1 welcome medical physicist meeting november 9, 2004 2:00 - 5:00 p.m
TRANSCRIPT
![Page 1: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/1.jpg)
1
Welcome
Medical Physicist Meeting
November 9, 20042:00 - 5:00 p.m.
![Page 2: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/2.jpg)
2
Update on New Jersey’s Quality Assurance Program
• Bureau of Radiological Heatlh 25 Arctic Parkway Ewing, NJ
• Bureau Chief Paul G. Orlando (609) 984-5634 Office (609) 984-5811 Fax
![Page 3: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/3.jpg)
3
QC Tests Performed by Medical Office Staff
Annual Medical Physicist QC Survey
State Inspections
Key Elements to Successful Program
![Page 4: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/4.jpg)
4
Three Medical Studies Tracked for ESE & IQ
• PA Chest
• AP Lumbosacral Spine
• AP Foot
![Page 5: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/5.jpg)
5
QA Program Timeline
Year 1 QA Year 2 QA Year 3 QA
4/01-9/02 9/02-9/03 9/03-9/04 9/04-9/05
Year 4 QAPre QA
6/00-4/01
![Page 6: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/6.jpg)
6
PA Chest Data
![Page 7: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/7.jpg)
7
All Facilities (PA Chest Study)
5.0
10.0
15.0
20.0
25.0
30.0
Baseline ESE Yr 1 Yr 2 Yr 3
ESE
(mR
)
40
45
50
55
60
65
IQ S
core
Chest ESE Chest IQ
NEXT Avg16.1 mR
![Page 8: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/8.jpg)
8
3 Year Comparison of ESE & IQ by Discipline (PA Chest Study)
5.0
10.0
15.0
20.0
25.0
30.0
Baseline Yr 1 Yr 2 Yr 3
ES
E (
mR
)
40
45
50
55
60
65
IQ S
core
Medical ESE Hospital ESE Medical IQ Hospital IQ
NEXT Avg16.1 mR
![Page 9: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/9.jpg)
9
AP Lumbar SpineData
![Page 10: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/10.jpg)
10
All Facilities (AP Lumbar Spine Study)
300.0
350.0
400.0
450.0
500.0
550.0
Baseline ESE Yr 1 Yr 2 Yr 3
ESE
(mR
)
40
45
50
55
60
65
IQ S
core
Lumbar Spine ESE Lumbar Spine IQ
NEXT Average370 mR
![Page 11: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/11.jpg)
11
3 Year Comparison of ESE & IQ Databy Facility Type (AP Lumbar Spine Study)
300
350
400
450
500
550
600
Baseline Yr 1 Yr 2 Yr 3
ES
E (
mR
)
30
35
40
45
50
55
60
65
70
IQ S
core
Medical ESE Chiropractor ESE Hospital ESE
Medical IQ Chiropractor IQ Hospital IQ
NEXT Avg 370 mR
![Page 12: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/12.jpg)
12
AP Foot Data
![Page 13: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/13.jpg)
13
All Facilities (AP Foot Study)
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
Baseline ESE Yr 1 Yr 2 Yr 3
ESE
(mR
)
40
45
50
55
60
65
70
75
IQ S
core
Foot ESE Foot IQ
![Page 14: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/14.jpg)
14
3 Year Comparison of ESE & IQ Data by Discipline (AP Foot Study)
0
5
10
15
20
25
30
35
40
Baseline Yr 1 Yr 2 Yr 3
ES
E (
mR
)
40
45
50
55
60
65
70
75
IQ S
core
Medical ESE Podiatrist ESE Hospital ESE
Medical IQ Podiatrist IQ Hospital IQ
![Page 15: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/15.jpg)
15
Reductions in ESE
Prior toQA (mR)
After Yr3QA (mR)
PercentReduction
ESEFoot 31.3 11.9 62.0%
Chest 22.2 12.9 41.9%
LumbarSpine
525.1 354.5 32.5%
![Page 16: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/16.jpg)
16
All IQ Data
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-100
Yr 1 Yr 2 Yr 3
Year 1 Mean=51.3
Year 2Mean=60.6
Year 3 Mean= 62.0
POOR FAIR GOOD EXCELLENT
![Page 17: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/17.jpg)
17
Image Quality Improvements
AverageScore
PoorImages
Good toExcellent
YR1 51.3 11% 53%
YR2 60.6 2% 83%
YR 3 62.0 2% 86%
![Page 18: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/18.jpg)
18
Goals Established at the Onset of the Quality Assurance Program
• Reduce unnecessary radiation
– Set initial goal to reduce ESE 10% by 2005
– Achieved 32.5%-62.0% reductions in ESE
• Improved image quality resulting in better diagnosis and fewer repeat x-ray studies
– Set initial goal to increase IQ 15% by 2007
– Achieved 20.9% improvement in IQ
• More timely equipment repair, less down time
• Improved understanding of x-ray risks and benefits
• Closer ties with constituents
![Page 19: 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m](https://reader035.vdocuments.us/reader035/viewer/2022062619/551554d755034691418b462f/html5/thumbnails/19.jpg)
19
Violation History