Ok, so a follower sent me an article from the New York Times that I feel compelled to share. CMS (the folks that run Medicare) have gotten some data regarding CT scans of the chest done in 2008. The radiology experts feel that there is little to no reason to do a CT scan of the chest at the same institution twice in one day and to bill for both studies. They are now using the power of shame to improve patient care. The list has been made available to the general public (and the NYT has put it in a neat interactive graphics package found here) to allow you to look up your hospital and see how they are doing. Remember, there may be a perfectly good explanation but, on the other hand, better to seek out quality at every opportunity.