2017 QUALITY REPORT
www.radiantimaging.net
As a long-standing health care provider in the community, The Hill Medical Corporation and the Arcadia Radiology Medical Group, under the single entity of Radiant Imaging, continues to strive for excellence in the provision of radiology services to the patients we serve.
MISSION
VISION
Radiant Imaging provides excellent radiologic care in a compassionate and respectful environment, and continuously strives to improve.
Radiant Imaging will be the trusted and comprehensive diagnostic resource for patients, physicians and healthcare allies. Our radiologists will practice quality medicine in an efficient, supportive, rewarding and enduring organization.
PRINCIPLES • We are a patient centered company • Hard work is expected of everyone • A positive approach and attitude is expected
• We constantly reach for opportunities • We believe that creative problem solvers succeed
• The Golden Rule applies to each other, the patients, staff and clients
• The right way is not always the easy way • Do whatever it takes to get the job done
WELCOME We are proud that Radiant Imaging is strongly committed to quality patient safety, lifelong learning, and continual process improvement. Radiant Imaging was formed to bring our radiology practices together under a comprehensive, multi-specialty, quality driven structure to better serve our referring physicians, hospitals, and healthcare services partners of Southern California. As the healthcare industry undergoes fundamental changes and a movement towards transparency begins, we have decided to take a proactive approach to be at the forefront of patient safety and quality. This quality report offers a high level overview of Radiant Imaging’s 2017 performance. The report highlights a subset of our quality activities, improvement initiatives, and provides general insight into our practice. Under the Radiant umbrella, both radiology groups will continue to provide the same quality of service, patient care, and commitment that we have exemplified in the last five decades. Our goal is to be the trusted and all-inclusive diagnostic resource for patients, physicians and healthcare allies. In line with this goal, Radiant Imaging is proud to be part of Strategic Radiology, a national group of radiology practices that advance the profession of Radiology by improving patient care and quality of service. As an active member of Strategic Radiology (SR), a national consortium of radiology groups across the United States, Radiant Imaging joined the group to collaborate in an improvement model in which data and best practices are shared, clinical practice information is interchanged, and certain practice expenses are consolidated. Through our participation with Strategic Radiology, our goal is to improve value through the development of higher quality and more cost efficient medical imaging. We understand many of our healthcare partners have a choice of where to send their patients for medical imaging and exam interpretations. We hope this report will reveal the difference in our quality and service, and that you will continue to look to Radiant Imaging physicians, staff, and facilities as your first choice. Warm regards, Christopher G. Hedley, M.D.
Wilson S. Wong, M.D.
Alicia Vasquez, CRA, FRBMA
President
Vice President
Chief Executive Officer
Radiant Imaging
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KEEPING THE PATIENT AT THE CENTER OF ALL WE DO
REFERRING PHYSICIAN AND COMMUNITY/HOSPITAL PARTNERS
Radiant Imaging
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We have centers
Throughout San Gabriel Valley Hill Imaging Center
Arcadia Radiology Medical Group
130 W. Route 66, Suite 110
612 W. Duarte Rd., Suite 101
Glendora, CA 91740
Arcadia, CA 91007
Huntington- Hill Imaging Center
Arcadia Women’s Imaging Center
625 S. Fair Oaks Ave., Suite 180
622 W. Duarte Rd., Suite 104
Pasadena, CA 91105
Arcadia, CA 91007
Jim and Eleanor Randall Breast Center 625 S. Fair Oaks Ave., Suite 140
And in Orange County Memorial Care Breast Center at Orange Coast
Pasadena, CA 91105
9900 Talbert Ave. Fountain Valley, CA 92708
HOSPITAL PARTNERS Huntington Memorial Hospital 100 W. California Blvd. Pasadena, CA 91105 Radiant Imaging
Methodist Hospital 300 Huntington Drive Arcadia, CA 91007 3
San Gabriel Valley Medical Center 438 West Las Tunas Drive San Gabriel, CA 91776 2017 Quality Report
SERVING SOUTHERN CALIFORNIA WITH HIGH-QUALITY, SUBSPECIALIZED RADIOLOGY FOR MORE THAN 50 YEARS.
rADIANT iMAGING IS ONE OF THE LARGEST PRIVATE PRACTICE RADIOLOGY GROUPS IN sOUTHERN cALIFORNIA
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AT A GLANCE
rADIOLOGISTS COVERING MULTIPLE AREAS OF SUBSPECIALTIES
bODY iMAGING BREAST IMAGING EMERGENCY RADIOLOGY NEURORADIOLOGY
Neurointerventional Radiology MOLECULAR IMAGING Musculoskeletal IMAGING PEDIATRIC RADIOLOGY VASCULAR & INTERVENTIONAL RADIOLOGY
Over
215,000 Scheduling Calls received in a year
3
hOSPITALS hUNTINGTON mEMORIAL hOSPITAL mETHODIST hOSPITAL sAN gABRIEL vALLEY meDICAL cENTER
WE COVER 6 OUTPATIENT CENTERS THROUGHOUT THE sAN gABRIEL vALLEY AND oRANGE cOUNTY. tHESE FACILITIES GENERATE APPROXIMATELY
550,000
187,000
STUDIES A YEAR.
UNIQUE PATIENTS ARE SEEN AT OUR FACILITIES ON AN ANNUAL BASIS
tHE hILL MEDICAL CORPORATION AND ARCADIA RADIOLOGY MEDICAL GROUP ARE DIVISIONS OF RADIANT IMAGING
Radiant Imaging’s radiologists, staff, and administrators approach every patient encounter as an opportunity to make a positive impact on that individual by providing the greatest level of care possible, with a special emphasis on medical imaging quality and safety. The end result of this level of service is the ability of the referring physicians to make quicker, more thoughtful care path decisions, as well as reducing anxiety for patients and family members waiting for imaging results.
Radiant Imaging
300 CLINICAL AND ADMINISTRATIVE STAFF MEMBERS OF RADIANT IMAGING
Referring physicians, as well as patients have priority access to Radiant Imaging’s radiologists to get their questions answered in a timely, respectful manner. Not only is this the right thing to do, it makes good business sense as well and something our hospital and referring physician partners find very attractive in us.
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IMAGING SERVICES
PROVIDED
IN-PATIENT AND OUT-PATIENT • CT scan (Computerized Tomography) • General: body, neuro, musculoskeletal • CT Angiography • Coronary CTA • CT Lung Screening • CT Arthrography • Calcium Scoring • DXA (Dual X-ray Absorptiometry) • Digital X-Ray • Endovascular Laser Venous System (ELVS) • Interventional Radiology • Neurointerventional Radiology • Neuroradiology • Mammography • Digital Screening • Diagnostic • 3D Tomosynthesis
Radiant Imaging
• MRI (Magnetic Resonance Imaging) • General: body, neuro, musculoskeletal • MRA • Breast MRI • MRI - Guided Breast Biopsy • Cardiac MRI • Nuclear Medicine • PET/CT (Positron Emission Tomography– Computed Tomography) • Ultrasound • General • Obstetrics • Vascular • Ultrasonography • Stereotactic Breast Biopsy • Uterine Fibroid Embolization (UFE)
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RADIANT IMAGING
TECHNOLOGY
Our radiologists and staff recognize the need to keep all of our technology at the cutting edge of radiology. Radiant Imaging has 3T & 1.5T MRI machines with the latest software updates and coils, numerous 64-slice, and 160-slice multidetector CT scanners, and top of the line mammographic equipment. Our nuclear medicine department routinely uses PET/CT for improved attenuation correction and precise localization of lesions. These technological improvements are part of our daily practice because they improve images and deliver a better product to the patient, despite the fact they often require significantly more technical expertise to manage and to interpret.
The field of imaging has changed significantly over the years; a direct correlation to this change is the introduction of new technology and regulatory requirements. Radiant Imaging has been able to stay current with advancements in imaging. Radiant Imaging is working towards a paperless and fully electronic workflow, allowing for swift and seamless communication across all locations and to outside referring providers. We focus on technological enhancements that help us practice better medicine and optimize customer service.
RADIANT
ONLINE SYSTEMS We have developed our on-line presence to provide a vital electronic form of communication to our patients and referring physicians. Through websites and social media outlets, we are able to provide information to educate our viewers about different exams and increase awareness to prompt patients to undergo screenings as a preventative measure, ultimately encouraging patients to action and potentially speed time to diagnosis.
DOCTORS • PACS is a web based system to review and retrieve images and reports for not only our radiologists and staff, but for our referring physician offices anytime and anywhere. • Radiant Imaging has the capability to interface with certain EMR systems for reports and images.
PATIENTS
• Full field digital mammography which is quicker for the patient and more detailed for the radiologist, resulting in an enhanced interpretation of the image of the breast.
• Our Patient Portal allows patients to view their own reports after four business days. This useful and interactive tool also allows patients to contact Radiant Imaging staff directly in a secure, HIPAA compliant environment. • Request appointments on-line.
• Multiple slice CT studies. • Online ordering portal efficiently sends orders directly to our scheduling department and tracks referring physicians’ patient appointments.
• Download forms.
Our On-line Radiology Systems are Secure, Timely and Accurate.
• Access educational resources. • Automated patient appointment reminders.
OUTPATIENT CENTER PERFORMS STUDY ON PATIENT
Radiant Imaging
STUDY IS SECURELY TRANSFERRED TO RADIANT IMAGING’S DATA CENTER
RADIANT IMAGING TECHNOLOGISTS PREPARE THE STUDY TO BE INTERPRETED 6
RADIOLOGIST INTERPRETS STUDY & SIGNS FINAL REPORT
REPORT IS AVAILABLE ON-LINE, BY PHONE, FAX, PRINT, OR ELECTRONIC INTERFACE
2017 Quality Report
Radiant Imaging is an active member of Strategic
share quality and patient safety data in a confidential, yet transparent manner that cultivate improvement in outcomes through identification and reduction of risks and hazards in healthcare delivery.
Radiology (SR), a national consortium which represents more than 1,300 radiologists and is comprised of large, high quality, clinically advanced radiology groups that are geographically dispersed
Radiant Imaging played an instrumental role, alongside Strategic Radiology in launching a national patient educational campaign – My-Radiologist.com. This online patient resource tool was designed to educate healthcare consumers regarding the scope of services provided by radiologists, as well as, the importance of seeking out a subspecialized radiology group.
throughout the United States. Each member group is uniquely committed to a collaborative improvement model in which data and best practices are shared, clinical practice information is interchanged, and certain practice expenses are consolidated. Through our participation with Strategic Radiology, our goal is to improve value through the development of higher quality, more cost efficient medical imaging.
The program delivers this messaging through real life stories of patients whose lives were changed and even saved through the collaborative efforts of a radiologist. Through this unified voice, SR has created a platform to more effectively educate consumers about the importance of connecting with the right radiologist for their healthcare needs.
Strategic Radiology formed the first radiology specific national Patient Safety Organization (PSO) in 2013. The PSO model allows individual practices and hospitals to Radiant Imaging
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Focus On
Quality Assurance To maintain their expertise and continue to enhance their professional skill set, the physicians and staff at Radiant Imaging are engaged with the nation’s leading associations for credentialing, continuing education, and certification including: • The American College of Radiology (ACR) • The Radiology Society of North America (RSNA) • The Society for Interventional Radiology (SIR) • The Society for Pediatric Radiology (SPR) • The American College of Physicians (ACP)
• The American Medical Association (AMA) • The American Society of Radiology Technologists (ASRT) • The California Medical Association (CMA) • Radiology Business Management Association (RBMA) • Radiology Leadership Institute (RLI)
In addition to participating with these organizations as active members, several of Radiant Imaging’s physician and administration team have served in leadership or committee member positions with these organizations.
Achieving world-class quality through clinical and operational collaboration on a national scale. Radiant Imaging’s radiologists and staff are committed to ensuring personal excellence. As technologies, medical research, and care delivery methodologies progress at a rapid pace, we recognize that lifelong learning is integral to our continued success in delivering high quality services.
Referring Physician Community Our referring providers are an integral part of our practice. Radiant Imaging is committed to the satisfaction of our referring physicians and their patients. From recent surveys, our referring providers have scored the following categories as very satisfied.
As such, Radiant Imaging radiologists have a quality assurance program that monitors the care and service provided by our radiologists and staff. Our quality committee meets monthly to monitor key areas of performance, select quality improvement projects, and provide feedback to our team on performance.
Radiant Imaging
Timeliness of Reports
8
88%
Feedback Critical Findings
85%
Overall Satisfaction
82%
2017 Quality Report
PATIENT
Image Wisely®. American College of Radiology (ACR) national initiative to reduce radiation dose in all modalities that use ionizing radiation.
Radiation Dose Optimization
Image Gently®. ACR driven initiative to take extra steps to ensure appropriate dose modifications for pediatric patients, an identified sub-set of patients that are more likely than others to be impacted by medical imaging radiation.
SAFETY There is a national emphasis on medical radiation exposure and a national move towards reducing patient radiation dose. Radiant Imaging has been an early adopter of best practices and we continue to optimize radiation dose through testing new software, providing feedback on radiation exposure, and participating in radiation optimization campaigns.
Dose Monitoring Programs®. Radiant Imaging equipment has been updated in order to minimize patient exposure during imaging examinations. Radiant Imaging has installed Dose Monitor™ through Strategic Radiology™ in order to track patient exposure by machine, exam protocol, site of service and technologist. All data will be aggregated on a national basis to identify opportunities for improvement.
We participate in: Standardized Protocols and Benchmarking with Strategic Radiology™. With our collaborative efforts in Strategic Radiology™, the radiation dose optimization sub-committee shares and reviews CT protocols from participating practices to develop standards and best practices. Dose Optimization Protocols. Radiant Imaging collaborates with our clinical partners in reviewing and revising protocols to ensure optimal radiation dose. Radiant Imaging
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Focus On
Patient Satisfaction Radiant Imaging strives to set and meet high expectations in patient experience and service satisfaction and we measure our progress via a Patient Satisfaction Survey, an on-line survey administered through Strategic Radiology. Every day patients that have received care and services at our centers are asked to complete an on-line survey. The management team receives all compliments as well as any comments that require follow-up. We utilize the on-line survey tool as well as the comments to identify opportunities to improve the level of care and service provided. Benchmarking with Strategic Radiology™ enables us to identify and adapt best practices from other leading imaging facilities around the country.
95.8
Overall Mean Score
96.2
Likelihood to Recommend
82%
Loyalty Index
87 Cleanliness 84 Concern Shown for Privacy 88 Courtesy of Technician 81 Helpfulness of Front Staff 77 Radiant Imaging
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Staff Explained What Was Going to Happ 2017 Quality Report
Measuring Loyalty Index
Net Promoter
A key indicator of excellent patient experience is the Net Promoter Score (NP) score. This score is a widely recognized metric that reflects the likelihood of a customer to recommend a service provider to a friend or family member. Our survey questions are on a standard 5 point scale with 5 being very good and 1 being very poor. Patients who give us a score of 5 on the likelihood to recommend question are Radiant Imaging’s loyal enthusiasts or promoters. Those who give us scores of 1, 2, or 3 are detractors. The NP is calculated by simply subtracting the percent of patients who are detractors from the percent who are promoters.
RADIANT IMAGING (2017)
COMPARED TO INDUSTRY LEADERS* VERIZON NETFLIX
APPLE
AMAZON
RITZ CARLTON
NORDSTROM
RADIANT IMAGING 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Net Promoter Score * Satmetrix Net Promoter Benchmarks 2016
Radiant Imaging
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PROVIDING RIGHT TEST, RIGHT PATIENT, RIGHT TIME: The Center for Medicare & Medicaid Services (CMS) wants to ensure that the right test is given to the right patient at the right time and Radiant Imaging could not agree more. As part of their Hospital Outpatient Quality Reporting Program, CMS has created several Outpatient Imaging Efficiency (OIE) measures aimed to promote high-quality, efficient care with a careful eye to reduce unnecessary exposure to contrast material and/or ionizing radiation. In particular, three OIE measures include decisions and work flows that directly involve Radiant Imaging radiologists:
OIE MEASURES
LOWER PERCENTAGE IS BETTER
12.00%
OIE Measures Radiant Imaging OIE Measures California Average OIE Measures U.S. Average
10.00% 8.00% 6.00% 4.00% 2.00% 0.00% 1.0%
OP-10 2.2% OP-10
2.1%
OP-1110.3% 2.3% OP-11
8.4%
OP-14 2.6%
2.5%
2.9%
OP-14
OP-10 Outpatient CT scans of the chest that were “combination” (double) scans (if a number is high, it may mean that too many patients are being given a double scan when a single scan is all they need.) Lower percentages are better. OP-11 Outpatient CT scans of the abdomen that were “combination” (double) scans (if a number is high, it may mean that too many patients are being given a double scan when a single scan is all they need.) Lower percentages are better. OP-14 Outpatients with brain CT scans who got a sinus CT scan at the same time (if a number is high it may mean that too many patients are being given both a brain and sinus scan, when a single scan is all they need.) Lower percentages are better.
Radiant Imaging
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Monitoring Key Mammography Indicators Radiant Imaging has complied with and exceeded the requirements of the Mammography Quality Standards Act (MQSA), as regulated by the Food and Drug Administration (FDA), since the final regulations became effective in 1994. In addition to adhering to MQSA standards, Radiant Imaging voluntarily obtained accreditation as an American College of Radiology Breast Center of Excellence. The Jim and Eleanor Randall Breast Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), which means they are held to the highest standards of care for patients with diseases of the breast. Furthermore, our radiologists regularly review key patient outcome metrics associated with providing the highest level of breast cancer care. Cancer Detection Rate: The cancer detection rate is comprised of the number of cancers correctly identified by the screening mammogram interpretation.
Cancer Detection (per thousand) 2017
5.6 Radiant Imaging
2.5 Average*
* Based on available data
Radiant Imaging
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RADIOLOGIST PERFORMANCE RADIOLOGIST 360 REVIEW
Radiant Imaging has established through its quality and safety committees processes and policies to ensure that our physicians understand and emulate our values and work toward achieving our goals. In addition, the committee has instituted a 360° review program. Input is gathered from radiology colleagues, referring clinicians, technologists, other radiology staff, and physician leadership.
CONDUCTING PEER REVIEW The American College of Radiology developed a web-based peer review program called RADPEER™ whereby, during the interpretation of current images, a radiologist will review a prior set of images and score the prior interpretation on its accuracy using a standardized scale. All results are monitored by the Radiant Quality Committee.
Radiant Imaging
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Radiant Imaging
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Our Radiologists bring
Subspecialty Care Radiant Imaging offers an extensive range of radiological services, for the convenience of the patients and providers to ensure the delivery of the best quality of care. The variety we offer allows patients to maximize their chances of diagnosis before needing a biopsy or a surgical intervention and it also means that our physicians are using the latest tools for diagnosis, which may accelerate the delivery of care. Protocol Management Radiant Imaging takes each examination as a unique case. Our radiologists and technologist have developed protocols for all modalities we use. The protocols take in consideration patient’s age, body size, renal function, and clinical indications. The protocols have been developed through iteration, in order to reduce radiation dose, improve quality, decrease the number of images and scan time, and to minimize the need for downstream testing. Subspecialty Focus Radiant Imaging’s protocols, interpretations, education, and communications are all reflective of the subspecialty knowledge and expertise of our Radiologists. We have subspecialties in cardiac imaging, body imaging, breast imaging and intervention, emergency radiology, interventional radiology, interventional neuroradiology, molecular radiology (including nuclear medicine and PET/CT), musculoskeletal imaging, pediatric imaging, neuroradiology, ultrasonography, and vascular surgery. This level of subspecialization has allowed us to build relationships and collaborate with specialized physicians (i.e. orthopedists, cardiologists, neurosurgeons, etc) to ensure the best diagnosis and treatment for patients. Our subspecialties have allowed our peers to put their trust in our reads and look to us for guidance on radiological management of cases, which in turn results to less downstream testing or unnecessary biopsies. Cardiac Imaging
Musculoskeletal Imaging
Molecular Radiology
Breast Imaging
Pediatric Imaging
Ultrasonography
Neuroradiology
Interventional Radiology
Body Imaging
Vascular Surgery
Interventional Neuroradiology
Emergency Radiology
Radiant Imaging
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Continuing
OUR WORK This report provides a high-level overview of Radiant Imaging’s commitment to offer the best in patient care and the best in customer service. We meet this commitment by investing in human resources with expertise in Quality and Process Improvement, providing them with the technology infrastructure to do their job, and by constantly cultivating a culture that embraces continuous quality improvement. By actively seeking external collaboration with other national leaders in the realm of quality as it relates to medical imaging and intervention, we are able to refine and accelerate our internal efforts. The results that we are achieving, when benchmarked against national “best practices�, are a source of pride in our organization. However, by its very nature, a quality improvement program is a never ending process. While we have come a long way along the quality journey, and are actually helping to lead the way nationally in collaboration with our Strategic Radiology partners, there is still much work to be done. We have audacious goals and there are many challenges ahead of us. We view these challenges as opportunities to improve our organization, and in doing so, improve the care we provide to our patients, service we provide to our referring physicians, and the value we bring to our partner institutions and community.
Radiant Imaging
Christopher G. Hedley, M.D. President - Radiant Imaging
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Our Radiologists
SAADIA R. CHAUDHARY, M.D.
JON M. FORAN, M.D.
ANDREW B. HARRIS, M.D., PH.D.
Diagnostic and Neuroradiology
Breast Imaging and Vascular Ultrasound
Body and Cardiovascular MRI
CHRISTOPHER G. HEDLEY, M.D.
JIMMY J. KANG, M.D.
ANDREW T. KING, M.D.
Vascular and Interventional Radiology
Neuroradiology
Ultrasound and Abdominal Imaging
ANGELO A. KONSTAS, M.D., PH.D.
WARREN W. LAM, M.D.
LEON E. LIS, M.D.
Interventional and Diagnostic Neuroradiology
Diagnostic and Neuroradiology
Diagnostic Radiology
HEATHER GLANZBERG MORENO, M.D.
REEMA M. MUNIR, M.D.
MIGUEL M. PALOS, M.D.
Women’s Imaging and Abdominal Imaging
Women’s Imaging and Abdominal Imaging
Nuclear Medicine
Radiant Imaging
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Our Radiologists
TIEN T. PENG, M.D.
LEONARD V. PETRUS, M.D.
RICHARD A. REED, M.D.
Diagnostic Radiology
Diagnostic, Neuroradiology, and Pediatric Radiology
Vascular and Interventional Radiology
JOSE S. TANDOC, M.D.
LAKSHMI C. TEGULAPALLE, D.O.
BINH-TO TRAN, M.D.
Neuroradiology
Women’s Imaging
Musculoskeletal Imaging
GITA A. VARAPRASATHAN, M.D.
ANDY A. WANG, M.D.
WILSON S. WONG, M.D.
Women’s Imaging and Abdominal Imaging
Body Imaging and Interventional Radiology
Diagnostic Radiology, Body Imaging
Radiant Imaging
BABAK A. YAGHMAI, M.D.
DANIEL H. ZEE, M.D.
Vascular and Interventional Radiology
Diagnostic Radiology
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Adminis trative Leadership Team
ALICIA VASQUEZ, CRA, FRBMA
LAURA TIERNEY
CATHY VESOLOWSKI
Chief Executive Officer
Chief Financial Officer
Vice President of Operations The Hill Medical Corporation
CYNTHIA FRAUSTO
STEPHANIE HATTON
LUZ D. CHAIDEZ, PHR
Vice President of Professional Relations
Revenue Cycle Director
Human Resources Director
HOWARD YANG
SHERRY L. FREEMAN
VALENTINA GATEWOOD
Director of IT
Director of Clinical Operations The Hill Medical Corporation
Imaging Services Director Arcadia Radiology Medical Group
Radiant Imaging
MARC BEHUN
ANNABELLE DE LA O
Director of Integration
Scheduling Manager
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Radiant Imaging
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CONTACT US RADIANT IMAGING 223 N. First Ave. Suite 201 Arcadia, CA 91006 PHONE: (626) 821-1411 FAX: (626) 821-0091
www.radiantimaging.net