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J Am Coll Radiol. 2014 Oct;11(10):953-8. doi: 10.1016/j.jacr.2014.05.022. Epub 2014 Aug 12.

Radiologist manpower considerations and Imaging 3.0: effort planning for value-based imaging.

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Boston University School of Medicine, Boston, Massachusetts. Electronic address:
Ochsner Health System, New Orleans, Louisiana.
University of Washington Schools of Medicine and Public Health, Seattle, Washington.
Mount Sinai Medical Center, Miami, Florida.
Sutter Radiation Oncology Centers, Sacramento, California.
University of Utah School of Medicine, Salt Lake City, Utah.
Weill Cornell University School of Medicine, New York, New York.


Our specialty is seeking to establish the value of imaging in the longitudinal patient-care continuum. We recognize the need to assess the value of our contributions rather than concentrating primarily on generating revenue. This recent focus is a result of both increased cost-containment efforts and regulatory demands. Imaging 3.0 is a value-based perspective that intends to describe and facilitate value-based imaging. Imaging 3.0 includes a broad set of initiatives addressing the visibility of radiologists, and emphasizing quality and safety oversight by radiologists, which are new directions of focus for us. Imaging 3.0 also addresses subspecialty imaging and off-hours imaging, which are existing areas of practice that are emblematic of inconsistent service delivery across all hours. Looking to the future, Imaging 3.0 describes how imaging services could be integrated into the framework of accountable care organizations. Although all these efforts may be essential, they necessitate manpower expenditures, and these efforts are not directly covered by revenue. If we recognize the urgency of need in developing these concepts, we can justify the manpower and staffing expenditures each organization is willing to shoulder in reaching Imaging 3.0.


Imaging 3.0; accountable care organizations; adaptation; manpower; strategy; value-based

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