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February 2003


Features

Cover Story
Radiology Without Walls
  by George Wiley
  The University of Texas MD Anderson Cancer Center decided to send digital images to its clinicians long before it was ready to have radiologists read from soft copy: this seemingly reverse-order choice proved to be a lesson in creating an EMR on the fly

Silicon Money
  by Rich Smith
  Cash-strapped hospitals interested in PACS are finding ways around the bias against software financing maintained by many traditional lenders.
APC Survival Strategies
  by Andrei M. Costantino
  There is no room for mistakes under the APCs: to survive, hospitals must institute a variety of measures to ensure that they are collecting for services rendered.
Beyond Radiology
  by Gary Reed
  The electronic, wide-area distribution of images will extend the benefits of PACS to the broader medical community.
The Work Flow Imperative
  by Bruce Reiner MD, Eliot Siegel MD
  To maximize the benefits of PACS, implement technologist work-flow enhancements such as CR/DR, modality worklist, and modality performed procedure step.


Departments

Effort and Talent Rewarded
  by Tony Ramos
  Editor promoted to publisher of Decisions in Imaging Economics.
  Guest Editorial
Use Your RIS
  by Richard S. Helsper MBA
  Information is key, and having access to electronic information is the only way to effectively manage large amounts of data: to sort, prioritize, evaluate, and make the best decisions.
STAT Read
  by Ben Van Houten
  Fritzsche assumes RSNA presidency; health cares rising share of the GDP owed to the economic slowdown; NCQDIS to undertake a cost-based accounting of outpatient radiology services; Senate passes freeze on reimbursement cuts.
  Technology Economics Review
Chest Imaging: Unanswered Questions
  by Judith Gunn Bronson MS
  Clinicians continue to pursue the best protocols in the diagnosis of pulmonary embolism and lung cancer
  Imaging Business
High HIPAA Anxiety
  by Ben Van Houten
  Attendees at the HIPAA Implementation Forum gathered to hear the latest on compliance, implementation, and enforcement - and allay their fears.
PACS in Oncology
  by Lawrence H. Schwartz MD
  Real work-flow automation became possible when a fully integrated PACS was combined with a disease management approach at Memorial Sloan-Kettering Cancer Center.
Technology Review
Special Section

A Multicenter Time-Efficiency Trial
  by David S. Enterline MD
  Examining prefilled syringes versus bottle-filled cartridges for contrast-enhanced CT examinations.
St Mary's Hospital: An Improved Safety Profile
  by Rich Smith
Alamance Regional Medical Center: A Happy Accident
  by Rich Smith
University of Miami Hospital and Clinics: Work Flow Enhancement
  by Rich Smith
Technologist Survey
  by David S. Enterline MD
  Technologist opinions are assessed regarding the use of prefilled syringes versus bottle-filled cartridges for contrast-enhanced CT examinations.
Technologist Report: Prefilled
  by Kris Kyes
  According to survey data, the use of prefilled syringes seemed to correlate with a more complete understanding of the direct and indirect costs of contrast, including staff time, discarded contrast, and supply requisition and storage.

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