U5 What Strategic Options are Available to the Corporation? Flashcards
(283 cards)
What Do Medical Outsourcing Trends Mean for Hospitalists?
X-ray has left the building
Medical outsourcing is a growing trend in American hospitals, driven by shortages of on-call radiologists and intensivists, economic pressures, and advances in telemedicine.
Hospitalists will likely encounter—if they have not already—outsourced services that range from off-site medical transcription and language interpreters to long-distance radiology and, increasingly, electronic intensivist services.
What are the implications for quality patient care and collegial interface when hospitals contract with outsourced providers? What are the advantages, possible disadvantages, and opportunities for hospitalists as teleradiology and eICUs become facts of life? […]
Overseas outsourcing a ‘hot button’
According to the American College of Radiology, teleradiology has become ?
a fixture in most practices and hospitals.
Some institutions have retained their own radiologists, who take advantage of?
teleradiology by reading digitized radiographs and CT scans from home instead of within the hospital building.
A shortage of radiologists has led others to ?
contract with off-site providers of teleradiology services.
Those who provide services at night are sometimes called———————companies.
“nighthawk”
Outsourcing radiology, Dr. Wachter believes, is a logical step due to?
technological advances,
although he admits that visiting the radiology department in his hospital often yields educational and collegial opportunities that online X-ray reading does not.
At Saint Clare’s Hospital in Weston\/Wasau, Wis., a new, 107-bed, state-of-the-art facility built by?
Ministry Health Care, Richard Bailey, MD, is medical director of Inpatient Care and Hospitalist Services.
Radiology and other ancillary specialist services are provided by?
the Diagnostic and Treatment Center (DTC), jointly owned by Ministry Health Care and the Marshfield Clinic.
“This is one more way our hospitalist program supports the hospital and provides?
value beyond just seeing patients,” he says.
The DTC, through a relationship with a radiology group in Hawaii, provides?
night coverage for full reads of radiographs and scans from 5 p.m. to 5 a.m. The interactions are virtually seamless, according to Dr. Bailey.
The company’s radiologists mostly carry out preliminary night-reads but also?
do final-reads on approximately 20% of their cases.
———————————————————- when conferring with radiologists on the phone, he reports.
“We don’t even notice they’re in Hawaii,”
Off-site radiology also created an opportunity for his hospitalist group, says Dr.Bailey. Saint Clare’s hospitalist group provides?
supervision of contrast administration when needed during night and weekend coverage times.
Overseas outsourcing a ‘hot button’
Using an overseas teleradiology company offers many advantages, says ?
Sunita Maheshwari, MD, a consulting pediatric cardiologist and director of Teleradiology Solutions, a four-year-old teleradiology company located in Bangalore, India.
If contrast must be administered for an imaging study at the client hospital, a local tech, emergency department physician, or resident usually handles the procedure, with?
the Teleradiology Solutions radiologist in constant voice contact.
“The time zone advantage is huge,” says
——————- With the ——————- time difference between the United States and India, Teleradiology Solutions’ radiologists work regular day shifts and are able to cover
———————-hospitals simultaneously, depending on how busy their client hospitals are.
Dr. Maheshwari.
12.5-hour
10–20
You don’t have to have one radiologist who stays up all night to be able to?
read two CT scans and one X-ray, who will [then] be groggy the next morning for his [or her] regular day shift,” she says.
It makes a great deal of sense from the standpoint of human resource efficiency to not waste several nights of ?
several doctors covering multiple hospitals.
Dr. Maheshwari reports that American hospital staff are ?
often pleasantly surprised to find a “cheerful, awake” radiologist on the other end of the phone.
Despite these benefits, however, Dr. Maheshwari and her colleagues have noticed a ?
political backlash stemming from the outsourcing of US jobs to Asia that colors Americans’ reactions to overseas teleradiology.
In her company’s first two years, some physicians questioned the company’s level of?
quality and lashed out because it is located in India, reports Dr. Maheshwari.
“Our work speaks for itself,” she says. “We have not lost a client, and, in fact, our hospitals have managed to grow because ?
they have been able to take their radiologists off the night shift, and they take on more day work.”