SIR 2018 will offer two related symposia to help interventional radiologists navigate the changing economic landscape and explore emerging practice models.
Both “There’s no business like IR business: Surviving today’s practice [r]evolution,” which starts at 1 p.m. Sunday, and “There’s no business like IR business: Private practice symposium,” which starts at 1 p.m. Monday, feature three 90-minute blocks each focused on how to thrive in today’s evolving health care environment. Those who attend both sessions will learn the best ways to practice clinically sound IR while demonstrating the value of IR to the health care system, as it approaches economic and practice management crossroads.
“Many interventionalists don’t have the time to learn the intricacies of the economic factors affecting their practices,” said Raymond W. Liu, MD, FSIR, of Massachusetts General Hospital, coordinator for Sunday’s symposium. “This is an opportunity to gain a lot of knowledge in a short amount of time on the topic.” These symposia were designed to complement each other and offer a “crash course” into many of the key health care policy and economic topics that are especially relevant today.
“Attendees of the combined symposia will come away with a complete package of knowledge and practical advice that they can put into practice right away and really improve their immediate value proposition to health system leaders and the referring community,” Dr. Liu said.
Sunday starts with an overview of IR that includes the perspective of leaders at the hospital and health system level. A unique “C-suite panel discussion” will feature interventional radiologists who have served as high-level executives and who will share what health care systems value and how physicians can align with those groups in ways that benefit patients, referring physicians and the larger health system. Marshall E. Hicks, MD, FSIR, former president of MD Anderson Cancer Center, will be a lead discussant, along with Scott C. Goodwin, MD, FSIR, CEO of Banner University Medical Group, and Howard B. Chrisman, MD, MBA, FSIR, president of Northwestern Medical Group.
Following the panel session, four presentations will delve into specific, practical advice and tactics on improving value, with a variation on the traditionally clinical, “How I Do It” series. The day concludes with a deep dive into reimbursement methods and how to go from diagnosis to payment in the new world of MACRA, MIPS and alternative payment models.
“Really, you would want the interventionalist to be in the driver seat in all of this,” Dr. Liu said. “There are two paths going forward. You can imagine interventionalists who react and respond to external pressures that are being directed from above, as opposed to IRs who speak the language of policy and economics and can really create their own solutions that are aligned with the health system.”
Monday’s symposium will explore specific issues involved with private practice, said Raj Pyne, MD, Rochester General Hospital, coordinator for Monday’s private practice symposium. The sessions will define private practice IR and the challenges and opportunities these practices face, offer tips about meeting the unique challenges involved in private practice, and close with a specific look at how to create or advance a stand-alone vein clinic.
Such topics are familiar to the SIR Private Practice Task Force, started about two years ago to address issues relevant to private practice and find ways to bring those issues to the forefront in venues such as the annual meeting—getting the entire IR community discussing where the specialty is today.
“There’s so much more that goes into it on the practical side, the practice management side,” Dr. Pyne said. “These frustrations that IRs in private practice have may seem unique but are generally shared frustrations; everyone thinks they are alone on an island but the same battle is being fought everywhere. All politics are local, but certain themes are global: from showing the clinical value of an IR clinic to dealing with DR partners to battling through exclusivity issues and gaining hospital privileges for independent IRs.”
The task force continues to work on a comprehensive, improved definition of IR private practice, which traditionally had been defined as those in radiology practice working with diagnostic radiology partners. But today, there are many different models for private practice. Some, for example, feel like they’re better aligned with vascular surgeons or multispecialty practices.
The task force is also identifying trends in the field as well as the clinical training changes and expectations of both the new interventionalists and those who will employ them evolve.
“Sometimes, we need to talk with each other and say, ‘You know what? The same thing is happening in every town and every single city across the country. How can we join forces and figure out whether what works for you works for me?'” Dr. Pyne said. “Let’s share ideas, and rather than just stewing and brewing over it, let’s actually figure out some solutions. That’s the crux of the matter.”
There’s no business like IR business: Surviving today’s practice [r]evolution
1 – 6 p.m. Sunday
Room 411 (Theater)
There’s no business like IR business: Private practice symposium
1 – 6 p.m. Monday
Room 411 (Theater)