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Dose Registry Support Services: What we do and why you should consider using our services

Dose Registry Support Services is founded on two premises:

  1. Radiology departments should lead their facility’s dose reduction efforts;
  2. Facilities need and want effective solutions at a reasonable cost.

Our service is designed to achieve both.  I developed this service for a health system in the mid-west.  We enrolled some of their facilities in the DIR in 2013 and had excellent success reducing doses.

As the health system searched for solutions to TJC’s dose monitoring and incident identification requirements, it found plenty of companies willing to sell them very expensive solutions.  We heard stories then, and still do today, about how many of those same facilities struggled to use them.  Some have hired dedicated staff, increasing their costs even more.  That is all well and good, particularly if the facility is a large health system with significant resources.  However, that is not the world within which many of community-based facilities find themselves.  Most community-based facilities need and want effective solutions at a reasonable cost.  That is why I developed my program of using the facility’s DIR to do essentially the same thing.  This mid-west health system estimated that our DoseID program is saving them $80,000 to $100,000 per year.  And, best of all, it works well.

If you are unsatisfied with your current dose reduction efforts and/or dose monitoring platform, or your staff is challenged to understand and/or use the DIR, continue reading.  Dose Registry Support Services can provide you with a program that works and is tailored to your specific needs – a program that supports you and your staff, keeps radiology at the center of the dose reduction efforts within your organization, and is extremely cost-effective with no long-term commitments.

Best of all, there is nothing to purchase up front and no long-term commitments.  If you were to decide you no longer need our services, we simply stop.


Dose Registry Support Services offers two distinct services:

  1. DIR support
    1. DIR set-up advice;
    2. Exam name mapping and maintenance; and/or
    3. Result review and recommendations.
  2. TJC compliance (Dose ID)
    1. Establishment of Expected Dose Ranges for every scanner protocol; and,
    2. Identification of Dose Incidents (e.g., identify studies that exceeded their expected range).

DIR support:  Our DIR support service (#1 above) is essentially an ala carte service – the client chooses what they would like Dose Registry Support Services to do for them and what it will do themselves.  Some facilities want Dose Registry Support Services to perform all DIR-related work, including mapping, remapping, and report review, while others may want to perform these tasks themselves, with us acting as advisors.

One of our goals is to teach local staff how to use the DIR so they can eventually perform the mappings and reviews after becoming comfortable with the process.  Some facilities find their staff needs some guidance initially, but as they become more comfortable they are able to perform some or all of the tasks themselves.  Others find it cost-effective to have us do most of the maintenance and initial review work.

Dose ID:  Our Dose ID service (#2 above) provides a turn-key solution for meeting TJC’s requirement to establish dose ranges for every protocol and then identify any study whose total dose exceeded its expected range.  We calculate expected ranges tailored to your facility by using your DIR data; expected ranges for TJC purposes are not based other facilities whose doses may have a completely different profile.  This means we calculate dose incidents that truly represent studies that are abnormally high for your facility.  The best part is that staff’s daily workflow remains unaltered.

Distance:  Distance is not an issue:  Our services can easily be provided remotely through email and video teleconferencing.  Having said that, if a facility would like to set up an on-site meeting initially, or meet semi-annually or annually, we are able to arrange it.

Contracts:  The best news is that there is nothing to purchase up front and no long-term commitments.  If you were to decide you no longer need our services, we simply stop.

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