Improving Performance by Using a Radiology Extender.
J Am Coll Radiol. 2018 Sep;15(9):1300-1303. doi: 10.1016/j.jacr.2018.03.051. Epub 2018 May 8.
Borthakur A1, Kneeland JB2, Schnall MD2.
Description of the Problem
Academic radiology centers challenged by reduced reimbursements have relied on a strategy of mergers, consolidations, and buyouts of nonacademic practices  to improve case volumes and revenue and to distribute operating costs. Our institute is a level 1 trauma center located in a large urban area and supports the region across multiple service lines. Resulting from recent mergers and acquisitions (M&A) activities, its radiology service now provides care in multiple affiliated hospitals and diagnostic imaging centers located across the region, performing over a million cases annually. Teaching hospitals have relied on residents and fellows to share the burden of interpreting films at lower cost, but their supply has not kept pace with the increasing volume of work at our institute.