In-House Advocacy: Demonstrating IR Value

This post was contributed by American College of Radiology Chief Executive Officer William T. Thorwarth Jr., MD, FACR, and Society of Interventional Radiology President Charles E. Ray Jr., MD, PhD, FSIR.

Dr Thorwarth_20140414_008

William T. Thorwarth, MD, FACR

With a few notable exceptions, the current interventional radiology model in many health care systems is for interventional radiologists, whether part of the hospital based radiology group or employed by the hospital, to just do specific procedures on a case-by-case basis. Many IRs want to expand on that model to see in-house clinical IR practices offer robust service lines in their health systems.


Charles E. Ray Jr., MD, PhD, FSIR

Available at (and soon on an updated SIR site), the groups have created a toolkit of downloadable resources that local IRs can customize and use to educate hospital executives and radiology group officers on the benefits of starting an in-house clinical IR practice.However, many local IRs may not have the tools or resources to start conversations with health system decision makers to get such practices off the ground. The ACR and SIR have joined forces to overcome this challenge.

Interventional radiology has a significant story to tell. And health care payment and delivery changes under MACRA may be a powerful wind at our back.

We strongly urge interventional radiologists and radiology business managers to use these new resources to begin conversations with local health executives about starting an in-house IR function.

You can see more on this effort in this week’s Advocacy in Action e-news, but in the meantime, we would like to know:

  • Are you (or your group) considering approaching your hospital administrators about starting an in-house clinical IR practice?
  • Are you aware of other resources that the ACR-SIR should add to the IR Toolkit?
  • Have you already started an in-house IR practice at your local hospital or health system – and what tips might you have for other IRs considering this step?

Please share your thoughts in the comments section below and join the discussion on Engage (login required).

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