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When hospitals transition from a contract with an independent radiology practice to an in-house model or a multispecialty group, they can expect some growing pains in the form of technological issues and human resources quandaries, as well as general headaches while trying to get the new practice up to speed.

A recent example of the move is Sutter Health in Sacramento. On April 1, Sutter Health severed its contract with Radiological Associates of Sacramento. Instead of contracting with another radiology group, Sutter hired radiologists to work for its own multispecialty group, Sutter Medical Group.

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