IR Quarterly - Spring 2021

than comparable surgical procedures. But as natural collaborators and problem-solvers, IRs also add their expertise to improve the outcomes and performance of other procedures, making care safer throughout the system. As a result, patients are able to go home healthier and avoid being readmitted to the hospital.

Having an IR on call can minimize a patient’s length of stay (LOS), and having IR services available on the weekends can not only reduce hospital length of stay but also progress patients toward an early discharge.14

LOS yields a large return on investment (ROI): Analysis has shown cost savings of between 200-500 patient days through expediting several procedures could be $5–$10 million annually.

How to maximize the value of IR:

• Expand IR offerings based on the staff and technology resources available.

• Offer IR consultations for patients who have been referred to surgery.

• Integrate care to encourage collaboration between specialties.

Download and share this SIR issue brief and related infographic with hospital administrators, payers, referrers and other key decision- makers who need to know the value of your practice. sirweb.org/ practice-resources/value-of-ir

24 IRQ | SPRING 2021

References

1. Global interventional Radiology market—industry trends and forecast to 2027. (2019, December). Retrieved March 09, 2021, from https://www.databridgemarketresearch.com/reports/ global-interventional-radiology-market

2. Morrill M, Gilbert D, Daugherty A. How to Grow Your Interventional Radiology Program. Advisory Board. 2016.

3. Misono, A., Mueller, P., Hirsch, J., Harbaugh, A., Sheridan, R., Liu, R. (2016). Outpatient interventional radiology clinic: Financial modeling predicts revenues and profitability. Journal of Vascular and Interventional Radiology, 27(3). doi:10.1016/j.jvir.2015.12.127

4. White, S. B., Dybul, S. L., Patel, P. J., Hohenwalter, E. J., Hieb, R. A., Shah, S. P., . . . Tutton, S. M. (2015). A single center experience in capturing inpatient evaluation and management for an IR practice. Journal of Vascular and Interventional Radiology, 26(7), 958-962. doi:10.1016/j. jvir.2015.03.013

This reduced

5. LaRoy JR, White SB, Jayakrishnan T, Dybul S, Ungerer D, Turaga K, Patel PJ. Cost and Morbidity Analysis of Chest Port Insertion: Interventional Radiology Suite Versus Operating Room. J Am Coll Radiol. 2015 Jun;12(6):563-71. doi: 10.1016/j.jacr.2015.01.012. PMID: 26047398; PMCID: PMC4655878.

6. Trivedi, P., Jensen, A., Brown, M., Hong, K., Borgstede, J., Lindrooth, R., Duszak, R., Rochon, P., Ryu, R. (2020). Cost Analysis of Dialysis Access Maintenance Interventions across Physician Specialties in U.S. Medicare Beneficiaries. Radiology, 297 (2). doi:10.1148/radiol.2020192403

7. Ahmed, M., Sarwar, A., Hallett, D., Guthrie, M., O’Bryan, B., Mehta, S., . . . Faintuch, S. (2018). Impact of performing nonurgent interventional radiology procedures on weekends. Journal of the American College of Radiology, 15(9), 1246-1253. doi:10.1016/j.jacr.2018.05.029

8. Zafar, A., Dhangana, R., &amp; Murphy, T. (2012). Lower extremity endovascular interventions for Medicare beneficiaries: Comparative effectiveness as a function of provider specialty. Journal of Vascular Surgery, 56(2), 573. doi:10.1016/j.jvs.2012.06.065

9. Cucchetti A, Piscaglia F, Cescon M, et al. Cost-effectiveness of hepatic resection versus percutaneous radiofrequency ablation for early hepatocellular carcinoma. Journal of Hepatology. 2013;59(2):300-307. doi:10.1016/j.jhep.2013.04.009.

10. Kwan SW, Mortell KE, Hippe DS, Brunner MC. An Economic Analysis of Sublobar Resection versus Thermal Ablation for Early-Stage Non–Small-Cell Lung Cancer. Journal of Vascular and Interventional Radiology. 2014;25(10):1558-1564. doi:10.1016/j.jvir.2014.07.002.

11. Volkers NA, Hehenkamp WJK, Smit P, Ankum WM, Reekers JA, Birnie, E. Economic Evaluation of Uterine Artery Embolization versus Hysterectomy in the Treatment of Symptomatic Uterine Fibroids: Results from the Randomized EMMY Trial. Journal of Vascular and Interventional Radiology. 2008; 19(7):1007-16. doi: 10.1016/j.jvir.2008.03.001.

12. LaRoy JR, White SB, Jayakrishnan T, et al. Cost and Morbidity Analysis of Chest Port Insertion: Interventional Radiology Suite Versus Operating Room. Journal of the American College of Radiology. 2015;12(6):563-571. doi:10.1016/j.jacr.2015.01.012.

13. Itagaki MW, Talenfeld AD, Kwan SW, Brunner JWM, Mortell KE, Brunner MC. Percutaneous Vertebroplasty and Kyphoplasty for Pathologic Vertebral Fractures in the Medicare Population: Safer and Less Expensive than Open Surgery. Journal of Vascular and Interventional Radiology. 2012;23(11):1423-1429. doi:10.1016/j.jvir.2012.08.010.

14. Ahmed M, Sarwar A, Hallett D, Guthrie M, O’Bryan B, Mehta S, Fudim T, Faintuch S. Impact of Performing Nonurgent Interventional Radiology Procedures on Weekends. J Am Coll Radiol. 2018 Sep;15(9):1246-1253. doi: 10.1016/j.jacr.2018.05.029. Epub 2018 Jul 14. PMID: 30017623.

15. Froedtert & Medical College of Wisconsin Regional Health Network.

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