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Chong AT, Ruohoniemi DM, Aaltonen ET, Horn JC, Sista AK, Taslakian B, Hickey RM. Revenue Sources in Interventional Radiology: A Revenue Analysis of an Interventional Oncology Service Line. J Vasc Interv Radiol 2021; 32:929-931. [PMID: 33640515 DOI: 10.1016/j.jvir.2021.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 02/08/2021] [Accepted: 02/19/2021] [Indexed: 11/29/2022] Open
Affiliation(s)
| | | | - Eric T Aaltonen
- Division of Vascular & Interventional Radiology, Department of Radiology, NYU Langone Health, New York, New York
| | - Jeremy Cash Horn
- Division of Vascular & Interventional Radiology, Department of Radiology, NYU Langone Health, New York, New York
| | - Akhilesh K Sista
- Division of Vascular & Interventional Radiology, Department of Radiology, NYU Langone Health, New York, New York
| | - Bedros Taslakian
- Division of Vascular & Interventional Radiology, Department of Radiology, NYU Langone Health, New York, New York
| | - Ryan M Hickey
- Division of Vascular & Interventional Radiology, Department of Radiology, NYU Langone Health, New York, New York
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McDevitt JL, Quadri RS, Sutphin PD, Reddick M. The Operational and Financial Value of an Interventional Radiology Clinic at a Large, Academic, Tertiary Public Hospital System. JOURNAL OF CLINICAL INTERVENTIONAL RADIOLOGY ISVIR 2021. [DOI: 10.1055/s-0041-1723045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Abstract
Purpose To evaluate the operational and financial impact of an interventional radiology (IR) clinic at a tertiary county hospital system.
Methods The IR clinic, which opened in January 2017, evaluates outpatient referrals and completes preprocedure workups, nonimage-guided procedures, and postprocedure follow-up visits. Procedural volumes, locations, start times, and end times were analyzed from September 2015 to June 2018, with comparison of pre- and postclinic values by t-tests.
Results Relative to the preclinic period, the number of IR cases completed each quarter has increased by an average of 12% (pre: 953 ± 63, post: 1063 ± 34, p = 0.01). Procedures that saw the largest quarterly growth included port placements (44% increase; pre: 82 ± 8, post: 118 ± 17, p = 0.002), inferior vena cava (IVC) filter placements (24% increase; pre: 33 ± 12, post: 41 ± 8, p = 0.20), IVC filter removals (72% increase; pre: 18 ± 7, post: 31 ± 8, p = 0.02), and treatments of lower extremity venous disease (100% increase; pre: 7 ± 2, post: 14 ± 6, p = 0.04). Completion of 119 cases/quarter in clinic (removal of tunneled catheters and infusion ports), as well as a reduction of emergent nephrostomy exchanges, reduced quarterly facility charges for these procedures by $350,000. Since the opening of the IR clinic, the first outpatient case started 36 minutes earlier (p < 0.001) and the last case finished 19 minutes earlier (p = 0.004).
Conclusion Opening an IR clinic resulted in a significant increase in case volume while reducing avoidable costs and improving efficiency of the angiography suite.
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Affiliation(s)
- Joseph L. McDevitt
- Department of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United States
| | - Rehan S. Quadri
- Department of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United States
| | - Patrick D. Sutphin
- Department of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United States
| | - Mark Reddick
- Department of Radiology, University of Texas-Southwestern Medical Center Dallas, Texas, United States
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