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 and External Benchmarking Requirements 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

Joint Commission Confirms Facilities Need an Expected Dose Range for All CT Protocols; Note to Self: XR-29 Does NOT Equal TJC Compliance

The following question was submitted to the Joint Commission: Must we establish an expected dose range for every imaging protocol or can we pick and choose the protocols for which we establish expected dose ranges and monitor only those? I interpret [PI.02.01.01.A.6.] to require monitoring of every protocol we use, not just some portion of… Read More

CMS Final Rule Just Released: XR-29 Requirements are NOT Delayed

CMS will require CT scanners comply with the XR-29 standards as of January 1, 2016 as planned.  Procedures performed on non-compliant scanners will have their payment reduced by 5% in 2016 and 15% in 2017.  Facilities must apply modifier “CT” to all claims for procedures performed on non-compliant scanners.  The section below is a verbatim copy of the Final… Read More

The Joint Commission’s Post Exam Incident Identification and Review Requirement

The Joint Commission (TJC) released its updated Diagnostic Imaging Requirements August 10, 2015. While many of these new requirements paired nicely with the new XR-29 equipment standards for dose recording and alerting the technologist when the system “projects” the prescribed scans will exceed the user-configured value (i.e., a pre-exam alert), the section titled Element of Performance for PI.02.01.01 A6. presents… Read More