The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.
The purpose of this study is to evaluate national trends in lumbar puncture procedures and the relative roles of specialty groups providing this service. Full Article
Kroll, H., Duszak, R., Nsiah, E., Hughes, D. R., Sumer, S., & Wintermark, M.. 2015. "Trends in Lumbar Puncture Over 2 Decades: A Dramatic Shift to Radiology," American Journal of Roentgenology, 204(1): 15 - 19.
The aim of this study was to assess national specialty trends in the use of diagnostic ultrasound services in the emergency department setting. Full Article
Rosenkrantz AB, Bilal NH, Hughes DR, Duszak R.. 2014. "National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data," The American Journal of Emergency Medicine, 32(12): 1470 - 1475.
The aim of this study is to assess the availability and scope of imaging services at critical access hospitals throughout the United States. Full Article
Khaliq, A., Nsiah, E., Bilal, N. H., Hughes, D. R., & Duszak, R.. 2014. "The Scope and Distribution of Imaging Services at Critical Access Hospitals," Journal of the American College of Radiology, 11(9): 857 - 862.
The aim of this study is to evaluate whether patients who are both employed and insured alter their utilization of medical services in response to changes in state unemployment rates. Full Article
Hughes, D. R., & Khaliq, A. A.. 2014. "The Effect of Macroeconomic Conditions on the Care Decisions of the Employed," Medical Care, 52(2): 121 - 127.
The aim of this study was to quantify potential physician work efficiencies and appropriate multiple procedure payment reductions for different same-session diagnostic imaging studies interpreted by different physicians in the same group practice. Full Article
Duszak, R., Silva, E., Kim, A. J., Barr, R. M., Donovan, W. D., Kassing, P., McGinty, G., Allen, B.. 2013. "Professional Efficiencies for Diagnostic Imaging Services Rendered by Different Physicians: Analysis of Recent Medicare Multiple Procedure Payment Reduction Policy," Journal of the American College of Radiology, 10(9): 682 - 688.
The aim of this study was to examine characteristics of uncompensated services rendered by radiologists to emergency department (ED) patients. Full Article
Duszak, R., Nsiah, E., Hughes, D. R., & Maze, J.. 2013. "Emergency Department Imaging: Uncompensated Services Rendered by Radiologists Nationwide," Journal of the American College of Radiology, 11(6): 559 - 565.
The aim of this study was to examine radiologists' experiences during the first four years of Medicare's national physician pay-for-performance program and project near-future program outcomes for radiologists. Full Article
Duszak, R., Burleson, J., Seidenwurm, D., & Silva, E.. 2012. "Medicare’s Physician Quality Reporting System: Early National Radiologist Experience and Near-Future Performance Projections," Journal of the American College of Radiology, 10(2): 114 - 121.
The aim of this study was to examine national trends in both temporary central venous catheter and long-term CVA device procedures over 20 years with regard to changing specialty group roles and places of service. Full Article
Duszak, R., Bilal, N., Picus, D., Hughes, D. R., & Xu, B. J.. 2013. "Central Venous Access: Evolving Roles of Radiology and Other Specialties Nationally Over Two Decades," Journal of the American College of Radiology, 10(8): 603 - 612.
The aim of this study was to investigate trends in utilization and spending for medical imaging, using medical visits resulting in imaging as a novel metric of utilization. Full Article
Dodoo, M. S., Duszak, R., & Hughes, D. R.. 2013. "Trends in Utilization of Medical Imaging from 2003 to 2011: Clinical Encounters Offer a Complementary Patient-Centered Focus," Journal of the American College of Radiology, 10(7): 507 - 512.
The aim of this study was to examine the effect of the 2005 Deficit Reduction Act on Medicare spending for medical imaging relative to other services. Full Article
Lee, D. W., Duszak, R., & Hughes, D. R.. 2013. "Comparative Analysis of Medicare Spending For Medical Imaging: Sustained Dramatic Slowdown Compared With Other Services," American Journal of Roentgenology, 201(6): 1277 - 1282.