title: Radiologist manpower considerations and Imaging 3.0: effort planning for value-based imaging.
abstract: Our specialty is seeking to establish the value of imaging in the longitudinal patient-care continuum. We recognize the need to assess the value of our contributions rather than concentrating primarily on generating revenue. This recent focus is a result of both increased cost-containment efforts and regulatory demands. Imaging 3.0 is a value-based perspective that intends to describe and facilitate value-based imaging. Imaging 3.0 includes a broad set of initiatives addressing the visibility of radiologists, and emphasizing quality and safety oversight by radiologists, which are new directions of focus for us. Imaging 3.0 also addresses subspecialty imaging and off-hours imaging, which are existing areas of practice that are emblematic of inconsistent service delivery across all hours. Looking to the future, Imaging 3.0 describes how imaging services could be integrated into the framework of accountable care organizations. Although all these efforts may be essential, they necessitate manpower expenditures, and these efforts are not directly covered by revenue. If we recognize the urgency of need in developing these concepts, we can justify the manpower and staffing expenditures each organization is willing to shoulder in reaching Imaging 3.0.
authors.affiliation: Boston University School of Medicine, Boston, Massachusetts. Electronic address: alex.norbash@bmc.org.
authors.forename: Alexander
authors.initials: A
authors.lastname: Norbash
authors.affiliation: Ochsner Health System, New Orleans, Louisiana.
authors.forename: Edward
authors.initials: E
authors.lastname: Bluth
authors.affiliation: University of Washington Schools of Medicine and Public Health, Seattle, Washington.
authors.forename: Christoph I
authors.initials: CI
authors.lastname: Lee
authors.affiliation: Mount Sinai Medical Center, Miami, Florida.
authors.forename: Michael
authors.initials: M
authors.lastname: Francavilla
authors.affiliation: Ochsner Health System, New Orleans, Louisiana.
authors.forename: Michael
authors.initials: M
authors.lastname: Donner
authors.affiliation: Sutter Radiation Oncology Centers, Sacramento, California.
authors.forename: Sharon C
authors.initials: SC
authors.lastname: Dutton
authors.affiliation: University of Utah School of Medicine, Salt Lake City, Utah.
authors.forename: Marta
authors.initials: M
authors.lastname: Heilbrun
authors.affiliation: Weill Cornell University School of Medicine, New York, New York.
authors.forename: Geraldine
authors.initials: G
authors.lastname: McGinty
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration; D003363:Cost Control; D006301:Health Services Needs and Demand; D006801:Humans; D058991:Patient Protection and Affordable Care Act; D010819:Physician's Role; D058996:Quality Improvement; D011871:Radiology / Q000191:economics / Q000639:trends*; D011872:Radiology Department, Hospital / Q000458:organization & administration; D014481:United States; D000078329:Workforce
keywords: Imaging 3.0; accountable care organizations; adaptation; manpower; strategy; value-based