Dose Registry Support Services provides cost effective support for facilities 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 method of using a facility’s DIR data to meet TJC’s PI.02.1.1A6 “incident” identification and analysis requirement using their DIR data.  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.

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.

Michael Bohl was the lead author of an article published in the August, 2016 edition of the Journal of the American College of Radiology (JACR) which described the DoseID process in detail.  Click here to learn read the article abstract.

Leave a Reply