A radiologist's perspective on efficiency and economics in a quality breast center

As a former general radiologist and current full time clinical breast radiologist, I have observed and experienced both good and suboptimal practice patterns, operations, and economics. Proper organization of a high quality, efficient breast center requires basic infrastructure including functional space, quality imaging equipment, data reporting systems, as well as a highly motivated, dedicated, and focused team. People on the breast care team need to share the same passion and commitment to provide superior care for patients and families. Each member of this interdisciplinary team provides an important role that contributes to best practices and patient satisfaction. Efficiency and quality are essential for the long-term survival of clinical breast radiology, a highly regulated and scrutinized medical subspecialty. This paper reflects personal perspectives and perceptions about how to make a good breast care practice great by incorporating strategies such as the simple hedgehog concept used in other successful businesses.