1.1. Do your radiation oncology physicians conduct
peer review meetings? |
|
|
1.2. If so, what high risk, low volume procedures
or situations do they review? Check all that apply. |
|
IVBT |
3 |
|
IMRT |
27 |
|
HDR |
16 |
|
LDR |
12 |
|
TBI |
6 |
|
Stereotactic Radiotherapy |
13 |
|
Prostate Seed Implant |
17 |
|
Retrospective review on patients who return with recurrence
adjacent to previously irradiated area |
17 |
|
Mortality occurred while under treatment or shortly
thereafter |
19 |
|
Unplanned treatment break due to radiation treatment side
effects |
19 |
|
I
don’t know |
1 |
|
Yes they do but they are either not consistent or superficial
in nature |
3 |
| |
1.3. If another answer applies to question 1.2
above, please indicate so here. |
|
|
2.1. What departmental processes do you track as a
department quality indicator? Check all that apply. |
|
Physics checks completed by the 1st, 2nd, or 3rd
treatment |
26 |
|
Patient wait time |
15 |
|
Port film repeat rate |
11 |
|
Block re-cut rate |
5 |
|
Treatment errors/misadministrations |
33 |
|
Patient satisfaction |
36 |
|
Record and Verify overrides |
15 |
|
Consistency between paper chart and R&V system prior to
1st treatment or change in treatment |
14 |
|
Number of sim and starts |
23 |
| |
2.2. If another answer applies to question 2.1
above, please indicate so here. |
|
|
3. Do you know what constitutes a State reportable
event? |
|
|
4. Does your department conduct a root cause
analysis on State reportable events? |
|
|
5. Does your department use a Continuous Quality
Improvement (CQI) team concept approach to improve departmental processes?
|
|
|
6. Has your department initiated or participated
in a cross-departmental CQI team to improve processes that are not within
your control? |
|
|
7. Do you know what the American Association of
Physicists in Medicine (AAPM) Task Group 40 comprehensive QA
recommendations for radiation oncology are? |
|
|
8. Do you as an administrator track compliance of
these recommendations? |
|
|
9. What process improvement ideas has your
department worked on in the past 12 months? |
|
|
10. Is your facility ACR/ACRO
accredited? |
|
|
11. Is there an interest in becoming
accredited? |
|
|
12. Type of facility: |
|
Hospital Based |
31 |
|
Free Standing Facility |
7 |
| |
13.1. What specific quality reports do you
generate from Lantis, Impac or Varis? |
|
|
13.2. What specific quality reports would you like
to generate but currently aren’t able to? |
|
|
14.1. What areas of interest in your QM program
are you benchmarking? |
|
|
14.2. Whose benchmarks are you
using? |
|
|
15. Please list patient outcome initiatives you
are tracking. |
|
|