Topics in Clinical Research Seminar Series' Use of Radiology and Radioisotopes in Clinical Research'

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Topics in Clinical Research Seminar Series.Use
of Radiology and Radioisotopes in Clinical
Research.

• Charles A. Jungreis, Chairman of Radiology and
  Kurt Bodison, Radiation Safety Officer. Thursday
  December 7, 2006. Temple University Hospital,
  Philadelphia, PA.

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Radiology Services

• Technical the machine and supplies
• CT, MR, US, Mammo, Plain films, Nucs, IR
• Supplies (film, disks, PACs, contrast, IV tubing,
  etc)
• Professional Personnel
• Radiologist for study design and development.
• Radiologist for interpretations and data
  recording.
• Post processing
• Clinical oversight

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Scott Faro, MD

• Department of Radiology
• Vice Chairman of Academics and Research
• 215-707-5003

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3 Categories of Research in Radiology

• 1. Non-reportable, non-billable exams.
•  
• Technical costs are billed to a grant. No
  professional Radiology bill.
•  
• 3. Reportable and Billable to a grant (both the
  technical and professional components are billed
  to a grant).

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1. Non-reportable, non-billable exams

• Modality
• CT, MR, US, Mammo, Plain films, Nucs, IR
•  
• As the title indicates, no Radiology report or
  bill
• is generated.
• Hard to qualify for this!!!

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2. Technical costs only are billed to a grant.

• No professional Radiology bill.

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A canned report is generated and then the
technical bill goes to the grant. Susan
Rotenberg will give the research coordinator the
appropriate exam code to use. The insurance
information will be the grant number. The
referring physician will be the PI of the grant.
This information must be used by the research
coordinator when scheduling the case.
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This examination was acquired as part of a
research protocol. The data is available to the
investigators and will be archived in the PACs.
No clinical oversight or clinical interpretation
will be rendered by the Department of Radiology.
No clinical charges, either professional or
technical, should be generated. A research
charge may apply.
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Reportable, Billable to a grant. (Both the
technical and professional components are billed
to a grant.)

• Susan Rotenberg will give the research
  coordinator the appropriate exam code to use.
  The insurance information will be the grant
  number. The referring physician will be the PI
  of the grant. This information must be used by
  the research coordinator when scheduling the case.

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The research coordinator must have the correct
exam code for use at registration. The grant
number will also have to be provided to the
registrar for insertion in the insurance field
during registration.  The referring physician
will be the PI of the grant.  The standard
subject name and MRN will be used.
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Susan Rotenberg is the contact person in
Radiology for the research coordinators, and
Susan will provide the exam code. Research
coordinators will be told that the grant number
is to be used for the insurance field and the PI
name is used as the attending physician.
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Susan Rotenberg2-2586(215-707-2586)
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The data will be archived in PACS.Research
studies have a filter in PACS, so investigators
can easily identify their cases.
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Liana Leanos 215-707-4827LR 215-363-5227 is
the contact person to learn how to review cases
in PACS
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Registration with the correct exam code is
essential.

• determines proper charges and billing- determin
  es proper examination- determines where the data
  goes and how to review it

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Line items (Direct Costs) Technical charge
(hospital) Time allocation on modality i.e. 30
minutes, 60 minutes, etc Contrast Supplies
(IV, films, CDs, etc) Nursing
assistance Drugs Professional/Personnel
charges optional, as per Principle
Investigator Physician (Radiologist) inclusio
n as co-investigator development and design
of project per case fee versus salary
support versus both - interpretations clin
ical oversight Post-processing person, if
necessary tech student physician facu
lty housestaff Coordinator OCT (Office of
Clinical Trials) Other?
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Overhead (Indirect Costs) NIH ? approximately
50 of TDC (Total Direct Costs). Pharmaceutical
companies ? approximately 20-30 TDC. Arleen
Wallen will negotiate this percentage. All
Direct Costs are included for the
calculation. Dispersement of Indirect Costs as
per TU policy. TU TUP Dean
(TUSM) Departments Investigators PI Co-P
I
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A budget is required prior to implementation of
the research protocol.

• To formulate the budget, a Principle Investigator
  will be required to coordinate with other
  personnel, including other faculty, to determine
  the level of involvement needed, if any, and the
  appropriate costs for such involvement (i.e. per
  case fee versus salary support versus both
  versus none). Distribution of indirect costs for
  the Radiology technical and professional
  components in general will typically return to
  the Radiology Department and Radiology
  investigators (via TU and TUSM as per TU policy).

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Fee schedules for both technical (hospital) and
professional (university) services.

• Arleen Wallen (TUSM)
• arleen_at_temple.edu
• 2-9639

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FEE SCHEDULESReasonably set by TUH and
TUSM.Competitive.Encourage research.Try to
cover costs.
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What do I need to know?

• 1. Figure out what services you require from
  Radiology.
• (Technical, Professional)
•  
• 2. Include appropriate Radiologists, PRN.
•  
• 3. Make a budget
•  
• 4. Talk to Susan.

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The research coordinator must have the correct
exam code for use at registration. The grant
number will also have to be provided to the
registrar for insertion in the insurance field
during registration.  The referring physician
will be the PI of the grant.  The standard
subject name and MRN will be used.
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Helpful numbers

• Chip Jungreis 2-4263
• I will try to help.
• Scott Faro 2-5003
• He can definitely help.
• Sue Rotenberg 2-2586
• She will coordinate with your coordinator.
• Arleen Wallen 2-9639
• She will help on budgets.
• Liana Leanos 2- 4827 (LR 215-363-5227)
• She will help you find the data and use PACs.