fewer complications and less cost. In addition, there is usually more IR-related longitudinal outpatient imaging which the hospital benefits from. Painting a picture of this value can be challenging if the hospital administrators have not worked closely with IR. Arming yourself with data (e.g., Medical Group Management Association revenue benchmarks) and explaining clinical scenarios to showcase IR value to a healthcare system may seem like a sales pitch and awkward to do.
However, most administrators have very tight budgets, and they need to explain to corporate-level executives why they are investing in IR. Other factors to discuss in a negotiation would be a call stipend, a trauma call stipend (IR is required for Level I and II trauma), professional fee collections, expected annual growth, financial support for an advanced practice provider versus a hospital-provided advanced practice provider, clinic space within the hospital, and marketing by the hospital. It is possible to have a mutually beneficial relationship with a hospital system, but you must be compensated for the value you bring.
Overall, building a successful IR practice takes time, effort and persistence. By focusing on education, relationships and clinical care, you can provide the best possible care to your patients and help others understand the value of our field.
Neal Khurana, MD, is a partner at Vascu- lar Interventional Specialists and Vascular and Vein Institute of Siouxland in Dakota Dunes, SD, and medical director of IR at Mercy One Siouxland, Sioux City, Iowa.
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