March 17, 2005 Executive Committee
Present: Dr. Abraham Dachman, Dr. Carl Kalbhen, Dr.
Nandita Guha-Thakurta, Dr. Edward Michals, Dr. John Hibbeln, Dr. Gary
Dillehay, Dr. Kate Feinstein, Dr. Richard Mintzer, Dr. Michael Racenstein,
Dr. Ruth Ramsey, Dr. Aruna Vade, Dr. Kathleen Ward, Dr. Jay Cinnamon and
Mr. Merle Hedland.
The meeting was called to order at 4:15 PM at The 500 Club of Rush University
Medical Center by Dr. Dachman, who was substituting in Dr. Melian’s
APPROVAL OF MINUTES:
The minutes from the February 17, 2005 meeting were approved after minor
RESIDENT SECTION REPORT:
Dr. Guha-Thakurta stated that tonight’s scheduled Resident Section
speaker had to cancel and that Dr. Gillian Newstead of the University
of Chicago graciously agreed to fill in at the last minute. She will speak
tonight on “Breast MRI”. The Resident Physician Section elections
will take place during tonight’s session as well.
NOMINATING COMMITTEE REPORT:
Dr. Racenstein reported that the Nominating Committee is recommending
the following slate of officers and trustees for 2005-2006: President,
Dr. Abraham Dachman; President-Elect and Secretary/Treasurer, Dr. Carl
Kalbhen; Vice President and Program Chairman, Dr. Jay Korach; 4th Year
Trustees, Drs. Margaret Stull and John Hibbeln; 3rd Year Trustees, Drs.
Ellen Mendelson and Edward Michals, 2nd Year Trustee, Dr. Davide Bova;
and 1st Year Trustee, Dr. Leonard Bok. This recommended slate will be
announced to the general membership during the Business Meeting at the
conclusion of tonight’s dinner.
Dr. Kalbhen gave the Financial Report for February 2005, and the Society’s
finances remain strong. He also reported that registration for tonight’s
meeting is unusually low, with only approximately 40 dinner reservations
made. Potential reasons include competition with St. Patrick’s Day
activities, the NCAA tournament and a University of Chicago radiology
resident review course. Given these factors, the low attendance was thought
unlikely to be indicative of a trend. Dr. Karna has given the CRS a list
of prior Golf Outing sponsors. Specific vendors will be contacted during
the coming months to gauge interest in sponsoring the CRS in other ways.
PROGRAM COMMITTEE REPORT:
Dr. Dachman gave the list of speakers for tonight’s Breakout Sessions
and also introduced Dr. Jay Cinnamon, tonight’s Featured Speaker,
who was in attendance at the Executive Committee meeting. Dr. Dachman
has continued work on the schedule for the 2005-2006 season. Four of the
six Featured Speakers have now been finalized. Dr. Anne Osborne is the
most recent addition, and she will lecture on a neuroradiology topic.
ILLINOIS RADIOLOGICAL SOCIETY REPORT:
The possibility of holding an Illinois Radiological Society Meeting and
Educational Symposium in conjunction with the March 2006 CRS Meeting was
again discussed and is expected to take place. Dr. Mintzer has agreed
to serve as Program Chairman and has formulated a preliminary schedule
of events. The meeting will be held at Northwestern University on the
date of the regular Thursday March CRS meeting, with the symposium continuing
on the following Friday as well. The Thursday CRS meeting will take place
as usual, except that the Steven M. Pinsky resident paper presentations
will replace the standard Breakout Sessions. A full day IRS Educational
Symposium would then occur on Friday and likely include lectures on current
and emerging imaging techniques as well as on business issues related
to running a radiology practice. A joint CRS/IRS/CIRS Executive Committee
meeting will be held at some time during these two days in order to prepare
and strategize for the ACR meeting which will take place in May of 2006.
Dr. Mintzer plans to have the speakers all originate from within the state
of Illinois, and he will present a preliminary program for the symposium
at the April CRS Executive Committee meeting.
Dr. Dillehay stated that he has received one application for ACR fellowship
so far this year, with the deadline quickly approaching.
Dr. Racenstein reported that an ad hoc committee consisting of himself
and Drs. Ellen Mendelson, Gillian Newstead and Edward Hendrick met with
Blue Cross/Blue Shield on March 15 to discuss recent reimbursement denials
for breast MRI when ordered for cancer staging. Dr. Racenstein thought
that the meeting went very well and expects BC/BS to routinely reimburse
for these procedures in the future and to even reverse some prior denials.
Dr. Ramsey announced to any interested parties that the Illinois Civic
Justice League will be discussing medical liability issues at the Illinois
State Medical Society headquarters on March 30. She also reported that
the Carrier Advisory Committee is working on obtaining routine reimbursement
for virtual colonoscopy.
Dr. Dachman reported that he went before the United States Senate the
prior week to give testimony on the effectiveness of virtual colonoscopy
and the need for appropriate reimbursement. He thought that this meeting
Dr. Mintzer reported on a recent ACR meeting that took place near O’Hare
on issues of self referral for diagnostic imaging. It appears doubtful
that legislation to curb these practices (ie, a “Stark III bill”)
will occur. Without any changes to the current situation, a potential
long-range scenario involves the continued overutilization of medical
imaging by nonradiologists leading to significant decreases in reimbursement
per procedure. Efforts by insurance companies to curb self referral are
occurring and may be successful. For example, a BC/BS affiliate in western
Pennsylvania will now only reimburse for studies performed at free-standing
imaging centers that offer five separate modalities (three modalities
for dedicated women’s imaging centers). This type of reimbursement
policy may effectively put some nonradiologists (eg, the orthopedic surgeon
with a low field MRI unit, the cardiologist with a SPECT camera) out of
the imaging business.
Having no further business, the meeting was adjourned at 5:20 PM.
Carl Kalbhen, MD
Dinner was served to 42 people. Following dinner and a short Business
Meeting, Dr. Abraham Dachman introduced Dr. Jay Cinnamon who gave a talk
entitled, “Advanced 3D CT Imaging in Radiology”.