Services
PET/MRI is the hardest scanner most hospitals will ever install. MacGillan Consulting helps the programs running them, and the programs about to install them, get the operational, financial, and clinical fundamentals right.
Two starting points. One decision.
MacGillan offers two productized starting engagements. They look similar from a distance. They answer different questions.
Assess an existing program.
The program is in-flight or post-go-live and you want a fast, defensible read on where it sits. The Snapshot pulls together the operational, financial, and clinical axes in one document.
See the POMI ladder ›Prepare a program for install.
You are 6 to 18 months from a PET/MRI go-live and the program is still being scoped. Tier 1 tests workforce, suite, flow, and reimbursement posture before the scanner lands.
See the engagement lifecycle ›Seven productized services. One engagement arc.
Each service stands alone. Together they cover quote review, pre-installation, post-go-live optimization, accreditation readiness, capital reauthorization, reimbursement recovery, and theranostics imaging readiness.
- Service 1 of 7 Entry
Quote Intelligence Brief
Best fit. You have a vendor quote in hand and 2 to 4 weeks to decide whether to sign.
An independent read on the proposal you are looking at. We surface what the line items cover, what the line items quietly assume, and where the real lifetime cost of the program sits. You leave the engagement with a single-page brief your CFO and your service team can use in the same room.
- Service 2 of 7 Tier 1
Operational Readiness Assessment
Best fit. You are 6 to 18 months from a PET/MRI go-live and the program is still being scoped.
A structured pre-installation review of the program your team is about to stand up. We test the workforce model, suite logistics, patient flow, scheduling assumptions, and reimbursement posture against where peer programs have stumbled. Outputs include a readiness scorecard and a 12-month ramp framework.
- Service 3 of 7 Tier 2
Workflow and Staffing Review
Best fit. You are live and under target volume, hiring a second technologist, or adding a third shift or weekend coverage.
Four to eight weeks, mix of remote and on-site. Scope covers throughput, room turnover, technologist scheduling, technologist training curriculum and competency checklist development (not delivery), protocol library setup in coordination with the OEM vendor's applications team, MRI safety culture review for staff transitioning from PET/CT, nuclear medicine, or general radiology, and a final department-level dashboard with a 12-month ramp-up framework.
- Service 4 of 7 Tier 3
Capital and ACR Readiness
Best fit. You are approaching an ACR accreditation cycle or a board review of program performance.
A deeper engagement that aligns the operating program with the documentation, quality, and capital requirements its next milestone will trigger. Designed for AMCs and community programs whose first installation is now an asset the institution wants to defend and extend.
- Service 5 of 7 Tier 3
Capital Reauthorization Packet
Best fit. Your board or finance committee is being asked to re-approve PET/MRI capital: a replacement scanner, a second suite, or a major upgrade. The program has to defend the ask with actuals.
A board-grade packet your program champion carries into the finance committee. We reconcile the original business case against actual volumes, reimbursement, and operating cost, build a forward model for the new ask with scenarios the committee can own, and put a defensible number on the cost of doing nothing. The deliverable set is a board document and a CFO slide summary, timed to the committee calendar you are working against. Your institution makes the capital decision; MacGillan builds the evidence.
- Service 6 of 7 Specialty
PET/MRI Reimbursement Recovery
Best fit. Your PET/MRI exams are billing, your finance team is reporting margin, and the number on the page does not match the number the modality should be producing.
A focused engagement to recover reimbursement that the program is earning but the institution is not capturing. We identify where exam revenue is being absorbed, model the gap against a defensible target state, and deliver the corrective package your reimbursement and finance leads need to act. Methodology and worksheets stay behind the signed SOW.
Specialist bench. Reimbursement engagements draw on Ryan Anderson of Nordic Imaging Consulting LLC, imaging reimbursement specialist in the MacGillan partner network.
- Service 7 of 7 Specialty
PET/MRI Theranostics-Readiness
Best fit. A PET/MRI service that is starting to feed, or plans to feed, an in-house theranostics program and wants the imaging cadence, coding, and physics hand-off settled before go-live.
Your therapy program already has its physicist, its radiopharmacy, and its license. What often lags is the diagnostic PET/MRI that feeds it: when to scan, how to run the scan so it supports both response and the physics hand-off, and how it all codes. MacGillan sets up that imaging side. We map the current state against a PET/MRI future state, fix the scan cadence into schedulable treatment-imaging packages, work out the coding and coverage in advance, and define a clean, dosimetry-ready hand-off to your physics team.
Covers. PSMA / Pluvicto (prostate), DOTATATE / Lutathera (body neuroendocrine tumors), and DOTATATE for meningioma (neuro, off-label).
Out of scope. Therapy delivery, radiopharmaceutical therapy dosing, dosimetry calculation, radiopharmacy build, unsealed-source licensing, and physicist duties stay with your clinical and physics teams. MacGillan works the imaging side only.
Off-label note: SSTR imaging and Lu-177 DOTATATE for meningioma are off-label and investigational, used in trials or compassionate-use settings. This is not an FDA-approved theranostic indication.
Measure first. Then move.
POMI™ (PET/MRI Operations Maturity Index) is the MacGillan measurement framework for PET/MRI programs. A Snapshot tells you where you stand. A Diagnostic tells you what is driving it. A Roadmap tells you how to fix it. A Tracker keeps the picture current between reviews.
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POMI Snapshot
Best fit. Assess an existing PET/MRI program, in-flight or post-go-live.
A fast, productized snapshot of where the program sits today on the operational, financial, and clinical axes that determine whether a PET/MRI scanner pays for itself. One reviewer, fixed scope, fixed turnaround.
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POMI Diagnostic
Best fit. You have the Snapshot result and want a deeper read on one or two of the axes the Snapshot flagged.
A targeted second pass. Pulls additional source data, runs interviews where the Snapshot used only documents, and returns a diagnostic narrative your leadership can act on without commissioning a full assessment.
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POMI Roadmap
Best fit. You have an actionable diagnostic and need a sequenced plan with owners, costs, and ramp horizons.
A complete program plan. Translates the diagnostic into a phased roadmap with sized initiatives, capital and operating impact estimates, an owner-by-quarter view, and the dashboards your board and your service leads need to track delivery.
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POMI Tracker Bundle
Best fit. You are running a Roadmap or a Tier-1+ engagement and want the dashboards and the cadence kept current between reviews.
A productized package that wraps the POMI tracker dashboards, monthly refresh, and a standing review block. Designed to sit on top of an active engagement, not to stand alone.
Continuous read on the program between engagements.
A quarterly retainer for PET/MRI programs that want a standing MacGillan read on operational, financial, and clinical performance. Three tiers in design (Light, Standard, Active), each capped to a not-to-exceed quarterly bundle of hours and on-site days. Talk to us if you want to be in the first cohort.
PET/MRI, rooted in operations.
Tell us where the program is today. We will tell you which engagement fits and what it would look like.
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MacGillan LLC provides consulting services as described in the applicable Statement of Work. Service descriptions on this page are advisory and informational. MacGillan Consulting does not provide legal, tax, or investment advice; consult qualified professionals for legal, regulatory, and financial decisions. Engagement scope, pricing, and timelines are finalized in the executed Statement of Work.