Like many people, Chris Tirabassi has watched the political parties duke it out over the relative merits of the Health Information Technology for Economic and Clinical Health (HITECH) Act. As practice administrator for CNY Diagnostic Imaging Associates LLC (Liverpool, New York), however, he has little time for philosophical discussion. Instead, Tirabassi is knee-deep in the meaningful-use mandates of the HITECH Act, as they apply to CNY’s Syracuse-area private practice of six radiologists.

In dissecting stage 2 of the meaningful-use program, Alberto Goldszal, MBA, PhD, drolly summarizes the meaningful-use challenge for radiologists: “In the meaningful-use rules, you are going to see some specific examples of things that are changing the radiology workflow that are perceived as a contraindication for radiology efficiency,” he says. “Overall, it does improve patient care—at least, that is the intended goal.”

For Colorado Springs Radiologists/PENRAD Imaging (Colorado Springs, Colorado), state-of-the-art imaging equipment and IT solutions have long supported a mission to offer top-tier patient care while maintaining a high degree of efficiency overall. A recent move to support this mission by replacing its RIS and billing systems has led the practice to the brink of Stage 1 meaningful use Stage 1 attestation, slated to occur shortly after January 1, 2014.

The recent upheavals in the world of health care have meant the arrival of new challenges with each passing year, and owing to imaging’s contributions to escalating costs, radiology has been especially hard hit in the past. 2014 will prove to be no exception, bringing a fresh slate of reimbursement and market challenges, according to Jeff Maze, director of business intelligence for Zotec Partners. “Understanding these issues, as well as their potential impact on the business of radiology, will be mission critical,” he says.

Our company is fortunate to have the opportunity to work with a large number of single and multisite imaging centers each year. This affords us the opportunity to observe and benchmark the financial and operating trends of a statistically significant sample size of imaging centers across the nation.

Patient-centered health care has been a buzzword for some time, but the middle ground where patients and their providers meet is always shifting, according to the presenters of a December 3 session at the 2013 annual meeting of the RSNA in Chicago, Illinois. Susan John, MD; Elliot Fishman, MD; and Brent Wagner, MD, presented “Patient-Centered Radiology” to explore how engagement with patients is changing. As Wagner puts it, “All the things we might do to make our practices more patient-centric are a balancing act between opportunities and challenges.”

It’s a question on the minds of many in the imaging community: How can a specialty with very little patient interaction built into its workflow improve its service to patients? As an emerging practice model, patient-centered radiology has a nice ring to it, but as Greg Thomson, CPA, executive vice president with Zotec Partners, notes, “This represents a major cultural leap for radiology. Radiologists have long had multiple customers—including referring physicians and hospitals—along with patients, and because they often do not interact with patients, their focus has been on the referring physicians, not the patients. It is a mindset shift for the specialty.”

Like most radiology practices nationwide, Pueblo Radiology Medical Group, based in Santa Barbara, California, is facing the imperative to do business differently than in the past. Wayne Baldwin, CEO of the 18-radiologist practice, attributes the shift to changes in the regulatory environment that have made today’s radiology marketplace anything but “business as usual.”