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The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.

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.

National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data

The aim of this study was to assess national specialty trends in the use of diagnostic ultrasound services in the emergency department setting. Full Article

Rosenkrantz AB, Bilal NH, Hughes DR, Duszak R.. 2014. "National Specialty Trends in Billable Diagnostic Ultrasound in the Emergency Department Setting: Analysis of Medicare Claims Data," The American Journal of Emergency Medicine, 32(12): 1470 - 1475.

The Scope and Distribution of Imaging Services at Critical Access Hospitals

The aim of this study is to assess the availability and scope of imaging services at critical access hospitals throughout the United States. Full Article

Khaliq, A., Nsiah, E., Bilal, N. H., Hughes, D. R., & Duszak, R.. 2014. "The Scope and Distribution of Imaging Services at Critical Access Hospitals," Journal of the American College of Radiology, 11(9): 857 - 862.

The Effect of Macroeconomic Conditions on the Care Decisions of the Employed

The aim of this study is to evaluate whether patients who are both employed and insured alter their utilization of medical services in response to changes in state unemployment rates. Full Article

Hughes, D. R., & Khaliq, A. A.. 2014. "The Effect of Macroeconomic Conditions on the Care Decisions of the Employed," Medical Care, 52(2): 121 - 127.

Professional Efficiencies for Diagnostic Imaging Services Rendered by Different Physicians: Analysis of Recent Medicare Multiple Procedure Payment Reduction Policy

The aim of this study was to quantify potential physician work efficiencies and appropriate multiple procedure payment reductions for different same-session diagnostic imaging studies interpreted by different physicians in the same group practice. Full Article

Duszak, R., Silva, E., Kim, A. J., Barr, R. M., Donovan, W. D., Kassing, P., McGinty, G., Allen, B.. 2013. "Professional Efficiencies for Diagnostic Imaging Services Rendered by Different Physicians: Analysis of Recent Medicare Multiple Procedure Payment Reduction Policy," Journal of the American College of Radiology, 10(9): 682 - 688.