Quiz One

Question 1

SEER

Answer 1

Surveillance
Epidemiology
End Results
–>Provides clinicians with population data (eg. age, race, gender year of diagnosis and geographic areas)

Question 2

TJC

Answer 2

The Joint Commission: Nonprofit Org.

• Provides accreditation for healthcare orgs.
• Requires measurement of patient outcomes for accred.
• Agenda for Change (6 Core Measurements)

Question 3

DOT

Answer 3

Department of Transportation: Monitors and regulates the transportation of hazardous materials

Question 4

Devices regulated from by the Center for Devices of Radiological Health (9)

Answer 4

• 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

Question 5

FDA

Answer 5

-Regulates the manufacture and use of devices that generate isotopes

Question 6

Who monitors the operation of the equipment or devices regulated by the FDA?

Answer 6

The State

Question 7

SMDA

Answer 7

Safe Medical Devices Act

-Requires med facilities to reports any med devices that cause death or injury if a patient or employee

Question 8

OSHA

Answer 8

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

Question 9

NRC Agreement States

Answer 9

• Atomic Energy Act of 1954

- NRC relinquishes power to regulate radioisotopes, uranium/thorium and special nuclear materials to the state

Question 10

Healthcare Quality Definition

According to Institute of Medicine

Answer 10

-The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Question 11

Outcomes Definition

According to Institute of Medicine

Answer 11

The anticipated benefits or results from a planned implementation of a process

Question 12

Definitions of the Four Concepts of the Plan-Do-Check(Study)-Act Model

Answer 12

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

Question 13

Six Sigma

Answer 13

Statistically driven improvement process (Involves standard deviations a process is from average performance)
-Within 6 standard deviations of avg=6 Sigma

Question 14

Six Sigma Framework (5)

Answer 14

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

Question 15

Regulatory Agency

Answer 15

Establishes mandates with authorization from Congress to write laws.

Question 16

NRC

Answer 16

Nuclear Regulatory Commission
-Ensures the safety of radioactive materials for beneficial civilian purposes while protecting people and the environment.

Question 17

EPA Rad Protection Program

Answer 17

Involves regulation of the emergency response and storage, handling and disposal of radioactive materials.

Question 18

TJC Accreditation needed for… (3)

Answer 18

• Reimbursement from CMS ( Centers for Medicare & Medicaid Services)
• Physician Residency Program
• Malpractice Insurance

Question 19

ACRO-PAP

Answer 19

American College of Radiation Oncology- Practice Accreditation Program
-Accredits Independent Oncology Centers

Question 20

ACR

Answer 20

American College of Radiology

• Makes imaging accessible
• Collaborate with CMS and Physician Quality Reporting Systems; encourage physicians to submit outcome info

Question 21

AAPM

Answer 21

American Association of Physicists in Medicine

Question 22

ASRT

Answer 22

American Society of Radiologic Technologists

-Developed practice standards for RT in 1995

Question 23

ISO

Answer 23

International Organization for Standardization

Question 24

ISO Definitions: Quality
Quality Assurance
Quality Control
Quality Assessment
Continuous Quality Improvement
Total Quality Management

Answer 24

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

Question 25

Total Quality Management Synonyms

Answer 25

- Continuous Quality Improvement | - Quality Assessment

Question 26

Accreditation is via...

Answer 26

Joint Commission

Question 27

TJC Agenda for Change-Core Measurements (6)

Answer 27

Measurements of: - Morbidity - Mortality - Recurrence of Disease - Survival Rates - Patient Satisfaction - Quality of Life

Question 28

SEER | Provides data for clinicians

Answer 28

Surveillance Epidemiology End Results

Question 29

Rad Oncology QI Team includes:

Answer 29

``` Rad Onc Med Physicist RT Med Dosimetrists Nurses Engineers Support Staff ```

Question 30

Who establishes and continues QI program??

Answer 30

Medical Director of the Radiation Oncology Center

Question 31

Quality Improvement (QI) Plan

Answer 31

An official statement that declares specific quality practices and resources used to conduct activities that provide patient care.

Question 32

Indicator Measurement System

Answer 32

Provides continuous evaluation of performance to help healthcare orgs measure and improve their quality of care through the use of common quality indicators

Question 33

Quality Indicators

Answer 33

Tools used to measure a dept's performance of functions, processes and outcomes over time