th 2019>> a view from the chair of the acr board of

© 2017 AMERICAN COLLEGE OF RADIOLOGY | ALL RIGHTS RESERVED.

<<January 12th 2019>>

A View From the Chair of the ACR Board of Chancellors

Geraldine McGinty MD MBA FACRChair, Board of Chancellors@DrGMcGinty


ACR members are universally acknowledged as leaders in the

delivery and advancement of quality healthcare.


Our Radiology Community is universally acknowledged as a leader in the delivery and advancement of quality healthcare.


PrioritiesCore practices at ACR


PrioritiesHealthcare Payment Policies

and Practice Models


Healthcare Payment Policies and Practice Models

• Existing and new practice and payment models recognize the value delivered by radiology

• Ensure radiology’s relative value under existing fee-for-service and alternative payment models

• Continue ACR’s leadership role in in the collaborative development of new payment models that promote the radiologist’s (DR, IR, NM, RO, MP) role in high value, patient-centered care

• Educate members, with an emphasis on practice leaders and members-in-training, regarding the full spectrum of payment models


Payment Policy and Advocacy


Changing Practice Models

CorporateFull acquisition of radiology practice

Private EquityReceive investment from

PE

Hospitals*Join within larger hospital systems

*Hospital component is estimated around 10%, and Academic around 5% (~2,000 Academic Radiologists)Source: Frost & Sullivan

Join ForcesRadiology practices

merging

CoalitionJoin while staying

independent

• e.g., Strategic Radiology• Management Service

Organizations (MSO)

IndependentInorganic growth /

status quo

Independent40-45%

Alliances / Expansion-Minded 25-30%

Ownership20-25%


Ownership Expansion-Minded

Independent / Status Quo

20-25% 25-30% 40-45%

The major shift will be individual radiology practices which are well-run, have robust platforms and strong management who see Private Equity investment (or, potentially, large corporate entities) as a viable and attractive vehicle to achieve scale

Source: Frost & Sullivan

Market is estimated at 80/20 Independent / Employee

Frost & Sullivan believes the market will continue to consolidate until it hits roughly 50% independent, assuming another 25-30% of the market will be either acquired or receive PE investment


PrioritiesExternal Relationships


External Relationships

• Evolution of digital pathology

• Aligned incentives around structured reporting

• AI in the near future• Integrated diagnostics


PrioritiesMembership and

Member Engagement


Membership and Member Engagement

• Foster meaningful member experience and engagement

• Improve diversity and inclusion (e.g., practice type, ethnicity, gender, career stage, etc.)

• Enhance wellness among radiology professionals

• Improve recognition of the value of ACR membership

• Effectively manage member communication• Increase the effectiveness of member

involvement • Facilitate leadership development through roles

in chapters, ACR Council, and the ACR• Maximize the effectiveness of the ACR Council


Member engagement


Ramzy I. Meremikwu is a second year medical student at the

University of Texas' McGovern Medical School

The summer of 2017 with Nth Dimensions, a summer internship program especially designed for first year minority students, gave me great vision for my career in medical school.

My Nth Dimensions Experience


Senior and/or Retired Section


PrioritiesRadiology and Patient

Centered Care


A new, dynamic resource to help you improve patient and family-centered care in your practice

Patient-and-Family-Centered Care Toolkit


221000 new cases of lung cancer

annually*

*American Cancer Society

“Lung cancer kills more people each year than breast, colon and prostate cancers combined. Once implemented nationwide, this cost efficient test would be the more effective cancer screening examination in history”

Patient and Family Centered Care: Population Health


PrioritiesInnovation and Research: From Science to Practice

and Policy


Research


Individual-provider MPPR discounting resulted, on average, in more than $2,500 in lost payments per radiologist per year. Its rollback, associated with ACR evidence-based advocacy efforts, is estimated to return well over $50 million in Medicare professional payments to radiologists each year for individual-component MPPR discounting alone.

Conclusions


Research


PrioritiesData Science


Innovation and Research: From Science to Practice and Policy

• Foster clinical innovations to advance radiology’s value in patient outcomes and patient experience

• Investigate and promote the appropriate use of medical imaging, interventional radiology and oncologic care for improved population health

• Promote and enable translatable health policy and health services research to achieve best radiologic practice

• Investigate and promote precision imaging, leveraging imaging and non-imaging biomarkers, to establish novel diagnostics and therapeutic delivery systems

• Increase member and stakeholder understanding of the impact of ACR research in expanding the purview of medical imaging, interventional radiology, and radiation oncology practice for the benefit of patients


Hype?

Yes.Real Substance

and Impact?

Yes.

Data Science & Artificial Intelligence: A Rapidly Emerging Megatrend in Business & Society


“Man is the lowest-cost, 150-pound, nonlinear, all-purpose computer system which can be mass-produced by unskilled labor.”

- Attributed to a 1965 NASA report advocating manned space flight.


Inertia

Misalignment of financial incentives

Fear of change

Hype that can’t live up to reality

Decentralized healthcare

Complex AI and medical informatics

The path doesn’t look like an expedition party climbing Mt. Everest.


ACR DSI Use Cases

Highest clinical value

Solvable by artificial

intelligence

USE CASES

Use Case Prioritization

AI


AI will persistently and pervasively enhance all aspects of radiology

• It’s not about Human vs AI.

• It is about Human augmented by AI vs.

Human working without AI

• Creating an Ecosystem is essential


“If you want to be in the specialty that’s going to most effectively harness AI for the benefit of

patients, that’s going to be radiology”

th 2019>> a view from the chair of the acr board of

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