Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

Delayed rad communication yields $2.1M malpractice award

Radiologic Associates of Gardiner, N.Y., faces a $2.1 million tab after the group's failure to communicate findings of a spinal lesion on a CT scan to a patient resulted in permanent loss of sensation to the patient's legs. The plaintiff’s lawyers partially credited the verdict to their use of iPads to project CT and PET images onto a display in the court room.

Shorter intern hours up concerns about errors

An unintended, and potentially harmful, consequence of the 16-hour shift limit for first-year residents is an increase in self-reported medical errors, according to a study published online March 25 in JAMA Internal Medicine. In contrast to the patient safety issue, the requirement had nonsignificant impacts on hours slept, depressive symptoms and well-being scores.

Appropriate + elusive: Many lumbar spine MRI exams inappropriate

Outpatient MRIs of the lumbar spine and of the head for headache are often targeted as indications where appropriateness should be more closely scrutinized, and an analysis of usage at two Canadian hospitals has shown that, in the case of lumbar spine MRI at least, this skepticism is warranted.

Diagnostic Imaging Services Access Protection Act introduced in Senate

Sen. Ben Cardin (D-Md.) and David Vitter (R-La.) have introduced the Diagnostic Imaging Services Access Protection Act (S. 623). The Senate bill corresponds with H.R. 846, recently introduced in the House of Representatives by Reps. Pete Olson (R-Tex.), Peter Roskam (R-Ill.), John Barrow (D-Ga.), Betty McCollum (D-Minn.), and currently cosponsored by 72 bipartisan members of Congress.

MD burnout at 'alarming' level, part 2—spotlight on the ED

Although all physicians face a higher than average risk of burnout, emergency physicians hold the dubious honor of topping the charts. Few remedies are available and more are needed, according to a contributed piece published in the March issue of Annals of Emergency Medicine.

MD burnout at 'alarming' level, part 1

Physician burnout is pervasive and prevalent, and few organizational interventions to address the high burnout rate have been developed, according to a study published in Archives of Internal Medicine. The authors pointed to mounting evidence that physician burnout takes a high toll on both physicians and the healthcare system.

Former U. of Iowa radiologist petitions judge to be reinstated

Former University of Iowa radiologist Malik Juweid, MD, who was fired in August 2011, has filed a petition seeking to be reinstated, according to the Iowa City Press-Citizen.

Lawmakers introduce colonoscopy coverage act

Sen. Ben Cardin (D-Md.) and Rep. Richard Neal (D-Mass.) have introduced the Supporting ColoRectal Examination and Education Now (SCREEN) Act (S. 608/H.R. 1320). The act would waive Medicare beneficiary cost-sharing for those colorectal cancer screenings where polyps are removed during colonoscopy.

Around the web

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease. 

CCTA is being utilized more and more for the diagnosis and management of suspected coronary artery disease. An international group of specialists shared their perspective on this ongoing trend.

The new technology shows early potential to make a significant impact on imaging workflows and patient care.