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The Harvey L. Neiman Health Policy Institute® studies the value and role of radiology in evolving health care delivery and payment systems, including quality based approaches to care and the impact of medical imaging on overall health care costs. Neiman Institute research provides a foundation for evidence-based imaging policy to improve patient care and bolster efficient, effective use of health care resources. Read the 2016 Neiman Institute Annual Report.

Utilization

Trends in Publications in Radiology Journals Designated as Relating to Patient-Centered Care

This study assessed trends in publications in radiology journals designated as dealing with patient-centered care. Full Article

Rosenkrantz, A.B., and Rawson, J.V. 2017. "Trends in Publications in Radiology Journals Designated as Relating to Patient-Centered Care," Journal of the American College of Radiology, 14(5): 703 - 709.

The Expanding Role of Advanced Practice Providers in Urologic Procedural Care

The purpose of this study was to understand the role of Advanced Practice Providers in urologic procedural care, and its change over time. Full Article

Langston, J.P., Duszak R., Orcutt, V.L., Schultz, H., Hornberger, B., Jenkins, L.C., Hemingway, J., Hughes, D.R., Pruthi, R.S., Nielsen, M.E. 2017. "The Expanding Role of Advanced Practice Providers in Urologic Procedural Care," Urology

Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency

This study examines changes in the utilization of procedures related to treatment of chronic venous insufficiency in the Medicare population. Full Article

Prabhakar, A.M., Misono, A.S., Sheth, R., Rosenkrantz, A.B., Hemingway, J., Hughes, D.R., Duszak, R.. 2017. "Changing Medicare Utilization of Minimally Invasive Procedures for the Treatment of Chronic Venous Insufficiency," Journal of Vascular and Interventional Radiology

Abdominal imaging ordering patterns by referring provider specialty

This study investigates abdominal imaging utilization patterns by referring provider specialty. Full Article

Rosenkrantz, A.B., Ayoola, A., and Duszak, R. 2017. "Abdominal imaging ordering patterns by referring provider specialty," Abdominal Radiology

County-Level Population Economic Status and Medicare Imaging Resource Consumption

The aim of this study was to assess relationships between county-level variation in Medicare beneficiary imaging resource consumption and measures of population economic status. Full Article

Rosenkrantz, A.B., Hughes, D.R., Prabhakar, A.M., and Duszak, R. 2017. "County-Level Population Economic Status and Medicare Imaging Resource Consumption," Journal of the American College of Radiology

Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study

This paper studied differences in imaging utilization downstream to initial emergency department (ED) ultrasound examinations interpreted by radiologists versus nonradiologists. Full Article

Allen, B., Carrol, L.V., Hughes, D., Hemingway, J., Duszak, R., and Rosenkrantz, A.B. 2017. "Downstream Imaging Utilization After Emergency Department Ultrasound Interpreted by Radiologists Versus Nonradiologists: A Medicare Claims–Based Study," Journal of the American College of Radiology, 14(4): 475 - 481.

Temporal and Patient Variations Potentially Impacting New Payment Models

This study evaluates the impact of an array of nongeographic patient and within-year temporal factors on variation in Medicare imaging utilization. Full Article

Rosenkrantz, A.B., Schoppe, K.A., and Duszak, R. 2017. "Temporal and Patient Variations Potentially Impacting New Payment Models," Journal of the American College of Radiology, 14(4): 452 - 458.

Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization

This study evaluates characteristics of nonresearch industry payments to radiologists and associations with regional diagnostic imaging utilization. Full Article

Kokabi, N., Junn, J.C., Xing, M., Hemingway, J., Hughes, D.R., and Duszak, R. 2017. "Nonresearch Industry Payments to Radiologists: Characteristics and Associations With Regional Medical Imaging Utilization," Journal of the American College of Radiology, 14(3): 418 - 425.

The Impact of State Tort Reforms on Imaging Utilization

This study reports that state tort reform has been associated with a decrease in physician ordering of radiographs. Full Article

Li, S., Dor, A., Hughes, D.R., and Deyo, D. 2017. "The Impact of State Tort Reforms on Imaging Utilization," Journal of the American College of Radiology, 14(2): 149 - 156.

Enteral Access Procedures: An 18-Year Analysis of Changing Patterns of Utilization in the Medicare Population

This paper evaluates national trends in enteral access and maintenance procedures for Medicare beneficiaries with regard to utilization rates, specialty group roles, and sites of service. Full Article

Wan, W., Misono A.S., Hawkins, C, M., Hemingway, J., Hughes, D.R., Duszak Jr, R. 2017. "Enteral Access Procedures: An 18-Year Analysis of Changing Patterns of Utilization in the Medicare Population," Journal of Vascular and Interventional Radiology, 28(1): 134 - 141.