Do you believe the Ordering Provider should be required to perform the CDS consult as stated by PAMA and proposed by CMS? Others don’t and are working to dilute it. Here is how to let CMS know what you think.

Section 218 of the Protecting Access to Medicare Act of 2014 as well as CMS’s recently released Proposed Rule implementing the Act state that the “ordering professional must consult” the CDS system when ordering covered exams.  It does not say someone else, e.g., an imaging center where the exam is scheduled, may perform the consult on behalf of the ordering… Read More

POS 19 Now Included in MIPS Definition of hospital-based MIPS eligible clinician

While this is not directly related to the Dose Registry, it is important information for radiology groups.  In the original MIPS rule, Place of Service 19 was not included in the definition of “hospital-based clinicians”  thereby complicating these clinicians ability to meet their Merit-based Incentive Payment requirements.  CMS is proposing to correct that oversight effective next… Read More

Dose Reduction Case Study – Is Your CT Scanner Table Increasing Patient Dose?

During the 2017 Landauer Clinical Dose Optimization Symposium one of the session speakers, Douglas Pfeiffer, a medical physicist with Blackthorn Medical Physics, reported he had found the table-head rest extension connection mechanism increased CTDIvol and DLP when the body part being imaged was positioned over the connection mechanism.  Following the symposium, we worked with a… Read More

DoseID helps facilities identify duplicate and superfluous scanner protocols

One of the more interesting and unique benefits Dose Registry Support Services’ DoseID Program has for facilities is its ability to shed light on duplicate and superfluous protocols in use at their facilities.  The table to the right shows how one facility had 7 different protocols being used on a single scanner during a recent 3 month… Read More

DRSS’s DoseID Service Now Includes Draft Policies For Client Use

DRSS is now providing clients with the following 8 draft policies it may adapt for use at their facilities: [Facility Name] CT Dose Optimization Policy [Facility Name] Quality Control and Maintenance Activities Policy [Facility Name] Physicist Evaluation Policy [Facility Name] Verification and Documentation of Medical Physicist Qualifications Policy [Facility Name] Verification and Documentation of CT… Read More

36% of Joint Commission accredited facilities may be at risk of being cited for non-compliance w/ TJC’s Dose Incident Identification & Review mandate

In a recent poll 36% of facility administrators indicated they are using their CT scanners’ XR-29 dose notification and alert capabilities to meet The Joint Commission’s (TJC’s) Dose Incident Identification and Review requirements.  The reality is that a majority (and likely a vast majority) of these facilities are not in compliance with TJC’s mandate. Hint: … Read More

Take the poll: How are facilities meeting The Joint Commission’s Dose Incident Identification Requirement?

I’m taking a poll on how facilities are meeting The Joint Commission’s requirement to identify Dose Incidents.  Those wishing to respond may do so using the web response process described below.  I will share the results in an upcoming LinkedIn post.  This poll will be live through midday, Wednesday, July 27, 2016.  No identifying information is required.… Read More

Meeting The Joint Commission’s Dose Incident Identification Requirement Using the ACR’s Dose Index Registry

Here is the Abstract and link to an article I co-authored which was recently published in the JACR online edition, and which will be published in the JACR August print edition. The article describes how we used our ACR Dose Index Registry data to meet The Joint Commission’s requirement to establish expected dose ranges for every CT protocol and… Read More