How to discuss patient radiation risks associated with interventional radiology procedures

rial disease. The outcomes can be categorized into a 3 tier system, encompassing achievement of health status, recovery status, and sustainability of health. Costs should be measured over a longer time frame (years), ensuring that increased spending on certain services can reduce overall costs. Capturing high value may require integrated health care systems, including all multidisciplinary services related to a disease. It is within this novel framework that IR may compete in the future. Interventionalists will continue the trend of joining interdisciplinary teams such as oncology. IR physicians will undergo a cultural shift of measuring outcomes and amortizing costs over an extended time span. As payors adapt to a value based health care delivery system, reimbursement will be tied to enhancing value over a longitudinal cycle. Conclusion and/or Teaching Points: The current health care system is likely unsustainable, requiring a paradigm shift to deliver efficient health care in the future. Value based heath care delivery represents a novel framework whereby disease specific outcomes and costs are measured over an extended time frame. IR may be forced to successfully shift into integrated delivery systems with value based reimbursement over a longer care cycle. Educational Exhibit