Dose Registry Support Services provides cost effective support for facilities and radiologists enrolled in the ACR’s Dose Index Registry. Our services are designed for hospitals, health systems, imaging centers, and physician practices whose staff are sometimes challenged to implement the Dose Index Registry and/or comply with TJC’s mandate to create Expected Dose Ranges and identify Dose Incidents.
DRSS has also developed an approach of using each facility’s DIR data to meet TJC’s PI.02.1.1A6 “incident” identification and analysis requirement. This is a cost efficient and effective method to meet TJC’s requirements to identify only those studies which should be reviewed, and it does so with little daily impact on staff and without having to purchase more expensive third-party solutions.
DIR Review Supporting Radiologists’ Quality Payment Program Participation
In 2018 and beyond CMS is determining Quality Program Payment (QPP) success and awarding Quality points for DIR Measures based on how a radiologist’s reported DLP levels compare to others in the DIR. It is important for radiologists planning to use the DIR Measures for QPP purposes to review the DIR data being submitted on their behalf.
Radiologists planning to use the DIR Measures for QPP purposes should review the most recent Aggregate Reports and the facility’s Exam Name Mappings for exams related to the QPP DIR Measures they intend to use. If the review identifies high DLP levels due to exam name mapping errors changes made today will correct previously submitted scan data for QPP purposes for the entire reporting year. However, if a high DLP levels are due to scanning parameters, changing parameters will only lower doses from that point in time forward. In either case, it is important to take steps to review the current state.
Dose Registry Support Services is able to provide the reviews described above, including the recommended initial Aggregate Report and Exam Name Mapping Review. We can also provide more in-depth review and analysis specifically tailored to your needs, as well as a provide a framework and support for scan parameter review.
Dose Registry Support Services has cost-effective options for performing the reviews described above, including the recommended initial Aggregate Report and Exam Name Mapping Review. Our Basic Review service consists of a review of a single Master Account level Aggregate Report – Master Facility Excel Report (Adult) and Exam Name Mapping Export, and includes a review of:
- the Total DLP per Exam doses Master level (overall) and for each site contained in the Master account for the QPP Measured studies; and,
- the Exam Name Mapping review attempts to identify clearly mis mapped studies based on the protocol name submitted to the DIR.
Upon completion we will provide you with a written report of our findings and recommendations.
We can also provide more in-depth review and analysis specifically tailored to the radiologists’ needs, as well as a provide a framework and support for scan parameter review if needed. Click here for pricing.
General Dose Index Registry Support
DRSS works with your radiology department in whatever capacity necessary, from installation and set-up, and exam mapping and maintenance, to report interpretation, and if desired, long-term support. In short, we tailor our work to meet your needs. General DIR support is billed on an hourly basis and is configurable to meet each facility’s specific needs. Most facilities find the number of outside support hours diminishes as their staff develops the understanding to maintain the program internally. Specific services include:
- Enrollment and Set-up Support;
- Registry enrollment
- Master and Child Site designation;
- User set-up
- Physician set-up
- Exam Name Mapping & Remapping Support;
- Mapping local exam names to DIR RPIDs
- Review of current exam name mappings to ensure they are mapped correctly
- Ongoing monitoring for new exams
- DIR Result Monitoring and Support;
- Staff Education and Support in the Use of the DIR; and,
- Triad Server Advice and Support.
DoseID: Dose Incident Identification Program
DRSS has also developed turnkey solution for using a facility’s DIR data to meet TJC’s PI.02.1.1A6 “incident” identification and analysis requirement. We refer to this program as DoseID. DoseID is a cost efficient and effective method to identify studies whose final exam dose exceeded the upper threshold of its expected range, and it does so with little daily impact on staff and without requiring the facility to purchase more expensive third-party solutions. The facilities currently using this approach are saving $80,000 to $100,000 per year using this solution. DRSS’s DoseID program is a fixed cost per year is based on the number of facilities and dose tables desired. Specific components of this program are:
- Development of suggested “Excepted” dose ranges for every protocol by RPID based upon the facility’s DIR dose history;
- Quarterly Dose Incident Reports identifying every study whose final dose exceeded its Expected Range for review and analysis by staff;
- Comparison of every dose incident dose against an external benchmark thereby relieving staff from doing this manually during their review; and,
- Furnishing of draft policies facilities can use to document TJC compliance.
Supporting Diagnostic Medical Physicist Services
Let us be clear: DRSS does not provide diagnostic medical physicist services; rather we support the medical physicist and RSO by ensuring the CT department is performing DIR maintenance, monitoring DIR results, and helping identify potential dose concerns and “Dose Incidents” at the level it should – activities for which the medical physicist typically has limited, if any, direct operational role, yet they are activities which, when done properly, enhances the physicist’s services. DRSS’s approach is to engage department leaders and staff in the process, which helps them identify and bring issues to the medical physicist’s attention.
DRSS also has a program where we can provide these services through and on behalf of the Medical Physicist Service. In this arrangement, DRSS contracts directly with the Medical Physicist service rather than with the facility. We think you’ll find DRSS supports the performance of the non-physicist operational work the medical physicist needs done, is work some facilities struggle to perform. If you represent a medical physicist service and are interested in learning more about how we can support your organization please contact us.
DRSS is also able to support facilities located outside the United States who desire to submit studies to the ACR’s Dose Index Registry. We can accommodate programs of any size and/or scope.
Dose Registry Support Service models its DoseID program based upon on the approach described in the article titled “Meeting TJC’s Dose Incident Identification and External Benchmarking Requirements Using the ACR’s Dose Index Registry” published in the August, 2016 edition of the Journal of the American College of Radiology (JACR). Click here for a link to article abstract.