- Email: [email protected]
MyCareLibrary.org: a website containing image-guided palliative care information for patients and physicians
JVIR
’
Posters and Exhibits
S173
The goals of the ACO are to provide coordinated high-quality care while containing costs. IO’s current fee for service practice does not currently fit into this model. Clinical Findings/Procedure Details: Cancer costs are projected to be $173 billion in 2020, a 39% increase from 2010. Currently, interventional, surgical, and radiation treatments are costly. The median cost of treatment with conventional transarterial chemoembolization is $11,242 and with Yttrium90 it is $34,683. Intensity-modulated radiation therapy for prostate cancer is $14,520 per session. An open hepatic lobectomy costs $31,400 and hospitalization fees contribute another $54,731. Medical oncology currently uses and earns margins on chemotherapies and new biologic agents of which the latter range between $5,000 and more than $10,000 per month and new trials test multi-biological agents as new regimens. These new agents are the future of cancer therapy and will increase costs dramatically. Cancer costs are unsustainable.If IO continues on its current path, it will become irrelevant in the new model with medical/surgical oncology as gate keepers. We propose a move toward a value-base model, monitoring patient outcomes and compensating physicians accordingly using quantitative metrics, a clinic based outpatient model with an emphasis on preventative care, quality and increased coordination in the modern cancer center with a bundled payment model. IO also needs to sub-specialize to a disease rather than a modality. If adaptations are made, IO can remain a pillar in oncology, will provide better care, reach more patients, and be able to care with more therapies, albeit with a likely cut in earnings. Conclusion and/or Teaching Points: IO needs to move toward a value-based model integrated into cancer centers and delve into preventative and outpatient care to stay adrift. We will propose and describe an example of a sustainable IO practice model.
individuals with serious illness but who may lack training and experience necessary to meet their patient’s palliative care needs. The committee recommends that educational institutions, professional societies, accrediting institutions, ..., and medical centers take measures to both increase the number of palliative care specialists and expand the knowledge base for all clinicians. Interventional radiologists (IR) often provide image-guided palliative care as an adjunct to medical care and/or as an alternative to surgery; thus, interventional radiologists should be versed in the quality of life and survival outcomes of IR procedures and we should engage patients and families in advanced care planning and shared decision making.The MyCareLibrary.org website was developed as an image-guided palliative care website that is written for both lay people and physicians. Clinical Findings/Procedure Details: Contents of MyCareLibrary.org include (but not limited to) -
Advanced directives What palliative and hospice care is Prognosis tools Pain management – basics and image-guided Treatment of jaundice/biliary diseases, ascites, malignant and benign pleural effusions - The educational content is provided free of charge to the public. - Additional information will be added when funding is obtained. - Developed by a SIR member who is sub-certified in hospice and palliative medicine. Conclusion and/or Teaching Points: The MyCareLibrary. org website is being developed as a patient friendly imageguided palliative care resource.
Abstract No. 392 Educational Exhibit
Abstract No. 391
MyCareLibrary.org: a website containing imageguided palliative care information for patients and physicians J.A. Requarth; Radiology, Wake Forest School of Medicine, Winston Salem, NC
Interventional radiologist billing practices to Medicare: procedures performed and geographic variation P.D. Sutphin1, A. Ding2, S. Toomay1, S.P. Reis1, A.K. Pillai1, S.P. Kalva1, S.L. Hsu1; 1Radiology, University of Texas Southwestern Medical Center, Dallas, TX; 2 Radiology, California Advanced Imaging, Novato, CA
Learning Objectives: 1. Understand the impact that interventional radiology has on palliative care. 2. Become aware of MyCareLibrary.org, a free library of image-guided palliative treatments.
However, the IOM committee finds that important deficiencies persist.…[T]he supply of palliative care and hospice specialists is small, meaning that many patients must rely on other clinicians who provide care for
Posters and Exhibits
Background: The Institute of Medicine (IOM) Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life (published September 2014), suggested that substantial improvements to end-of-life care are needed to improve quality of life at end-of-life and to enable a financially sustainable health care system in the U.S. The IOM states:
Purpose: To examine the recently released “Medicare Provider Utilization and Payment Data: Physician and Other Supplier” data from 2012 to evaluate the scope of procedures performed by interventional radiologists and variability in charges billed to Medicare based on geography. Materials and Methods: Medicare data were obtained from the Centers of Medicare and Medicaid Services website, http:// www.cms.gov, as a tab-delimited file. The file contains over 9 million records across 880,000 providers. The records were loaded into a Linux-based MySQL database. The data were queried for providers categorized as Interventional Radiology. The data were then analyzed using a combination of Microsoft Excel and the statistical programming language R. Results: The most performed procedures billed to Medicare by interventional radiology are related to general diagnostic radiologic procedures including the administration of low osmolar contrast media, chest x-rays, and CT brain without
’
Posters and Exhibits
S173
The goals of the ACO are to provide coordinated high-quality care while containing costs. IO’s current fee for service practice does not currently fit into this model. Clinical Findings/Procedure Details: Cancer costs are projected to be $173 billion in 2020, a 39% increase from 2010. Currently, interventional, surgical, and radiation treatments are costly. The median cost of treatment with conventional transarterial chemoembolization is $11,242 and with Yttrium90 it is $34,683. Intensity-modulated radiation therapy for prostate cancer is $14,520 per session. An open hepatic lobectomy costs $31,400 and hospitalization fees contribute another $54,731. Medical oncology currently uses and earns margins on chemotherapies and new biologic agents of which the latter range between $5,000 and more than $10,000 per month and new trials test multi-biological agents as new regimens. These new agents are the future of cancer therapy and will increase costs dramatically. Cancer costs are unsustainable.If IO continues on its current path, it will become irrelevant in the new model with medical/surgical oncology as gate keepers. We propose a move toward a value-base model, monitoring patient outcomes and compensating physicians accordingly using quantitative metrics, a clinic based outpatient model with an emphasis on preventative care, quality and increased coordination in the modern cancer center with a bundled payment model. IO also needs to sub-specialize to a disease rather than a modality. If adaptations are made, IO can remain a pillar in oncology, will provide better care, reach more patients, and be able to care with more therapies, albeit with a likely cut in earnings. Conclusion and/or Teaching Points: IO needs to move toward a value-based model integrated into cancer centers and delve into preventative and outpatient care to stay adrift. We will propose and describe an example of a sustainable IO practice model.
individuals with serious illness but who may lack training and experience necessary to meet their patient’s palliative care needs. The committee recommends that educational institutions, professional societies, accrediting institutions, ..., and medical centers take measures to both increase the number of palliative care specialists and expand the knowledge base for all clinicians. Interventional radiologists (IR) often provide image-guided palliative care as an adjunct to medical care and/or as an alternative to surgery; thus, interventional radiologists should be versed in the quality of life and survival outcomes of IR procedures and we should engage patients and families in advanced care planning and shared decision making.The MyCareLibrary.org website was developed as an image-guided palliative care website that is written for both lay people and physicians. Clinical Findings/Procedure Details: Contents of MyCareLibrary.org include (but not limited to) -
Advanced directives What palliative and hospice care is Prognosis tools Pain management – basics and image-guided Treatment of jaundice/biliary diseases, ascites, malignant and benign pleural effusions - The educational content is provided free of charge to the public. - Additional information will be added when funding is obtained. - Developed by a SIR member who is sub-certified in hospice and palliative medicine. Conclusion and/or Teaching Points: The MyCareLibrary. org website is being developed as a patient friendly imageguided palliative care resource.
Abstract No. 392 Educational Exhibit
Abstract No. 391
MyCareLibrary.org: a website containing imageguided palliative care information for patients and physicians J.A. Requarth; Radiology, Wake Forest School of Medicine, Winston Salem, NC
Interventional radiologist billing practices to Medicare: procedures performed and geographic variation P.D. Sutphin1, A. Ding2, S. Toomay1, S.P. Reis1, A.K. Pillai1, S.P. Kalva1, S.L. Hsu1; 1Radiology, University of Texas Southwestern Medical Center, Dallas, TX; 2 Radiology, California Advanced Imaging, Novato, CA
Learning Objectives: 1. Understand the impact that interventional radiology has on palliative care. 2. Become aware of MyCareLibrary.org, a free library of image-guided palliative treatments.
However, the IOM committee finds that important deficiencies persist.…[T]he supply of palliative care and hospice specialists is small, meaning that many patients must rely on other clinicians who provide care for
Posters and Exhibits
Background: The Institute of Medicine (IOM) Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life (published September 2014), suggested that substantial improvements to end-of-life care are needed to improve quality of life at end-of-life and to enable a financially sustainable health care system in the U.S. The IOM states:
Purpose: To examine the recently released “Medicare Provider Utilization and Payment Data: Physician and Other Supplier” data from 2012 to evaluate the scope of procedures performed by interventional radiologists and variability in charges billed to Medicare based on geography. Materials and Methods: Medicare data were obtained from the Centers of Medicare and Medicaid Services website, http:// www.cms.gov, as a tab-delimited file. The file contains over 9 million records across 880,000 providers. The records were loaded into a Linux-based MySQL database. The data were queried for providers categorized as Interventional Radiology. The data were then analyzed using a combination of Microsoft Excel and the statistical programming language R. Results: The most performed procedures billed to Medicare by interventional radiology are related to general diagnostic radiologic procedures including the administration of low osmolar contrast media, chest x-rays, and CT brain without