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The Harvey L. Neiman Health Policy Institute® studies the value and role of radiology in evolving health care delivery and payment systems, including quality based approaches to care and the impact of medical imaging on overall health care costs. Neiman Institute research provides a foundation for evidence-based imaging policy to improve patient care and bolster efficient, effective use of health care resources. Read the 2016 Neiman Institute Annual Report.

Diagnostic Radiology Resident and Fellow Workloads: A 12-Year Longitudinal Trend Analysis Using National Medicare Aggregate Claims Data

This study evaluates changes in diagnostic radiology resident and fellow workloads in recent years. Full Article

Chokshi, F.H., Hughes, D.R., Wang, J.M., Mullins, M.E., Hawkins, C.M., and Duszak Jr, R.. 2015. "Diagnostic Radiology Resident and Fellow Workloads: A 12-Year Longitudinal Trend Analysis Using National Medicare Aggregate Claims Data," Journal of the American College of Radiology, 12(7): 664 - 669.

Screening Mammography Rates in the Medicare Population Before and After the 2009 U.S. Preventive Services Task Force Guideline Change: An Interrupted Time Series Analysis

This study examines longitudinal trends in screening mammography utilization and the presence of any changes in utilization associated with the 2009 U.S. Preventive Services Task Force (USPSTF) guideline change. Full Article

Jiang M., Hughes D.R., & Duszak Jr. R.. 2015. "Screening Mammography Rates in the Medicare Population Before and After the 2009 U.S. Preventive Services Task Force Guideline Change: An Interrupted Time Series Analysis," Women's Health Issues, 25(3): 239 - 245.

Perspectives on the Value of Advanced Medical Imaging: A National Survey of Primary Care Physicians

This study assess the perceptions of primary care physicians about the value of advanced medical imaging. Full Article

Hughes, C. M., Kramer, E., Colamonico, J., & Duszak, R.. 2015. "Perspectives on the Value of Advanced Medical Imaging: A National Survey of Primary Care Physicians," Journal of American College of Radiology, 12(5): 458 - 462.

Percutaneous Hepatic and Renal Biopsy Procedures: An 18-Year Analysis of Changing Utilization, Specialty Roles, and Sites of Service

This study evaluates national trends in percutaneous hepatic and renal biopsy procedures with regard to utilization, specialty group roles, and sites of service. Full Article

Angel W., Hawkins C.M., Wang J.M., Hughes D.R., Duszak R.. 2015. "Percutaneous Hepatic and Renal Biopsy Procedures: An 18-Year Analysis of Changing Utilization, Specialty Roles, and Sites of Service," Journal of Vascular and Interventional Radiology, 26(5): 680 - 685.

Regional Variation in Medicare Payments for Medical Imaging: Radiologists Versus Nonradiologists

This study evaluates regional variation in Medicare Physician Fee Schedule (MPFS) payments for medical imaging to radiologists compared with nonradiologists. Full Article

Rosman DA, Nsiah E, Hughes DR, Duszak R Jr.. 2015. "Regional Variation in Medicare Payments for Medical Imaging: Radiologists Versus Nonradiologists," American Journal of Roentgenology, 204(5): 1042 - 1048.

Expanding Roles of Nurse Practitioners and Physician Assistants as Providers of Nonvascular Invasive Radiology Procedures

This study evaluates national trends in nonvascular invasive radiology procedures performed by advanced practice providers (APPs), focusing specifically on nurse practitioners and physician assistants. Full Article

Duszak, R., Walls, D. G., Wang, J. M., Hemingway, J., Hughes, D. R., Small, W. C., & Bowen, M. A.. 2015. "Expanding Roles of Nurse Practitioners and Physician Assistants as Providers of Nonvascular Invasive Radiology Procedures," Journal of the American College of Radiology, 12(3): 284 - 289.

Traditional Text-Only Versus Multimedia-Enhanced Radiology Reporting: Referring Physicians’ Perceptions of Value

This study evaluates referring physicians’ perceptions of multimedia-enhanced radiology reporting (MERR) as an alternative to traditional text-only radiology reporting. MERR supplements text-only reports by embedding user-friendly interactive hyperlinks to key images and graphically plotting target lesion size longitudinally over time. Full Article

Sadigh, G., Hertweck, T., Kao, C., Wood, P., Hughes, D., Henry, T. S., & Duszak, R.. 2015. "Traditional Text-Only Versus Multimedia-Enhanced Radiology Reporting: Referring Physicians’ Perceptions of Value," Journal of the American College of Radiology, 12(5): 519 - 524.

A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits

This study compares the utilization of diagnostic imaging between advanced practice clinicians - specifically nurse practitioners and physician assistants - and primary care physicians. Full Article

Hughes, D.R., Jiang, M., Duszak, R. 2015. "A Comparison of Diagnostic Imaging Ordering Patterns Between Advanced Practice Clinicians and Primary Care Physicians Following Office-Based Evaluation and Management Visits," JAMA Internal Medicine, 175(1): 101 - 107.

Recent Trends in Adherence to Continuous Screening for Breast Cancer Among Medicare Beneficiaries

This study examines recent trends in adherence to continuous screening, especially the rate of subsequent screening mammography following an initial screening before and after the U.S. Preventive Services Task Force (USPSTF) revised its guidelines on breast cancer in November 2009. Full Article

Jiang, M., Hughes, D. R., Appleton, C. M., McGinty, G., & Duszak, R.. 2015. "Recent Trends in Adherence to Continuous Screening for Breast Cancer Among Medicare Beneficiaries," Preventive Medicine, 73(2015): 47 - 52.

Trends in Lumbar Puncture Over 2 Decades: A Dramatic Shift to Radiology

The purpose of this study is to evaluate national trends in lumbar puncture procedures and the relative roles of specialty groups providing this service. Full Article

Kroll, H., Duszak, R., Nsiah, E., Hughes, D. R., Sumer, S., & Wintermark, M.. 2015. "Trends in Lumbar Puncture Over 2 Decades: A Dramatic Shift to Radiology," American Journal of Roentgenology, 204(1): 15 - 19.