exam to referring MDs
38 LEVERAGE TECHNOLOGY Need the ability to access datasets from anywhere Virtual Desktop
39 View Security! Server! Applications Delivered!! Multiple PACS!! Multiple TeraRecon!! PowerScribe (review only)!! RadPeer!! Reference Materials!! Physician Scheduling!! Microsoft Office!! Internally Developed! launchpad! Simplified Sign on System! View Connection! Server! IBM BladeCenter H!! Cisco Nexus 4001I switch x 2!! Cisco Catalyst 3012 switch x 2!! Qlogic 4/8Gb FC switch x 2!! IBM HS22 server blade x 7! o 12 cores = 2x2.53GHz! Intel Westmere! o 96GB RAM! o Broadcom 10GbE! o Emulex 8Gb FC! Storage!! Virtual Servers = IBM DS3524!! Virtual Desktops = NetApp FAS2040!
40
41 COMMUNICATE RESULTS EFFICIENTLY Phone calls!! Reports Structured reporting (consistent) VR shortcuts Images To referring Docs To PACS
42 KEYS TO BUILDING A PRACTICE Resolve Turf Issues Educate the consumer Make ordering the appropriate exam easy (Make reimbursement more likely) Provide quality product, Communicate Results Efficiently Value-Added services
43 VALUE ADDED SERVICES Outside Studies Import into 3D system Solve Problems for clinicians Bill for Interpretation of Outside Films? 1 Research Studies TAVI, Endografts, etc 1 catalogid=7e18b7d5-9c63-487e-aaf1-77a86f83b011
44 VALUE ADDED: TAVI STUDIES
45 SUMMARY: WHAT TO DO Resolve Turf Issues first Educate the Consumer Provide quality product and service Promise little, deliver much
46 WHAT NOT TO DO Go it alone Don t communicate or educate Make entire project dependent on one person Promise more than you can deliver
47 THANKS FOR YOUR ATTENTION! Special Thanks to: Phil Young, MD Dominik Fleischmann, MD Mike Walls, MD Mike Elliott, MD
Value-Added Services of Hospital-Based Radiology Groups
Thomas Jefferson University Jefferson Digital Commons Department of Radiology Faculty Papers Department of Radiology 12-1-2011 Value-Added Services of Hospital-Based Radiology Groups Vijay M. Rao, MD Thomas
Consultation Paper. Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network
Consultation Paper Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network Issued: April 2016 TABLE OF CONTENTS TABLE OF CONTENTS 2 1. INTRODUCTION 3 2. PURPOSE
Pediatric Radiology in an Adult Community Hospital
Pediatric Radiology in an Adult Community Hospital Kimberly A. Garver, MD Section Head, Pediatric Radiology Section Head, Ultrasound Huron Valley Radiology Ann Arbor, Michigan Huron Valley Radiology Private
Amerigroup Kansas Provider Training Program
Amerigroup Kansas Provider Training Program Agenda About NIA The Provider Partnership The Program Components How the Program Works: The Precertification Process The Precertification Appeals Process The
Developing a successful EP service line / practice
Developing a successful EP service line / practice Steven J. Kalbfleisch, M.D. Medical Director Electrophysiology Laboratory Ross Heart Hospital Wexner Medical Center The Ohio State University Evolution
Re: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations, Proposed rule.
June 3, 2011 Donald Berwick, MD Administrator Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1345-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore,
Standards for the provision of teleradiology within the United Kingdom Second edition. Standards
Standards for the provision of teleradiology within the United Kingdom Standards December 2016 Contents Foreword 3 1 Definition of teleradiology 4 2 Recommended standards 4 3 Introduction 5 4 Standards
10/8/12. Radiation Reduction and Monitoring Program: What the FDA and Other Regulatory Agencies Want. Disclosures. Two Principles of Radiation Safety
NASCI October 16, 2012 Radiation Reduction and Monitoring Program: What the FDA and Other Regulatory Agencies Want Tessa S. Cook, MD PhD Hospital of the University of Pennsylvania Philadelphia, PA, USA
2016 Partners in Learning Host Sites
2016 Partners in Learning Host Sites Please see Host Site Description Grid for a complete list of learning opportunities for each location. Site#1 Wuestoff medical Center, Melbourne, FL Host: Rich Egan,
New Challenges for Private Practice model Pediatric Radiology. By Yoginder N. Vaid,M.D.
New Challenges for Private Practice model Pediatric Radiology By Yoginder N. Vaid,M.D. No financial disclosures. Private Practice Pediatric Radiology - Last bastion of General Radiology. - Everyone did
AirStrip ONE Cardiology
AirStrip ONE Cardiology A Synchronized View of the Vital Patient Data Needed to Improve Care Heart disease is the leading cause of death in the U.S. The associated costs exceed $100 billion annually. AirStrip
Provider Frequently Asked Questions (FAQs)
1 Provider Frequently Asked Questions (FAQs) November 2012 BlueAdvantage Administrators of Arkansas will be working with AIM Specialty HealthSM (AIM) on a new Integrated Imaging Program for outpatient
SMARTCare Site Job Descriptions Site Physician Lead (Champion)
SMARTCare Site Job Descriptions Site Physician Lead (Champion) Educational Requirements: Local (Site) Physician Champion Cardiovascular Fellow of the American College of Cardiology The Local Physician
Specialty and Subspecialty Shortage and How This Impacts Strategy
Specialty and Subspecialty Shortage and How This Impacts Strategy Dennis Lund, MD Chief Medical Officer and Professor of Surgery, Lucile Packard Children s Hospital Stanford Associate Dean of the Faculty
Direct Referral Clinic Why, How and Who?
Direct Referral Clinic Why, How and Who? Macaila C. Eick, RN CNP American Association for Thoracic Surgery Allied Health Personnel Symposium May 4, 2013 No Disclosures Objectives Describe the function
Diving Into Telemedicine: Adventist Health s Virtual Care Network. Tuesday, July 25, 2017
Diving Into Telemedicine: Adventist Health s Virtual Care Network Tuesday, July 25, 2017 Diving Into Telemedicine with Adventist Health Featured Presenters Dan McCafferty V.P. of Global Sales & Corporate
Madison Health s EMR Journey
A Community Connect Model: Madison Health s EMR Journey with The Ohio State University Wexner Medical Center Michael S. Browning, Madison Health Jennifer Piccione, Madison Health Stacie Gecse, RHIA, The
Elliott Wilson Manager, Telehealth and Mobility Programs
Elliott Wilson Manager, Telehealth and Mobility Programs 856-248-6575 exwilson@virtua.org THE TELEHEALTH JOURNEY Challenges and Opportunity Across the Continuum Agenda and Objectives Overview of Virtua
How to Build a Quality Infrastructure
1 Imaging Performance Partnership How to Build a Quality Infrastructure Research Brief October 2013 Ben Lauing, Analyst lauingb@advisory.com 2 Building a Solid Foundation Three Imperatives to Create a
NUCLEAR MEDICINE RESIDENT DUTIES
NUCLEAR MEDICINE RESIDENT DUTIES General The American Board of Radiology requires four months training in Nuclear Medicine. Residents will be assigned at least 4 rotations on service. Rotations will be
PSC Certification: What really happens
PSC Certification: What really happens Authors: Wendy J. Smith, BS, MA, RES, RCEP, RN, SCRN Christy Franklin, MS, RN, CNRN Julie Fussner, BSN, RN, CPHQ, SCRN Disclosures Wendy J. Smith- I have no actual
AMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
Course Title FUNCTIONAL ASSESSMENT OF PATIENTS WITH CARDIOVASCULAR DISEASES
Course Title FUNCTIONAL ASSESSMENT OF PATIENTS WITH CARDIOVASCULAR DISEASES Director Judith Regensteiner, Ph.D., Professor of Medicine Director, Clinical Treadmill Laboratory, UCHSC Background & Objectives
Streamlining the medication order process
Streamlining the medication order process Pyxis Connect We went from a 2.5 hour order turnaround time to 16 minutes with the help of Pyxis products. Michael Borgmann Pharmacy Technology Specialist Avera
Saturday, November 15, 2008
The 12 th Annual Meeting of the INDIANA Chapter of the American College of Cardiology Saturday, November 15, 2008 The Columbia Club Indianapolis, IN Jointly Sponsored/Co-Provided by The American College
CO, DC, IL, MD, MO, NC, NM, OH, OK, OR,
Thank you for using our online Physician Re-Credentialing Application! Please print out the application attached and complete each section completely. Be sure to include the supporting documents requested
Facility Name: Street Address: City: County: State: Zip: Web Site Address: Office Manager Name: Phone and Ext:
FACILITY CREDENTIALING APPLICATION USI.V1.2010.01 FACILITY INFORMATION Please complete a separate application for each facility. Facility Name: Street Address: City: County: State: Zip: Phone: Fax: Federal
Streamlining Medical Image Sharing For Continuity of Care
Streamlining Medical Image Sharing For Continuity of Care By Ken H. Rosenfeld The credit earned from the Quick Credit TM test accompanying this article may be applied to the AHRA certified radiology administrator
INTERVENTIONAL RADIOLOGY-INTEGRATED SCOPE OF PRACTICE PGY-2 PGY-6
PGY-2 Organize and review all general imaging studies under the supervision of an attending physician. Develop basic skills in plain film interpretation. Develop technical skills necessary to perform and
Changing Paradigm of Cardiovascular Care- Service Line vs Departmental
Changing Paradigm of Cardiovascular Care- Service Line vs Departmental Michael A. Acker, MD William Measey Professor of Surgery Chief of Cardiovascular Surgery Director of Penn Medicine Heart and Vascular
Measuring the Cost Effectiveness of Pharmacogenomic Testing
Measuring the Cost Effectiveness of Pharmacogenomic Testing Kenneth Levy, Ph.D., MBA Adjunct Associate Professor of Medicine Indiana University School of Medicine Disclosures: The author has no disclosures
NUCLEAR MEDICINE PRACTITIONER COMPETENCIES
NUCLEAR MEDICINE PRACTITIONER COMPETENCIES INTRODUCTION The Society of Nuclear Medicine Technologist Section adopted the proposal for the development of a middle level practice provider, Nuclear Medicine
TeleCardiology Platform
TeleCardiology Platform Michael GeRue MSN, COO Parkview Heart Institute October 21, 2017 Disclosures None TeleCardiology Telehealth fits into the IHI Triple Aim: Patient experience Less travel time, easier
ACHA ACHD PROGRAM CRITERIA Comprehensive Care Center
ACHA ACHD PROGRAM CRITERIA Comprehensive Care Center A. ACHD Cardiologist B. ACHD Medical Program Director C. Advanced Practice Nurse/Physician Assistant D. Registered Nurse E. Cardiothoracic Surgery and
Disclosures. Costs and Benefits When Increasing Level of Trauma Center Designation. Special Thanks to Mike Williams 9/26/2013
Costs and Benefits When Increasing Level of Trauma Center Designation Austin Hill MD MPH OTA 2013 None Disclosures Special Thanks to Mike Williams 1 Underlying Premise: Why are for-profit trauma centers
MorCare Infection Prevention prevent hospital-acquired infections proactively
Infection Prevention prevent hospital-acquired infections proactively Enterprise Software and Consulting Solutions for Improved Population Health s Enterprise Software and Consulting Solutions Healthcare
PET Accreditation Program Requirements
PET Accreditation Program Requirements REVISIONS... 2 REVISIONS... 2 OVERVIEW... 3 MEDICARE IMPROVEMENT F PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA)... 3 MANDATY ACCREDITATION TIME REQUIREMENTS... 4 WITHDRAWN,
Program Overview
2015-2016 Program Overview 04HQ1421 R03/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service
Acute Care Workflow Solutions
Acute Care Workflow Solutions 2016 North American General Acute Care Workflow Solutions Product Leadership Award The Philips IntelliVue Guardian solution provides general floor, medical-surgical units,
U.S. Department of Defense: Defense Logistics Agency (DLA) achieves unmatched agility through telework and BYOD strategy
DLA achieves unmatched agility through telework and BYOD strategy White Paper U.S. Department of Defense: Defense Logistics Agency (DLA) achieves unmatched agility through telework and BYOD strategy Redefining
NEW CORE INFRASTRUCTURE STREAMLINES CARE
NEW CORE INFRASTRUCTURE STREAMLINES CARE Highlights Patient-centric technology is a game-changer for Sauk Prairie Healthcare Designed and implemented IT infrastructure for new hospital building in only
Imaging Department Board Presentation 8 th January 2018 Presented by Dr Hefin Jones, Deonne Lee and Jonathan Barnett
Imaging Department Board Presentation 8 th January 2018 Presented by Dr Hefin Jones, Deonne Lee and Jonathan Barnett Background and Context Imaging lies at the heart of the NHS s work. NHS Imaging services
Customer Situation Solution Benefits
Trident Case Study GE Centricity * Imaging Analytics Real-time Dashboard helps Trident Medical Center improve radiology department efficiency and productivity Customer Trident Medical Center is a 296-bed
New Strategies in Value Based Care
New Strategies in Value Based Care D. Keith Fernandez, M.D. Chief Clinical Officer, Privia Health CEO, Privia Medical Group Gulf Coast 713-545-1366 kfernandez@priviahealth.com none Disclosures Learning
Welcome to Maccabi Healthcare Services. Varda Shalev MD MPA ISRAEL
Welcome to Maccabi Healthcare Services Varda Shalev MD MPA ISRAEL Maccabi s Vision Israel's leading and most advanced healthcare organization aims to achieve Total Health for its members, providing integrative
Connect HF Solution. Case Study. Reducing 30-Day Heart Failure. How Process Optimization and Peer-to-Peer Connections Standardized HF Care
Connect HF Solution Case Study Reducing 30-Day Heart Failure Readmissions How Process Optimization and Peer-to-Peer Connections Standardized HF Care C a s e Study Reducing 30-Day Heart Failure Readmissions
Community Forum for Proposed
Community Forum for Proposed OMC / Swedish Affiliation Presented By: August 3, 2011 Eric Lewis Chief Executive Officer, Olympic Medical Center Marcel Loh Marcel Loh Chief Administrative Officer, Swedish
11/30/2012. Systems for Assuring Compliance with AKS and Stark
Systems for Assuring Compliance with AKS and Stark WHY? Condell Medical Center (IL), 2008 - $36 million Physician arrangements Leases of medical office space at rates below fair market value Improper loans
We are looking for the following medical positions:
We are looking for the following medical positions: United Kingdom Ipswich Location: Ipswich is a town in the east of the United Kingdom at the mouth of the Orwell River. The city has about 135,000 inhabitants.
16/10/2014. Acknowledgement. Contributing Authors:
Acknowledgement Improving Quality And Safety In Delivering Radiology Services Through Innovative Technology Solutions In A Tertiary Care Teaching Hospital In The Developing World Contributing Authors:
March 28, 2018 For Decision Board of Directors Item 9.0 Comprehensive Regional Cardiac Program Plan
BRIEFING NOTE March 28, 2018 For Decision Board of Directors Item 9.0 Comprehensive Regional Cardiac Program Plan PURPOSE To provide the WWLHIN Board of Directors with a recommendation to endorse the proposed
OMC Strategic Plan Final Draft. Dear Community, Working together to provide excellence in health care.
Dear Community, Working together to provide excellence in health care. This mission statement, established nearly two decades ago, continues to be fulfilled by our employees and medical staff. This mission
Right person. device time
Spok offers a series of unified healthcare communications solutions, which interface with a hospital s existing Cisco environment at multiple touch points. This allows hospitals to leverage their Cisco
POPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred 1
POPULATION HEALTH PLAYBOOK Mark Wendling, MD Executive Director LVPHO/Valley Preferred www.populytics.com 1 Today s Agenda Outline LVHN, LVPHO and Populytics Overview Population Health Approach Population
Oregon Medical Group Team Medicine 3 April 2014
Oregon Medical Group Team Medicine 3 April 2014 Joshua P. Kimball Chief Operating Officer Oregon Medical Group Oregon Medical Group Oregon Medical Group is a physician owned, primary care heavy, multispecialty
bd.com Pyxis Enterprise Server
Pyxis Enterprise Server Flexible enterprise-ready server deployment options The Pyxis Enterprise Server provides hospitals and health systems a scalable, flexible foundation for managing Pyxis ES platform
Formation of a High Performance Medical Group within a Hospital Centric Health Care System... De NOVO
Formation of a High Performance Medical Group within a Hospital Centric Health Care System... De NOVO Jim Boswell, MBA VP Physician Services / BMHCC and CEO / BMG Robert Vest, JD COO / BMG Founded in 1912
Adopting Accountable Care An Implementation Guide for Physician Practices
Adopting Accountable Care An Implementation Guide for Physician Practices EXECUTIVE SUMMARY November 2014 A resource developed by the ACO Learning Network www.acolearningnetwork.org Executive Summary Our
How can oncology practices deliver better care? It starts with staying connected.
How can oncology practices deliver better care? It starts with staying connected. A system rooted in oncology Compared to other EHRs that I ve used, iknowmed is the best EHR for medical oncology. Physician
Strategies for an Effective Structural Heart Program: Current and Future Considerations
Strategies for an Effective Structural Heart Program: Current and Future Considerations Eric L. Sarin, MD Co-Director, Structural Heart and Valve Program Co-Director, Cardiovascular Research Inova Heart
RE: Important Information Regarding Prior Authorization for High Tech Imaging Services
Name Address City, St Zip RE: Important Information Regarding Prior Authorization for High Tech Imaging Services Dear Provider: Blue Cross and Blue Shield of Louisiana and HMO of Louisiana, Inc., (HMOLA),
EHR Implementation Best Practices. EHR White Paper
EHR White Paper EHR Implementation Best Practices An EHR implementation that increases efficiencies versus an EHR that is underutilized, abandoned or replaced. pulseinc.com EHR Implementation Best Practices
Indicator-Based Information system for Public Health (IBIS-PH) Data, Information and Knowledge Management Category Executive Summary
Indicator-Based Information system for Public Health (IBIS-PH) Data, Information and Knowledge Management Category Executive Summary The Utah Department of Health currently has a web-based data dissemination
SITE NEUTRALITY: A Race to the Bottom for Patients with Heart Disease
SITE NEUTRALITY: A Race to the Bottom for Patients with Heart Disease On behalf of the American Society of Echocardiography (ASE), the American Society of Nuclear Cardiology (ASNC), and the Cardiology
Kentucky Spirit Health Plan Provider Training Program
Kentucky Spirit Health Plan Provider Training Program Provider Training Program Agenda Welcome and Opening Remarks About NIA The Provider Partnership The Program Components The Provider Assessment Program
Sanilac County Community Mental Health Authority
Sanilac County Community Mental Health Authority 227 E. Sanilac Ave, Sandusky Michigan 48471 (810) 648-0330 Fax: (810) 648-0319 Request for Proposal Phone System and IP Phones Due Date: Wednesday, July
Lessons Learned from Experiences in Thailand on: ICD Morbidity Use Cases. Chamaree Chuapetcharasopon, MD
Lessons Learned from Experiences in Thailand on: ICD Morbidity Use Cases Chamaree Chuapetcharasopon, MD chamareec@gmail.com HOW GOOD THE DOCTORS ARE AT ICD 10?? Myths? We should not let doctors code ICD
The UNC Health Care System & BlueCross BlueShield of North Carolina Model Medical Practice: A Blueprint for Successful Collaboration
The UNC Health Care System & BlueCross BlueShield of North Carolina Model Medical Practice: A Blueprint for Successful Collaboration January 26, 2012 1 Session Overview Partners in Innovation and Service
Improving Hospital Performance Through Clinical Integration
white paper Improving Hospital Performance Through Clinical Integration Rohit Uppal, MD President of Acute Hospital Medicine, TeamHealth In the typical hospital, most clinical service lines operate as
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology
Maimonides Medical Center Makes a Quantum Leap with Advanced Computerized Patient Record Technology Healthcare Information and Management Systems Society Electronic Poster Session CPR System Planning The
Healthcare without Bounds: Trends in Clinical Surveillance and Analytics 2018
Trends in Clinical Surveillance and Analytics 2018 1 of 6 Healthcare without Bounds: Trends in Clinical Surveillance and Analytics 2018 TITLE: Trends in Clinical Surveillance and Analytics 2018 AUTHOR:
patients by referral to x-ray by cardiac nurses, within clearly defined parameters. Contributes to CQC Core Outcome: Outcome 4
Referral of Patients for Chest X-Rays Post Pacemaker Insertion by Cardiac Nurses/ Cardiac Radiographers Type: Register No: 06026 Status: Public Clinical Guidelines Developed in response to: To reduce treatment
The Quality Colloquium on the Campus of Harvard University Annenberg Hall in Memorial Hall 45 Quincy Street, Cambridge, MA August 19-22, 2007
The Quality Colloquium on the Campus of Harvard University Annenberg Hall in Memorial Hall 45 Quincy Street, Cambridge, MA August 19-22, 2007 Anshen+Allen Associated Architects for Palomar Pomerado Health
RED SIGNAL REPORTSM RADIOLOGY. August 2018 Vol. 1 No. 1. Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety.
RED SIGNAL REPORTSM August 2018 Vol. 1 No. 1 Claims Data Signals & Solutions to Reduce Risks and Improve Patient Safety. RADIOLOGY MEDICAL LIABILITY INSURANCE BUSINESS ANALYTICS RISK MANAGEMENT & EDUCATION
ACCME Data Request Form 792_ Page 1 of 8
The Accreditation Council for Continuing Medical Education (ACCME ) is committed to promoting a dynamic CME enterprise that is well-positioned to adapt to the changing educational needs and expectations
Getting to the Heart of Cardiology Workflow. Children s Hospital of Wisconsin in Milwaukee, WI, USA.
Getting to the Heart of Cardiology Workflow Children s Hospital of Wisconsin in Milwaukee, WI, USA www.siemens.com/medical 1 Echocardiography is the nerve center for everything that happens in pediatric
TeleICU And What It Means To You
Vanderbilt Department of Anesthesiology TeleICU And What It Means To You Dr. L. Weavind MBBCh Associate Professor Anesthesia and Surgery Director Critical Care Fellowship Vanderbilt University Former Director
Telestroke Alaska Evidence Based Care Across the Great Frontier
Telestroke Alaska Evidence Based Care Across the Great Frontier Presented by Dr. Christie Artuso Director, Neuroscience Services Providence Alaska Medical Center 1 2 Financial Disclosures I am a speaker
SURVEYOR CENTRAL MONITORING SYSTEM
SURVEYOR CENTRAL MONITORING SYSTEM how logical... Patient Monitors from a Company Dedicated to the Science of ECG It s really quite simple when it comes to patient monitors. It s all about your patient.
Ensuring safety: IHSS Caregiver Back-up System (BUS)
P a g e 1 Ensuring safety: IHSS Caregiver Back-up System (BUS) ABSTRACT OF THE PROGRAM The In-Home Supportive Services (IHSS) Caregiver Back-Up System (BUS) is an innovative, 24- hour, in-home emergency
Administrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
The Future is Consumer-Enabled Imaging: How Self-Service Kiosks Empower Patients, Improve Productivity and Lower Costs
The Future is Consumer-Enabled Imaging: How Self-Service Kiosks Empower Patients, Improve Productivity and Lower Costs There s a seismic shift occurring in healthcare delivery around the world. More patients
CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER
CASE STUDY: PENINSULA REGIONAL MEDICAL CENTER Incorporating IV room efficiencies while striving toward improving patient care 111852 2K 01/13 Page 1 of 5 OVERVIEW Peninsula Regional Medical Center (PRMC),
TO MEMBERS OF THE COMMITTEE ON GROUNDS AND BUILDINGS: 1 DISCUSSION ITEM UPDATE ON UC SAN DIEGO HEALTH SYSTEM STRATEGIC PLAN, SAN DIEGO CAMPUS
GB3 Office of the President TO MEMBERS OF THE COMMITTEE ON : 1 For Meeting of DISCUSSION ITEM UPDATE ON UC SAN DIEGO HEALTH SYSTEM STRATEGIC PLAN, SAN DIEGO CAMPUS EXECUTIVE SUMMARY As a comprehensive
Core Purpose the organization s reason for being and Core Values essential and enduring principles that guide the behavior of an organization.
STRATEGIC PLAN SNMMI s Timeless Core Ideology Core Ideology describes an organization s consistent identity that transcends all changes related to its relevant environment. Core ideology consists of two
Transforming Rural Emergency Care with Telehealth #207, February 22, 2017 Brian Skow, MD, FACEP, Chief Medical Officer, Avera ecare Jason Wickersham,
Transforming Rural Emergency Care with Telehealth #207, February 22, 2017 Brian Skow, MD, FACEP, Chief Medical Officer, Avera ecare Jason Wickersham, MD, Family Practice Physician, Avera St. Benedict 1
2012 National Patient Safety Goals and National Priorities Partnership Goals addressed in this case study
(ROI) University of California Davis Health System 2315 Stockton Blvd., Sacramento, CA 95817 Noel Sousa Finance Director noel.sousa@ucdmc.ucdavis.edu Michael Smith Financial Analyst michael.smith@ucdmc.ucdavis.edu
Telehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation
Telehealth Implementation Roadmap Exploring Critical Success Factors for Telehealth Implementation Integrated Leadership Panel Members Nicole Quesada Director of Training and Outreach Kathy J. Chorba Executive
Healthcare Without Bounds: Point of Care Computing for Nursing 2012
Point of Care Computing for Nursing 2012 1 of 3 Healthcare Without Bounds: Point of Care Computing for Nursing 2012 TITLE: Healthcare Without Bounds: Point of Care Computing for Nursing 2012 AUTHOR: Spyglass
Physician Alignment Strategies and Options. June 1, 2011
Physician Alignment Strategies and Options June 1, 2011 1 Today s Discussion Review physician-hospital alignment objectives Understand the changing paradigm Evaluate alignment strategies for a new delivery
Telemedicine & Telehealth
2014 NRTRC Telemedicine Conference Reaching Patients Far and Away: Telemedicine & Telehealth March 24, 2014 Jovanna McKinney Katherine Flynn, RN Yolanda Evans, MD MPH Disclosures Practice Gap: Lack of
BECKER S HOSPITAL REVIEW
BECKER S HOSPITAL REVIEW Telehealth gained popularity among healthcare providers in recent years as reimbursement models increasingly reward outcomes and value of care over volume. Because of its ability
ACR NUCLEAR MEDICINE & PET ACCREDITATION. Presented by: Carolyn Richards MacFarlane, MS, CNMT, RT(N) ACR Quality & Safety November 12, 2015
ACR NUCLEAR MEDICINE & PET ACCREDITATION Presented by: Carolyn Richards MacFarlane, MS, CNMT, RT(N) ACR Quality & Safety November 12, 2015 ACR Accreditation An educational process of self assessment and
7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
Electronic Health Record (EHR) Implementation
Electronic Health Record (EHR) Implementation Ease the transition from paper to EHRs. CME CREDITS: 1.0 Michael Hodgkins, MD, MPH AMA Vice President and Chief Medical Information Officer, Professional Satisfaction
Aire Logic and Leeds Teaching Hospitals Trust: Taking on the Interoperability Challenge
Aire Logic and Leeds Teaching Hospitals Trust: Taking on the Interoperability Challenge OVERVIEW In 2014, Leeds Teaching Hospital Trust and Aire Logic began work on a new EHR solution, PPM+, aiming to
Reengineering Primary Care
Reengineering Primary Care Evolving Workforce and Workplace Models Joan Moss, RN, MSN Chief Nursing Officer and Senior Vice President, Sg2 Ricky Garcia Associate Vice President, Sg2 Agenda Workforce: Resourcing
INTRODUCTION TO Mobile Diagnostic Imaging. A quick-start guide designed to help you learn the basics of mobile diagnostic imaging
INTRODUCTION TO Mobile Diagnostic Imaging A quick-start guide designed to help you learn the basics of mobile diagnostic imaging INTRODUCTION TO Mobile Diagnostic Imaging TABLE OF CONTENTS How does mobile
Chapter 7 Section 22.1
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
Using Information to Improve Healthcare A UCLPartners perspective NHS-HE Forum, 29 th November Tony Lezard, Director of IT, UCLPartners
Using Information to Improve Healthcare A UCLPartners perspective NHS-HE Forum, 29 th November 2011 Tony Lezard, Director of IT, UCLPartners Overview A little about UCL Partners Some innovations in healthcare: