Health Information Systems: Florida MIS Radiology Center Case Study

The case study analyzes the Florida MIS Radiology Center, which operates under a focus generic business strategy, specializing in imaging and radiology services. It identifies key competitors such as Bayview Radiology, National Imaging Specialists, and SDI Diagnostic Imaging, all located in the same geographic region and offering similar services. The study emphasizes the importance of a Radiology Information System (RIS) for Florida MIS to improve efficiency, quality of care, and rapid turnaround time (RTT), as demonstrated by its competitors. The analysis highlights the benefits of RIS, including easy access to EHR information, improved clinical decision-making, and increased market share. The study references various research and case studies to support the claims that information technology and RIS are crucial for enhancing radiology services and achieving the center's goals. The study concludes that implementing a comprehensive RIS is essential for Florida MIS to remain competitive and provide high-quality patient care.

HEALTH INFORMATION: FLORIDA MIS RADIOLOGY CENTER CASE1
Health Information: Florida MIS radiology Center Case
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1. The MIS Radiology center has adopted the Focus generic business strategy, based on
Porters’ competitive strategies. The hospital is focused only on a single business segment,
which is imaging and radiology, with a small team. It does not, for instance, provide other
forms of medical services such as prescriptions or surgery (Porter, 2008). The center has a
target market of patients seeking imaging services as a way of helping diagnose their
conditions and propose a suitable treatment method. The center serves a distinct group of
clients with specialized needs for imaging services in the form of computerized tomography
scans, nuclear medicine, MRI, ultrasound, and X -rays, as well as fluoroscopy and
radiography
2. The three main competitors to Florida MIS radiology include Bayview Radiology, the
National Imaging Specialists, and SDI Diagnostic Imaging. The criteria used to select these
three ( Bayview Radiology, the National Imaging Specialists, and SDI Diagnostic Imaging)
('Bayview Radiology', 2018; ('National Imaging Specialists', 2018; 'SDI Diagnostic
Imaging', 2018) as competitors to Florida MIS radiology include the scope of their business
and their location. All the three are located in the same geographic region as Florida MIS,
meaning that they compete for the same clientèle in the context of geographic proximity.
Importantly, they all provide the same niche specialized services to customers (radiology
and imaging) as described in their websites and their mission, vision, and goals.
3. The competitors also use the Porters’ Focus generic strategy in which they are focused on a
niche target market and their market mix has been tailored specifically to the narrow market
segment (Porter, 2008) of other hospitals and medical centers around Tampa that will
require these highly specialized services but do not have, or want to invest in the hardware
and resources to offer these services. RIS greatly improve efficiency; for example, with RIS,
EHR information is easily provided to radiologists for effective and fast decision making as
RIS provides decision making tools as is the case for National Imaging Socialists that offer
imaging services to a number of hospitals and medical centers in Tampa area and beyond
('National Imaging Specialists', 2018). RIS improves quality of health care and gives
medical centers that use them a favorable market position while improving patient safety
(Raeisi, Ehteshami, Kasai, & Yusofi, 2014); SDI Diagnostic has been lauded by customers
for quality of service and care (‘Yelp’2016). An RIS improves rapid turnaround time (RTT),
a commonly used quality metric that measures time to medical reporting from completion of
an exam (Chew & Relyea-Chew, 2008). Customer reviews depict Bayview as having a very
short RTT and patient satisfaction (‘Yelp’, 2015).

HEALTH INFORMATION: FLORIDA MIS RADIOLOGY CENTER CASE3
4. At present, the Florida MIS strategy is not easily achievable, given the competitors’
advanced information systems and their lack of a sufficient RIS. Florida MIS will be able to
achieve its goals and objectives by investing in state of the art information systems since the
modern radiology unit is centered around efficient information and data flows between the
RIS and the PACS (picture archiving systems) as well as voice dictation systems and
Electronic health Records (EHR) (Towbin, Perry, & Larson, 2017; Nance Jr, Meenan, &
Nagy, 2013). For instance, in a study by Olisemeke, Chen, Hemming, & Girling (2014) the
authors established that RIS greatly enhances service delivery quality in improving the
waiting times for patients in clinical radiology departments. The NHS has seen marked
improvements in efficiency and cost reductions by implementing radiology information
systems ('Health Care Conferences UK', 2017). According to Rubin (2011), informatics and
information systems are the best ways to improve quality in radiology services.
5. Having a comprehensive RIS (radiology information system) will ensure EHR information
can be accessed easily and can be digested and effectively used by the center; medications
can be ordered for digitally and only relevant data is presented. Further, the center will be
able to perform imaging on patients and have them updated to their EHR records instantly
for further action by doctors and other care givers. The RIS will seamlessly link the center to
other medial services providers and increase their market share, footprint, and collaboration;
these will ensure the center achieves its mission, goals and objectives (and even exceed
them). Mount Sinai medical center implemented a radiology system based on information
systems and succeeding in enhancing clinical decision making in patient care (Mendelson,
2013). An evaluation of four benchmark institutions established that information technology
systems were efficient at improving efficiency and quality of service delivery, including in
radiology services while reducing costs (Agha, 2014). Ranschaert (2016) established that
information technology can revolutionize radiology services, making service delivery
efficient, cost effective, and linking care providers to ensure high quality services.

HEALTH INFORMATION: FLORIDA MIS RADIOLOGY CENTER CASE4
References
Agha, L. (2014). The effects of health information technology on the costs and quality of medical
care. Journal of Health Economics, 34, 19-30. doi:10.1016/j.jhealeco.2013.12.005
'Bayview Radiology'. (2018). Tampa Bay Imaging and Bayview Radiology [phone].
Retrieved from http://www.bayviewradiology.com/tampa-bay-imaging/
Chew, F. S., & Relyea-Chew, A. (2008). Performance Measurements and Incentive Systems for
Radiology Practices. Radiology Business Practice, 1, 273-287. doi:10.1016/b978-
032304452-3.10016-3
'Health care Conferences UK'. (2017). Digital Imaging 2017: Radiology Information Systems and
PACS: News and updates - Healthcare Conferences UK. Retrieved from
https://www.healthcareconferencesuk.co.uk/news/digital-imaging-2017-radiology-
information-systems-and-pacs
Mendelson, D. S. (2013). Mount Sinai Medical Center: Implementation of Decision Support for
Radiology Orders. Retrieved from http://www.radiologybusiness.com/topics/imaging-
informatics/mount-sinai-medical-center-implementation-decision-support-radiology
Nance Jr, J. W., Meenan, C., & Nagy, P. G. (2013). The Future of the Radiology Information
System. American Journal of Roentgenology, 200(5), 1064-1070. doi:10.2214/ajr.12.10326
'National Imaging Specialists'. (2018). National Imaging Specialists. Retrieved from
http://www.nationalimagingspecialists.com/
Olisemeke, B., Chen, Y. F., Hemming, K., & Girling, A. (2014). The Effectiveness of Service
Delivery Initiatives at Improving Patients’ Waiting Times in Clinical Radiology
Departments: A Systematic Review. Journal of Digital Imaging, 27(6), 751-778.
doi:10.1007/s10278-014-9706-z
Ranschaert, E. R. (2016). The impact of information technology on radiology services
(10.13140/RG.2.1.4799.9603) (Unpublished doctoral dissertation). Universitair Ziekenhuis
Leuven, Leuven.
Raeisi, A. Z., Ehteshami, A., Kasai, M., & Yusofi, M. (2014). Utilization assessment of radiology
information system: Solution to patient safety improvement. International Journal of Health
System & Disaster Management, 2(1), 15-21. Retrieved from
http://www.ijhsdm.org/article.asp?issn=2347-
9019;year=2014;volume=2;issue=1;spage=15;epage=21;aulast=Raeisi

HEALTH INFORMATION: FLORIDA MIS RADIOLOGY CENTER CASE5
Rubin, D. L. (2011). Informatics in Radiology: Measuring and Improving Quality in Radiology:
Meeting the Challenge with Informatics. RadioGraphics, 31(6), 1511-1527.
doi:10.1148/rg.316105207
'SDI Diagnostic Imaging'. (2018). SDI Diagnostic Imaging and Radiology, Tampa, Florida.
Retrieved from http://www.sdirad.com/
Towbin, A. J., Perry, L. A., & Larson, D. B. (2017). Improving efficiency in the radiology
department. Pediatric Radiology, 47(7), 783-792. doi:10.1007/s00247-017-3828-7
Porter, M. E. (2008). Competitive strategy: Techniques for analyzing industries and competitors.
New York, NY: Free Press.
'Yelp'. (2015, September 15). Bayview Radiology - Carrollwood - Tampa, FL. Retrieved from
https://www.yelp.com/biz/bayview-radiology-tampa
Yelp. (2016, August 11). SDI Diagnostic Imaging - CLOSED - SoHo - Tampa, FL. Retrieved from
https://www.yelp.com/biz/sdi-diagnostic-imaging-tampa-3