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

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

Meeting TJC’s Dose Incident Identification Requirements Using the ACR’s Dose Index Registry

This article describes how the ACR’s Dose Index Registry (DIR) can be used to perform both incident identification and external benchmarking as required by the Joint Commission’s (TJC) 2015 Diagnostic Imaging Standards issued August 10, 2015. 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