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Radiology, Vol 209, 405-410, Copyright © 1998 by Radiological Society of North America

ARTICLES

Can academic radiology departments become more efficient and cost less?

SE Seltzer, S Saini, RT Bramson, P Kelly, L Levine, BF Chiango, P Jordan, A Seth, J Elton, J Elrick, D Rosenthal, BL Holman and JH Thrall
Department of Radiology, Harvard Medical School, Partners HealthCare, Brigham and Women's Hospital, Boston, MA 02115, USA.

PURPOSE: To determine how successful two large academic radiology departments have been in responding to market-driven pressures to reduce costs and improve productivity by downsizing their technical and support staffs while maintaining or increasing volume. MATERIALS AND METHODS: A longitudinal study was performed in which benchmarking techniques were used to assess the changes in cost and productivity of the two departments for 5 years (fiscal years 1992-1996). Cost per relative value unit and relative value units per full-time equivalent employee were tracked. RESULTS: Substantial cost reduction and productivity enhancement were realized as linear improvements in two key metrics, namely, cost per relative value unit (decline of 19.0% [decline of $7.60 on a base year cost of $40.00] to 28.8% [$12.18 of $42.21]; P < or = .001) and relative value unit per full-time equivalent employee (increase of 46.0% [increase of 759.55 units over a base year productivity of 1,651.45 units] to 55.8% [968.28 of 1,733.97 units]; P < .001), during the 5 years of study. CONCLUSION: Academic radiology departments have proved that they can "do more with less" over a sustained period.


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