Knowledge Management Is Key

hardy_seth_92016_cropThis post was contributed by Seth Hardy, MD, member of the ACR Commission on Economics.

Knowledge management is the strategic development of knowledge within an organization done to support its mission and enhance its competitive position. Active management of that knowledge promotes organizational sustainability.

Medicine is an industry entirely populated by knowledge workers.  I know of no other organization within medicine that manages knowledge or intellect better than the American College of Radiology (ACR).  This management takes three forms: human capital, social capital and recorded knowledge.

Human capital is understood to be the people who hold and create organizational knowledge. ACR members and staff stand out among their peers in terms of their ingenuity and productivity.  The culture of the ACR thrives with human capital who are secure in their positions and not threatened when challenged by a novel idea or by someone who is enthusiastic about pushing the boundaries of current thought.  Staff and members are allowed to think differently, a strategic advantage that is frequently missing in other organizations.  The ACR’s Radiology Leadership Institute (RLI) helps to support this human capital through their relationship with UMass’s online MBA program.

Social capital is comprised of the networks through which human capital interacts and innovates. Social capital is a strategic capability; the output of an organization is supported and enhanced by unique social connection between workers. It grants a sustainable competitive advantage to an organization by supporting collaborative innovation that is difficult for outsiders to replicate.  ACR Engage (login required) is a recent initiative through which the ACR can leverage social capital and facilitate the development of human capital throughout the year.

Recorded knowledge is generally understood to be published work such as articles within the Journal of the American College of Radiology (JACR®) and the ACR’s white papers.  This knowledge has been extracted from the human capital and placed in written form to share throughout and beyond the organization.  There is, however, little control over the intellectual property of recorded knowledge once disseminated. Artificial intelligence is another form of recorded knowledge; one that leverages future human capital by making it more efficient, creating a positive feedback loop within knowledge management.

Managing the knowledge within an organization is critical for its growth and development. Some health care systems are recognizing the importance of such management with the identification of a Chief Learning Officer.  For such a reorientation to be effective, however, knowledge workers within the organization must be receptive to it on both an individual and social level.

How does your practice or department handle knowledge management?

Do they make use of your human capital, social capital and recorded knowledge?

I invite you to use the ACR Engage platform or the comments section below to discuss.

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Holy MACRA, I Need Help

This post was contributed by Ezequiel Silva III, MD, FACR, chair of the American College of Radiology Commission on Economics.

Dr. SilvaThe Medicare Access and CHIP Reauthorization Act (MACRA) is the most significant physician payment policy change in more than 25 years. If you woke up this morning saying, “Holy MACRA, I need help,” we understand. And the ACR has your back.

As radiologists we have our own challenges and opportunities with MACRA. While we are a patient-centered specialty, the nature of image interpretation is different from more traditional patient-facing activities. Our range of services is diverse, extending from imaging through interventions to therapy. And, our practice sizes, practice types and practice settings vary considerably.

The good thing is, ACR has invested a great deal of time and effort into addressing these issues and we have a mountain of resources to help you find out what do you need to know. Start with those below.

Understand MACRA

The Centers for Medicare and Medicaid Services (CMS) released the MACRA Final Rule, and ACR reviewed and analyzed the 2,400-page document, posting a radiology-specific summary  to give a better idea of what CMS has actually done and how it may affect you. You should know that the timeline for implementation is short: While the first payment adjustments occur in 2019, the first performance period starts in 2017.

Use Free Resources

Sense the urgency? Numerous other ACR-developed tools and resources—from Be MACRA Ready: A Decision Guide for Radiologists to webinars and informational articles—can be found in the Be MACRA Ready section on the ACR website.

Read JACR Special Collection

Additionally, the Journal of the American College of Radiology (JACR) offers a new special collection of MACRA-related articles, which will aid you as we shift from the volume-driven care of traditional fee-for-service to a value-driven payment system. Hear from some of our MACRA experts on payment models, a roadmap for value-based payments and the importance of registry participation.

Payment policy, health care and the quality of care we provide to patients are transforming before our eyes. Get the help you need and be MACRA ready.

  • How are you and your practice getting ready for value-based care?
  • What ACR resources did you find most beneficial?

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

JACR Turns a (Patient) Page

This post was submitted by James V. Rawson, MD, FACR, chair of the ACR Commission on Patient- and Family-Centered Care.

RawsonHeadshotThe December issue of the Journal of the American College of Radiology (JACR) is exploring patient engagement from a unique perspective for a radiology journal: our patients. The insights from this special issue will help radiologists make the imaging and radiation oncology care we provide more patient-centered.

Patients, caregivers and advocates serve as coauthors or reviewers of articles that range from clinical care issues to participation in radiology department service improvements. They are our coproducers of meaningful content, as radiologists and radiology take steps to redefine health care delivery.

The articles in the free-access “Patient- and Family-Centered Care in Radiology and Radiation Oncology” issue can help radiologists to innovate to improve and deliver value to the doctor-patient relationship. Since the issue is open access, patients and their families also have access to these articles.

By reading these 14 articles; you’re sure to find some key takeaways for delivering value-based care. Equally importantly, please share these articles with your administrators, staff and patients.

ACR offers numerous resources to help radiology professionals deliver patient- and family-centered care, including sessions at ACR 2017—The Crossroads of Radiology®.

What actions have you initiated—in listening, comforting and supporting the needs of patients and their families? Please share your thoughts in the comments section below and join the discussion on Engage (login required).