Practice Management

Accountable care organizations (ACOs) won’t just materialize from thin air. They must be based on collaboration among physicians and hospitals, and supported by a robust infrastructure. This is a challenge that has not yet been resolved, according to Jeff Goldsmith, PhD, President of Health Futures and associate professor of Public Health Sciences at the University of Virginia, Charlottesville.

A woman from Chalmette, La., has filed a lawsuit against a New Orleans hospital and imaging provider, claiming she fell on a broken sidewalk that should have been better maintained.

Support groups for patients with chronic conditions have been popular for years. The 21st century version of this phenomenon is moving online, where social media is connecting networks of patients so they can offer support and advice to one another.

It’s often said that the healthcare system in the U.S. is “broken.” But how exactly is it broken?

Actor Alan Alda, famous for his timeless role as Hawkeye Pierce, MD, offered physicians and scientists a bitter pill. Plain language, says the former host of the PBS series "Scientific American Frontiers," will go far in advancing science and medicine. Alda’s latest gig is a founder and visiting professor of journalism at the Stony Brook University Center for Communicating Science, recently renamed it the Alan Alda Center for Communicating Science.

A former radiology resident diagnosed with insomnia is suing Dartmouth-Hitchcock Medical Center. The suit claims that the medical center violated the Americans with Disabilities Act by failing to accommodate for her condition and requiring her to take overnight call shifts.

Kevin McNamara, Nova Scotia’s deputy health minister, has accused 27 radiologists of “potentially inappropriate billing” over a two-year period. The dispute centers on use of a CT fee code for certain procedures in four provinces.

Quebec physicians are lobbying the provincial health board to reverse its decades-long policy of “two-tiered medicine” that limits imaging reimbursement to exams provided in public institutions. The wait for CT, MRI and ultrasound exams in hospitals can extend to two years, while the costs for MR studies in private institutions can reach $1,000.

As healthcare providers strive to tap into patient engagement and radiologists attempt to personalize their specialty, it may pay to walk a mile in patients’ shoes. Cleveland Clinic provides viewers a lens into patients’ thoughts and struggles in this brief, but compelling, video. It’s a poignant reminder that pausing to consider the person behind the patient might just make one a better provider.

World class healthcare. It’s everyone’s vision and the ultimate goal. Getting there will be hard work. Gregory Goldstein, MD, president of MetisMD, detailed three strategies to help primary care providers tap into the wealth of expertise lurking behind the reading room door in in HuffPost Healthy Living April 3. They are: ask questions of radiologists, communicate with imagers before the exam and leverage technology for collaborative image viewing. Though the advice targets clinicians, the savviest radiologists are taking steps to assist clinicians with these strategies.

Thought leaders aim to re-invent performance evaluation and measure factors like collaboration and patient satisfaction. 

Imaging faces ongoing measures aimed at reining in utilization. Smart practices have tapped into a variety of strategies to boost appropriate use.