1. paperless-electronic charting-less chance error, less redundancy
digital filmless-no retakes due to quality
new pet/ct simulator better quality simulations
chart rounds review with entire staff
3D conformal breast plans
TLD on opposite breast to measure dose to opps side
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2. registration process
mammosite program
dietary consults for head and neck patients |
3. 3D vs. IMRT side effects
Billing
Patient Identification |
4. Patient Wait Times
Physician summary report sent to ref. physician
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5. PT ID
PORT FILM/BEAM VIEW review by physicina
physicina notification when to draw TV for tx planning |
6. Determinig how therapists can better see and hear patients in CT simulator room |
7. New facility planning with an emphasis on privacy.
New accelerator aquisition.
Moving toward an electronic record.
Planning a PACs system.
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8. Launched LEAN INSTITUTE process improvement divion within the sdepartment. Examined the entire patient flow in the PROTON CENTER; identified 14 areas for PI; now 2 addtional LEAN events underway: treatment planning , and billing |
9. Using the MD quality check list in IMPAC to assure MD dictates when certain CPTs charged
Improving flow of pateints/wait times
Use of differnt drugs for conscious sedation to see if less cardiac events occur
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10. Study of new techniques (segmented & IMRT breast)
Internal Outcome study
Nursing documentation with focus on chemo documentation in Rad Onc chart, meds/allergies, weekly assessments
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11. Improving patient orders.
Documentation for work ordered.
Front desk phone triage.
Exam room distribution.
Radiosurgery process for patients.
Signatures on radiation specific consent forms. |
12. Conversion to IMPAC Scheduling and Charge capture |
13. Using bar code scanning on all accessory pieces of treatment equipment to ensure the bolus or compensator is used as prescribed.
Indexing the treatment couch position on all patient set ups. |
14. Safety Issues, Outcomes on Prostate and Lung Patients
treated with IMRT vs conformal. |
15. Ethyol administration - side effects, efficacy of tx
Integration of Med Onc with Rad Onc/implementation of IMPAC
Implementation of pre-treatment verification process per JCAHO PC 13.20 and implementation of two identifiers PC 5.10
Chart Audits |
16. We have worked on IMRT patients, the time elapsed between consult and start date, to get this cut down. We achieved ACR accreditation. We established a claims denial review process to increase revenue. We set departmental goals that everyone participated in, based on the five pillars of excellence as established by Quint Studer. We passed the JCAHO accreditation survey. We have worked on inmproving employee satisfaction by communication, and development of action plans based on employee comments. |
17. Regular chart rounds
Dosimetry checks within 24 hours of calculations |
18. Continuous monitoring of clinical pathways and education. We are a major academic department; improvement and QA are vital in our overall academic missions of patient care, education and clinical research. |
19. Continuous monitoring of clinical pathways and education. We are a major academic department; improvement and QA are vital in our overall academic missions of patient care, education and clinical research. |
20. Several ways.
1.Built a new program taking in to account psat problems.
2.ACR accredidation
3.Severalimprovements in cacer registry
4.Record and verify system.
5.From poor prostate seed implant in to a comprehensive training.
6.IMRT And more specialised training to all technical people. |
21. Patient identifiers
improving documentation. |
22. Consistent Documentation
Chart Audits for completeness of documentation
Standardisztion of treatment protocols for various treatment sites (used to be physician dependent) |
23. Quite a few.....
IMRT related
Portal Imaging related
Treatment related
Patient positioning related |
24. Six Sigma/CAP project working with RO staff, physician group and billing department to develop a system for auditing billing/documentation compliance. |
25. Decrease in treatment administrations. Increase efficiency of workflow. |
26. Less patient waiting. |
27. /wait times, patient satisfaction improvements |
28. Safety as related to proper information input by the dosimetrist, checked by physics, then checked by RTT before tx. |
29. Total New facility |
30. Increasing one-on-one time nurses spend with patients undergoing head and neck treatment to determine if this affects patietns ability to go through course without a break. |
31. Charge process and clinical documentation accuracy
Patient satisfaction team teaching patient education
handwashing
retrospective study of grade three or greater side effects for prostate |