Is your Radiology Department Ready?

The Joint Commission Standards for Diagnostic Imaging
Is your Radiology Department Ready?
In a communication to their customers on May 15, 2014 The Joint
Radimetrics™ Enterprise Platform allows you to include multiple
Commission announced delay of their impending requirements
radiation Dose Reference Levels (DRLs) with imaging protocols.
for Diagnostic Imaging until July 2015. It is expected that the
•
DRL can be filtered to specific patient groups based on age majority of the 2014 proposed requirements will be implemented
as well as gender, height/weight, and diameter
as currently written, but they are collecting additional information
•
DRL can be based on different radiation dose values,
about several critical areas of radiation safety before they finalize
including DLP, SSDE, CTDiVol, ICRP 60 and ICRP 103
a single set of standards.
•
DRL can be set for a value or based on the percentile of
current enterprise data
This document will cover some of the key elements TJC included
in the 2014 proposed requirements.
Bayer offers a solution to support compliance with the standards which the Joint Commission indicates address
overall patient safety, oversight of imaging services, staff competency, radiation safety procedures equipment and
quality control.
The standards are for accredited hospitals, critical access
Imaging protocols can include multiple Dose Reference Levels.
Min, Avg and Max are displayed in this example DRL can be based
on different radiation dose values, including DLP, SSDE, & ICRP 103.
hospitals, and ambulatory health care organizations that
provide diagnostic imaging services, including ambulatory
organizations that have achieved Advanced Diagnostic
Certegra® @ Point of Care featuring Certegra® P3T® 2.0 software
Imaging certification.
functionality calculates contrast injection protocols
individualized to each patient. Certegra® P3T® Protocols use
Establishing Protocols
patient weight and contrast concentration to design a custom
The New Standard: Computed tomography (CT) services:
injection protocol including:
The hospital or ambulatory care center establishes imaging
•
Volume of contrast
protocols based on current standards of practice, which address
•
Flow rate
key criteria including clinical indication, contrast administration,
•
Ratio of iodine and saline
age, patient size and body habitus, and the expected radiation
•
Scan delay
dose range. (reference: PC.01.03.01)
The Bayer Solution: Bayer offers tools to help manage
radiation and contrast protocols and address key criteria.
In compliance with HIPAA regulations, patient information listed on the ‘GUI’s’ are
fictitious examples only and do not contain any actual patient data.
Certegra® P3T® Protocols can be
designed to reflect radiologist
preference for dosing by organ, specific
disease states, and personalized
to each patient.
Enterprise Platform
All Radimetrics™ Enterprise Platform GUI screens and/or related support images were
provided directly from the Radimetrics™ software application.
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Dose Documentation
Comparison With External Benchmarks
The New Standard: For hospitals or ambulatory care centers
The New Standard: For hospitals or ambulatory care centers
that provide diagnostics CT services: The interpretive report of
that provide diagnostic computed tomography (CT) services:
the diagnostic CT study includes CTDIvol or DLP radiation dose.
The hospital/care center compiles and analyzes data on patient
The dose is either recorded in the patient’s interpretive report or
CT radiation doses and compares it with external benchmarks
included in the protocol page. (reference: PC.01.02.15)
when available. (reference: PI.02.01.01)
The Bayer Solution: Radimetrics™ Enterprise Platform
The Bayer Solution: Radimetrics™ Enterprise Platform allows
provides automated dose capture integrated with multiple
users to compile, compare and analyze data on patient CT
radiology reporting systems currently available on
radiation doses:
the market.
•
Set multiple, customized dose reference levels
•
Compare dose with external benchmarks like QuiRCC,
NCRP, ACR
Radimetrics™ Enterprise Platform allows you to configure one or
more of the following dose values in the radiologist report:
•
DLP •
ICRP 103
•
CTDiVol •
ICRP 60
•
SSDE
The doses are benchmarked against the ACRDR in this example.
Reference Level Trend Chart displaying the CTDIvol values for
an enterprise’s routine thorax protocol across their 3 pieces of
equipment. Each color represents a different month.
Phase two of The Joint Commission’s standards changes are
slated for implementation in 2015. The changes will focus on
fluoroscopy, minimum qualifications for clinicians who perform
Automatic population of radiation dose in the radiologist report
supports accurate reporting and improves radiologist workflow.
Radiology & Interventional
Bayer HealthCare Medical Care
Customer Service/Orders
+1-800-633-7231
Bayer HealthCare LLC
100 Bayer Boulevard
P.O. Box 915
Whippany, NJ 07981
Customer Service Fax
+1-412-767-4120
imaging exams and cone beam CT.
Bayer reserves the right to modify the specifications and features described herein, or discontinue
manufacture of the product described at any time without prior notice or obligation. Please
contact your authorized Bayer HealthCare representative for the most current information.
Bayer, The Bayer Cross, Certegra®, Radimetrics™, and P3T® are trademarks of the Bayer group of
companies.
© 2014 Bayer
www.ri.bayer.com
RAD-INF-14-06507 June 2014
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