1. Speaker Name Date Imaging 3.0: A Framework for Radiologists’ Future

2. Imaging 3.0: An Overview Optional: Embed video clip of Dr. Geraldine McGinty here.

3. Medical Imaging Imaging 3.0 Evolution in Patient Care

5. Medical Imaging Evolution in Patient Care

6. Physicians Physicians Contrast Agents Contrast Agents New Modalities New Modalities

7. Medical Imaging Evolution in Patient Care

8. Evolving ModalitiesEvolving Modalities PACSPACS Knowledge BaseKnowledge Base Consultant to Referring PhysiciansConsultant to Referring Physicians Unprecedented DemandUnprecedented Demand

9. Medical Imaging Evolution in Patient Care

10. Beyond Interpretations Assuring AppropriatenessAssuring Appropriateness Documenting the Quality and Patient Safety Radiologists ProvideDocumenting the Quality and Patient Safety Radiologists Provide Actionable Reporting with Evidence-based Follow-up RecommendationsActionable Reporting with Evidence-based Follow-up Recommendations Empowered PatientsEmpowered Patients

11. Maximize radiologists’ valueMaximize radiologists’ value Collaborate with other physicians to improve imaging careCollaborate with other physicians to improve imaging care Empower patientsEmpower patients Change the discussion in WashingtonChange the discussion in Washington

12. Leveraging radiologists’ tools and expertise to optimize patient care from the time imaging is first considered until referring physicians and patients fully understand the imaging results and recommendations.

13. What’s Driving Imaging 3.0?

14.  US health care represents 17% of the GDP  Cost is a primary concern for policy makers  CMS is exploring fee-for-service (FFS) alternatives  Episodes of Care: Bundled Payments  Population Health: Accountable Care Organizations  Shifting risk from payers to providers  Extending risk to service lines, such as imaging  Monitoring and reporting Meaningful Use Health Care Reform Until there are alternative payment systems, FFS payment cuts are the way to control spending.

15. Specialist Payments vs. Primary Care Frist W, et al. Report of NCPPR, 2013.

16. Our Current Imaging Culture  Payment models have driven our practice patterns  Fee-for-service has incentivized volume  Fee-for-service is neutral on value  Our practice patterns have driven technology development  Maximizing productivity and volume

17. Technology Tools F OCUS O N T HE I NTERPRETATION

18. Presence How Radiologists Are Perceived  The public may not realize radiologists are physicians  Other physicians perceive radiologists are underworked and unavailable  Hospital administrators often view radiologists as competitors  Policy makers only hear reimbursement and turf issues Relevance

19. I NNOVATION P RODUCTIVITY P ROFITABILITY P ERFORMANCE P RESENCE C URRENT S TATE RIS  PACS  S PEECH R ECOGNITION  A DV V IS, 3D, CAD  I MAGE D ISTRIBUTION   T ELE R ADIOLOGY   F UTURE S TATE I MAGE S HARING  S TRUCTURED R EPORTING  C OMMUNICATION T ECH  I MAGING CDS  I MAGING EHR   I MAGING PHR   Courtesy Keith Dreyer, DO FACR 2013 Imaging 2.0: Our Current State Q UALITY R ELEVANCE

20. I NNOVATION P RODUCTIVITY P ROFITABILITY P ERFORMANCE P RESENCE C URRENT S TATE RIS  PACS  S PEECH R ECOGNITION  A DV V IS, 3D, CAD  I MAGE D ISTRIBUTION   T ELE R ADIOLOGY   F UTURE S TATE I MAGE S HARING  S TRUCTURED R EPORTING  C OMMUNICATION T ECH  I MAGING CDS  I MAGING EHR   I MAGING PHR   Imaging 2.0  Imaging 3.0 Courtesy Keith Dreyer, DO FACR 2013

21. B EFORE I NTERPRETATION A FTER I NTERPRETATION E NHANCING I MAGE A CQUISITION AND I NTERPRETATION Imaging 3.0 – Beyond the Interpretation Referring Physician Considers Imaging Actionable Recommendations For The Patient And Referring Physician Imaging Acquisition & Interpretation

22. How Do We Get There?

23. Courtesy Keith Dreyer, DO FACR 2013 Physicians Change Their Behavior Improved Patient Care Policy Maker Buy In Policy Maker Buy In Public Policy Changes Radiologist Buy In Radiologist Buy In Clinician Buy In Clinician Buy In Aligning Incentives

25. Imaging 3.0 – Preparing for the Future www.acr.org/Advocacy/Economics-Health-Policy/Imaging-3