Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/32682745/ below:

Characteristics of COVID-19 Community Practice Declines in Noninvasive Diagnostic Imaging Professional Work

Affiliations

• ¹ Professor and Vice Chair of Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, and Emory Healthcare, Atlanta, Georgia. Electronic address: richard.duszak@emory.edu.
• ² Founder and CEO of Quinsite, LLC, Chapel Hill, North Carolina.
• ³ School of Economics, Georgia Institute of Technology, Atlanta, Georgia.
• ⁴ Department of Radiology and Imaging Sciences, Emory University School of Medicine, and Emory Healthcare, Atlanta, Georgia; Division Director, Community Radiology, Atlanta, Georgia.
• ⁵ Executive Committee Chair, and Clinical Operations Chair, Triad Radiology Associates, Winston Salem, North Carolina.
• ⁶ Finance Chair and Board Member at Hackensack Meridian Health Partners Clinically Integrated Network; Executive leadership position at Hackensack Radiology Group PA, River Edge, New Jersey.
• ⁷ Executive Director, Harvey L. Neiman Health Policy Institute, Washington, DC; Professor, School of Economics, Director, Health Economics and Analytics Lab (HEAL), Georgia Institute of Technology, Atlanta, Georgia.

• PMID: 32682745
• PMCID: PMC7332916
• DOI: 10.1016/j.jacr.2020.06.031

Item in Clipboard

Richard Duszak Jr et al. J Am Coll Radiol. 2020 Nov.

• ¹ Professor and Vice Chair of Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, and Emory Healthcare, Atlanta, Georgia. Electronic address: richard.duszak@emory.edu.
• ² Founder and CEO of Quinsite, LLC, Chapel Hill, North Carolina.
• ³ School of Economics, Georgia Institute of Technology, Atlanta, Georgia.
• ⁴ Department of Radiology and Imaging Sciences, Emory University School of Medicine, and Emory Healthcare, Atlanta, Georgia; Division Director, Community Radiology, Atlanta, Georgia.
• ⁵ Executive Committee Chair, and Clinical Operations Chair, Triad Radiology Associates, Winston Salem, North Carolina.
• ⁶ Finance Chair and Board Member at Hackensack Meridian Health Partners Clinically Integrated Network; Executive leadership position at Hackensack Radiology Group PA, River Edge, New Jersey.
• ⁷ Executive Director, Harvey L. Neiman Health Policy Institute, Washington, DC; Professor, School of Economics, Director, Health Economics and Analytics Lab (HEAL), Georgia Institute of Technology, Atlanta, Georgia.

• PMID: 32682745
• PMCID: PMC7332916
• DOI: 10.1016/j.jacr.2020.06.031

Item in Clipboard

Purpose: The operational and financial impact of the widespread coronavirus disease 2019 (COVID-19) curtailment of imaging services on radiology practices is unknown. We aimed to characterize recent COVID-19-related community practice noninvasive diagnostic imaging professional work declines.

Methods: Using imaging metadata from nine community radiology practices across the United States between January 2019 and May 2020, we mapped work relative value unit (wRVU)-weighted stand-alone noninvasive diagnostic imaging service codes to both modality and body region. Weekly 2020 versus 2019 wRVU changes were analyzed by modality, body region, and site of service. Practice share χ² testing was performed.

Results: Aggregate weekly wRVUs ranged from a high of 120,450 (February 2020) to a low of 55,188 (April 2020). During that -52% wRVU nadir, outpatient declines were greatest (-66%). All practices followed similar aggregate trends in the distribution of wRVUs between each 2020 versus 2019 week (P = .96-.98). As a percentage of total all-practice wRVUs, declines in CT (20,046 of 63,992; 31%) and radiography and fluoroscopy (19,196; 30%) were greatest. By body region, declines in abdomen and pelvis (16,203; 25%) and breast (12,032; 19%) imaging were greatest. Mammography (-17%) and abdominal and pelvic CT (-14%) accounted for the largest shares of total all-practice wRVU reductions. Across modality-region groups, declines were far greatest for mammography (-92%).

Conclusions: Substantial COVID-19-related diagnostic imaging work declines were similar across community practices and disproportionately impacted mammography. Decline patterns could facilitate pandemic second wave planning. Overall implications for practice workflows, practice finances, patient access, and payment policy are manifold.

Keywords: COVID19; imaging utilization; work relative value unit.

Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.

PubMed Disclaimer

Percent change in weekly aggregate…

Percent change in weekly aggregate all-practice 2020 versus 2019 noninvasive diagnostic imaging service…

Percent change in weekly aggregate all-practice 2020 versus 2019 noninvasive diagnostic imaging service work relative value units by site of service.

Overall aggregate work relative value…

Overall aggregate work relative value unit (wRVU) changes and percentage work relative value…

Overall aggregate work relative value unit (wRVU) changes and percentage work relative value unit changes across all practices during the 2020 week with the largest aggregate decline (week 14) compared with the same week in 2019 for noninvasive diagnostic imaging by modality (top) and body part (bottom).

Overall aggregate work relative value…

Overall aggregate work relative value unit (wRVU) changes and percentage work relative value…

Overall aggregate work relative value unit (wRVU) changes and percentage work relative value unit changes across all practices during the 2020 week with the largest aggregate decline (week 14) compared with the same week in 2019 for noninvasive diagnostic imaging for each Neiman Imaging Types of Service modality-region group by site of service. ED = emergency department.

Share of aggregate weekly 2020…

Share of aggregate weekly 2020 work relative value unit by site of service.

Share of aggregate weekly 2020 work relative value unit by site of service.

• Sources of Revenue Loss and Recovery in Radiology Practices During the Coronavirus Disease 2019 (COVID-19) Pandemic.

  Carlon T, Finkelstein M, Maron SZ, Goldman D, Kihira S, Marinelli B, Dayan E, Sullivan N, Hart J, Doshi AH, Delman BN, Lookstein R, Drayer BP. Carlon T, et al. Acad Radiol. 2021 Apr;28(4):447-456. doi: 10.1016/j.acra.2021.01.015. Epub 2021 Jan 18. Acad Radiol. 2021. PMID: 33495075 Free PMC article.

• Professional efficiencies for diagnostic imaging services rendered by different physicians: analysis of recent medicare multiple procedure payment reduction policy.

  Duszak R Jr, Silva E 3rd, Kim AJ, Barr RM, Donovan WD, Kassing P, McGinty G, Allen B Jr. Duszak R Jr, et al. J Am Coll Radiol. 2013 Sep;10(9):682-8. doi: 10.1016/j.jacr.2013.02.019. Epub 2013 Apr 8. J Am Coll Radiol. 2013. PMID: 23575316

• Impact of the COVID-19 pandemic on radiology physician work RVUs at a large subspecialized radiology practice.

  Poyiadji N, Klochko C, Palazzolo J, Brown ML, Griffith B. Poyiadji N, et al. Clin Imaging. 2021 May;73:38-42. doi: 10.1016/j.clinimag.2020.11.046. Epub 2020 Dec 5. Clin Imaging. 2021. PMID: 33302235 Free PMC article.

• Vascular Surgeons Are Not Adequately Valued by Traditional Productivity Metrics.

  Fang Z, Judelson D, Simons J, Steppacher R, Arous E, Sideman M, Schanzer A, Aiello FA. Fang Z, et al. Ann Vasc Surg. 2021 May;73:446-453. doi: 10.1016/j.avsg.2020.11.018. Epub 2020 Dec 24. Ann Vasc Surg. 2021. PMID: 33359694 Review.

• The Impact of the COVID-19 Pandemic on Breast Imaging.

  Freer PE. Freer PE. Radiol Clin North Am. 2021 Jan;59(1):1-11. doi: 10.1016/j.rcl.2020.09.008. Epub 2020 Sep 22. Radiol Clin North Am. 2021. PMID: 33222992 Free PMC article. Review.

• Trends in breast, colon, pancreatic, and uterine cancers in women during the COVID-19 pandemic in North Carolina.

  Nyante SJ, Deal AM, Heiling HM, Kim KS, Kuzmiak CM, Calhoun BC, Ray EM. Nyante SJ, et al. Cancer Med. 2024 Apr;13(7):e7156. doi: 10.1002/cam4.7156. Cancer Med. 2024. PMID: 38572934 Free PMC article.

• The 2020 US cancer screening deficit and the timing of adults' most recent screen: a population-based cross-sectional study.

  Semprini J, Ranganathan R. Semprini J, et al. Fam Med Community Health. 2023 Sep;11(3):e001893. doi: 10.1136/fmch-2022-001893. Fam Med Community Health. 2023. PMID: 37730268 Free PMC article.

• Impact of the COVID-19 Pandemic on Breast Imaging Education.

  Chalfant JS, Pittman SM, Kothari PD, Chong A, Grimm LJ, Sohlich RE, Leung JWT, Downey JR, Cohen EO, Ojeda-Fournier H, Hoyt AC, Joe BN, Feig SA, Trinh L, Rosen EL, Aminololama-Shakeri S, Ikeda DM. Chalfant JS, et al. J Breast Imaging. 2021 Mar 9;3(3):354-362. doi: 10.1093/jbi/wbab021. eCollection 2021 May-Jun. J Breast Imaging. 2021. PMID: 34056594 Free PMC article.

• Breast and Lung Cancer Screening Among Medicare Enrollees During the COVID-19 Pandemic.

  Doan C, Li S, Goodwin JS. Doan C, et al. JAMA Netw Open. 2023 Feb 1;6(2):e2255589. doi: 10.1001/jamanetworkopen.2022.55589. JAMA Netw Open. 2023. PMID: 36735262 Free PMC article.

• Breast Biopsy Recommendations and Breast Cancers Diagnosed during the COVID-19 Pandemic.

  Lowry KP, Bissell MCS, Miglioretti DL, Kerlikowske K, Alsheik N, Macarol T, Bowles EJA, Buist DSM, Tosteson ANA, Henderson L, Herschorn SD, Wernli KJ, Weaver DL, Stout NK, Sprague BL. Lowry KP, et al. Radiology. 2022 May;303(2):287-294. doi: 10.1148/radiol.2021211808. Epub 2021 Oct 19. Radiology. 2022. PMID: 34665032 Free PMC article.

1. 1. Luker G.D., Boettcher A.N. Transitioning to a new normal after COVID-19: preparing to get back on track for cancer imaging [E-pub ahead of print April 15, 2020]. Radiology: Imaging Cancer 2020. - DOI - PMC - PubMed
2. 1. Centers for Disease Control and Prevention Healthcare facilities: Managing operations during the COVID-19 pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-hcf.html Available at.
3. 1. Cavallo J.J., Forman H.P. The economic impact of the COVID-19 pandemic on radiology practices [E-pub ahead of print April 15, 2020] Radiology. 2020 doi: 10.1148/radiol.2020201495. - DOI - PMC - PubMed
4. 1. Naidich J.J., Boltyenkov A., Wang J.J., Chusid J., Hughes D.R., Sanelli P.C. Impact of the COVID-19 pandemic on imaging case volumes. J Am Coll Radiol. 2020;17:865–872. - PMC - PubMed
5. 1. Madhuripan N., Cheung H.M., Cheong L.H.A., Jawahar A., Willis M., Larson D.B. Variables influencing radiology volume recovery during the next phase of the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Radiol. 2020;17:855–864. - PMC - PubMed

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3