November 2004


Features

Cover Story
Update: The Self-Referral Fight Widens
  by George Wiley
  Radiology is seeking solutions to self-referral that tout patient care, but competing specialties are using the same patient care banner to preserve the regulatory status quo.

A Manifesto for Truth-in-Mammography Advertising
  by Leonard Berlin MD
  From cigarettes to pharmaceuticals to financial services, all advertisements feature a disclaimer: Why not those for mammography?
Report from SIR: Establishing a Venous Insufficiency Service
  by Kris Kyes
  The positive financial impact of a venous insufficiency service can be significant, but many interventionalists cite interdepartmental issues as a deterrent.
Multisite Freestanding Imaging: Is More Better?
  by George Wiley
  Does the size of the company matter when it comes to providing imaging services? It is a more complicated question than you might think: big providers like to believe they are better, but they also admit they are unwieldy.
Buy-in, Buy-Out: The Perfect Entrance (and Exit)
  by Joseph P. White CPA, MBA
  Groups are well advised to fine-tune their buy-in/buy-out strategies to be competitive in the current recruitment environment.
The Radiology Reality Show: Automating Billing
  by Patricia Kroken FACMPE, Phillip W. Carmody MD
  With business goals set, Radiology Consultants of North Dallas undertook the yeoman's task of changing the fundamental operation and structure of the group's billing practices.
From 8 to 64 Slices: A Capital Business Plan Takes a Quantum Leap
  by Sheila M. Sferrella MAS, RT, CRA
  Rapid innovation in computed tomography is leading some institutions to ask: When is it prudent to adjust the capital business plan?
The Cost of Health Care Construction: Retrofit vs New Build
  by Terence Houk AIA
  With retrofits costing nearly as much as new construction, hospitals with space may be best advised to rebuild; those without can sometimes find space by implementing remote reading in a system.
Imaging Informatics: Old PACS, New PACS: Trading Up at TSRHC
  by Wayne Forrest
  Texas Scottish Rite Hospital for Children made the difficult decision to abandon its legacy PACS and implement a web-based model.
Reinventing the Radiology Report: Part I, A History
  by Nancy Knight PhD, Bruce I. Reiner MD
  Report content has remained static for decades, a surprising fact, given the document's fundamental importance to the status and position of the radiologist in the medical setting.
Lockdown: Security Compliance Under HIPAA
  by Tom Walsh CHS, CISSP
  Policy alone is not sufficient to protect patient information: providers must conduct a thorough analysis to see what technology is necessary for compliance with the security standard.


Departments

  Lateral View
Too Much Health Care
  by Cheryl Proval
  Parameters to measure the efficiency of imaging in health care will impact both radiology and in-office imagers.
  Guest Editorial
Radiation Risks:Are the Concerns Justifiable?
  by David Yankelevitz MD
  The author counters 10 assumptions about the effects of radiation made in recent articles about risks associated with CT screening.
STAT Read
  by Arati Murti
Letters to the Editor
  Imaging Business
Key Indicators in Managing Accounts Receivable
  by John J. Cergnul JD, CPA, Philip J. Russell MBA, CMPE
  Within the area of accounts receivable management, the Radiology Business Management Association has identified eight calculations that represent key indicators of performance for the radiology practice.
  Imaging Workplace
Managing Radiation Exposure
  by Chris Wolski
  The risk of radiation exposure for radiologists and technologists has been mitigated by awareness and vigilance, but several new risk factors have emerged.
New at RSNA: 2004
Technology Review
  November 2004
Special Section

The Trauma Workhorse
  by George Wiley
  In streamlining work flow and promoting throughput in the emergency setting, digital radiography has been a key enabler.
Fighting Pulmonary Disease
  by Judith Gunn Bronson MS
  Pulmonary disease screening has become more efficient with the advent of digital radiography.
Improving Pediatric Imaging Service
  by Marilyn Ferdinand
  Between 30% and 45% of children who have experienced trauma have multiple injuries, including at least one skeletal fracture.
Bringing Orthopedics Into Focus
  by Marilyn Ferdinand
  Orthopedic practices increase efficiency and physician and patient satisfaction with digital radiographic technology.
A European ED Success Story
  by Judith Gunn Bronson MS
  Worldwide, x-ray continues to play a key role in the imaging of emergency department patients.
Academic Radiology and ddR
  by Rich Smith
  Experience at leading universities in Kentucky and Maryland has shown that direct digital Radiography ddR is a reliable and dependable way to bring digital efficiency to the enterprise.
Introduction: Direct Digital Radiography (ddr)
  by Ueli Laupper

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