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Who is the ACR? We serve more than 32,000 radiology professionals nationwideDiagnostic / interventional radiologistsRadiation oncologistsMedical physicistsNuclear medicine physiciansClinical researchers. Accreditation Programs 1966 - first practice accreditation program1987
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1. Charles R. Wilson, Ph.D., F.A.C.R.
Medical College of Wisconsin
Milwaukee, Wisconsin ACR Radiography and Fluoroscopy Accreditation
2. First let me give you a little background about who we are.
The American College of Radiology is a national organization serving more then 32,000 radiology professionals, including diagnostic and interventional radiologists, radiation oncologists, medical physicists, nuclear medicine physicians and clinical researchers.
We are a leader in federally funded clinical research.First let me give you a little background about who we are.
The American College of Radiology is a national organization serving more then 32,000 radiology professionals, including diagnostic and interventional radiologists, radiation oncologists, medical physicists, nuclear medicine physicians and clinical researchers.
We are a leader in federally funded clinical research.
3. The ACR is nationally recognized for our commitment to quality patient care.
We implemented our first voluntary practice accreditation program in 1966. The mammography accreditation program was introduced in 1987 in response to the American Cancer Society's recommendations for breast cancer screening. As a result of the federal legislation, the Mammography Quality Standards Act, the FDA approved the ACR as the only national accrediting body for mammography.
All of the ACR diagnostic imaging accreditation programs are based on the mammography program model.
The ACR is nationally recognized for our commitment to quality patient care.
We implemented our first voluntary practice accreditation program in 1966. The mammography accreditation program was introduced in 1987 in response to the American Cancer Society's recommendations for breast cancer screening. As a result of the federal legislation, the Mammography Quality Standards Act, the FDA approved the ACR as the only national accrediting body for mammography.
All of the ACR diagnostic imaging accreditation programs are based on the mammography program model.
4. An accreditation program is a peer review process developed and monitored by experts in the field. They assess specific parameters for each imaging modality and are based on the ACR Standards.
An accreditation program is a peer review process developed and monitored by experts in the field. They assess specific parameters for each imaging modality and are based on the ACR Standards.
5. In order to make participation in the ACR accreditation programs a manageable process, we have recently introduced a new program called the Diagnostic Modality Accreditation Program.
This program features a streamlined application process which will allow a group practice to submit personnel, and policy and procedure information in a single application. All accreditation programs are included in this program, except mammography and radiation oncology
The ACR Web site will list all the modalities accredited at each practiceIn order to make participation in the ACR accreditation programs a manageable process, we have recently introduced a new program called the Diagnostic Modality Accreditation Program.
This program features a streamlined application process which will allow a group practice to submit personnel, and policy and procedure information in a single application. All accreditation programs are included in this program, except mammography and radiation oncology
The ACR Web site will list all the modalities accredited at each practice
6. The ACR accreditation programs are based on the ACR Standards.
ACR Standards are developed through an evidence based, consensus process using peer review literature. Frequently they are developed jointly with other medical specialty organizations. The 1997 Physician Insurers Association of America (PIAA) study shows ACR standards to be good risk management tools.The ACR accreditation programs are based on the ACR Standards.
ACR Standards are developed through an evidence based, consensus process using peer review literature. Frequently they are developed jointly with other medical specialty organizations. The 1997 Physician Insurers Association of America (PIAA) study shows ACR standards to be good risk management tools.
7. All of the ACR projects and programs, including the Standards and Accreditation programs are developed and overseen by physician and physicist member volunteers.
Over 450 members participate in practice standards development.
Over 400 radiologists, radiation oncologists and medical physicists work on ACR accreditation programs.
All of the ACR projects and programs, including the Standards and Accreditation programs are developed and overseen by physician and physicist member volunteers.
Over 450 members participate in practice standards development.
Over 400 radiologists, radiation oncologists and medical physicists work on ACR accreditation programs.
8. Physician experts together with professional staff, coordinate these programs into a useful body of services and publications designed to sustain and enhance continued quality improvement in radiologic medicine.Physician experts together with professional staff, coordinate these programs into a useful body of services and publications designed to sustain and enhance continued quality improvement in radiologic medicine.
11. The radiography/Fluoroscopy accreditation program has three modules from which to choose: chest, general radiography, and fluoroscopy. A facility may apply for all three modules or any combination of them. Facilities must accredit all RF rooms used to provide these services. The radiography/Fluoroscopy accreditation program has three modules from which to choose: chest, general radiography, and fluoroscopy. A facility may apply for all three modules or any combination of them. Facilities must accredit all RF rooms used to provide these services.
14. Initial Qualifications
· A qualified medical physicist is an individual who is competent to practice independently one or more of the subfields in medical physics. The ACR considers that certification and continuing education in the appropriate subfield(s) demonstrate that an individual is competent to practice in one or more of the subfields in medical physics and to be a qualified medical physicist. The ACR recommends that the individual be certified in the appropriate subfield(s) by the American Board of Radiology (ABR) (see Table 2).
· The appropriate subfields of medical physics are Diagnostic Radiological Physics and Radiological Physics.
· The qualified medical physicist must be familiar with the principles of imaging physics and of radiation protection; the guidelines of the National Council on Radiation Protection and Measurements; laws and regulations pertaining to the performance of the equipment being tested; the function, clinical uses, and performance specifications of the imaging equipment; and calibration processes and limitations of the instruments used for performance testing.
· The qualified medical physicist may be assisted by properly trained individuals in obtaining data. These individuals must be approved by the qualified medical physicist in the techniques of performing tests, the function and limitations of the imaging equipment and test instruments, the reason for the tests, and the importance of the test results. The qualified medical physicist is responsible for and must be present during initial and annual surveys and must review, interpret, and approve all data as well as provide a signed report of conclusions. The qualified medical physicist should be available for consultation regarding patient dosimetry issues within a reasonable period of time.
Initial Qualifications
· A qualified medical physicist is an individual who is competent to practice independently one or more of the subfields in medical physics. The ACR considers that certification and continuing education in the appropriate subfield(s) demonstrate that an individual is competent to practice in one or more of the subfields in medical physics and to be a qualified medical physicist. The ACR recommends that the individual be certified in the appropriate subfield(s) by the American Board of Radiology (ABR) (see Table 2).
· The appropriate subfields of medical physics are Diagnostic Radiological Physics and Radiological Physics.
· The qualified medical physicist must be familiar with the principles of imaging physics and of radiation protection; the guidelines of the National Council on Radiation Protection and Measurements; laws and regulations pertaining to the performance of the equipment being tested; the function, clinical uses, and performance specifications of the imaging equipment; and calibration processes and limitations of the instruments used for performance testing.
· The qualified medical physicist may be assisted by properly trained individuals in obtaining data. These individuals must be approved by the qualified medical physicist in the techniques of performing tests, the function and limitations of the imaging equipment and test instruments, the reason for the tests, and the importance of the test results. The qualified medical physicist is responsible for and must be present during initial and annual surveys and must review, interpret, and approve all data as well as provide a signed report of conclusions. The qualified medical physicist should be available for consultation regarding patient dosimetry issues within a reasonable period of time.
16. Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
17. Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
18. Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
Insert your required exams and the criteria that they are tested on.
Multiple factors are assessed when examining image quality of patient exams, including proper patient identification, appropriate exposure, correct positioning, and adequate anatomic coverage. Images are evaluated for the presence of artifacts that may interfere with diagnosis as well as the techniques used to produce the images.
19. Insert your required phantom exams and the criteria that they are tested on.Insert your required phantom exams and the criteria that they are tested on.
20. Insert your required phantom exams and the criteria that they are tested on.Insert your required phantom exams and the criteria that they are tested on.
23. Insert your required phantom exams and the criteria that they are tested on.Insert your required phantom exams and the criteria that they are tested on.
27. Who assesses the quality of the patient exams that are submitted? Physicians who are board certified and recognized as experts in the field, with at least 50% of their practice in the specific modality being evaluated assess the quality of the clinical images.
In order for the review process be fair, it is essential that cases are reviewed in an accurate and reproducible manner. Reviewers must be familiar with the evaluation criteria and apply them in a consistent fashion.
Who assesses the quality of the patient exams that are submitted? Physicians who are board certified and recognized as experts in the field, with at least 50% of their practice in the specific modality being evaluated assess the quality of the clinical images.
In order for the review process be fair, it is essential that cases are reviewed in an accurate and reproducible manner. Reviewers must be familiar with the evaluation criteria and apply them in a consistent fashion.
29. I don’t think this slide applies to RFI don’t think this slide applies to RF
30. NOTE: Insert your modality’s fees.NOTE: Insert your modality’s fees.
33. The primary goal is improved quality.
Accreditation also improves patient confidence, in addition to being a valuable educational process.
Today’s patients are better informed then ever before and are actively seeking quality care.
In fact, studies show that 73 million Americans use the Internet to answer health questions. As many as 68 percent of these say the material they found “influenced their medical decisions”!
The primary goal is improved quality.
Accreditation also improves patient confidence, in addition to being a valuable educational process.
Today’s patients are better informed then ever before and are actively seeking quality care.
In fact, studies show that 73 million Americans use the Internet to answer health questions. As many as 68 percent of these say the material they found “influenced their medical decisions”!
34. In closing, we hope that this presentation gives you a better understanding of how accreditation ensures high quality imaging and radiation therapy.
The ACR stands ready to assist your providers with becoming accredited as well as providing evidence to you, your patients and buyers of coverage that your organization is committed to quality patient care.
In closing, we hope that this presentation gives you a better understanding of how accreditation ensures high quality imaging and radiation therapy.
The ACR stands ready to assist your providers with becoming accredited as well as providing evidence to you, your patients and buyers of coverage that your organization is committed to quality patient care.
