Quiz One Flashcards
SEER
Surveillance
Epidemiology
End Results
–>Provides clinicians with population data (eg. age, race, gender year of diagnosis and geographic areas)
TJC
The Joint Commission: Nonprofit Org.
- Provides accreditation for healthcare orgs.
- Requires measurement of patient outcomes for accred.
- Agenda for Change (6 Core Measurements)
DOT
Department of Transportation: Monitors and regulates the transportation of hazardous materials
Devices regulated from by the Center for Devices of Radiological Health (9)
- Diagnostic x-ray imaging devices
- Microwave ovens
- Industrial x-ray systems
- X-ray or Electron Generators
- TV receivers and monitors
- Cell Phones
- Sunlamps
- Entertainments lasers
- Ultrasound imaging devices
FDA
-Regulates the manufacture and use of devices that generate isotopes
Who monitors the operation of the equipment or devices regulated by the FDA?
The State
SMDA
Safe Medical Devices Act
-Requires med facilities to reports any med devices that cause death or injury if a patient or employee
OSHA
Occupational Safety and Health Administrations
- Ensures safe and healthful working conditions.
- Mandated a policy (80s) for an exposure control plan on bloodborne pathogens
- OSHA standards apply to mold room
NRC Agreement States
- Atomic Energy Act of 1954
- NRC relinquishes power to regulate radioisotopes, uranium/thorium and special nuclear materials to the state
Healthcare Quality Definition
According to Institute of Medicine
-The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Outcomes Definition
According to Institute of Medicine
The anticipated benefits or results from a planned implementation of a process
Definitions of the Four Concepts of the Plan-Do-Check(Study)-Act Model
Plan: Members of the team agree on a project and an intervention for change.
Do: Tests of change are carried out, outcomes are documented
Check (Study): Data analyzed to address success/improvement needed
Act: Changes are made , when outcome is reached, actions are disseminated
Six Sigma
Statistically driven improvement process (Involves standard deviations a process is from average performance)
-Within 6 standard deviations of avg=6 Sigma
Six Sigma Framework (5)
DMAIC
- Define: Define Project, Goals, parameters
- Measure: Use tools to determine quality, id variation, validate measuring process and collect data
- Analyze: ID issue causes
- Improve: Solutions implemented
- Control: Systems in place
Regulatory Agency
Establishes mandates with authorization from Congress to write laws.
NRC
Nuclear Regulatory Commission
-Ensures the safety of radioactive materials for beneficial civilian purposes while protecting people and the environment.
EPA Rad Protection Program
Involves regulation of the emergency response and storage, handling and disposal of radioactive materials.
TJC Accreditation needed for… (3)
- Reimbursement from CMS ( Centers for Medicare & Medicaid Services)
- Physician Residency Program
- Malpractice Insurance
ACRO-PAP
American College of Radiation Oncology- Practice Accreditation Program
-Accredits Independent Oncology Centers
ACR
American College of Radiology
- Makes imaging accessible
- Collaborate with CMS and Physician Quality Reporting Systems; encourage physicians to submit outcome info
AAPM
American Association of Physicists in Medicine
ASRT
American Society of Radiologic Technologists
-Developed practice standards for RT in 1995
ISO
International Organization for Standardization
ISO Definitions: Quality
Quality Assurance
Quality Control
Quality Assessment
Continuous Quality Improvement
Total Quality Management
Quality: Totality of features & characteristics
Quality Assurance: All actions to provide adequate confidence that product/service will satisfy quality requirements.
Quality Control: Operational techniques/Activities used to fulfill quality requirements
Quality Assessment: Systematic Data Collection /QI that encompasses activities to improve the quality of a system
Continuous Quality Improvement: Room for Improvement always exists
Total Quality Management: Customer-Centered approach driven by data and long term strategies
Total Quality Management Synonyms
- Continuous Quality Improvement
- Quality Assessment
Accreditation is via…
Joint Commission
TJC Agenda for Change-Core Measurements (6)
Measurements of:
- Morbidity
- Mortality
- Recurrence of Disease
- Survival Rates
- Patient Satisfaction
- Quality of Life
SEER
Provides data for clinicians
Surveillance
Epidemiology
End Results
Rad Oncology QI Team includes:
Rad Onc Med Physicist RT Med Dosimetrists Nurses Engineers Support Staff
Who establishes and continues QI program??
Medical Director of the Radiation Oncology Center
Quality Improvement (QI) Plan
An official statement that declares specific quality practices and resources used to conduct activities that provide patient care.
Indicator Measurement System
Provides continuous evaluation of performance to help healthcare orgs measure and improve their quality of care through the use of common quality indicators
Quality Indicators
Tools used to measure a dept’s performance of functions, processes and outcomes over time
