A Challenge to Radiology and its Professional Associations: Advocate for the Implementation of IHE’s Management of Acquisition Protocols (MAP) Profile

By Michael Bohl, MHA, BSRS and Timothy P. Szczykutowicz, PhD, DABR  It is widely recognized that CT scanner protocols are inconsistently named and often needlessly duplicated within hospitals and imaging centers, and even individual scanners.[1] One mid-sized health system reported, after a manual protocol review, that it had as many as twenty-three differently named protocols on… Read More

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Dose Registry Support Services – Our Story

At my direction, our facility began submitting CT dose data to the ACR’s Dose Index Registry® (DIR) in early 2013.  During the following months I learned to use the DIR to identify dose reduction opportunities, and lower our CT doses. In August 2105 The Joint Commission (TJC) updated its diagnostic imaging Elements of Performance requiring… Read More

DIR Corporate-level Aggregate Report Update

The DIR is working to restore Corporate-level reports. ————————————————– Previously, the NRDR announced several changes to its portal effective August 18, 2018.  The changes included: Changes to the organizational structure; e.g., Master/Child accounts; Adding a new user type – Service User; Introduced a new pricing option for limited; i.e., single registry enrollment vs. multiple registry… Read More

Tailored DIR Analysis; Is your current solution providing less for more?

The Dose Index Registry (DIR) is a powerful, flexible tool from which facilities can learn a great deal.  The most common use is to use the DIR’s dose comparison reports identify dose reduction opportunities:  Never before have facilities been able to identify dose reduction opportunities so easily. But, there is so much more to glean… Read More

Providing Low-cost, Tailored & Unique Services to Community Hospitals and Radiology Groups

The Dose Index Registry (DIR) is a powerful, flexible tool from which facilities can learn a great deal.  The most common use is to use the DIR’s dose comparison reports identify dose reduction opportunities:  Never before have facilities been able to identify dose reduction opportunities so easily. But, there is so much more to glean… Read More

Using the DIR to Meet CMS’s Quality Reporting Requirements in Radiology: Important Information You Need To Know

In 2018 radiologists may report three Dose Index Registry (DIR) Measures to meet a portion of their MACRA/MIPS Quality Payment Program (QPP) requirements.  These submissions will contribute to an overall Quality Score.  In years past merely participating in the DIR qualified as meeting the DIR-eligible QPP Measures.  However, in 2018 merely participating in the DIR… Read More

Watch Now: Using the DIR to Implement an Effective and TJC Compliant Dose Monitoring Program Webinar

“Using the DIR to Implement an Effective and TJC Compliant Dose Monitoring Program” is now available for viewing.  Recorded by Michael Bohl, MHA, BSRS, CEO of Dose Registry Support Services, this webinar reviews how several radiology departments are using the ACR’s Dose Index Registry to implement effective, comprehensive and cost-efficient dose monitoring programs, and meet… Read More

Dose Registry Support Services Success Stories

Here are recent examples of the successes two of our sites reported to their radiation safety committees. This first example is a chart showing one facility’s average monthly Total DLP for its Chest Angio studies from early 2016 through Q1 2018.  Overall, this site reduced its average Total DLP for its Chest Angio studies by… Read More

TJC Dose Monitoring Requirements: XR-29 Dose Notifications Don’t Meet Them

When the facility I was working with was exploring using their scanners’ XR-29 Notifications to meet PI 02.01.01.A6 Dose Incident Identification requirements we reviewed the technical elements underpinning XR-29’s Dose Check feature.  After reading them we grew very concerned that XR-29’s dose notifications would not meet TJC’s requirement.  The facility submitted a question to TJC… Read More

Dose Index Registry Exam Name Mapping Made Easy – On Sale

Reviewing existing exam name RPID mapping assignments is one of the most important Dose Index Registry® (DIR) maintenance tasks facilities should routinely perform. Incorrectly mapped studies can result in misleading and/or incorrect Aggregate and Standardized Dose Reports. This guide is written to provide the reader with an easy method of validating your RPID mappings and… Read More