News | Interventional Radiology | June 15, 2020

House-call Model Tapping Interventional Radiology Improves Outcomes and Access to Care

IR practitioners bring vital expertise to cut hospital usage for rural patients with chronic diseases

IR practitioners bring vital expertise to cut hospital usage for rural patients with chronic diseases

Getty Images

June 15, 2020 — Interventional radiologists participating in a collaborative house call model in rural Indiana helped reduce emergency department use by 77 percent and hospital readmissions by 50 percent for nearly 1,000 elderly homebound patients with chronic illnesses, according to a research abstract presented during a virtual session of the Society of Interventional Radiology’s 2020 Annual Scientific Meeting on June 13. The novel care model brings interventional radiology treatments into patients’ homes to provide more value through in-home advanced specialty care, prevent common complications of chronic diseases, and avoid unnecessary emergency department visits and hospital admissions.

“Older homebound patients, including those in nursing home settings, have few resources available to receive specialty care and often delay care until preventable issues become urgent and acute,” said Nazar Golewale, M.D., lead author of the study and an interventional radiologist with Modern Vascular & Vein Center in Valparaiso, Indiana and the northwest Indiana area. “By providing image-guided treatments in a patient’s home, we are improving access to care that otherwise would need to be delivered in the hospital.”

Golewale sees more than 900 of the practice’s patients to diagnose and manage their conditions. Through varieties of portable technology, he brings interventional radiology care into patients’ homes that would normally be delivered in clinics, such as ultrasound-guided needle biopsy, paracentesis and thoracentesis, ultrasound-guided joint injections for pain, wound care, and drug infusions. Payments for care are covered by Medicare reimbursement for homebound patients.

The care partnership was formed to overcome the difficulty of providing specialty care for chronically ill, homebound patients in Golewale’s rural community. As a result of the program, patient satisfaction scores increased from 17 percent to 84 percent from before and after implementation of the program. Primary care providers, including internists and nurse practitioners, recruited specialists based on the needs of the patients they serve. In addition to interventional radiology, the house call practice includes providers in internal medicine, podiatry, laboratory services, and wound care.  

“Some specialty services are available at our local hospitals, but cost-effective ways of coordinating patients’ transportation and visits remained a significant barrier to care,” said Golewale. “By bringing the hospital care to the patient, we’re eliminating these hurdles and providing timely, personalized care.”

The research was originally scheduled to be presented in person at SIR’s Annual Scientific Meeting, March 28–April 2, in Seattle before the meeting was canceled due to COVID-19 concerns. Visit sirmeeting.org for more information

Related Content

Image courtesy of GE Healthcare

Feature | Mobile C-Arms | July 08, 2020 | By Melinda Taschetta-Millane
Moblie C-arms have seen several advances over the past de
 Many patients with severe coronavirus disease 2019 (COVID-19) remain unresponsive after surviving critical illness. Investigators led by a team at Massachusetts General Hospital (MGH) now describe a patient with severe COVID-19 who, despite prolonged unresponsiveness and structural brain abnormalities, demonstrated functionally intact brain connections and weeks later he recovered the ability to follow commands

Getty Images

News | Coronavirus (COVID-19) | July 08, 2020
July 8, 2020 — Many patients with severe coronavirus disease 2019 (...
Fujifilm’s Sonosite SII POC ultrasound system helps to keep crowded areas clearer with a small ultrasound footprint.

Fujifilm’s Sonosite SII POC ultrasound system helps to keep crowded areas clearer with a small ultrasound footprint.

Feature | Ultrasound Imaging | July 07, 2020 | By Joan Toth
With the miniaturization of technology, improved ease of use, lower system cost, increased portability and greater ac
A patient implanted with the Axonics System can undergo MRI examinations safely with radio frequency (RF) Transmit Body or Head Coil under the conditions outlined in the Axonics MRI Conditional Guidelines.

A patient implanted with the Axonics System can undergo MRI examinations safely with radio frequency (RF) Transmit Body or Head Coil under the conditions outlined in the Axonics MRI Conditional Guidelines.

News | Magnetic Resonance Imaging (MRI) | July 02, 2020
July 2, 2020 — Axonics Modulation Technologies, Inc., a medical technology company that has developed and is commerci
This data represents wave 2 of a QuickPoLL survey conducted in partnership with an imagePRO panel created by The MarkeTech Group (TMTG), regarding the effects of COVID-19 on their business

Getty Images

Feature | Coronavirus (COVID-19) | July 01, 2020 | By Melinda Taschetta-Millane
A 3-D ultrasound system provides an effective, noninvasive way to estimate blood flow that retains its accuracy across different equipment, operators and facilities, according to a study published in the journal Radiology.

Volume flow as a function of color flow gain (at a single testing site). For each row the color flow c-plane and the computed volume flow are shown as a function of color flow gain. The c-plane is shown for four representative gain levels, whereas the computed volume flow is shown for 12–17 steps across the available gain settings. Flow was computed with (solid circles on the graphs) and without (hollow circles on the graphs) partial volume correction. Partial volume correction accounts for pixels that are only partially inside the lumen. Therefore, high gain (ie, blooming) does not result in overestimation of flow. Systems 1 and 2 converge to true flow after the lumen is filled with color pixel. System 3 is nearly constant regarding gain and underestimates the flow by approximately 17%. Shown are mean flow estimated from 20 volumes, and the error bars show standard deviation. Image courtesy of the journal Radiology

News | Ultrasound Imaging | July 01, 2020
July 1, 2020 — A 3-D ultrasound
Researchers reviewed results of prostate biopsies on over 3,400 men who had targets identified on prostate MRI and found that the positive predictive value of the test for prostate cancer was highly variable at different sites
News | Prostate Cancer | July 01, 2020
July 1, 2020 — Prostate MRI is an emerging technology used to identify and guide treatment for...