These are a few of the same tactics recommended by the authors and implemented by several radiology practices. Others include reductions in salary for radiologist and practice executives, requiring unpaid leave, eliminating or reducing bonuses, and suspending investment and system and infrastructure improvements.

These alone, however, are not enough to curtail the full impact. Practices also require greater unification in their interpretations of state-level practice guidelines. For example, even in areas hit early like Seattle, a portion of practices maintained elective imaging appointments, while others requested that all elective imaging be rescheduled. Some rescheduled only screening exams, and one group told patients to reschedule only if they had symptoms of COVID-19, according to the report.


Sharpe adds that practices should be adaptable to change, offer a variety of services, and be willing to make quick and difficult decisions.

“Successful practices are likely to be those that are diversified in their services, geographic regions, and practice settings in which they provide care. They will also demonstrate a culture that is adaptable, resilient, team-oriented, and capable of making tough short-term decisions to adjust cost levers and seek additional financial resources when appropriate.”

The findings were published in Radiology.

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