"With passage of the Medicare Improvement for Patients and Providers Act (MIPPA), the Centers for Medicare and Medicaid services (CMS) approved only three organizations to accredit MRI, CT, PET and nuclear medicine in offices in the outpatient setting. These three organizations are the American College of Radiology (ACR), the Joint Commission (TJC), and the Intersocietal Accreditation Commission (IAC). By January 2012, reimbursement in the outpatient setting will come only with this accreditation.The American College of Radiology emphasizes image quality as a major part of its accreditation while the IAC states that the accreditation process represents an investment by many imaging specialists, even beyond radiology, and the Joint …show more content…
2011).
"So why get registered? Let 's take for an example of Cedars-Sinai Medical Center in Los Angeles. They were not fully aware of how much radiation their brain scans were giving off and doctor 's were astonished by what they discovered. "The overdose was discovered when a patient reported lost patches of hair following a CT scan. The error remained unchecked for 18 months, involved more than 200 people, and exacerbated existing concerns that patients nationwide are being exposed to excess radiation during medical testing. Diagnostic imaging tests have increased Americans ' average radiation exposure seven times since 1980. Increased exposure leads to increased cancer risk although they claim that no one suffered any long-term damage from their overexposure at Cedars-Sinai, there’s no guarantee that this is the case. Some of the more than 200 patients affected received twice as much radiation as the average cancer patient would receive in one treatment, and these people did not have cancer cells to eradicate. And it’s already known that increased exposure to radiation increases your cancer risk. In fact, according to John Gofman, MD, PhD, there is strong evidence that 50 percent of the death rate from cancer, and 60 percent of the death rate from ischemic heart disease today are induced by ionizing radiation treatments. The concept of x-ray-induced cases means “cases that would not exist were it not for exposure to x-rays.”
"More than 62 million CT scans per year
The Joint Commission is an accrediting agency that evaluates the services provided by health institutions and recognize that after their assessments meet all requirements. This visit is requested by the institution and after being accredited are visited every three years. “The Joint Commission is working to align and improve how accreditation and certification work together to enhance their value to organizations” (Horn, 2012, p.243). It is a prestige by being accredited by the Joint Commission. The hospital institution is evaluated in all aspects evaluated from the triage is performed in the ER, permits, documentation, security, administration of drugs, surgical procedures, to infection control and other aspects that are related to the safety
Keeping track of the radiation doses by several employees is also a good way to prevent these medical errors. This action, as you said, would make people accountable for the administration of the treatment. Paradise Hill failed to implement these controls and as a result a preventable medical error was done.
The healthcare industry is comprised of a wide range of interdependent but self-sustaining organizations, facilities and care providers. In light of this complex and multilayered system, overarching regulatory conditions are a necessity. This is reflected in the three distinct organizations selected for discussion. In Scripps Mercy Hospital Skilled Nursing Facility, the Alvarado Parkway Institute La Mesa on Behavioral Health and the Naval Medical Center San Diego Radiology Department, we are presented with three organizations of different functions but beholden to similar or overlapping standards. Scripps Mercy is a skilled nursing facility specializing in inpatient treatment procedures. Alvaredo Parkway is an inpatient and outpatient psychiatric facility and the Naval Medical Center is a radiology and screening outpatient facility. All three serve the San Diego Metropolitan Community.
When an individual is seeking medical care they expect the highest quality of care. Accreditation of a facility or department is a way to obtain the confidence of a patient. When a facility does obtain accreditation they are officially being recognized as being qualified to perform studies that will yield diagnostic images as well as provide quality patient care. The department who hold the accreditation status will then be held to minimum standards and or requirements in order to maintain the status. Any facility or department seeking accreditation is eligible under the guidelines of the different accreditation agencies (Intersocietal Accreditation Commission (IAC), 2015). On the other hand if a facility fails
Accreditation is a process by which an impartial organization (URAC) will review a company’s operations to ensure that the company is conducting business in a manner consistent with national standards. For a physician and a nurse after they receive their degree they have to do continuing education courses every year to maintain their licensing with that particular state. These classes are generally known as CME’s (Continuing medical education). They serve to “maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession” (ACCME). That being said
Accreditation is a recognized seal of approval for many institutions in the United States. It is needed by the hospitals to become providers in the Medicare program. In order to receive payment from the Centers for Medicare and Medicaid Services (CMS), hospitals are required to meet a set of minimum requirements called conditions of participation. There are three organizations that can accredit hospitals based on the participation requirements– the Joint Commission, the American Osteopathic Association (AOA), or the state certification agencies [1]. More than 80% hospitals in the country voluntarily use the Joint Commission for accreditation purposes.
This is particularly important in patients at higher risk of radiation injury (e.g. younger patients) especially those requiring repeated imaging follow-up.
Medicare Access and CHIP Reauthorization Act is a bipartisan federal legislation signed on April 16, 2015 amended as title XVII of the social security act to reform the payment methods that Medicare pays to the physicians for the services rendered by creating Quality Payment Program (QPP) which repeals the Sustainable Growth Rate (SGR) formula for Medicare part B payments, reauthorization of the Children’s Health Insurance Program and implements a rewarding system to physicians for value of care rather than on the volume of services by combining the existing physician quality reporting programs under the Quality Payment Program. The main emphasis of MACRA under this Quality
Although there have been signs of leukemia, there is still uncertainty if that long hours of radiation exposure has any effect on x-ray techs. (RSNA) Although I first believed that as an x-ray tech I would be diagnosed with cancer or some other disease, I now know that there is only a slight possibility that I will even be diagnosed. Even though getting zapped by some kind of radiation would turn the x-ray tech into a powerful beast would be cool, it is impossible… for now anyways.
The history of the Joint Commission on Accreditation of Hospitals is a story of the health professions’ commitment to patient care of high quality in the 20th century. According to Dr. Ernest Codman, founder of the accreditation system, which would enable hospitals to track every patient it treat long enough to determine whether or not the treatment was effective. If not, the hospital would figure out how to prevent similar failures in the future (Roberts, Coale & Redman, 1987).
Furthermore, from 1960 to 1971, a renowned radiologist, Dr. Eugene L. Saenger and his colleagues at the University of Cincinnati, conducted experiments on 88 cancer patients, aged 9 to 84, many of whom were low-income Americans, and 60% of whom were Black (Schneider, 1994). The patients were exposed to full body radiation treatment without their consent, and misinformed that the treatment had the potential to help cure their specific form of cancer, despite existing evidence to the contrary (Schneider, 1994). Patients suffered from severe stomach
Instruct client and family about radiation precautions needed in the health care and home environments.
Since the technologies being used only bounce waves of the body surface, this leaves then skin highly exposed to concentrated amounts of radiation. Health side effect studies of full body scanners have been labeled classified and inaccessible to the general public. Four professors from the University of California- San Francisco, whom are well respected cancer, X-ray crystallographers and imaging experts stated in a letter to the Obama administration that, “The low-energy rays do a “Compton scatter” off tissue layers just under the skin, possibly exposing some vital areas and leaving the tissues at risk of mutation. When an X-ray Compton scatters, it doesn’t shift an electron to a higher energy level; instead, it hits the electron hard enough to dislodge it from its atom.” The authors note that this process is “likely breaking bonds,” which could cause mutations in cells and raise the risk of cancer (Johnston). Furthermore, the UCSF researchers write in their letter, “older passengers are more susceptible to mutagenic effects of X-rays, and “the risk of
With this stability and mass production, x-rays machines became very common everywhere. From large factories, to doctors offices, all the way to the corner store of small towns, where children and adults alike could insert a coin into a machine and view the bones in their feet. (3.) Because of their relative adolescences in the world, not much was known about x-rays or their effects on the human body. The first theories about the rays’ effects on the human body were that they had beneficial applications. With this being the only theory about their effect, widespread use went on, unmonitored, and unregulated. This unregulated use led to injuries but because of their slow onset the injuries were never attributed to x-rays. While some scientists tied certain skin burns to over exposure of x-rays it wasn’t until popular minds of the world like Thomas Edison, Nikola Tesla and William J. Morton expressed that they experienced eye pain when dealing with the rays for extended periods of time that people began to connect the dots and understand the negative
Health care organizations in the United States (U.S.) are required to understand the rules and regulations necessary to sustain operations. One manner this can be achieved is through accreditation of the institution. Accreditation is a process in which a subject matter expert (SME) evaluates an organization against a pre-established set of standards. This evaluation allows the SME to determine the organization’s substantive compliance. This compliance is used to help establish a minimal standard in support of successful outcomes.