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Healthcare reform has already impacted us in many ways.The focus on cost and patient satisfaction has most large systems and many independent providers looking for new ways to achieve results.Many countries have been under even greater pressure for this and other things for many years.As a result,looking beyond ones borders may provide useful insights.Realizing folks everywhere on earth have similar concerns and seek to achieve the best outcomes,we look at how each country addressed the challenge.This talk takes us around the world to look at departments in NHS hospitals in the UK,private hospitals in Chile,imaging centers in Brazil,public and private institutions in Germany,France and even a peek into in Russia.The focus is on the people,the places,the process and the technology used.Many photographs help share the experience.This talk explores radiology practices from many places overseas to find innovative best practices we can apply here at home.A closely timed,synchronized patient flow at an imaging center in Brazil allowed a small facility meet demands in a very crowded city.The clinical team there looked closely at what stages of the imaging process take the most time and how best to optimize.The answer was found not only with technology,but revolves around the dressing rooms.In Germany,the use of portables is strictly limited-there almost no use in the ED or Surgery.How they do that and why is a matter of expectations.The result drives changes in hospital design.Ironically,in France the use low dose fluorography for positioning projection x-rays is done to prevent repeats.We will share insight from a French radiographer about how and why this makes sense.Russia and more! How hospitals and patient care is changing.Interesting feedback and images of the best and some of the biggest challenges the author has seen.Audience members will learn: 1.Approaches used elsewhere that improve patient care,productivity and workflow(without technology investments)2.Approaches to dose management that are effective and widely practiced elsewhere 3.Insight into your profession in other worlds – certainly not where the tour guides would take you 4.A discussion on how to bring this home and what practices might make sense here