September 2003

Features

Cover Story

	A Model CON Collaboration
	by George Wiley
	Virginia is a certificate of need state, in which each new facility, indeed, each new modality, must be justified. In such an atmosphere administrators and radiologists at Virginia Beach General Hospital launched a pilot outpatient imaging center that mixed physician empowerment with traditional ownership.


	Doctor-to-Doctor: Generating Referrals
	by G. Wiley

	The Top 4 Protocols
	by Elizabeth Finch
	The rapid development of multidetector CT has meant a sea change in radiologist practice patterns, with the biggest impact felt in oncologic imaging, trauma, and angiography.


	Contrast Dose Considerations
	by Elizabeth Finch


	Radiation Disaster Preparedness: Radiology's Role
	by Kris Kyes
	Every community's disaster planning should involve radiology, and every radiologist, radiation oncologist, radiology administrator, and medical physicist should help their community be prepared.


	Benign Intervention
	by Elizabeth Finch
	As researchers gather data on the efficacy of CT colonography, the medical field eagerly greets the introduction of a tool that would raise compliance with colorectal cancer screening.

Departments

	Viewpoint
	Retail Radiology: DOA?
	by Cheryl Proval
	Though the retail radiology model is a bit shopworn, it is unlikely that the phenomenon of patients self-referring for screening studies will abate.


	A (Small) Digital Success Story
	by Charles W. Gervais MD
	A personal apologia for PACS in a freestanding imaging center setting.


	STAT Read


	Gastrointestinal Imaging: Digesting Change
	by Judith Gunn Bronson
	Protocols in gastrointestinal imaging are shifting with the introduction of MDCT, catheter-mounted ultrasound probes, new applications for MRI, and indications for FDG-PET.


	Improving Hospital Outpatient Payment
	by Judy Rosenbloom
	With concerted effort on the part of clinicians, radiologists, and administrators, reimbursement for hospital-based outpatient imaging procedures can be improved.


	Technology Review

Special Section

	Introduction: Meeting the PACSv Challenge
	by David Mahoney


	Lessons Learned
	by George Wiley
	Careful plans were set awry and lessons learned along the way when Bronson Methodist Hospital made a last-minute vendor change for its PACS.


	The PACS Payoff
	by George Wiley


	PACS Deployment
	by Rich Smith
	The radiology department at Medical Center Hospital, Odessa, Tex, took the stress out of converting to digital operations by rolling out its PACS in stages.


	Exacting Value from PACS
	by R. Smith


	Training: The Forgotten Requirement
	by Bobby Edwards
	Do not underestimate the importance of properly educating staff to identify problems, prevent system failures, and keep operations running smoothly.


	Table. Questions to ask when planning


	Integrating the Electronic Medical Record
	by Dave Tomczak
	Using a written technical and workflow design framework, stakeholders at St Cloud Hospital smoothed the integration process.


	Growing with PACS
	by Rich Smith
	PACS has made Next Generation Radiology more productive, swifter, and more cost efficient, playing an integral role in the growth of the practice.


	Caveats on Using Outside "Experts"
	by Rich Smith

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