4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 1/33

#JACR transcript

Healthcare Social Media Transcript

From: Mon Apr 28 13:15:00 PDT 2014

To: Mon Apr 28 14:25:00 PDT 2014

change time period

What is #JACR? Who were the influencers during this time period? #JACR analytics

Healthcare Conference - Healthcare Tweet Chats - Healthcare Analytics

matthawkinsmd T1: What are the emerging business models for hospitals and outpatient practices?#JACR #AMCLC14

Mon Apr 28 13:15:00 PDT 2014

matthawkinsmd 1st ever #JACR tchat at #AMCLC14 beginning now! Follow the #JACR hashtag tojoin. http://t.co/1UyHL7mlBS -- @RasuShrestha @MichaelEPorter

Mon Apr 28 13:15:24 PDT 2014

radiologyacr Welcome to our first ever #amclc14 tweet chat! We’ve got @RasuShrestha as ourguest mod talking about new business models #JACR

Mon Apr 28 13:15:28 PDT 2014

drgmcginty #JACR #AMCLC new #radiology bus models need to put patient firmly in the center#Imaging3

Mon Apr 28 13:15:30 PDT 2014

matthawkinsmd Welcome to those guests "live" at #AMCLC14 -- and those joining virtually. #JACR

Mon Apr 28 13:15:33 PDT 2014

rasushrestha RT @MattHawkinsMD: Welcome to those guests "live" at #AMCLC14 -- and thosejoining virtually. #JACR

Mon Apr 28 13:15:42 PDT 2014

kristinahoque RT @MattHawkinsMD: 1st ever #JACR tchat at #AMCLC14 beginning now! Follow the#JACR hashtag to join. http://t.co/1UyHL7mlBS -- @RasuShres…

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 2/33

Mon Apr 28 13:16:10 PDT 2014

radsdoc82 Pleasure to be here live and virtually! @matthawkinsmd #JACR

Mon Apr 28 13:16:43 PDT 2014

matthawkinsmd #JACR - @MichaelEPorter endorsing subspecialization, reduction of duplication in#radiology. #AMCLC14

Mon Apr 28 13:16:49 PDT 2014

radiologyacr Let’s start with introductions #JACR

Mon Apr 28 13:17:02 PDT 2014

matthawkinsmd Informatics is beyond essential to whatever new delivery model we use. Thoughts?@RasuShrestha #JACR #AMCLC14

Mon Apr 28 13:17:39 PDT 2014

rasushrestha Hi everyone! Great to be hosting today's #JACR TweetChat! #AMCLC14@RadiologyACR

Mon Apr 28 13:17:59 PDT 2014

radsdoc82 @matthawkinsmd @michaeleporter Slightly contrary to the workforce report showingincrease in general radiologists #jacr #AMCLC14

Mon Apr 28 13:18:13 PDT 2014

matthawkinsmd Happy to be joining. Matt from Seattle (but currently in DC). #JACR

Mon Apr 28 13:18:14 PDT 2014

rasushrestha What an honor to be hosting the #JACR tweetchat today, right after the@MichaelEPorter talk at #AMCLC14

Mon Apr 28 13:18:14 PDT 2014

mightycasey Greetings, all. Cancer/open data/price transparency/participatory medicine warrior.Also #hospmed journo. #jacr

Mon Apr 28 13:18:19 PDT 2014

natemargolismd Connect! RT @MattHawkinsMD: Informatics is beyond essential to whatever newdelivery model we use. Thoughts? @RasuShrestha #JACR #AMCLC14

Mon Apr 28 13:18:24 PDT 2014

matthawkinsmd RT @RasuShrestha: Hi everyone! Great to be hosting today's #JACR TweetChat!#AMCLC14 @RadiologyACR

Mon Apr 28 13:18:29 PDT 2014

matthawkinsmd @RasuShrestha - Thanks for hosting. #JACR

Mon Apr 28 13:18:40 PDT 2014

radsdoc82 RT @RasuShrestha: What an honor to be hosting the #JACR tweetchat today, rightafter the @MichaelEPorter talk at #AMCLC14

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 3/33

Mon Apr 28 13:18:47 PDT 2014

sumirpatelmd RT @Radsdoc82: @matthawkinsmd @michaeleporter Slightly contrary to theworkforce report showing increase in general radiologists #jacr #AMC…

Mon Apr 28 13:19:01 PDT 2014

mightycasey RT @RasuShrestha: What an honor to be hosting the #JACR tweetchat today, rightafter the @MichaelEPorter talk at #AMCLC14

Mon Apr 28 13:19:03 PDT 2014

matthawkinsmd @RasuShrestha - It's perfect timing. #JACR #AMCLC14

Mon Apr 28 13:19:15 PDT 2014

radiologyacr T1. What are the emerging business models for hospitals and outpatient practices?#JACR #amclc14

Mon Apr 28 13:19:15 PDT 2014

rasushrestha Glad to be virtually doing this from beautiful Pittsburgh. Wish I was at #AMCLC14!@MattHawkinsMD #jacr

Mon Apr 28 13:19:20 PDT 2014

drgmcginty @MattHawkinsMD @RasuShrestha #healthit tools are critical to #imaging3 but theymust be smart #jacr

Mon Apr 28 13:19:24 PDT 2014

matthawkinsmd .@Radsdoc82 - Very interesting point. Well said. #AMCLC14 #JACR

Mon Apr 28 13:19:46 PDT 2014

drgmcginty @RadiologyACR varied and the success stories leverage radiologists relationshipswith their community #imaging3 #jacr

Mon Apr 28 13:20:29 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology bus models mean change, we can't hold onto theold incentives #Imaging3

Mon Apr 28 13:20:38 PDT 2014

mightycasey @DrGMcGinty Speaking of smart #healthit - see this @WIRED piece on hackability ofmed-tech? http://t.co/nm47YKwG6l #jacr

Mon Apr 28 13:20:50 PDT 2014

bjh41647 #jacr if one is to believe Porter it's all about special ing Ana sub specializing

Mon Apr 28 13:20:58 PDT 2014

matthawkinsmd .@RadiologyACR -- Themes are subspecialization, service delivery lines focused ondiseases. #JACR #AMCLC14

Mon Apr 28 13:21:03 PDT 2014

radiologyacr RT @RasuShrestha: What an honor to be hosting the #JACR tweetchat today, right

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 4/33

after the @MichaelEPorter talk at #AMCLC14

Mon Apr 28 13:21:05 PDT 2014

bdcoleymd @DrGMcGinty What does that actually look like, re: Porter's model? It's not just beingnicer, it's changing what we actually do #JACR

Mon Apr 28 13:21:08 PDT 2014

rasushrestha I agree, we need the smarts to take us to where we need to be in value basedimaging! #jacr #AMCLC14 @DrGMcGinty @MattHawkinsMD

Mon Apr 28 13:21:14 PDT 2014

radiologyacr RT @Radsdoc82: @matthawkinsmd @michaeleporter Slightly contrary to theworkforce report showing increase in general radiologists #jacr #AMC…

Mon Apr 28 13:21:22 PDT 2014

radiologyboy1 Based on @MichelEPorter talk, what types of informatics can help put patientoutcomes at the forefront? #JACR #AMCLC14

Mon Apr 28 13:21:47 PDT 2014

rasushrestha Per @MichaelEPorter, value in healthcare is created (or destroyed) at medicalcondition level, not at hospital level #JACR #AMCLC14

Mon Apr 28 13:22:06 PDT 2014

natemargolismd Lots of #imaging3 in @MichaelEPorter talk: embed in care team, add to care cycle,focus on outcomes #jacr #amclc14

Mon Apr 28 13:22:16 PDT 2014

rasushrestha Superb read: @MichaelEPorter's "Redefining Health Care" Creating Value BasedCompetition on Results http://t.co/vRZp9aOBFD #JACR #AMCLC14

Mon Apr 28 13:22:46 PDT 2014

sumirpatelmd RT @MattHawkinsMD: .@RadiologyACR -- Themes are subspecialization, servicedelivery lines focused on diseases. #JACR #AMCLC14

Mon Apr 28 13:22:51 PDT 2014

matthawkinsmd @RadiologyBoy1 @MichelEPorter -- Interoperability and vendor neutrality will beparamount. #AMCLC14 #JACR

Mon Apr 28 13:22:56 PDT 2014

hjsoch RT @DrGMcGinty: #JACR #AMCLC14 new #radiology bus models mean change, wecan't hold onto the old incentives #Imaging3

Mon Apr 28 13:23:01 PDT 2014

natemargolismd Private practice connected with academic centers, share medial records and treatentpartnership @MichaelEPorter #jacr #amclc14

Mon Apr 28 13:23:18 PDT 2014

amykotsenas RT @RasuShrestha: Superb read: @MichaelEPorter's "Redefining Health Care"Creating Value Based Competition on Results http://t.co/vRZp9aOBF…

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 5/33

Mon Apr 28 13:23:39 PDT 2014

richduszak RT @NateMargolisMD: Private practice connected with academic centers, sharemedial records and treatent partnership @MichaelEPorter #jacr #…

Mon Apr 28 13:23:43 PDT 2014

rasushrestha So let's get started! Please use hashtag #JACR and mark responses with T1, T2 etcas needed! #AMCLC14

Mon Apr 28 13:23:48 PDT 2014

matthawkinsmd .@RadiologyBoy1 @MichelEPorter -- But I realize we've been saying this forever.#AMCLC14 #JACR

Mon Apr 28 13:23:53 PDT 2014

mightycasey The healthcare unicorn - interop! RT @MattHawkinsMD: -- Interoperability and vendorneutrality will be paramount. #AMCLC14 #JACR

Mon Apr 28 13:23:56 PDT 2014

rasushrestha T1: What are the emerging business models for hospitals and outpatient practices?#JACR #AMCLC14

Mon Apr 28 13:24:03 PDT 2014

sumirpatelmd T1: @DrGMcGinty How do you convince #radiologists to let go of the old incentivesbefore its too late? #imaging3 #JACR #AMCLC14

Mon Apr 28 13:24:09 PDT 2014

matthawkinsmd RT @RasuShrestha T1: What are the emerging business models for hospitals andoutpatient practices? #JACR #AMCLC14

Mon Apr 28 13:24:19 PDT 2014

kirk_ising_klas RT @RasuShrestha: What an honor to be hosting the #JACR tweetchat today, rightafter the @MichaelEPorter talk at #AMCLC14

Mon Apr 28 13:24:31 PDT 2014

drgmcginty RT @NateMargolisMD: Lots of #imaging3 in @MichaelEPorter talk: embed in careteam, add to care cycle, focus on outcomes #jacr #amclc14

Mon Apr 28 13:24:39 PDT 2014

radsdoc82 RT @NateMargolisMD: Lots of #imaging3 in @MichaelEPorter talk: embed in careteam, add to care cycle, focus on outcomes #jacr #amclc14

Mon Apr 28 13:24:45 PDT 2014

rasushrestha T1 The very manner in which we practice medicine is changing. #JACR #AMCLC14@DrGMcGinty

Mon Apr 28 13:24:51 PDT 2014

radiologyacr RT @MattHawkinsMD: .@RadiologyACR -- Themes are subspecialization, servicedelivery lines focused on diseases. #JACR #AMCLC14

Mon Apr 28 13:24:52 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 6/33

bjh41647 #jacr porter - developed a competition that is injurious. Need to find less competitiveniche. Blue ocean

Mon Apr 28 13:25:05 PDT 2014

matthawkinsmd @RasuShrestha - Subspecialized multispecialty teams seem like an obviousresponse. #AMCLC14 #JACR

Mon Apr 28 13:25:07 PDT 2014

natemargolismd The future? MT @RasuShrestha: "Redefining Health Care" Creating Value BasedCompetition on Results http://t.co/qaSyMNaRe1 #JACR #AMCLC14”

Mon Apr 28 13:25:14 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology bus models can drive professional satisfactionas long as #radiologists are in the driver's seat #Imaging3

Mon Apr 28 13:25:17 PDT 2014

rasushrestha T1 Current payment system rewards volume over outcomes. This is not sustainable.#JACR #AMCLC14

Mon Apr 28 13:25:22 PDT 2014

colinsegovis We need to change our reimbursement model to facilitate value, not around value.#jacr

Mon Apr 28 13:25:38 PDT 2014

sumirpatelmd T1: @NateMargolisMD @MichaelEPorter Agree! Unfortunately common language#EMR is thus far a utopian dream #JACR #AMCLC14

Mon Apr 28 13:25:50 PDT 2014

mightycasey What he said!! => RT @colinsegovis: We need to change our reimbursement modelto facilitate value, not around value. #jacr

Mon Apr 28 13:26:03 PDT 2014

rasushrestha T1 There is a burning need to improve clinical outcomes obtained for dollars spenton healthcare. #JACR #AMCLC14 @DrGMcGinty

Mon Apr 28 13:26:11 PDT 2014

potharajusri RT @NateMargolisMD: Private practice connected with academic centers, sharemedial records and treatent partnership @MichaelEPorter #jacr #…

Mon Apr 28 13:26:16 PDT 2014

matthawkinsmd @RasuShrestha - And people are choking #F4S to death. It makes even moreimportant that we move quickly and wisely. #AMCLC14 #JACR

Mon Apr 28 13:26:17 PDT 2014

rasushrestha RT @MightyCasey: What he said!! => RT @colinsegovis: We need to change ourreimbursement model to facilitate value, not around value. #jacr

Mon Apr 28 13:26:22 PDT 2014

RT @MattHawkinsMD: @RadiologyBoy1 @MichelEPorter -- Interoperability and

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 7/33

potharajusri vendor neutrality will be paramount. #AMCLC14 #JACR

Mon Apr 28 13:26:32 PDT 2014

cincykidsrad Subspecialization allows us to bring our expertise to the level of the ordering provider,no matter their level #jacr

Mon Apr 28 13:26:37 PDT 2014

radiologyacr RT @colinsegovis: We need to change our reimbursement model to facilitate value,not around value. #jacr

Mon Apr 28 13:26:38 PDT 2014

rasushrestha T1 Meaningful partnerships in radiology can transform value based imaging #JACR#AMCLC14 @MightyCasey @colinsegovis

Mon Apr 28 13:26:41 PDT 2014

drgmcginty @SumirPatelMD @NateMargolisMD @MichaelEPorter and Epic isn't even on @twitter#jacr

Mon Apr 28 13:26:43 PDT 2014

richduszak @RasuShrestha Ultimately turns into a value race to the bottom. #AMCLC14 #jacr T1

Mon Apr 28 13:26:44 PDT 2014

matthawkinsmd RT @DrGMcGinty @SumirPatelMD @NateMargolisMD @MichaelEPorter and Epicisn't even on @twitter #jacr

Mon Apr 28 13:26:55 PDT 2014

radiologyacr RT @NateMargolisMD: Lots of #imaging3 in @MichaelEPorter talk: embed in careteam, add to care cycle, focus on outcomes #jacr #amclc14

Mon Apr 28 13:26:59 PDT 2014

pfanderson RT @RasuShrestha: Superb read: @MichaelEPorter's "Redefining Health Care"Creating Value Based Competition on Results http://t.co/vRZp9aOBF…

Mon Apr 28 13:27:00 PDT 2014

rasushrestha T1 True “value” generated by imaging = superior outcomes, patient centered care,and efficiency at lower costs #JACR #AMCLC14 @RichDuszak

Mon Apr 28 13:27:10 PDT 2014

pfanderson RT @RasuShrestha: What an honor to be hosting the #JACR tweetchat today, rightafter the @MichaelEPorter talk at #AMCLC14

Mon Apr 28 13:27:17 PDT 2014

cincykidsrad We can't provide value or actionable reports unless we give the info that the orderingprovider needs #jacr

Mon Apr 28 13:27:26 PDT 2014

kristinahoque RT @RasuShrestha: T1 True “value” generated by imaging = superior outcomes,patient centered care, and efficiency at lower costs #JACR #AMC…

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 8/33

Mon Apr 28 13:27:43 PDT 2014

rasushrestha T1 Advanced imaging is the bellwether for the excesses of fee-for-service medicalcare http://t.co/hYrDFCusty @Applied_Rad #JACR #AMCLC14

Mon Apr 28 13:27:53 PDT 2014

pfanderson @RichDuszak @RasuShrestha This has been proven many times. Ask anyeconomist. #jacr #amclc14

Mon Apr 28 13:28:01 PDT 2014

pfanderson RT @RasuShrestha: T1 True “value” generated by imaging = superior outcomes,patient centered care, and efficiency at lower costs #JACR #AMC…

Mon Apr 28 13:28:05 PDT 2014

matthawkinsmd .@CincyKidsRad - And we need to change the way we deliver that actionableinformation. #AMCLC14 #JACR

Mon Apr 28 13:28:09 PDT 2014

bdcoleymd RT @CincyKidsRad: We can't provide value or actionable reports unless we give theinfo that the ordering provider needs #jacr

Mon Apr 28 13:28:25 PDT 2014

tirathpatelmd RT @CincyKidsRad: We can't provide value or actionable reports unless we give theinfo that the ordering provider needs #jacr

Mon Apr 28 13:28:38 PDT 2014

rasushrestha The U.S. did 100 MRI tests and CT tests for every 1,000 people in 2010—more thantwice the average in other OECD countries #JACR #AMCLC14

Mon Apr 28 13:28:45 PDT 2014

cincykidsrad @MattHawkinsMD agree. Our reports need to provide the exact information that isneeded at the time it is needed #jacr

Mon Apr 28 13:28:52 PDT 2014

pfanderson @RichDuszak @RasuShrestha "Value race to bottom" leads to "bubbles" that pop -dot-coms, real estate, higher ed, health care #jacr #AMCLC14

Mon Apr 28 13:28:56 PDT 2014

amykotsenas RT @RasuShrestha: T1 True “value” generated by imaging = superior outcomes,patient centered care, and efficiency at lower costs #JACR #AMC…

Mon Apr 28 13:29:05 PDT 2014

bjh41647 #jacr Porter seems unaware of the work in imaging to define value and the difficultiesin doing so.

Mon Apr 28 13:29:06 PDT 2014

pfanderson RT @RasuShrestha: T1 Advanced imaging is the bellwether for the excesses of fee-for-service medical care http://t.co/hYrDFCusty @Applied_Ra…

Mon Apr 28 13:29:11 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&ss… 9/33

mightycasey T1: We'll know we've hit nirvana when patient can see scan report via patient portal,share w/full clinical team. I'm serious. #s4pm #jacr

Mon Apr 28 13:29:16 PDT 2014

rasushrestha T1 Definite need to shift from a volume-based practice of imaging to one thatemphasizes value ACROSS the care continuum #JACR #AMCLC14

Mon Apr 28 13:29:21 PDT 2014

sumirpatelmd RT @bjh41647: #jacr Porter seems unaware of the work in imaging to define valueand the difficulties in doing so.

Mon Apr 28 13:29:37 PDT 2014

bicradmarketing “@MattHawkinsMD: .@RadiologyACR -- Themes are subspecialization, servicedelivery lines focused on diseases. #JACR #AMCLC14” Agreed!!

Mon Apr 28 13:29:45 PDT 2014

mightycasey Guys, you gotta know that imaging is a major component of the arms race that is UShealthcare revenue grab. For realz. #jacr

Mon Apr 28 13:29:52 PDT 2014

amykotsenas @RasuShrestha @RichDuszak Radiology can't deliver value in a vacuum. Need topartner with clinical colleagues. #JACR #AMCLC14

Mon Apr 28 13:29:55 PDT 2014

tirathpatelmd #JACR Too much sub specialization and soloization of radiologists from one anotheris a route toward commoditization.

Mon Apr 28 13:29:56 PDT 2014

cincykidsrad If value is a race to the bottom, you are only thinking of value in terms of cost. Value isalso about experience. #jacr

Mon Apr 28 13:30:00 PDT 2014

matthawkinsmd @SumirPatelMD @bjh41647 -- I'm glad someone was willing to say it. #JACR

Mon Apr 28 13:30:03 PDT 2014

kristinahoque Perhaps the old business models are now archaic and we need new value basedcare centered models #JACR #AMCLC14

Mon Apr 28 13:30:34 PDT 2014

drgmcginty RT @AmyKotsenas: @RasuShrestha @RichDuszak Radiology can't deliver value ina vacuum. Need to partner with clinical colleagues. #JACR #AMCL…

Mon Apr 28 13:30:45 PDT 2014

cincykidsrad @MightyCasey why stop at just the report. The patient should be able to review theimages too! #jacr

Mon Apr 28 13:30:49 PDT 2014

drgmcginty #JACR #AMCLC new #radiology bus models must recognize activities other than

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 10/33

"RVU" productivity #Imaging3

Mon Apr 28 13:30:52 PDT 2014

amykotsenas RT @CincyKidsRad: @MattHawkinsMD agree. Our reports need to provide the exactinformation that is needed at the time it is needed #jacr

Mon Apr 28 13:30:53 PDT 2014

tirathpatelmd @bjh41647 @NeimanHPI is taking initiatives to prove radiology's added value inhealthcare. #jacr

Mon Apr 28 13:31:00 PDT 2014

rasushrestha T1 Do you think ACOs are the solution? @DrGMcGinty @RichDuszak@MattHawkinsMD @bjh41647 #JACR #AMCLC14

Mon Apr 28 13:31:09 PDT 2014

matthawkinsmd RT @TirathPatelMD @bjh41647 @NeimanHPI is taking initiatives to proveradiology's added value in healthcare. #jacr

Mon Apr 28 13:31:14 PDT 2014

radiologyacr RT @AmyKotsenas: @RasuShrestha @RichDuszak Radiology can't deliver value ina vacuum. Need to partner with clinical colleagues. #JACR #AMCL…

Mon Apr 28 13:31:16 PDT 2014

rasushrestha T1 There are more than 520 #ACOs already today across the US.http://t.co/79r6sa1ebN #JACR #AMCLC14

Mon Apr 28 13:31:23 PDT 2014

drsxr RT @DrGMcGinty: #JACR #AMCLC new #radiology bus models must recognizeactivities other than "RVU" productivity #Imaging3

Mon Apr 28 13:31:58 PDT 2014

grebeccahaines T1: how about cross-discipline PQI studies that demonstrate value? Calling ABMS#imaging3 #jacr

Mon Apr 28 13:32:00 PDT 2014

rasushrestha T1 2/3 of US population now live in localities served by #ACOshttp://t.co/WYkpXM5MEW #JACR #AMCLC14 @DrGMcGinty @RichDuszak

Mon Apr 28 13:32:05 PDT 2014

matthawkinsmd RT @RasuShrestha 2/3 of US population now live in localities served by #ACOshttp://t.co/TcHPxEwxso #JACR #AMCLC14 @DrGMcGinty @RichDuszak

Mon Apr 28 13:32:17 PDT 2014

rasushrestha T1 #ACOs are currently at early stage of development, but "once the fire is lit, it'sgoing to spread quickly." @OliverWyman #JACR #AMCLC14

Mon Apr 28 13:32:28 PDT 2014

pfanderson RT @CincyKidsRad: We can't provide value or actionable reports unless we give theinfo that the ordering provider needs #jacr

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 11/33

Mon Apr 28 13:32:33 PDT 2014

drgmcginty @RasuShrestha #AMCLC14 so much baggage assoc w term #ACO but we need toalign incentives and think #population health #jacr

Mon Apr 28 13:32:35 PDT 2014

pfanderson RT @MattHawkinsMD: .@CincyKidsRad - And we need to change the way we deliverthat actionable information. #AMCLC14 #JACR

Mon Apr 28 13:32:36 PDT 2014

tgreeson With whom will radiologiists align in the new business model? Other rads in largergroups/networks? With hospitals? #JACR

Mon Apr 28 13:32:56 PDT 2014

mightycasey @CincyKidsRad Delighted to hear YOU say that - was hoping someone would =)#JACR

Mon Apr 28 13:32:56 PDT 2014

natemargolismd .@bjh41647 @RasuShrestha need to reward outcomes, #PQRS is a start but fallsshort of potential #jacr #AMCLC14

Mon Apr 28 13:32:59 PDT 2014

radiologyacr RT @grebeccahaines: T1: how about cross-discipline PQI studies that demonstratevalue? Calling ABMS #imaging3 #jacr

Mon Apr 28 13:33:02 PDT 2014

rasushrestha I agree! #jacr #imaging3 @DrGMcGinty

Mon Apr 28 13:33:03 PDT 2014

radiologyacr RT @DrGMcGinty: #JACR #AMCLC new #radiology bus models must recognizeactivities other than "RVU" productivity #Imaging3

Mon Apr 28 13:33:08 PDT 2014

rasushrestha RT @NateMargolisMD: .@bjh41647 @RasuShrestha need to reward outcomes,#PQRS is a start but falls short of potential #jacr #AMCLC14

Mon Apr 28 13:33:12 PDT 2014

shawnteaguemd RT @MattHawkinsMD: RT @RasuShrestha 2/3 of US population now live in localitiesserved by #ACOs http://t.co/TcHPxEwxso #JACR #AMCLC14 @DrGM…

Mon Apr 28 13:33:15 PDT 2014

pfanderson @MattHawkinsMD @CincyKidsRad Not just that, but can there be a plain languagecomponent for patients using PHR? #jacr #AMCLC14

Mon Apr 28 13:33:17 PDT 2014

radiologyacr RT @KristinaHoque: Perhaps the old business models are now archaic and weneed new value based care centered models #JACR #AMCLC14

Mon Apr 28 13:33:18 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 12/33

pfanderson RT @RasuShrestha: T1 2/3 of US population now live in localities served by #ACOshttp://t.co/WYkpXM5MEW #JACR #AMCLC14 @DrGMcGinty @RichDus…

Mon Apr 28 13:33:27 PDT 2014

rasushrestha T1 Goal should be a learning healthcare system designed to generate & apply bestevidence for collaborative pt centered care #JACR #AMCLC14

Mon Apr 28 13:33:33 PDT 2014

bjh41647 @grebeccahaines #jacr PQI that includes health outcomes. Requires big data and aresearch infrastructure that we have now but may disappear

Mon Apr 28 13:33:39 PDT 2014

kristinahoque @jonathanbreslau true! But by focusing on #imaging3 we actually protect ourselvesand preserve the income of future radiologists #JACR

Mon Apr 28 13:33:45 PDT 2014

marcoalvarez RT @TirathPatelMD: #JACR Too much sub specialization and soloization ofradiologists from one another is a route toward commoditization.

Mon Apr 28 13:33:51 PDT 2014

shawnteaguemd RT @grebeccahaines: T1: how about cross-discipline PQI studies that demonstratevalue? Calling ABMS #imaging3 #jacr

Mon Apr 28 13:33:52 PDT 2014

colinsegovis We have arguable the most technoloically connected field in Medicine but we stilloperate in silos and/or solo. #jacr

Mon Apr 28 13:34:07 PDT 2014

radiologyacr RT @TirathPatelMD: #JACR Too much sub specialization and soloization ofradiologists from one another is a route toward commoditization.

Mon Apr 28 13:34:09 PDT 2014

cincykidsrad At this point, we can't even measure outcomes. No way to prove how good we are asindividuals or groups. #jacr

Mon Apr 28 13:34:19 PDT 2014

radsdoc82 @drgmcginty Lets create a new RVU - Radiologist Value Unit #imaging #JACR

Mon Apr 28 13:34:26 PDT 2014

richduszak RT @DrGMcGinty: @RasuShrestha #AMCLC14 so much baggage assoc w term#ACO but we need to align incentives and think #population health #jacr

Mon Apr 28 13:34:27 PDT 2014

rasushrestha T1 Good read: Beyond Fee-For-Service: Emerging Payment Models in Radiologyhttp://t.co/MxZah0LZWE @RadiologyACR @RichDuszak #JACR #AMCLC14

Mon Apr 28 13:34:27 PDT 2014

tirathpatelmd RT @colinsegovis: We have arguable the most technoloically connected field in

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 13/33

Medicine but we still operate in silos and/or solo. #jacr

Mon Apr 28 13:34:28 PDT 2014

radiologywriter RT @KristinaHoque: @jonathanbreslau true! But by focusing on #imaging3 weactually protect ourselves and preserve the income of future radi…

Mon Apr 28 13:34:32 PDT 2014

drgmcginty @NateMargolisMD @bjh41647 @RasuShrestha agree, clunky but gotta do it only#quality "language" @CMSGov understands right now #jacr

Mon Apr 28 13:34:33 PDT 2014

amykotsenas RT @colinsegovis: We have arguable the most technoloically connected field inMedicine but we still operate in silos and/or solo. #jacr

Mon Apr 28 13:34:35 PDT 2014

mightycasey @RasuShrestha @colinsegovis Here's a revolutionary idea: how about we startconsolidating all the bazillions of imaging centers? #JACR

Mon Apr 28 13:34:38 PDT 2014

drsxr T1: For Outpatient imaging, combining with physician led #ACO may be a path. #jacr

Mon Apr 28 13:34:42 PDT 2014

kristinahoque RT @RasuShrestha: T1 Good read: Beyond Fee-For-Service: Emerging PaymentModels in Radiology http://t.co/MxZah0LZWE @RadiologyACR @RichDus…

Mon Apr 28 13:34:55 PDT 2014

grebeccahaines RT @bjh41647: @grebeccahaines #jacr PQI that includes health outcomes.Requires big data and a research infrastructure that we have now but…

Mon Apr 28 13:35:06 PDT 2014

amykotsenas @colinsegovis And sometimes within our own depts! #jacr

Mon Apr 28 13:35:07 PDT 2014

pfanderson RT @colinsegovis: We have arguable the most technoloically connected field inMedicine but we still operate in silos and/or solo. #jacr

Mon Apr 28 13:35:11 PDT 2014

rasushrestha The IDN-ization of healthcare has already begun! #JACR @MightyCasey@colinsegovis #AMCLC14

Mon Apr 28 13:35:14 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology bus models must incentivise investment in techto allow connection with #patients and colleagues #Imaging3

Mon Apr 28 13:35:24 PDT 2014

pfanderson @colinsegovis That's a profound insight. What do you think is contributing to theisolation? #jacr #AMCLC14

Mon Apr 28 13:35:47 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 14/33

rasushrestha T1 Very survival of imaging may well be hinged in being able to measure key valuebased metrics and consequently improve them #JACR #AMCLC14

Mon Apr 28 13:35:47 PDT 2014

natemargolismd .@colinsegovis working in disease based teams should break down barriers, workwith other depts on improving outcomes #jacr #AMCLC14

Mon Apr 28 13:35:58 PDT 2014

cincykidsrad MT @DrGMcGinty new #radiology bus models must incentivise investment in tech 2allow connection w#patients and colleagues #Imaging3 #jacr

Mon Apr 28 13:35:59 PDT 2014

colinsegovis Instead of consolidating, how about communicating? #jacr

Mon Apr 28 13:36:00 PDT 2014

mightycasey +1! RT @DrGMcGinty: new #radiology bus models must incentivise investment intech, connection with #patients and colleagues #Imaging3 #jacr

Mon Apr 28 13:36:09 PDT 2014

amykotsenas RT @DrGMcGinty: #JACR #AMCLC14 new #radiology bus models must incentiviseinvestment in tech to allow connection with #patients and colleag…

Mon Apr 28 13:36:11 PDT 2014

bjh41647 @DrGMcGinty @NateMargolisMD @RasuShrestha @CMSGov #jacr quality is at bestan intermediate outcome. Doesn't get us there to show value healt

Mon Apr 28 13:36:13 PDT 2014

rasushrestha T1 Value means different things to different stakeholders, so step 1 is to define value& analyze the imaging value chain. #JACR #AMCLC14

Mon Apr 28 13:36:37 PDT 2014

mightycasey Suggest consolidating, [loud] communication might ensue => RT @colinsegovis:Instead of consolidating, how about communicating? #jacr

Mon Apr 28 13:36:50 PDT 2014

rasushrestha T1 Improving value requires reliable information, sound decision principles, andappropriate incentives #JACR #AMCLC14

Mon Apr 28 13:36:57 PDT 2014

pfanderson RT @RasuShrestha: T1 Very survival of imaging may well be hinged in being able tomeasure key value based metrics and consequently improve …

Mon Apr 28 13:36:58 PDT 2014

matthawkinsmd @AmyKotsenas @DrGMcGinty -- But there is little hope that the $$ will be there forreturn on investment in #HIT. #JACR

Mon Apr 28 13:37:04 PDT 2014

kristinahoque @DrGMcGinty agree incentives are important but we need to use the technologyefficiently and meaningfully #JACR

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 15/33

Mon Apr 28 13:37:10 PDT 2014

jim_rawson_md RT @DrGMcGinty: #JACR #AMCLC14 new #radiology bus models must incentiviseinvestment in tech to allow connection with #patients and colleag…

Mon Apr 28 13:37:22 PDT 2014

rasushrestha Sound decision principles center on the patient, evidence, context, transparency, andlearning. #JACR #AMCLC14 @KristinaHoque @DrGMcGinty

Mon Apr 28 13:37:22 PDT 2014

radiologyacr T2. What can physicians and other providers do to participate in and managechange? #JACR #AMCLC14

Mon Apr 28 13:37:28 PDT 2014

tirathpatelmd RT @CincyKidsRad: If value is a race to the bottom, you are only thinking of value interms of cost. Value is also about experience. #jacr

Mon Apr 28 13:37:37 PDT 2014

rasushrestha Appropriate incentives direct attention and rewards to outcomes, quality, and cost.#JACR #AMCLC14 @MattHawkinsMD @AmyKotsenas @DrGMcGinty

Mon Apr 28 13:37:43 PDT 2014

pfanderson @MightyCasey @colinsegovis Good communication & coordination can have similarimpact to consolidation #jacr

Mon Apr 28 13:37:48 PDT 2014

rasushrestha RT @RadiologyACR: T2. What can physicians and other providers do to participate inand manage change? #JACR #AMCLC14

Mon Apr 28 13:37:50 PDT 2014

mightycasey @RasuShrestha re T1 + value determination, answer = what gets patient to "better"fastest? And without bankrupting him/her? #s4pm #jacr

Mon Apr 28 13:37:51 PDT 2014

matthawkinsmd Might we already have the #HIT tools to provide value-based care? Are we missingwhat we have in search for something new? #JACR

Mon Apr 28 13:37:54 PDT 2014

colinsegovis No reason a rural radiologist cannot virtually collaborate with a subspecializedradiologist…except the whole reimbursement thing. #jacr

Mon Apr 28 13:37:57 PDT 2014

jim_rawson_md RT@RasuShrestha: T1 Improving value requires reliable information, sounddecision principles, and appropriate incentives #JACR #AMCLC14

Mon Apr 28 13:37:59 PDT 2014

matthawkinsmd RT @RadiologyACR T2. What can physicians and other providers do to participate inand manage change? #JACR #AMCLC14

Mon Apr 28 13:38:04 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 16/33

drsxr @bjh41647 @DrGMcGinty @NateMargolisMD @RasuShrestha @CMSGov But timewe can measure - we speed diagnosis. No question. #jacr

Mon Apr 28 13:38:07 PDT 2014

cincykidsrad @RasuShrestha our definition of value = (outcome+experience)/cost #jacr

Mon Apr 28 13:38:08 PDT 2014

amykotsenas RT @MattHawkinsMD: @AmyKotsenas @DrGMcGinty -- But there is little hope thatthe $$ will be there for return on investment in #HIT. #JACR

Mon Apr 28 13:38:20 PDT 2014

amykotsenas RT @RasuShrestha: Appropriate incentives direct attention and rewards tooutcomes, quality, and cost. #JACR #AMCLC14 @MattHawkinsMD @AmyKot…

Mon Apr 28 13:38:22 PDT 2014

rasushrestha T2 "..Most of what constitutes modern medical imaging practice is based on habit,anecdotes, &..biases” Dr Hillman @bjh41647 #JACR #AMCLC14

Mon Apr 28 13:38:23 PDT 2014

kristinahoque @RasuShrestha @DrGMcGinty agree - it will likely require an interdisciplinary teamto make these principles a reality #JACR

Mon Apr 28 13:38:23 PDT 2014

richduszak RT @RasuShrestha: T1 Good read: Beyond Fee-For-Service: Emerging PaymentModels in Radiology http://t.co/MxZah0LZWE @RadiologyACR @RichDus…

Mon Apr 28 13:38:28 PDT 2014

drgmcginty @RadiologyACR #jacr check out our #imaging3 toolkit http://t.co/VSWqcoLOPt#AMCLC14

Mon Apr 28 13:38:31 PDT 2014

roguerad 10th CT on 87 YO Mr. Smith with diss metastases is of little marginal value,particularly if performed 2 hrs before he RIPs. (1/2) #jacr

Mon Apr 28 13:38:36 PDT 2014

mightycasey @pfanderson @colinsegovis But there's still all that damn replicated hardwarelittered across the landscape ... #JACR

Mon Apr 28 13:38:44 PDT 2014

kristinahoque RT @DrGMcGinty: @RadiologyACR #jacr check out our #imaging3 toolkithttp://t.co/VSWqcoLOPt #AMCLC14

Mon Apr 28 13:38:59 PDT 2014

rasushrestha T2 Radiologists need to be more visible across the care delivery continuum #JACR#AMCLC14 @MattHawkinsMD @RadiologyACR #imaging3

Mon Apr 28 13:39:05 PDT 2014

radsdoc82 Lead by example and affect trainees. Don't make excuses. @matthawkinsmd

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 17/33

@radiologyacr #JACR

Mon Apr 28 13:39:11 PDT 2014

rasushrestha T2 Radiologists should get out from the dark and champion the cause of thePATIENT; we 'see' them like no one else does! #JACR #AMCLC14

Mon Apr 28 13:39:18 PDT 2014

pfanderson RT @DrGMcGinty: @RadiologyACR #jacr check out our #imaging3 toolkithttp://t.co/VSWqcoLOPt #AMCLC14

Mon Apr 28 13:39:41 PDT 2014

mightycasey AMEN! RT @RogueRad: 10th CT on 87 YO Mr. Smith w/diss metastases has littlemarginal value, partic if performed 2 hrs before he RIPs. #jacr

Mon Apr 28 13:39:42 PDT 2014

cincykidsrad Fist thing radiologists can do is embrace change -- after that, there are lots of thingswe can do to improve. #jacr

Mon Apr 28 13:39:44 PDT 2014

natemargolismd .@DrGMcGinty 1 of best ways to use tech is showing images to refererers and pts, ala @GoToMeeting #AMCLC14 #JACR

Mon Apr 28 13:39:44 PDT 2014

richduszak RT @RasuShrestha: T2 Radiologists should get out from the dark and champion thecause of the PATIENT; we 'see' them like no one else does! …

Mon Apr 28 13:39:51 PDT 2014

rasushrestha Radiologists need to play an active role as Physician Consultants, not just merediagnosticians #JACR #AMCLC14 @KristinaHoque @DrGMcGinty

Mon Apr 28 13:39:52 PDT 2014

roguerad Who has the will & incentive to stop the 10th, and most useless, CT on dying Mr.Smith (2/2)? #jacr

Mon Apr 28 13:39:55 PDT 2014

pfanderson RT @RogueRad: 10th CT on 87 YO Mr. Smith with diss metastases is of littlemarginal value, particularly if performed 2 hrs before he RIPs. …

Mon Apr 28 13:39:55 PDT 2014

bjh41647 @MightyCasey @pfanderson @colinsegovis #jacr the general belief is that bundlingpayments will take care of excess capacity

Mon Apr 28 13:40:04 PDT 2014

colinsegovis The techology problem is WAY easier to fix than reimbursement. @MightyCasey@pfanderson #jacr

Mon Apr 28 13:40:22 PDT 2014

rasushrestha T2 Accountable care calls for rads to be fully engaged w rest of clinical team aroundutilization & improved outcomes #JACR #AMCLC14

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 18/33

Mon Apr 28 13:40:26 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology bus models are a way to demonstrate our #value#Imaging3

Mon Apr 28 13:40:36 PDT 2014

tirathpatelmd RT @RasuShrestha: Radiologists need to play an active role as PhysicianConsultants, not just mere diagnosticians #JACR #AMCLC14 @KristinaH…

Mon Apr 28 13:40:36 PDT 2014

cincykidsrad We have so much technology -- the tools are there, how we use them is what willtake the paradigm shift #jacr

Mon Apr 28 13:40:38 PDT 2014

drgmcginty RT @RasuShrestha: Radiologists need to play an active role as PhysicianConsultants, not just mere diagnosticians #JACR #AMCLC14 @KristinaH…

Mon Apr 28 13:40:39 PDT 2014

natemargolismd .@bjh41647 @DrGMcGinty @RasuShrestha @CMSGov rewarding processes isintermediary until will define meaningful outcomes #amclc14 #jacr

Mon Apr 28 13:40:47 PDT 2014

bjh41647 RT @CincyKidsRad: Fist thing radiologists can do is embrace change -- after that,there are lots of things we can do to improve. #jacr

Mon Apr 28 13:40:57 PDT 2014

amykotsenas . @RogueRad If radiology is part of the care "team" we might have more influence.#jacr #AMCLC14

Mon Apr 28 13:40:57 PDT 2014

pfanderson @MightyCasey @colinsegovis If you removed the duplicated hardware, big impact indiagnosis (as in losses) #jacr

Mon Apr 28 13:41:00 PDT 2014

kristinahoque @RasuShrestha @MattHawkinsMD @RadiologyACR without question we need to bemore visible - it is a big culture shift #imaging3 #JACR

Mon Apr 28 13:41:02 PDT 2014

colinsegovis I can build you a collaboration system in 24 hrs in a pinch. #jacr @pfanderson@MightyCasey

Mon Apr 28 13:41:02 PDT 2014

kristinahoque RT @Radsdoc82: Lead by example and affect trainees. Don't make excuses.@matthawkinsmd @radiologyacr #JACR

Mon Apr 28 13:41:10 PDT 2014

rasushrestha T2 When ordering studies, relevant cost-effectiveness information is oftenunavailable #JACR #AMCLC14 @DrGMcGinty @MattHawkinsMD @RichDuszak

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 19/33

Mon Apr 28 13:41:19 PDT 2014

drgmcginty RT @drsxr: @bjh41647 @DrGMcGinty @NateMargolisMD @RasuShrestha@CMSGov But time we can measure - we speed diagnosis. No question. #jacr

Mon Apr 28 13:41:37 PDT 2014

nxtstop1 RT @RasuShrestha: T1 Good read: Beyond Fee-For-Service: Emerging PaymentModels in Radiology http://t.co/MxZah0LZWE @RadiologyACR @RichDus…

Mon Apr 28 13:41:44 PDT 2014

bjh41647 @NateMargolisMD @DrGMcGinty @RasuShrestha @CMSGov #jacr what "until" weknow how but so much money and time

Mon Apr 28 13:41:54 PDT 2014

cincykidsrad @RasuShrestha @DrGMcGinty @MattHawkinsMD @RichDuszak why would it be inthe COE system, its not in the literature #jacr

Mon Apr 28 13:41:56 PDT 2014

drgmcginty RT @bjh41647: @DrGMcGinty @NateMargolisMD @RasuShrestha @CMSGov #jacrquality is at best an intermediate outcome. Doesn't get us there to s…

Mon Apr 28 13:41:57 PDT 2014

pfanderson @MightyCasey @colinsegovis Perhaps more dissemination of low-level tools forimaging? I dunno. Cd a smartphone app carry part of this? #jacr

Mon Apr 28 13:41:59 PDT 2014

drgmcginty RT @Radsdoc82: @drgmcginty Lets create a new RVU - Radiologist Value Unit#imaging #JACR

Mon Apr 28 13:42:08 PDT 2014

radiologyacr RT @CincyKidsRad: We have so much technology -- the tools are there, how we usethem is what will take the paradigm shift #jacr

Mon Apr 28 13:42:14 PDT 2014

pfanderson RT @bjh41647: @MightyCasey @pfanderson @colinsegovis #jacr the general beliefis that bundling payments will take care of excess capacity

Mon Apr 28 13:42:23 PDT 2014

nxtstop1 RT @RogueRad: 10th CT on 87 YO Mr. Smith with diss metastases is of littlemarginal value, particularly if performed 2 hrs before he RIPs. …

Mon Apr 28 13:42:28 PDT 2014

nxtstop1 RT @RogueRad: Who has the will & incentive to stop the 10th, and most useless, CTon dying Mr. Smith (2/2)? #jacr

Mon Apr 28 13:42:30 PDT 2014

pfanderson RT @colinsegovis: The techology problem is WAY easier to fix than reimbursement.@MightyCasey @pfanderson #jacr

Mon Apr 28 13:42:34 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 20/33

mightycasey @colinsegovis @pfanderson Keep doin' that! #JACR

Mon Apr 28 13:42:39 PDT 2014

roguerad .@AmyKotsenas True. But pre-supposes we wish that influence. UtilizationManagement doesn't win friends. Which is why I relish it! #jacr

Mon Apr 28 13:42:45 PDT 2014

matthawkinsmd MT @pfanderson Perhaps more dissemination of low-level tools for imaging? Idunno. Cd a smartphone app carry part of this? #jacr

Mon Apr 28 13:42:52 PDT 2014

natemargolismd 4pm tomorrow? RT@colinsegovis: I can build you a collaboration system in 24 hrs ina pinch. #jacr @pfanderson @MightyCasey

Mon Apr 28 13:42:55 PDT 2014

bjh41647 @NateMargolisMD @DrGMcGinty @RasuShrestha @CMSGov #jacr what we coulduse are proxy outcomes that reliably reflect real outcomes

Mon Apr 28 13:43:00 PDT 2014

rasushrestha T2 Ordering studies often marred by overestimated benefits + misaligned incentives#JACR #AMCLC14 @bjh41647 @NateMargolisMD @DrGMcGinty

Mon Apr 28 13:43:06 PDT 2014

mightycasey @pfanderson @colinsegovis NO SH*T! It's like ICBM silos ... everywhere. #JACR

Mon Apr 28 13:43:17 PDT 2014

radiologyacr RT @Radsdoc82: Lead by example and affect trainees. Don't make excuses.@matthawkinsmd @radiologyacr #JACR

Mon Apr 28 13:43:18 PDT 2014

cincykidsrad .@colinsegovis @pfanderson @MightyCasey or can just use Skype #jacr

Mon Apr 28 13:43:19 PDT 2014

kristinahoque @bjh41647 @NateMargolisMD @DrGMcGinty @RasuShrestha hopefully adaptingwill ultimately save time and money in the long term #JACR

Mon Apr 28 13:43:20 PDT 2014

tirathpatelmd .@DrGMcGinty #Jacr Should rads organize around specialties (ie, be employees oforthopedists, ENTs, etc rather radiology groups/depts)?

Mon Apr 28 13:43:26 PDT 2014

radiologyacr RT @colinsegovis: No reason a rural radiologist cannot virtually collaborate with asubspecialized radiologist…except the whole reimburseme…

Mon Apr 28 13:43:36 PDT 2014

jonathanbreslau @michaeleporter #amclc14 #jacr #hbrThe Strategy That Will Fix Health Care -Harvard Business Review http://t.co/55y8M8Zsif

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 21/33

Mon Apr 28 13:43:55 PDT 2014

tirathpatelmd RT @AmyKotsenas: . @RogueRad If radiology is part of the care "team" we mighthave more influence. #jacr #AMCLC14

Mon Apr 28 13:43:55 PDT 2014

colinsegovis We need to get back into the clinics. How did we ever get so cloistered? And whendid we build silos in the cloister? #jacr

Mon Apr 28 13:44:06 PDT 2014

mightycasey @colinsegovis @pfanderson True re replication/reimbursement issue. Both needaddressing. #JACR

Mon Apr 28 13:44:09 PDT 2014

cincykidsrad .@TirathPatelMD @DrGMcGinty Rad should collaborate and cross pollinate but areprobably better suited to stay in a rad dept #jacr

Mon Apr 28 13:44:11 PDT 2014

rasushrestha T2 We need 1. evidence-based medicine, 2. coordinated care & 3. shared savings#JACR #AMCLC14

Mon Apr 28 13:44:11 PDT 2014

amykotsenas . @RogueRad True, but it might win more friends when payments are bundled. #jacr

Mon Apr 28 13:44:14 PDT 2014

radiologyacr RT @NateMargolisMD: .@bjh41647 @RasuShrestha need to reward outcomes,#PQRS is a start but falls short of potential #jacr #AMCLC14

Mon Apr 28 13:44:19 PDT 2014

drgmcginty RT @jonathanbreslau: @michaeleporter #amclc14 #jacr #hbrThe Strategy That WillFix Health Care - Harvard Business Review http://t.co/55y8M8…

Mon Apr 28 13:44:20 PDT 2014

cancergeek Sorry I am late. #jacr

Mon Apr 28 13:44:35 PDT 2014

rasushrestha T2 Data transparency btw payer & provider needed for utilization, appropriateness &costs to foster informed decision making #JACR #AMCLC14

Mon Apr 28 13:44:45 PDT 2014

roguerad If rads want to add value they must manage utilization. Which means being financiallypoorer, but spiritually richer. Ready? #jacr

Mon Apr 28 13:44:45 PDT 2014

radiologyacr RT @TirathPatelMD: .@DrGMcGinty #Jacr Should rads organize around specialties(ie, be employees of orthopedists, ENTs, etc rather radiology…

Mon Apr 28 13:44:49 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 22/33

rasushrestha Welcome @CancerGeek #jacr

Mon Apr 28 13:44:58 PDT 2014

cincykidsrad .@TirathPatelMD @AmyKotsenas @RogueRad Can't say "If radiology is part of theteam..." We have to make ourselves part of the team #jacr

Mon Apr 28 13:45:04 PDT 2014

matthawkinsmd @RadiologyACR @NateMargolisMD @bjh41647 @RasuShrestha -- Agree! Puttingfluoro time in a text report has little value for pt. #PQRS #JACR

Mon Apr 28 13:45:05 PDT 2014

aliradmanmd Any thoughts about radiologist integration strategy leading to a downgrade frombeing a specialist to a physician-assistant? #jacr

Mon Apr 28 13:45:05 PDT 2014

rasushrestha RT @RogueRad: If rads want to add value they must manage utilization. Whichmeans being financially poorer, but spiritually richer. Ready? …

Mon Apr 28 13:45:10 PDT 2014

natemargolismd RT @bjh41647: @NateMargolisMD @DrGMcGinty @RasuShrestha @CMSGov #jacrwhat "until" we know how but so much money and time

Mon Apr 28 13:45:11 PDT 2014

tirathpatelmd RT @CincyKidsRad: .@TirathPatelMD @AmyKotsenas @RogueRad Can't say "Ifradiology is part of the team..." We have to make ourselves part of…

Mon Apr 28 13:45:14 PDT 2014

rasushrestha T2 Radiology needs 1. TRANSPARENCY (price, value, quality) and 2. VISIBILITY(collaboration & care coordination) #JACR #AMCLC14 #irony

Mon Apr 28 13:45:32 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology bus models must include incentives to improveservice and #quality #Imaging3

Mon Apr 28 13:45:32 PDT 2014

mightycasey @CincyKidsRad @colinsegovis @pfanderson True. Or G+ Hangout =) #jacr

Mon Apr 28 13:45:34 PDT 2014

radiologyacr RT @RogueRad: .@AmyKotsenas True. But pre-supposes we wish that influence.Utilization Management doesn't win friends. Which is why I relis…

Mon Apr 28 13:45:35 PDT 2014

pfanderson @MightyCasey @colinsegovis If there are scalable entry-level telemedicine tools toempower individuals/small clinics with ... #1/3 #jacr

Mon Apr 28 13:45:35 PDT 2014

amykotsenas . @NateMargolisMD @colinsegovis @pfanderson @MightyCasey I don't think so.Collaboration requires trust, that takes time to build. #jacr

Mon Apr 28 13:45:36 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 23/33

kristinahoque RT @RasuShrestha: T2 Radiology needs 1. TRANSPARENCY (price, value, quality)and 2. VISIBILITY (collaboration & care coordination) #JACR…

Mon Apr 28 13:46:04 PDT 2014

roguerad .@AmyKotsenas You are too kind! Payments may be bundled but test orderingbehavior won't be. Still won't have friends! #jacr

Mon Apr 28 13:46:06 PDT 2014

pfanderson @MightyCasey @colinsegovis ... SAFE imaging options that have high caliberdiagnostic relevance, only then wd I be willing to ... 2/3 #jacr

Mon Apr 28 13:46:10 PDT 2014

mightycasey @pfanderson @colinsegovis Ask @EricTopol - bet he has the answer to that one!#JACR

Mon Apr 28 13:46:13 PDT 2014

cancergeek T2: Rads need to be the voice of their modality. Educate, speak, inform patients &referral sources. Face2face, phone, f/u email #jacr

Mon Apr 28 13:46:14 PDT 2014

tirathpatelmd @CincyKidsRad @DrGMcGinty #jacr what is the added value in being a radiologygroup/dept? I see added value in the alternative.

Mon Apr 28 13:46:15 PDT 2014

amykotsenas RT @RogueRad: If rads want to add value they must manage utilization. Whichmeans being financially poorer, but spiritually richer. Ready? …

Mon Apr 28 13:46:20 PDT 2014

grebeccahaines RT @RasuShrestha: T2 Radiology needs 1. TRANSPARENCY (price, value, quality)and 2. VISIBILITY (collaboration & care coordination) #JACR…

Mon Apr 28 13:46:21 PDT 2014

loranstefani RT @MightyCasey: What he said!! => RT @colinsegovis: We need to change ourreimbursement model to facilitate value, not around value. #jacr

Mon Apr 28 13:46:38 PDT 2014

rasushrestha Intelligent collaboration across care teams! #JACR #AMCLC14 @AmyKotsenas@NateMargolisMD @colinsegovis @pfanderson @MightyCasey

Mon Apr 28 13:46:55 PDT 2014

mightycasey @AmyKotsenas @NateMargolisMD @colinsegovis @pfanderson Not true if you LETPATIENTS HELP build it! #s4pm #jacr cc @ePatientDave

Mon Apr 28 13:47:01 PDT 2014

amykotsenas . @CincyKidsRad @TirathPatelMD @RogueRad How about WHEN radiology is partof the team. #jacr

Mon Apr 28 13:47:05 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 24/33

kristinahoque RT @CancerGeek: T2: Rads need to be the voice of their modality. Educate, speak,inform patients & referral sources. Face2face, phone, f/u …

Mon Apr 28 13:47:09 PDT 2014

pfanderson @MightyCasey @colinsegovis ... consider removing "duplicate" hardware. But that'swhy we have "extras". Distrib ppl=distrib hdwr #jacr 3/3

Mon Apr 28 13:47:14 PDT 2014

rasushrestha T2 We should be accountable for total quality, cost & care of our patients. #JACR#AMCLC14 @CancerGeek @MattHawkinsMD

Mon Apr 28 13:47:26 PDT 2014

radhelper RT @MattHawkinsMD: @RadiologyACR @NateMargolisMD @bjh41647@RasuShrestha -- Agree! Putting fluoro time in a text report has little value f…

Mon Apr 28 13:47:27 PDT 2014

pfanderson RT @CincyKidsRad: .@colinsegovis @pfanderson @MightyCasey or can just useSkype #jacr

Mon Apr 28 13:47:30 PDT 2014

cincykidsrad .@TirathPatelMD @DrGMcGinty value in purchasing equipment, learning fromimaging-colleagues, etc #jacr

Mon Apr 28 13:47:34 PDT 2014

pfanderson RT @MightyCasey: @CincyKidsRad @colinsegovis @pfanderson True. Or G+Hangout =) #jacr

Mon Apr 28 13:47:37 PDT 2014

nxtstop1 RT @RasuShrestha: T1 Definite need to shift from a volume-based practice ofimaging to one that emphasizes value ACROSS the care continuum …

Mon Apr 28 13:47:42 PDT 2014

tgreeson Agree. RT @tirathpatelmd: #JACR Too much sub specialization and soloizatiion ofrads from one another is a route toward commoditization.

Mon Apr 28 13:47:52 PDT 2014

dembiznova Agree. RT @tirathpatelmd: #JACR Too much sub specialization and soloizatiion ofrads from one another is a route toward commoditization.

Mon Apr 28 13:47:52 PDT 2014

cancergeek T2: IMO Rads have an opportunity to redesign their models. Don't limit yourself toconfines of what is today. Start w what it can be. #jacr

Mon Apr 28 13:47:55 PDT 2014

mightycasey @pfanderson @colinsegovis Mobile imaging isn't new. Plenty of Sprinter vans outthere doing 'zackly that. Need more. #jacr

Mon Apr 28 13:48:07 PDT 2014

kristinahoque @AmyKotsenas @CincyKidsRad @TirathPatelMD @RogueRad radiology is ALWAYS

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 25/33

part of the team #JACR

Mon Apr 28 13:48:14 PDT 2014

rasushrestha RT @DemBizNoVA: Agree. RT @tirathpatelmd: #JACR Too much sub specializationand soloizatiion of rads from one another is a route toward com…

Mon Apr 28 13:48:22 PDT 2014

tirathpatelmd @MattHawkinsMD @MichaelEPorter There is a push in the pt safety community forwarranties on orthopedic devices. #jacr

Mon Apr 28 13:48:22 PDT 2014

matthawkinsmd @RasuShrestha @CancerGeek -- agree. #Radiologists should take ownership overall quality metrics/measurement in imaging. #JACR

Mon Apr 28 13:48:28 PDT 2014

radhelper RT @RasuShrestha: T2 We need 1. evidence-based medicine, 2. coordinated care &3. shared savings #JACR #AMCLC14

Mon Apr 28 13:48:31 PDT 2014

rasushrestha I agree too @DemBizNoVA @tirathpatelmd #jacr

Mon Apr 28 13:48:35 PDT 2014

radiologyacr RT @DrGMcGinty: #JACR #AMCLC14 new #radiology bus models must includeincentives to improve service and #quality #Imaging3

Mon Apr 28 13:48:39 PDT 2014

pfanderson @TirathPatelMD @DrGMcGinty They've done this with #medlibs. Place the expertisehalf time in lab where needed, half time in library #jacr

Mon Apr 28 13:48:40 PDT 2014

hjsoch RT @RasuShrestha: T2 Radiology needs 1. TRANSPARENCY (price, value, quality)and 2. VISIBILITY (collaboration & care coordination) #JACR…

Mon Apr 28 13:48:50 PDT 2014

drsxr RT @tgreeson: Agree. RT @tirathpatelmd: #JACR Too much sub specialization andsoloizatiion of rads from one another is a route toward commo…

Mon Apr 28 13:48:53 PDT 2014

tirathpatelmd RT @MattHawkinsMD: @RasuShrestha @CancerGeek -- agree. #Radiologistsshould take ownership over all quality metrics/measurement in imaging…

Mon Apr 28 13:48:58 PDT 2014

radhelper RT @MattHawkinsMD: @RasuShrestha @CancerGeek -- agree. #Radiologistsshould take ownership over all quality metrics/measurement in imaging…

Mon Apr 28 13:48:58 PDT 2014

colinsegovis @AmyKotsenas @NateMargolisMD @pfanderson @MightyCasey “Collaborationrequires trust.” That is why you goto AMCLC to meet people. #jacr

Mon Apr 28 13:49:01 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 26/33

radiologyacr RT @CancerGeek: T2: IMO Rads have an opportunity to redesign their models. Don'tlimit yourself to confines of what is today. Start w what …

Mon Apr 28 13:49:16 PDT 2014

pfanderson @MightyCasey @colinsegovis Actually, I kind of like the idea of mobile imaging vans.#jacr

Mon Apr 28 13:49:26 PDT 2014

mightycasey RT @RasuShrestha: T2 Radiology needs 1. TRANSPARENCY (price, value, quality)2. VISIBILITY (collab & care coord) #JACR #AMCLC14 #irony #jacr

Mon Apr 28 13:49:42 PDT 2014

drsxr .@tgreeson @TirathPatelMD we're commoditizing ourselves by focusing on RVU'sand hyper-specialization. i.e. 24/7 subspecialty reads #jacr

Mon Apr 28 13:49:49 PDT 2014

rasushrestha T2 How about pricing? In imaging, pricing information is often limited or completelyopaque #JACR #AMCLC14 @DrGMcGinty @MattHawkinsMD

Mon Apr 28 13:49:50 PDT 2014

matthawkinsmd @pfanderson @MightyCasey @colinsegovis - These definitely exist. #JACR

Mon Apr 28 13:49:52 PDT 2014

amykotsenas . @KristinaHoque @CincyKidsRad @TirathPatelMD @RogueRad I'd certainly like tothink so! #jacr

Mon Apr 28 13:49:55 PDT 2014

pfanderson RT @colinsegovis: @AmyKotsenas @NateMargolisMD @pfanderson @MightyCasey“Collaboration requires trust.” That is why you goto AMCLC to meet…

Mon Apr 28 13:49:57 PDT 2014

cancergeek T2: Rads can show value by consulting on right exam, right indication, right time, rightpatient. That's the real value. #jacr

Mon Apr 28 13:50:01 PDT 2014

ljburr2 @RasuShrestha This years savings are the reduction number for next year'sreimbursement.#jacr

Mon Apr 28 13:50:03 PDT 2014

amykotsenas RT @colinsegovis: @AmyKotsenas @NateMargolisMD @pfanderson @MightyCasey“Collaboration requires trust.” That is why you goto AMCLC to meet…

Mon Apr 28 13:50:13 PDT 2014

pfanderson @colinsegovis @AmyKotsenas @NateMargolisMD @MightyCasey A great tshirtmoment :) Thank you. #jacr

Mon Apr 28 13:50:19 PDT 2014

natemargolismd RT @CancerGeek: T2: Rads can show value by consulting on right exam, right

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 27/33

indication, right time, right patient. That's the real value. #…

Mon Apr 28 13:50:20 PDT 2014

rasushrestha Ouch! @ljburr2 #jacr

Mon Apr 28 13:50:24 PDT 2014

rasushrestha RT @ljburr2: @RasuShrestha This years savings are the reduction number for nextyear's reimbursement.#jacr

Mon Apr 28 13:50:28 PDT 2014

drgmcginty #JACR #AMCLC14 new #radiology business models will involve negotiations w otherphysician groups, build those relationships now! #Imaging3

Mon Apr 28 13:50:28 PDT 2014

pfanderson RT @MightyCasey: RT @RasuShrestha: T2 Radiology needs 1. TRANSPARENCY(price, value, quality) 2. VISIBILITY (collab & care coord) #JACR #AM…

Mon Apr 28 13:50:30 PDT 2014

matthawkinsmd @RasuShrestha @DrGMcGinty -- Time-based compensation/valuation may havesome merit. It has holes though. #JACR

Mon Apr 28 13:50:35 PDT 2014

amykotsenas @colinsegovis @NateMargolisMD @pfanderson @MightyCasey I'll be there nextyear! #AMCLC15 #jacr

Mon Apr 28 13:50:41 PDT 2014

bjh41647 @ljburr2 @RasuShrestha #jacr many countries work that way

Mon Apr 28 13:51:00 PDT 2014

cancergeek T2: I have seen billboards advertising prices btw imaging clinics & hospitals. Pricemodels can be one lever of many. #jacr

Mon Apr 28 13:51:03 PDT 2014

tboettger RT @KristinaHoque: Perhaps the old business models are now archaic and weneed new value based care centered models #JACR #AMCLC14

Mon Apr 28 13:51:05 PDT 2014

rasushrestha Do you agree? True “value” generated by imaging = superior outcomes, patientcentered care, and efficiency at lower costs #JACR #AMCLC14

Mon Apr 28 13:51:16 PDT 2014

cincykidsrad Not sure I agree that specialization leads to commodization. Specialty is where weprovide true value -- makes us less of commodity #jacr

Mon Apr 28 13:51:18 PDT 2014

amykotsenas RT @DrGMcGinty: #JACR #AMCLC14 new #radiology business models will involvenegotiations w other physician groups, build those relationships…

Mon Apr 28 13:51:20 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 28/33

roguerad Lot of talk of value. Rads need to manage utilization. Tonight. ok after happy hour.Otherwise it will just be talk. #jacr #AMCLC14

Mon Apr 28 13:51:21 PDT 2014

pfanderson @CancerGeek That sounds awfully Buddhist. http://t.co/GFHscTAa8K #jacr

Mon Apr 28 13:51:26 PDT 2014

pfanderson RT @CancerGeek: T2: Rads can show value by consulting on right exam, rightindication, right time, right patient. That's the real value. #…

Mon Apr 28 13:51:32 PDT 2014

rasushrestha @RogueRad Are we still talking "utilization" in imaging? :) #jacr

Mon Apr 28 13:51:59 PDT 2014

cincykidsrad .@RasuShrestha True value is when improve outcomes, improve experience, ANDdecrease cost. #jacr

Mon Apr 28 13:52:00 PDT 2014

mightycasey @pfanderson @colinsegovis After long years in TV news biz, I know production buscompanies make 'em. http://t.co/8QTbhEXD7X #JACR

Mon Apr 28 13:52:03 PDT 2014

aliradmanmd What about radiologists having their clinic,seeing pt & deciding what to do for areferred patient? Wouldn't that be nice integration? #jacr

Mon Apr 28 13:52:05 PDT 2014

kristinahoque @MattHawkinsMD @RasuShrestha @DrGMcGinty this is an interesting concept -challenging but worth exploring #JACR

Mon Apr 28 13:52:17 PDT 2014

drgmcginty @RasuShrestha #jacr #AMCLC14 @MichaelEPorter tells us to focus on the marginsnot the price agree pricing is opaque #hcpt

Mon Apr 28 13:52:29 PDT 2014

radsdoc82 @ljburr2 @rasushrestha We can't be afraid to do what's right for patients andhealthcare #JACR #AMCLC14

Mon Apr 28 13:52:32 PDT 2014

cancergeek RT @AliRadmanMD: What about radiologists having their clinic,seeing pt & decidingwhat to do for a referred patient? Wouldn't that be nice …

Mon Apr 28 13:52:45 PDT 2014

pfanderson RT @AmyKotsenas: . @NateMargolisMD @colinsegovis @pfanderson@MightyCasey I don't think so. Collaboration requires trust, that takes time t…

Mon Apr 28 13:52:46 PDT 2014

matthawkinsmd @AliRadmanMD - Love the concept. Personnel issues are first hurdle. #JACR

Mon Apr 28 13:52:48 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 29/33

tirathpatelmd @CincyKidsRad @DrGMcGinty #jacr I know several breast imagers that are part ofcomprehensive breast centers rather than rad groups. (1/2)

Mon Apr 28 13:52:49 PDT 2014

mightycasey Guys, it's been a slice of awesome! Gotta dash, will catch up on transcript. Keepasking questions!!! #jacr

Mon Apr 28 13:53:02 PDT 2014

kristinahoque @AliRadmanMD interventional rads are doing this now! #JACR

Mon Apr 28 13:53:03 PDT 2014

rasushrestha Current payment system rewards volume over outcomes. This is not sustainable.Need #transparency #JACR #AMCLC14 @DrGMcGinty @MichaelEPorter

Mon Apr 28 13:53:07 PDT 2014

tgreeson @DrGMcGinty Stark, anti-kickback, anti-markup, place of service billing rules all inplay in relationships with referring docs. #JACR

Mon Apr 28 13:53:11 PDT 2014

kristinahoque RT @Radsdoc82: @ljburr2 @rasushrestha We can't be afraid to do what's right forpatients and healthcare #JACR #AMCLC14

Mon Apr 28 13:53:16 PDT 2014

radiologyacr RT @CincyKidsRad: Not sure I agree that specialization leads to commodization.Specialty is where we provide true value -- makes us less o…

Mon Apr 28 13:53:20 PDT 2014

roguerad .@RasuShrestha I'm a one trick pony. Now you see the dangers of super-specialization! Hail the generalist! #jacr #AMCLC14

Mon Apr 28 13:53:24 PDT 2014

radiologyacr RT @RasuShrestha: Do you agree? True “value” generated by imaging = superioroutcomes, patient centered care, and efficiency at lower cost…

Mon Apr 28 13:53:26 PDT 2014

tirathpatelmd @CincyKidsRad @DrGMcGinty #jacr (2/2) Seems to work well, and adds value. I cansee that model working in other organ systems and diseases

Mon Apr 28 13:53:28 PDT 2014

roguerad RT @RasuShrestha: @RogueRad Are we still talking "utilization" in imaging? :) #jacr

Mon Apr 28 13:53:29 PDT 2014

grebeccahaines RT @DrGMcGinty: #JACR #AMCLC14 new #radiology business models will involvenegotiations w other physician groups, build those relationships…

Mon Apr 28 13:53:33 PDT 2014

pfanderson RT @TirathPatelMD: @CincyKidsRad @DrGMcGinty #jacr I know several breast

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 30/33

imagers that are part of comprehensive breast centers rather than …

Mon Apr 28 13:53:47 PDT 2014

radhelper RT @tgreeson: @DrGMcGinty Stark, anti-kickback, anti-markup, place of servicebilling rules all in play in relationships with referring doc…

Mon Apr 28 13:53:59 PDT 2014

radhelper RT @RasuShrestha: Current payment system rewards volume over outcomes. Thisis not sustainable. Need #transparency #JACR #AMCLC14 @DrGMcGin…

Mon Apr 28 13:54:03 PDT 2014

cancergeek T2: Future system patients will reward rads w their business/dollars. Understandhow they define value & leverage into new models. #jacr

Mon Apr 28 13:54:05 PDT 2014

amykotsenas Signing off - hospital shift to cover! #jacr #AMCLC14

Mon Apr 28 13:54:15 PDT 2014

roguerad @drsxr Tell me about it! #jacr

Mon Apr 28 13:54:27 PDT 2014

cincykidsrad .@TirathPatelMD @DrGMcGinty hard to bring mammo model to other groups (1/2)#jacr

Mon Apr 28 13:54:54 PDT 2014

kristinahoque @CancerGeek agree get on board now to get the benefits down the line #JACR

Mon Apr 28 13:54:59 PDT 2014

rasushrestha We are too busy mopping the floor to turn off the faucet? #jacr #AMCLC14@MattHawkinsMD @DrGMcGinty @MichaelEPorter @RichDuszak

Mon Apr 28 13:55:01 PDT 2014

tirathpatelmd @drsxr @tgreeson #jacr Subspecialist rads who are knowledgeable w/a specificdisease or disease set add value.

Mon Apr 28 13:55:16 PDT 2014

cincykidsrad @TirathPatelMD @DrGMcGinty Radiologists bring value over specialty groupsbecause we can think outside the single organ (2/2) #jacr

Mon Apr 28 13:55:21 PDT 2014

rasushrestha T3: How are patients affected by changing models of practice? #JACR #AMCLC14

Mon Apr 28 13:55:31 PDT 2014

cancergeek T2: Don't get caught up in our buzz words, take time to listen to what patientswant/need/articulate. Thats the future you want to own #jacr

Mon Apr 28 13:55:41 PDT 2014

RT @RasuShrestha: We are too busy mopping the floor to turn off the faucet? #jacr

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 31/33

pfanderson #AMCLC14 @MattHawkinsMD @DrGMcGinty @MichaelEPorter @Ric…

Mon Apr 28 13:55:48 PDT 2014

radiologyacr RT @RasuShrestha: We are too busy mopping the floor to turn off the faucet? #jacr#AMCLC14 @MattHawkinsMD @DrGMcGinty @MichaelEPorter @Ric…

Mon Apr 28 13:55:54 PDT 2014

cincykidsrad @TirathPatelMD @drsxr @tgreeson but the cardiac radiologist who can't tell youabout the lungs adds little value #jacr

Mon Apr 28 13:55:54 PDT 2014

rasushrestha T3 It is critical to treat the PATIENT as a whole. Move from image-centric to patient-centric care! #JACR #AMCLC14

Mon Apr 28 13:56:21 PDT 2014

kristinahoque @TirathPatelMD @drsxr @tgreeson we need to careful not to be "Jack of all trades,master of nothing" #JACR

Mon Apr 28 13:56:23 PDT 2014

rasushrestha So true! RT @KristinaHoque: @TirathPatelMD @drsxr @tgreeson we need to carefulnot to be "Jack of all trades, master of nothing" #JACR

Mon Apr 28 13:56:46 PDT 2014

cancergeek T3: Pts today go where they are directed by the ordering physicians. Never see, hear,meet, talk to rad. Big gap. Don't go unknown. #jacr

Mon Apr 28 13:56:48 PDT 2014

roguerad ok enough about what I think about utilization management. What do you think aboututilization management? #jacr @RasuShrestha

Mon Apr 28 13:56:58 PDT 2014

cincykidsrad .@RasuShrestha Its not just the patient that we need to treat; we need to make surewe are helping their family. #jacr

Mon Apr 28 13:57:07 PDT 2014

rasushrestha T3 As radiologists, we tend to treat just a series of images at a time. Time to look atthe patient as a whole. #JACR #AMCLC14 @CancerGeek

Mon Apr 28 13:57:11 PDT 2014

radiologyacr We're tweet chatting over here! #AMCLC14 #jacr http://t.co/ssAfFbvD3Y

Mon Apr 28 13:57:37 PDT 2014

cincykidsrad .@RasuShrestha its more obvious in a peds practice but its what most patients want#jacr

Mon Apr 28 13:57:39 PDT 2014

kristinahoque RT @RasuShrestha: T3 As radiologists, we tend to treat just a series of images at atime. Time to look at the patient as a whole. #JACR #AM…

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 32/33

Mon Apr 28 13:57:48 PDT 2014

drsxr @KristinaHoque @TirathPatelMD @tgreeson last time I checked, ABR boardcertification certainly isn't 'nothing'. #jacr

Mon Apr 28 13:57:52 PDT 2014

theresavcrouch RT @RasuShrestha: Current payment system rewards volume over outcomes. Thisis not sustainable. Need #transparency #JACR #AMCLC14 @DrGMcGin…

Mon Apr 28 13:58:20 PDT 2014

ljburr2 @Radsdoc82 Disagree that shared "savings" is the way to go. New cost/paymentmodels ok. I just don't think that "savings"works longterm#jacr

Mon Apr 28 13:58:20 PDT 2014

radiologywriter RT @RadiologyACR: We're tweet chatting over here! #AMCLC14 #jacrhttp://t.co/ssAfFbvD3Y

Mon Apr 28 13:58:23 PDT 2014

rasushrestha Full engagement around utilization & improved outcomes critical. Incentives need tobe aligned. #JACR #AMCLC14 @RogueRad

Mon Apr 28 13:58:32 PDT 2014

rasushrestha T3 Patients and providers need to become stronger partners in the care process#JACR #AMCLC14

Mon Apr 28 13:58:55 PDT 2014

alvinwyatt2 RT @AmyKotsenas: @RasuShrestha @RichDuszak Radiology can't deliver value ina vacuum. Need to partner with clinical colleagues. #JACR #AMCL…

Mon Apr 28 13:59:01 PDT 2014

matthawkinsmd @RasuShrestha -- Do you have thoughts on how we should determine whatoutcomes we should measure? Clearly #PQRS is not the answer. #JACR

Mon Apr 28 13:59:13 PDT 2014

ucradsafety RT @CincyKidsRad: We have so much technology -- the tools are there, how we usethem is what will take the paradigm shift #jacr

Mon Apr 28 13:59:15 PDT 2014

cincykidsrad RT @RasuShrestha T3 Patients and providers need to become stronger partners inthe care process #JACR #AMCLC14

Mon Apr 28 13:59:17 PDT 2014

cancergeek T3: Pts want: why this exam? what is it/will it do? cost? what will happen next?educate me on contrast/dose; will i get answer? #jacr

Mon Apr 28 13:59:20 PDT 2014

pfanderson RT @RadiologyACR: We're tweet chatting over here! #AMCLC14 #jacrhttp://t.co/ssAfFbvD3Y

Mon Apr 28 13:59:20 PDT 2014

4/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=04%2F28%2F2014&shour=13&smin=15&tdate=04%2F28%2F2014&thour=14&tmin=25&s… 33/33

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tgreeson Will employment model vs. independent practice model affect ablitiy of radiologists tocontrol factors that impact qualtiy / value? #JACR

Mon Apr 28 13:59:25 PDT 2014

roguerad @RasuShrestha @KristinaHoque @TirathPatelMD @drsxr @tgreeson That's fine, solong as fewer masters than jacks but some masters #jacr

Mon Apr 28 13:59:36 PDT 2014

tboettger RT @jonathanbreslau: @michaeleporter #amclc14 #jacr #hbrThe Strategy That WillFix Health Care - Harvard Business Review http://t.co/55y8M8…

Mon Apr 28 13:59:41 PDT 2014

pfanderson RT @RasuShrestha: T3 As radiologists, we tend to treat just a series of images at atime. Time to look at the patient as a whole. #JACR #AM…

Mon Apr 28 13:59:43 PDT 2014

aliradmanmd @MattHawkinsMD @KristinaHoque IR experience will be a nice model. Personnelsupplied by savings through utilization optimization? #jacr

Mon Apr 28 13:59:45 PDT 2014

kristinahoque @RasuShrestha agree we need to align with clinical providers under the #imaging3umbrella #JACR

Mon Apr 28 13:59:52 PDT 2014

rasushrestha T3 Patients could take a more active role in the image ordering decision #JACR#AMCLC14

Mon Apr 28 13:59:53 PDT 2014