Value Based Radiology

This cutting-edge guide to value-based radiology provides readers with the latest information on all aspects of the subject. Healthcare delivery is experiencing a rapid transition towards a value-based model, the underlying idea being that providers are paid on the basis of patient’s health outcomes rather than the total services delivered. Radiology departments are facing many challenges as they attempt to improve operational efficiency, performance, and quality in order to keep pace with this transition. In the first part of this book, readers will find information on the theoretical basis and general concepts of value-based radiology. The second part focuses on value-based practice in specific areas of radiology: neuro/head and neck, thoracic, abdominopelvic, musculoskeletal, breast, cardiovascular, and pediatric. All topics are discussed by prominent experts in a clearly organized and well-illustrated form that will help readers to gain the most from each chapter. The book will be a valuable resource for radiologists and healthcare managers working in public or private institutions, as well as an excellent quick reference guide for all other physicians interested in the topic.

This book provides a roadmap for optimizing quality and safety within radiology practices, whether academic or private and irrespective of their national setting. All aspects of the radiology workflow are addressed, from imaging appropriateness, examination scheduling, and patient preparation through to imaging protocol optimization (including radiation dose management), modality operations, reporting (including structured reporting), and report communication. The book highlights innovative IT tools, including clinical decision support, that drive compliance with national best practice standards and guidelines. The use of big data tools to manage and enhance clinical delivery is addressed. Finally, metrics designed to measure the value that radiology brings to patient care and patient outcomes are introduced. Readers wishing to deepen their understanding of contemporary best practices regarding quality and safety will find this book to be a rich source of practical information.

Radiology has been transformed by new imaging advances and a greater demand for imaging, along with a much lower tolerance for error as part of the Quality & Safety revolution in healthcare. With a greater emphasis on patient safety and quality in imaging practice, imaging specialists are increasingly charged with ensuring patient safety and demonstrating that everything done for patients in their care meets the highest quality and safety standards. This book offers practical guidance on understanding, creating, and implementing quality management programs in Radiology. Chapters are comprehensive, detailed, and organized into three sections: Core Concepts, Management Concepts, and Educational & Special Concepts. Discussions are applicable to all practice settings: community hospitals, private practice, academic radiology, and government/military practice, as well as to those preparing for the quality and safety questions on the American Board of Radiology's "Maintenance of Certification" or initial Board Certification Examinations. Bringing together the various elements that comprise the quality and safety agenda for Radiology, this book serves as a thorough roadmap and resource for radiologists, technicians, and radiology managers and administrators.

Total Quality is a practical, proven approach to management that is successfully being applied throughout American industry-and more recently in health care organizations. Total Quality in Radiology: A Guide to Implementation is designed to be used by the neophyte or experienced quality improvement practitioner. Written by two authors with extensive experience in departmental leadership, problem solving, and improvement programs, this new book provides the reader with a step-by-step, practical approach for implementing total quality in a radiology department. The book covers all the principles of total quality and provides the basic tools necessary to begin and implement a detailed QI program. For the administrator, there are examples of actual radiology improvement projects that have been implemented in U.S. hospitals-including successes and setbacks. Lessons learned and pitfalls are openly discussed. For the radiologist, there is a fresh new look at quality from the "customer's" perspective-the patient and referring physician. Examples of programs "in operation" are provided as well as suggestions for other areas where radiology-initiated quality programs may have a positive impact on patient outcome. This book has something for those who want relief from crisis management and wish to maintain an abiding commitment to an improved health care workplace.

Economics of Diagnostic Imaging addresses the concepts that are needed to answer questions on topics such as how much to pay for diagnostic testing, how many tests are too many from a physician's perspective, do they cause harm, and whether or not patients need an MRI before a laboratory test. The essential focus of the book is to help readers recognize when one diagnostic test is better than the other and when more information does not help. It provides an essential resource for radiologists, diagnostic pathologists, and health policy researchers involved in medical decision modeling, evidence-based medicine, precision medicine, public health, and health economics. Interrelates economic evaluation and diagnostic imaging Instructs healthcare professionals and researchers on economic evaluation in diagnostic imaging Introduces economic evaluation to diagnostic radiologists, pathologists, and researchers Serves as an essential resource for radiologists, diagnostic pathologists, and health policy researchers involved in medical decision modeling, evidence-based medicine, precision medicine, public health, and health economics

The first book-length treatment of the absolutely essential topic of U.S. health care reform for imaging specialists This latest volume in the Current Clinical Imaging series offers all professionals involved with imaging a cogent, concise discussion of major issues related to health care reform from the perspective of fellow imaging specialists. It provides radiologists with a solid footing in understanding where they are now and where they can expect to be in the evolution of health care reform over the next ten years. Presenting an excellent balance of clinical and health care policy issues, Health Care Reform in Radiology reinforces the central role of health promotion and preventive medicine in U.S. health care systems while offering an international perspective on the subject. Topical coverage includes evidence-based outcomes for health care delivery, the impact of the determination of imaging tests' effectiveness, patient safety, medicolegal reform, reimbursement issues, and universal healthcare benefits and challenges. Health Care Reform in Radiology presents a program to: Enhance patient safety and quality of care Anticipate new or revised standards for all imaging modalities Suggest the more appropriate use of imaging based on the latest clinical evidence Discuss the evolving regulations defining the training required to perform imaging procedures Encourage career-long learning (CME, maintenance of certification, etc.) Show fellow radiologists how to provide added value for patients and referring physicians Developed and written by two top experts in the field, this is an ideal book for all professionals involved with imaging as well as physician groups that depend on radiology.

Evidence-Based Imaging presents the radiologist with a user-friendly guide to the evidence-based science and the merit behind the diagnostic imaging studies performed in medicine. This book gives the reader a clinically relevant overview of epidemiology, selection of subjects for imaging, selection of imaging strategies, imaging test performance and cost, cost-effectiveness analysis, and applicability to children. Nine major areas of medical imaging are covered, with an emphasis on common diseases. These include Oncology, Neuroimaging, Gastroenterology, Pediatrics, Respiratory System, Musculoskeletal, Cardiovascular, Trauma, and Urologic. Radiologists, clinicians, residents, and others with an interest in medical imaging and a desire to keep current with the vast amount of evidence-based literature will find this text extremely useful.

Part of the highly respected Requisites series, Radiology Noninterpretive Skills, by Drs. Hani H. Abujudeh and Michael A. Bruno, is a single-volume source of timely information on all of the non-imaging aspects of radiology such as quality and safety, ethics and professionalism, and error management in radiology. Residents and radiologists preparing for the boards and recertification will find this book invaluable, as well as those practitioners wanting to broaden their knowledge and skills in this increasingly important area. Offers a readable and concise introduction to the essential noninterpretive skills as defined by the IOM, ACR, and other national organizations. Covers what you need to know about quality and safety; leadership and management; health economics; legal, business, ethics and professionalism; statistical tools; error reporting and prevention; evidence-based imaging; health IT and internet applications; "Image Wisely" and "Imaging 3.0" ACR initiatives; legal issues and malpractice; current and future payment models in radiology; and much more. Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Provides comprehensive coverage of key "milestones" in training identified by the Accreditation Council for Graduate Medical Education (ACGME). Fills an important gap for those preparing for the current MOC and ABR exams, covering the many topics touched upon in a major section of the examinations. Brings together in one source the experience of leading national experts and a select team of expert contributors.