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Initial Impact of COVID-19 on Radiology Practices: An ACR/RBMA Survey
Institution:1. Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut;2. Chair, ACR Board of Chancellors, American College of Radiology, Reston, Virginia;3. Chief of Radiology Services, Emory Johns Creek Hospital, Johns Creek, Georgia;4. Vice Chair for Health Policy and Practice, Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia;5. South Texas Radiology Group, San Antonio, Texas;6. Department of Radiology, UT Health – San Antonio, San Antonio, Texas;7. Departments of Radiology and Population Science, Weill Cornell Medicine, New York, New York;8. Professor of Radiology, Mayo Clinic, Rochester, Minnesota;9. Co-Chair, Data Committee, Radiology Business Management Association, Fairfax, Virginia;10. Executive Director, Vantage Radiology, Renton, Washington;11. Co-Chair, Data Committee, Radiology Business Management Association, Fairfax, Virginia;12. Radiology Business Management Association, Fairfax, Virginia;13. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York;14. Feinstein Institutes for Medical Research, Manhasset, New York;15. Executive Director, Harvey L. Neiman Health Policy Institute, Reston, Virginia;p. Professor School of Economics, Director, Health Economics and Analytics Lab (HEAL), Georgia Institute of Technology, Atlanta, Georgia;q. Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia
Abstract:PurposeThe coronavirus disease 2019 (COVID-19) pandemic affected radiology practices in many ways. The aim of this survey was to estimate declines in imaging volumes and financial impact across different practice settings during April 2020.MethodsThe survey, comprising 48 questions, was conducted among members of the ACR and the Radiology Business Management Association during May 2020. Survey questions focused on practice demographics, volumes, financials, personnel and staff adjustments, and anticipation of recovery.ResultsDuring April 2020, nearly all radiology practices reported substantial (56.4%-63.7%) declines in imaging volumes, with outpatient imaging volumes most severely affected. Mean gross charges declined by 50.1% to 54.8% and collections declined by 46.4% to 53.9%. Percentage reductions did not correlate with practice size. The majority of respondents believed that volumes would recover but not entirely (62%-88%) and anticipated a short-term recovery, with a surge likely in the short term due to postponement of elective imaging (52%-64%). About 16% of respondents reported that radiologists in their practices tested positive for COVID-19. More than half (52.3%) reported that availability of personal protective equipment had become an issue or was inadequate. A majority (62.3%) reported that their practices had existing remote reading or teleradiology capabilities in place before the pandemic, and 22.3% developed such capabilities in response to the pandemic.ConclusionsRadiology practices across different settings experienced substantial declines in imaging volumes and collections during the initial wave of the COVID-19 pandemic in April 2020. Most are actively engaged in both short- and long-term operational adjustments.
Keywords:COVID-19  radiology practice  impact  survey  imaging volume
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