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Nighthawk v. Dayhawk
Two Types of Teleradiology
Howard Reis
hreis@teleradiologyspecialists.com
845-392-2915
In The Beginning…..
• founded in 2001 to deliver radiology
interpretations to U.S. hospitals by U.S. board
certified radiologists from reading centers in Idaho,
Switzerland and Australia
• NightHawk became the generic term for this service
• Currently there are over 100 commercial teleradiology
providers with industry revenue over $2 Billion
• While the company, NightHawk has been merged out
of existence, the providers can be segmented into two
types, NightHawks and DayHawks
Most Frequent Exam
NightHawk Dayhawk
X-Ray
Turnaround SLA
NightHawk DayHawk
30min., 10 min for stroke 24 hrs., One hour for STATS
Types of Reads or Reports
NightHawk
Final or Preliminary
• Over-read the next
morning and converted to
Finals
• Still used for diagnosis
and treatment
DayHawk
Predominantly Finals
• Signed by reading
radiologist and submitted
for reimbursement
• Also includes incidental
findings
Location Of Doctors
NightHawk
Can Be Anywhere
DayHawk
Domestic U.S. for U.S. Customers
Typical Customer
NightHawk
Hospitals/ Radiology Groups
DayHawk
Urgent Care/ IDTFs/ Mobile
On Site Coverage
NightHawk
Growing Trend
DayHawk
Almost Never On Site
Radiologist Compensation
NightHawk
• Salary plus incentive
• Dedicated to single provider
• Premium for sub-specialists
• Company provides insurance
• Common platform
• Licensing plus credentialing
DayHawk
• Pay per exam
• Work for multiple providers
• Primarily general radiology
• Provides own insurance
• Uses multiple systems
• Licensing
Favorite Conferences
NightHawk DayHawk
NightHawk & DayHawk Similarities
• Very competitive pricing
• Quality service (minimize misses)
• Quality service (Help Desk, IT Support)
• Advanced technology (Mobile Devices, Image
Sharing, Image & Report Storage)
• Workflow is key to success
• Integration with electronic medical record (EMR)
Lessons For Telemedicine
• Twelve years of commercial experience
• Major industry controversies
• Significant licensing challenges
• Declining prices vs. doctor’s expectations
• Extensive QA experience
Teleradiology & Telemedicine
Opportunities For Working Together
• Telestroke with Neuroradiology support
• Video camera in exam room for technologist training
• Radiologist consult with referring physician
(needs Whiteboard)
• Live Consult with patient, referring physician and
Radiologist (and family member)
Let’s Continue the
Conversation…
Howard Reis
hreis@teleradiologyspecialists.com
845-392-2915

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Two Types of teleradiology may 2013

  • 1. Nighthawk v. Dayhawk Two Types of Teleradiology Howard Reis hreis@teleradiologyspecialists.com 845-392-2915
  • 2. In The Beginning….. • founded in 2001 to deliver radiology interpretations to U.S. hospitals by U.S. board certified radiologists from reading centers in Idaho, Switzerland and Australia • NightHawk became the generic term for this service • Currently there are over 100 commercial teleradiology providers with industry revenue over $2 Billion • While the company, NightHawk has been merged out of existence, the providers can be segmented into two types, NightHawks and DayHawks
  • 4. Turnaround SLA NightHawk DayHawk 30min., 10 min for stroke 24 hrs., One hour for STATS
  • 5. Types of Reads or Reports NightHawk Final or Preliminary • Over-read the next morning and converted to Finals • Still used for diagnosis and treatment DayHawk Predominantly Finals • Signed by reading radiologist and submitted for reimbursement • Also includes incidental findings
  • 6. Location Of Doctors NightHawk Can Be Anywhere DayHawk Domestic U.S. for U.S. Customers
  • 7. Typical Customer NightHawk Hospitals/ Radiology Groups DayHawk Urgent Care/ IDTFs/ Mobile
  • 8. On Site Coverage NightHawk Growing Trend DayHawk Almost Never On Site
  • 9. Radiologist Compensation NightHawk • Salary plus incentive • Dedicated to single provider • Premium for sub-specialists • Company provides insurance • Common platform • Licensing plus credentialing DayHawk • Pay per exam • Work for multiple providers • Primarily general radiology • Provides own insurance • Uses multiple systems • Licensing
  • 11. NightHawk & DayHawk Similarities • Very competitive pricing • Quality service (minimize misses) • Quality service (Help Desk, IT Support) • Advanced technology (Mobile Devices, Image Sharing, Image & Report Storage) • Workflow is key to success • Integration with electronic medical record (EMR)
  • 12. Lessons For Telemedicine • Twelve years of commercial experience • Major industry controversies • Significant licensing challenges • Declining prices vs. doctor’s expectations • Extensive QA experience
  • 13. Teleradiology & Telemedicine Opportunities For Working Together • Telestroke with Neuroradiology support • Video camera in exam room for technologist training • Radiologist consult with referring physician (needs Whiteboard) • Live Consult with patient, referring physician and Radiologist (and family member)
  • 14. Let’s Continue the Conversation… Howard Reis hreis@teleradiologyspecialists.com 845-392-2915