Sharing images across any health care enterprise represents a challenge, but doing so across the Pacific Rim was the dilemma faced in 2003 by the US Air Force. Taking up this challenge were Lt Col Grant Tibbetts, MD, now radiology consultant to the surgeon general, and Tom Lewis, the director of the Air Force PACS Office. “The largest hospital in

Scarce capital, these days, poses a serious threat to imaging enterprises hoping to see even modest growth. Blame the economy if you will, but there are any number of other contributing factors, including the rapid commoditization of equipment maintenance, punishing tax rates, investment-portfolio losses, and the hold that regulations and legal

In July 2008, Congress passed the Medicare Improvements for Patients and Providers Act (MIPPA), which, among other provisions, mandated that all outpatient providers of advanced diagnostic imaging services be accredited by a CMS-designated body by January 1, 2012, in order to receive Medicare reimbursement for the technical component of an exam.

Friendly competition has developed among the five radiologists of Capital Imaging Associates, Albany, New York, to the benefit of referrers (and, potentially, to patient care). Six months ago, the group implemented an RVU-based system for productivity tracking, which has allowed the physicians to gain awareness of their individual caseloads and how

I just finished reading the new book about last year’s financial near meltdown, Too Big to Fail (Viking, 2009), by Andrew Ross Sorkin. The book’s several hundred pages of behind-the-scenes narrative leading up to and immediately following the collapse of Lehman Brothers in September 2008 were instructive on several levels for those of us trying to

Since the dawn of the DRA at the close of 2005, health care observers have predicted a follow-on DRA II. It appears that this prediction will come to pass shortly after the clock strikes midnight on December 31.

In January 2008, the ACR® appointed a task force to research and report on the efficacy of the increasing number of value-added services in radiology. Citing a rapidly changing business landscape for radiology services, the blue-ribbon panel was charged with the task of evaluating and providing insights into the value of evolving and novel business

Integrated health care delivery systems such as that pioneered by the Mayo Clinic, Rochester, Minnesota, have been heralded for their low-cost, high-quality care and greater efficiency. With all eyes on potential new models for health care delivery—particularly in the imaging field, where skyrocketing costs and questions about appropriate