Journal of the American College of Radiology
Volume 7, Issue 7 , Pages 482-489 , July 2010

Measuring and Managing Radiologist Productivity, Part 2: Beyond the Clinical Numbers

  • Richard Duszak Jr, MD

      Affiliations

    • Mid-South Imaging and Therapeutics, Memphis, Tennessee
    • University of Tennessee Health Science Center, Memphis, Tennessee
    • Corresponding Author InformationCorresponding author: Richard Duszak Jr, MD, Mid-South Imaging and Therapeutics, 6305 Humphreys Boulevard, Suite 205, Memphis, TN 38120
    • ,
  • Lawrence R. Muroff, MD

      Affiliations

    • Imaging Consultants, Inc, Tampa, Florida
    • University of Florida College of Medicine, Gainesville, Florida
    • University of South Florida College of Medicine, Tampa, Florida

References 

  1. Kroken P. The pitfalls of physician productivity measurement. RBMA Bull. 2009;44:22–23
  2. Ding A, Saini S, Berndt ER. Radiologist productivity: what, why, and how. J Am Coll Radiol. 2009;6:824–827
  3. Duszak R, Muroff LR. Measuring and managing radiologist productivity, part 1: metrics and benchmarks. J Am Coll Radiol. 2010;7:452–458
  4. Dodd GD, Fletcher TB, Thorwarth WT. The crisis in academic radiology: will we help ourselves?. J Am Coll Radiol. 2006;3:243–247
  5. Mezrich R, Nagy PG. The academic RVU: a system for measuring academic productivity. J Am Coll Radiol. 2007;4:471–478
  6. Muroff LR. Implementing an effective organization and governance structure for a radiology practice. J Am Coll Radiol. 2004;1:26–32
  7. Rubel BF, Roettele S. Negotiating in a managed care world. J Am Coll Radiol. 2005;2:846–851
  8. Muroff LR. Why radiologists lose their hospital contracts: is your contract secure?. J Am Coll Radiol. 2010;7:180–186
  9. Lu Y, Zhao S, Chu PW, Arenson RL. An update survey of academic radiologists' clinical productivity. J Am Coll Radiol. 2008;5:817–826
  10. Lu Y, Arenson RL. The academic radiologist's clinical productivity: an update. Acad Radiol. 2005;12:1211–1223
  11. Monaghan DA. Determinants of radiologists' productivity in private practice groups in California. J Am Coll Radiol. 2006;3:108–114
  12. Bhargavan M, Kaye AH, Forman HP, Sunshine JH. Workload of radiologists in United States in 2007-2007 and trends since 1991-1992. Radiology. 2009;252:458–467
  13. Bhargavan M, Sunshine JH. Workload of radiologists in United States in 2002-2003 and trends since 1991-1992. Radiology. 2005;236:920–931
  14. Sunshine JH, Bushee GR, Mallick R. U.S. radiologists' workload in 1995-1996 and trends since 1991-1992. Radiology. 1998;208:19–24
  15. Muroff LR. Taking your radiology practice to the next level. J Am Coll Radiol. 2008;5:986–992
  16. Boland GW. The impact of teleradiology in the United States over the last decade: driving consolidation and commoditization of radiologists and radiology services. Clin Radiol. 2009;64:456–460
  17. Reiner BI, Siegel EL. Decommoditizing radiology. J Am Coll Radiol. 2009;6:167–170
  18. Shaw SN. More than one dollop of cortex: patients' experiences of interprofessional care at an urban family health centre. J Interprof Care. 2008;22:229–237
  19. Borgstede JP. Professionalism. J Am Coll Radiol. 2005;2:873–874
  20. Butler GJ. Keeping professionalism alive in radiology's new age: a choice; our future. J Am Coll Radiol. 2009;6:100–102
  21. Muroff LR. Dealing with the problematic partner or associate. J Am Coll Radiol. 2007;4:527–532
  22. Rosenstein AH, O'Daniel M. Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70:1564–1570
  23. Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34:464–471
  24. Leape LL, Fromson JA. Problem doctors: is there a system-level solution?. Ann Intern Med. 2006;144:107–115
  25. Brown SD, Goske MJ, Johnson CM. Beyond substance abuse: stress, burnout, and depression as causes of physician impairment and disruptive behavior. J Am Coll Radiol. 2009;6:479–485
  26. Johnson BA, Keegan DW. Physician compensation plans. Boulder, Colo: Medical Group Management Association; 2006;
  27. Rayburn B, Huxtable E. A physician productivity system that works. J Med Pract Manage. 2005;21:16–20
  28. Dunnick NR, Applegate KE, Arenson RL. Quality—a radiology imperative: report of the 2006 Intersociety Conference. J Am Coll Radiol. 2007;4:156–161
  29. Dunnick NR. Ensuring patient safety: a summary of the 2008 Intersociety Conference. J Am Coll Radiol. 2009;6:230–234
  30. Hillman BJ, Amis ES, Neiman HL FORUM Participants. The future quality and safety of medical imaging: proceedings of the third annual ACR FORUM. J Am Coll Radiol. 2004;1:33–39
  31. Donnelly LF, Dickerson JM, Lehkamp TW, Gessner KE, Moskovitz J, Hutchinson S. IRQN award paper: operational rounds: a practical administrative process to improve safety and clinical services in radiology. J Am Coll Radiol. 2008;5:1142–1149
  32. Khorasani R. Can metrics obtained from your IT databases help start your practice dashboard?. J Am Coll Radiol. 2008;5:772–774
  33. Khorasani R. Objective quality metrics and personal dashboards for quality improvement. J Am Coll Radiol. 2009;6:549–550
  34. Jackson VP, Cushing T, Abujudeh HH, et al. RADPEER scoring white paper. J Am Coll Radiol. 2009;6:21–25
  35. Hattery RR, Dunnick NR. Shaping the future: maintenance of board certification and quality care. J Am Coll Radiol. 2006;3:867–871
  36. Wood GC, Spahr R, Gerdes J, Daar ZS, Hutchison R, Stewart WF. Patient satisfaction and physician productivity: complementary or mutually exclusive?. Am J Med Qual. 2009;24:498–504
  37. Steele JR, Schomer DF. Continuous quality improvement programs provide new opportunities to drive value innovation initiatives in hospital-based radiology practices. J Am Coll Radiol. 2009;6:491–499
  38. Donnelly LF. Performance-based assessment of radiology practitioners: promoting improvement in accordance with the 2007 Joint Commission standards. J Am Coll Radiol. 2007;4:699–703
  39. Gill IE, Ondategui-Parra S, Nathanson E, Seiferth J, Ros PR. Strategic planning in radiology. J Am Coll Radiol. 2005;2:348–357
  40. Collins J. Good to great: why some companies make the leap…and others don't. New York: HarperCollins; 2001;
  41. American Medical Group Association. 2009 medical group compensation and financial survey. Alexandria, Va: American Group Medical Association; 2009;
  42. Levitt SD, Dubner SJ. Freakonomics: a rogue economist explores the hidden side of everything. New York: HarperCollins; 2005;
  43. Franke RF. Worker productivity at Hawthorne. Am Sociol Rev. 1980;45:1006–1027
  44. Regan MC. Eat what you kill: the fall of a Wall Street lawyer. Ann Arbor: University of Michigan Press; 2004;
  45. Lubet S. False flats. Georgetown J Leg Ethics. 2006;19:275–280
  46. Berlin L. Liability of interpreting too many radiographs. AJR Am J Roentgenol. 2000;175:17–22
  47. de Brantes FS, D'Andrea BG. Physicians respond to pay-for-performance incentives: larger incentives yield greater participation. Am J Manag Care. 2009;15:305–310

PII: S1546-1440(10)00068-2

doi: 10.1016/j.jacr.2010.01.025

Journal of the American College of Radiology
Volume 7, Issue 7 , Pages 482-489 , July 2010

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