December 14, 2017

JACR Firing Line Explores Controversial Topics

Now in its third year, the Journal of the American College of Radiology’s (JACR’s) “Radiology Firing Line” offers radiologists a unique perspective on the biggest issues affecting their medical imaging practices.

Twenty-three episodes have been formatted for convenient examination on the JACR blog. Each recording, beginning with episode one on breast density reporting in October 2015, involves a conversation between hosts or cohosts and experts on the topic of the day. Most sessions are moderated by Saurabh Jha, MBBS, an associate professor of radiology at the Hospital of the University of Pennsylvania; C. Matthew Hawkins, MD, a pediatric interventional radiologist at Emory University School of Medicine; or Colin Segovis, MD, PhD, a radiology resident at Wake Forest University Baptist Medical Center.

Recent Radiology Firing Line blogs focus on ACR advocacy-related topics. On Episode 23 – Twitter, posted on Dec. 12, Jha discusses the value and pitfalls of Twitter as a radiology learning and communications tool with Tirath Patel, MD, a Houston-based interventional radiologist. Patel advocates for “professional Twitter” and how it aids networking and the pursuit academic radiology projects.

Posted on Nov. 3, Episode 22 – Bundled Payment is covered in a written blog by Julianna Czum, MD, division director of cardiothoracic Imaging at Dartmouth-Hitchcock Medical Center and a 23-minute recorded conversation between Jha and Danny Hughes PhD, senior director of the Neiman Health Policy Institute (HPI).

In “Bundled Payment: Treat? Or Really Trick?” Czum argues that bundling requires good math and negotiating skills to manage successfully. Hughes describes bundling’s relevance to radiologist participation in MACRA alternative payment models. He explores bundling controversies using the mammography bundling as an example. The conversation then shifts to HPI’s Inpatient Cost Evaluation Tool (ICE-T) and how it helps radiologists and their administrators to crack the mystery of bundling and what they’ll be paid for bundled episodes of care.

The Radiology Firing Line also combines with an impressive series of JACR blogs by Czum and other contributors who express their personal views on a wide range for radiology issues.