ACR 2017 The Crossroads of Radiology

May 21, 2017 ‐ May 25, 2017

To Register for the 2017 Crossroads of Radiology or the MSK Categorical Course

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Preview Available

Breast Imaging in Today's Environment: Including Economic Challenges*

May 22, 2017 8:00am ‐ May 22, 2017 9:30am

Identification: ACR2017VM11

This session will highlight current challenges for breast imaging in today's environment, including breast cancer screening guidelines, changes in billing and coding requirements, and value-based reimbursement, and discuss how radiologists can respond effectively to these challenges. Attendees will sharpen the tools they need to practice effectively while promoting the advancement of the breast imaging field and delivering the highest quality of patient care.

Upon completion of the session, participants will be able to:

• Discuss current breast cancer screening guidelines and their impact on women's health.
• Identify recent changes in breast imaging billing and coding requirements, including those for tomosynthesis.
• Explain the impact that value-based reimbursement will have on breast imaging.

Speaker(s):

• Edward A. Sickles, MD, FACR
• Mark Alson, MD, FACR, RCC
• Dana Smetherman, MD, MPH, FACR

Disclosures

• Edward A. Sickles, MD, FACR - This speaker has nothing to disclose
• Mark Alson, MD, FACR, RCC - This speaker has nothing to disclose
• Dana Smetherman, MD, MPH, FACR - This speaker has nothing to disclose

Preview Available

Definition and Basics (Radiology Quality Officer Series)

May 22, 2017 8:00am ‐ May 22, 2017 9:30am

Identification: ACR2017VM12

The purpose of the series of lectures is to provide the essential components of quality, including those for leadership. Radiologists are often unfamiliar with basic tools from other medical and non-medical disciplines that can be readily applied to improve quality in radiology. Note: The Quality and Safety Program is formatted in five parts to provide attendees interested in quality and safety a comprehensive program that can be used to train and nurture specific individuals to serve their institutions as the Radiology Quality Officer.

Learning Objectives:

1. Describe a working definition of quality in radiology.
2. Identify the components of quality programs such as Lean, Toyota Production and Six Sigma.
3. Discuss root cause analysis and event reporting.

Speaker(s):

• Frank Rybicki, MD, Ph.D, FACR
• Kimberly Applegate, MD, MS, FACR
• Jacqueline Bello, BA, MD, FACR
• James Borgstede, MD, FACR
• Bettina Siewert, MD
• Marta Heilbrun, MD,MS

Disclosures

• Frank Rybicki, MD, Ph.D, FACR - This speaker has nothing to disclose

• Kimberly Applegate, MD, MS, FACR - This speaker has nothing to disclose

• Jacqueline Bello, BA, MD, FACR - This speaker has nothing to disclose

• James Borgstede, MD, FACR - This speaker has nothing to disclose

• Bettina Siewert, MD - This speaker has nothing to disclose

• Marta Heilbrun, MD, MS, MS - This speaker has nothing to disclose

Preview Available

Future Practice Models - ACOs, CINs, and Co-Management Models

May 22, 2017 8:00am ‐ May 22, 2017 9:30am

Identification: ACR2017VM13

The purpose of this session is to focus on the evolving world of accountable care and value-based arrangements, highlighting trends that will guide strategy for radiology groups seeking to thrive in a rapidly changing environment. The imperative and theoretical framework for accountable care arrangements, including the Triple Aim, will be supplemented by specific discussion of how value-based payment models work, from the perspective of ACO leadership. The general framework will be presented with the needs of radiology in mind, with specific discussion of potential role of radiology groups in this new paradigm and an example of a successful co-management model. Developed in conjunction with Radiology Leadership Institute.

Learning Objectives:

1. Define value-based arrangements and compare and contrast various risk models currently in use.
2. Evaluate the potential role of radiology in a value-based accountable care organization.
3. Describe a co-management model and its potential role for successful engagement with a health system.

Speaker(s):

• Sanjay Shetty, MD, MBA
• Jayson Brower, MD
• James Whitfill, MD

Disclosures

• Sanjay Shetty, MD, MBA - This speaker has nothing to disclose

• Jayson Brower, MD - This speaker has nothing to disclose

• James Whitfill, MD - Honorari - FUJIFILM USA

Preview Available

How to Evaluate the Patient with Chronic Liver Disease

May 22, 2017 8:00am ‐ May 22, 2017 9:30am

Identification: ACR2017VM14

The purpose of this session is to explore the different approaches to evaluating the patient with chronic liver disease and cirrhosis. Chronic liver disease, most commonly due to alcoholism or the hepatitis B or C virus, is very prevalent in the United States. Grey-scale ultrasound of the patient with chronic liver disease is widely used, often with color doppler to survey for cirrhosis, hepatocellular carcinoma, and portal hypertension. This session will also focus on the importance of the advanced techniques of US and MR elastography that can quantify liver fibrosis in the patient with chronic liver disease. Finally there will be a discussion on the role of IV contrast agents in evaluating the chronic liver disease patient with a suspicious lesion. Developed in conjunction with Society of Radiologists in Ultrasound.

Learning Objectives:

1. Examine the role and limitations of greyscale ultrasound and color doppler in evaluating the patient with chronic liver disease and cirrhosis.
2. Discuss and understand the role of CEUS in characterizing liver lesions and its utility in performing biopsies.
3. Describe the advanced technologies of US and MR elastography and their role in evaluating the patient with chronic liver disease.

Speaker(s):

• Laurence Needleman, MD, FACR
• Richard Barr, MD, Ph.D, FACR, FSRU
• Richard Ehman, MD, FACR
• Sharlene Teefey, MD, FACR
• Michelle Robbin, MD,MS, FACR, FSRU,FAIUM

Disclosures

• Laurence Needleman, MD, FACR - This speaker has nothing to disclose

• Richard Barr, MD, Ph.D, FACR, FSRU - This speaker has nothing to disclose

• Richard Ehman, MD, FACR - Royalty Income - Resoundant Inc. ; Officer, Director - Resoundant Inc.; Research Grants - National Institutes of Health|Resoundant Inc.; Intellectual Property Rights- Resoundant Inc.

• Sharlene Teefey, MD, FACR - This speaker has nothing to disclose

• Michelle Robbin, MD,MS, FACR, FSRU,FAIUM - Research Grants - Phillips Healthcare

Preview Available

Patient and Family Centered Care in Shared Decision Making in Radiation Oncology

May 22, 2017 8:00am ‐ May 22, 2017 9:30am

Identification: ACR2017VM15

The purpose of this session is to provide basic knowledge about the field of shared decision making and the current emphasis on patient focused care. Patient reported outcomes (PROs) are now integrated into many national clinical protocols. There is also a national movement to improve shared decision making among patients and physicians.

Learning Objectives:

1. Discuss patient focused care, and how it impacts radiation oncology.
2. Discuss the importance of PROs in radiation oncology clinical trials.
3. Describe the need and availability of tools to promote shared decision making.

Speaker(s):

• Seth Rosenthal, MD, FACR
• Laurie Gaspar, MBA,MD,FACR
• Abigail Berman, MD,MSCE

Disclosures

• Seth Rosenthal, MD, FACR - This speaker has nothing to disclose

• Laurie Gaspar, MBA, MD, FACR - This speaker has nothing to disclose

• Abigail Berman, MD, MSCE - This speaker has nothing to disclose

Preview Available

Data Tools and Trends for Informing Value-Based Radiologists' Practice

May 22, 2017 10:00am ‐ May 22, 2017 12:00pm

Identification: ACR2017VM16

The purpose of this session is to provide an update of recent and ongoing initiatives of the Harvey L. Neiman Health Policy Institute, including research updates and the latest data tools. The emphasis will be on practical and clinical applications o highlighting how these applications can be of value in the radiologists' practice. Also, discussed will be initiatives relative to ongoing healthcare policy and payment reform, including MACRA. Developed in conjunction with Neiman Health Policy Institute.

Learning Objectives:

1. Describe the basis of bundled payment models in the mammography and inpatient settings.
2. Explain how claims based analyses are applicable to radiologists.
3. Recognize the key results of ongoing health services and health policy research in radiology.

Speaker(s):

• Bibb Allen, Jr, MD, FACR
• Richard Duszak, MD, FACR
• Danny Hughes, Ph.D
• Andrew Rosenkrantz, MD
• Matthew Manning, MD

Disclosures

• Bibb Allen, Jr., MD, FACAR - This speaker has nothing to disclose

• Richard Duszak, MD, FACR - This speaker has nothing to disclose

• Danny Hughes, Ph.D - This speaker has nothing to disclose

• Andrew Rosenkrantz, MD - This speaker has nothing to disclose

• Matthew Manning, MD - Honorari - varian|Q-Fix

Preview Available

HR Issues: Burnout, Depression, Job Alternatives, and Finding Happiness

May 22, 2017 10:00am ‐ May 22, 2017 12:00pm

Identification: ACR2017VM17

The purpose of this session is to highlight several topics which have been recently evaluated by members of the ACR HR Commission and published in JACR. Topics to be discussed include: the significant newly identified burnout problem affecting radiologists, the awareness and identification of depression effecting radiologists, career alternatives beyond the practice of clinical radiology, and why medical students choose/ don't choose radiology as a career.

Learning Objectives:

1. Recognize the problem of burnout among radiologists and understand some strategies to reduce the problem.
2. Identify the signs and symptoms of depression and its effect on radiologists.
3. Evaluate career alternatives to the clinical practice of radiology.

Speaker(s):

• Claire Bender, MD, FACR
• Edward Bluth, MD, FACR
• Jay Harolds, BA,MD, FACR
• Jay Parikh, MD, FACR, FACPE
• Sanjeev Katyal, MD
• Michael Francavilla, MD
• Halley Park, MD

Disclosures

• Claire Bender, MD, FACR - This speaker has nothing to disclose

• Edward Bluth, MD, FACR - This speaker has nothing to disclose

• Jay Harolds, BA, MD, FACR - This speaker has nothing to disclose

• Jay Parikh, MD, FACR, FACPE - This speaker has nothing to disclose

• Sanjeev Katyal, MD - This speaker has nothing to disclose

• MichaelFrancavilla, MD - This speaker has nothing to disclose

• Halley Park, MD - This speaker has nothing to disclose

Preview Available

Incidental Findings in the Abdomen: New Algorithms and Solutions*

May 22, 2017 10:00am ‐ May 22, 2017 12:00pm

Identification: ACR2017VM18

The purpose of this session is to present new algorithms, ideas, and technologies that are relevant to the management and reporting of incidental findings detected at cross-sectional imaging. Incidental findings are a well-known burden to physicians and patients, and can substantially reduce the value of imaging if managed inappropriately. In 2010, the ACR Incidental Findings Committee published its first white paper – in the Journal of the American College of Radiology (JACR) – providing algorithm-based guidance on the management of such findings in the kidney, liver, pancreas, and adrenal gland. The radiology community responded with considerable enthusiasm, prompting further publications that addressed additional incidental findings. Since 2010, there have been new developments in our understanding of the natural history of certain incidental findings (e.g. intraductal papillary mucinous neoplasms of the pancreas), and new informatics solutions have emerged to support consistent and appropriate reporting.

Speaker(s):

• William Mayo-Smith, MD, FACR
• Pari Vijay Pandharipande, MD, MPH
• Brian R. Herts, MD, FACR
• Richard Gore, MD, FACR
• Alec Megibow, MD, MPH, FACR

Disclosures

• William Mayo-Smith, MD, FACR - Royalty Income - Elsevier

• Pari Pandharipande, MD, MPH - Research Grants - Medical Imaging and Technology Alliance

• Brian R. Herts, MD, FACR - Research Grants - Siemens Medical Solutions USA, Inc.

• Richard Gore, MD, FACR - This speaker has nothing to disclose

• Alec Megibow, MD, MPH, FACR - Consultant - Bracco; Honorari - Siemens Medical Solutions USA, Inc.

Preview Available

The Patient Experience from a Quality and Safety Perspective (Radiology Quality Officer Series)

May 22, 2017 10:00am ‐ May 22, 2017 12:00pm

Identification: ACR2017VM19

The purpose of the series of lectures is to discuss how the patient experience is integrated within quality and safety. The session will highlight several specific points that patients encounter in a radiology practice. It is designed to group important quality initiatives from the patient's perspective. Note: The Quality and Safety Program is formatted in five parts to provide attendees interested in quality and safety a comprehensive program that can be used to train and nurture specific individuals to serve their institutions as the Radiology Quality Officer.

Learning Objectives:

1. Discuss ways to incorporate new methods of patient satisfaction and service into the radiology practice.
2. Describe patient experience measures from the patient and radiologist's perspective.
3. Describe patient experience measures from the radiologist's perspective.
4. Identify ways to improve the patient experience by improving diagnostic accuracy and reducing errors.

Speaker(s):

• David Seidenwurm, MD, FACR
• James Rawson, MD, FACR
• C. Matthew Hawkins, MD
• Robert Pyatt, MD, FACR
• Joseph Steele, MD
• Sabiha Raoof, MD
• Patricia Skolnik

Disclosures

• David Seidenwurm, MD, FACR - Consultant - medical legal; Honorari - Stanford, Winthrop

• James Rawson, MD, FACR - This speaker has nothing to disclose

• C. Matthew Hawkins, MD - This speaker has nothing to disclose

• Robert Pyatt, MD, FACR - This speaker has nothing to disclose

• Joseph Steele, MD - Consultant - SirTex Medical; Officer, Director - Bayer Healthcare

• Sabiha Raoof, MD - This speaker has nothing to disclose

• Patricia Skolnik - This speaker has nothing to disclose

Preview Available

TMIST and the Future of Screening

May 22, 2017 10:00am ‐ May 22, 2017 11:30am

Identification: ACR2017VM20

The purpose of this session is to highlight the value and changing landscape of screening. The session will discuss the study design, aims and impact of Tomosynthesis Mammography Imaging Screening Trial (TMIST).

Learning Objectives:

1. Describe the TMIST clinical trial design and how the trial might affect breast cancer screening with tomosynthesis and digital mammography.
2. Discuss the use future use of tissue and blood biomarkers in future breast cancer screening paradigms.
3. Identify the impact of TMIST to the radiology practice.

Speaker(s):

• Etta Pisano, MD, FACR
• Martin Yaffe, PhD
• Melissa Troester, MPH,MS,PhD

Disclosures

• Etta Pisano, MD, FACR - Research Grants - Phillips Corporation - contract w/my employer for research|Fuji Film - contract w/my employer for research|Alan Penn Associates - SBIR subcontract|Nextray, Inc -Board Chair

• Martin Yaffe, PhD - Research Grants - GE Healthcare

• Melissa Troester, MPH, MS PhD - This speaker has nothing to disclose