CHAPTER 4

  1. Quality Management/ Hospital/ Organization/ Radiology Organization
    Quality Management: process that monitors and evaluates the quality of care and services provided to patients within a health care facility.
  2. Quality Assurance
    • A QA program monitors proper patients scheduling, reception, and preparation.
    • It also involves image interpretation and outcome analysis. 
    • The hospital in its entirety is viewed as responsible for all departments to oversee, coordinate, and integrate its activities and functions.
  3. Quality Control (QC)
    • Once image is produce, it must be evaluated, then analysis of each image is done to identify deficiencies and artifacts, and to minimize image repeats. 
    • Designed to ensure that the Radiologist is provided with optimal images produced through good equipment performance and resulting in minimal patient radiation dose. 
    • Main motives are to increase efficiency, quality of care and to save money.
  4. Benefits
    • Patient safety/ Effective patient care. 
    • Reduction in radiation exposure/ Consistent image quality. 
    • Departmental effectiveness/ Cost-effectiveness.
  5. Patient Safety/ Effective Patient Care
    • Technologists must watch for any changes in patients condition while in their care. 
    • Example - reaction to contrast media.
  6. Reduction in Radiation Exposure/ Consistent Image Quality
    • ALARA should always be used.
    • As Low As Reasonably Achievable.
    • Proper technical factors (high kVp & Low mAs).
    • High speed image receptor systems. 
    • Use of proper filtration. 
    • Collimation.
    • Avoid repeat examinations. 
    • Using shielding.
  7. Department Effectiveness/ Cost-effectiveness
    • Decreasing risks to employee and medical staff. 
    • Example - back injury due to lifting heavy patients or heavy equipment.
  8. Philosophy/ Mission Statement
    • Philosophy: Most hospitals strive to deliver the highest quality patient care and services. 
    • Mission Statement: Guiding force that outlines the organizations reason for existence and defines what should be done.
  9. Administratie Services
    • Governing Board.
    • Hospital Administration.
    • Admissions.
    • Information Systems.
    • Procurement.
    • Accounting.
    • Support Services.
    • Human Services.
  10. Governing Board
    • AKA Executed Board.
    • The Establish goals, policies, financial plans, and hires the director, or administrator.
  11. Hospital Administration
    • Make sure that suitable facilities and equipment are provided, and that staff of well trained professional, technical, and support personnel is present. 
    • Hospital may have more than one administrators who have clearly defined areas of responsibilities for multiple departments.
  12. Two Types of Admissions
    • Emergent: usually happens when a patient is seen in the ER and admitted to the hospital.
    • Elective: occurs when a doctor requests a bed for a patient on a specific day.
  13. Hospital Information System (HIS)
    • A computer system that manages all medical and administrative information allowing health care providers to do their job effectively.
    • Includes:
    • Cor Systems: Scheduling admission/ discharge.
    • Business & Financial Systems: payroll/ accounts receivable.
    • Communications & Networking Systems: Integration of all parts of HIS/ order entry & resulting reporting. 
    • Departmental Management Systems: Needs of individual departments can be met. 
    • Medical Documentation Systems: Collecting/ Organizing/ Storing/ Presenting, QA.
    • Medical Support System: Assistance in interpreting data, issue alerts, providing advice.
  14. HIS for Different Departments-Nursing System (NIS).
    • Improve staff schedules. 
    • Accurate patient charting. 
    • Clinical data integration.
    • Radiology nurse will do charting, or the Radiologists, not the technologists.
  15. HIS for Different Departments-Radiology Information System (RIS).
    • Provide billing services.
    • Appointments & scheduling.
    • Reporting & database storage.
  16. HIS for Different Departments-Pharmacy Information Systems (PIS).
    • Helps pharmacists monitor how meds are used in hospitals. 
    • allows users to supervise drug allergies and other medication related complications.
    • Allow users to detect drug interactions and help with proper drugs based on patient's physiologic factors.
  17. Procurement Department
    • They must buy everything that a business needs to operate. 
    • Acquiring goods and services for the best possible cost and at the best possible time to benefit others.
  18. Accounting
    • Prepare financial papers for internal and external vendors. 
    • Write monthly reports if financial information is accurate. 
    • Perform accounts receivable duties. 
    • Assist with preparing hospital budget. 
    • Creating ledgers and financial analysis reports. 
    • Prepare financial statements monthly.
    • Payroll.
  19. Supportive Services
    • Provides direct care, resources and education to patients, family, staff members and the community.
    • Patient and family services
    • Interpreter services.
    • Libraries.
    • Chaplain Services.
    • Medical social workers.
    • Children's education services.
    • Bereavement program.
    • Parent resource center/ support coordinators.
    • Patient transporters, aids.
  20. Human Resources (HR)
    The department of a business or organization that deals with the administration, management, and training of personnel.
  21. Medical Services
    • Physicians.
    • Clinical Services. 
    • Clinical Support Services.
  22. Physicians
    • Physician: A person qualified to practice medicine.
    • Referring Physician: A physician who sends patients to another doctor for specialty care or services. 
    • Attending Physician: A physician who has admitting privileges at a hospital and physician with primary responsibility for the care of a patient in a particular case. 
    • Intern Physician: A recent medical school graduate gaining practical experience. 
    • Resident Physician: Licensed physician in an education program to become certified in a specialty area. 
    • Hospitalist Physician: Treat only hospitalized patients. It frees up primary care physicians from hospital duties and focus on their outpatient care.
  23. Clinical Support Services
    • Services to provide components of patients care that collectively support the physicians plan for diagnoses and treatments. 
    • Radiology
    • Lab.
    • Rehabilitative Therapy.
    • Anesthesiology.
    • Pharmacy.
    • Respiratory.
  24. Clinical Services
    • Each hospital offers a variety of specialized services in their community:
    • Physical Therapy.
    • Breast Imaging Center.
    • Surgical Center.
    • Speech Therapy.
    • Critical Care Unit (CCU or ICU).
    • Designated Stroke Center.
    • Oncology Center.
  25. Professional Personnel
    • Administrators/ Managers.
    • Radiologists.
    • Radiographer.
    • Radiologist Assistant.
    • Radiology Nurses.
    • Radiologists Assistants (RA).
  26. Administrators/ Managers
    • AKA Director of Radiology. 
    • Has direct responsibility and authority for operation and organization of the department including staffing, educating, supervising, organizing, coordinating, communicating and maintaining safety.
  27. Radiologists
    • Physician specialist in diagnostic imaging. 
    • Radiologists are physicians specializing in the branch of medical science that use radiation and radioactivity in the diagnosis and treatment of disease. 
    • They read or interpret diagnostic imaging films. 
    • Examples, X-rays, Mammos, CT, MRI's, US.
  28. Radiographers
    • AKA Radiologists Technologists.
    • Radiographers work in hospitals, outpatient medical imaging centers, physicians offices, or mobile imaging companies producing image of the human body as an aid in the diagnosis of disease and injury.
    • Able to radio-graph the entire body to include assisting in fluoroscopic procedures. 
    • Radiographer must always use ALARA when doing radio-graphic procedures.
  29. Radiologist Assistants (RA)
    Assist a radiologist by taking family history, describing a procedure, performing fluoroscopic procedures, ordering additional images and making preliminary judgments of images.
  30. Radiology Nurses
    • Typically designated to work in Radiology only. 
    • Starting IV's.
    • Monitoring vital signs.
    • Sunctioning patients.
    • Insertion of foley catheters.
    • Administering sedation.
  31. Radiation Physicists
    • Ensure optimal equipment performance and protect patients and physicians from radiatin hazards. 
    • Responsible for resolving theoretical and practical problems of measurements of ionizing radiations under clinic conditions.
  32. Support Personnel
    • Information System Staff.
    • Clerical Staff.
  33. Information Systems Staff
    Monitor the operations of the hospitals information system and identify and assist in resolving problems/ issues arising in their operation.
  34. Clerical Staff
    • AKA Front desk staff.
    • Answer phones.
    • Scheduling patients for examinations.
    • Ordering examinations for outpatients. 
    • Assisting doctor's offices for reports and answering questions.
    • Contact physicians when requested by the Radiologist.
  35. Educational Personnel
    • Program Director.
    • Clinical Coordinator.
    • Didactic Instructor.
    • Clinical Instructor.
    • Clinical Staff.
  36. Program Director
    • Responsible for developing and implementing program policies that are compatible with accreditation and institutional requirements and policies. 
    • Oversees ongoing program assessment.
    • Assumes the leadership role in the continued development of the program. 
    • Assures effective program operations.
  37. Clinical Coordinator
    • Overseeing the clinical education and rotation components.
    • Correlates clinical educaton with didactic education.
    • Evaluates students.
    • Coordinates student clinical rotation schedule.
    • Evaluating effectiveness and of all clinical rotations and assuring appropriate supervision levels in the clinical setting.
  38. Didactic Instructor
    • Person who teaches Radiologic Technoogy classes on campus only. 
    • Prepares and maintains course outlines and objectives, instructs students and reports progress. 
    • Participate in the assessment process.
  39. Clinical Instructor
    • Reponsible for record keeping, clinical instruction, clinic competency testing, and evaluating students. 
    • Evaluates students competencies.
    • Understand the sequences of didactic instruction and clinical education.
  40. Clinical Staff
    • Techonolgists must be registered as RT through the AART. 
    • Understand requirements for student supervision.
    • Understand the clinical competency system.
Author
roadcrush
ID
332745
Card Set
CHAPTER 4
Description
RAD 50
Updated