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accreditation
process that applies to institutions and result in documentation attesting to the attainment of certain minimum standards
healthcare institutions
Hospitals- The Joint Commission (TJC)
must meet criteria for equipment, staff, safety, funding, management, and patient care
required for the hospital to receive medicare payments and insurance payments from many private carriers
American Registry of Radiology Technologists (ARRT)
world’s largest credentialing organization that seeks to ensure high quality patient care in radiologic technology
administer continuing education and ethics requirements for annual registration
What are ARRT qualifications?
graduated from JRCERT accredited program or USDE institutional accreditation
ARRT certified in radiology
valid state credential
Who does the ARRT have computerized records: criterion-referenced certification examinations for?
radiation/ fluoroscopy
radiation therapy
nuclear medicine
cardiac interventional technology (CI)
vascular interventional technology (VI)
mammography (M)
computed tomography (CT)
magnetic resonance imaging (MRI)
bone density (BD)
sonography (S)
radiologist assistant (RA)
Who test and certifies technologists?
ARRT
American Society of Radiologic Technologists (ASRT)
provides its members with educational opportunities, promotes radiologic technology as a career
monitors state and federal legislation that affects the profession
responsible for establishing standards of practice for the radiologic science profession and developing educational curriculum
American College of Radiology
non-profit association members: radiologists, medical physicists, and radiation oncologists
What is American College of Radiology purpose?
to serve patients and society by empowering members to advance the practice, science, and professions of radiologic care
What does American College of Radiology provide?
leadership and clinical education and advocating for positive healthcare reform of state and federal levels
radiology
medical speciality that involves the use of medical imaging techniques to diagnose and treat diseases
AKA radiographs
fluoroscopy
imaging modality that provides a continuous image of the motion of internal structures (real time imaging)
radiation therapy (T)
AKA radiation oncology
treatment of diseases, usually cancer with ionizing radiation
qualifications: ARRT certified in radiology, must attend radiation therapy program approved by JRCERT or its equivalent
nuclear medicine (NM)
diagnosis or treatment of a diseases process by administration of a radioactive material to a patient
qualifications: ARRT certified in radiology, must be a graduate of committee of allied health education and accreditation (CAHEA) NM program or equivalent
What does NM procedure often permit?
earlier identification of abnormalities which allows for more time for diagnosis and treatment
special procedures
cardiac and interventional studies
involves administration of a radiographic contrast to view the vascular and nervous system
the RT is responsible for operating equipment, making preparations for the procedures and assisting physician during the examination
qualifications: ARRT certified in radiology, sometimes on the job training or school offering BA degree in special procedures
mammography (M)
a radiographic examination of the breast with the use of specialized patient
What is mammography qualifications?
ARRT certified in radiology
must take a 40 hr didactic course + 25 supervised mammos
state cert required
computed tomography (CT)
AKA cat scan
gathering of anatomic information from cross-sectional planes of the body presented in 3D images
qualifications: ARRT in radiology, most CT techs have had on the job training in the hospital setting
magnetic resonance imaging (MRI)
provides cross-sectional, three dimensional images without using x-rays or radioactive materials
produces images with the use of a strong magnetic field and radio waves
qualifications: ARRT certification in radiology, schools incorporate MRI info with CT, many learn on the job
bone density
assists in detecting and treating osteoporosis
uses radiation but it is specially designed to measure bone mineral density
qualifications: ARRT in radiology, usually on the job training
sonography
AKA ultrasound
uses high-frequency sound waves to form an image
qualifications:
1. A. Attend a 2 year ultrasound program
B. or equivalent 2 year accredited allied health occupational program (pt. care related) in addition to a minimum 12 months, full-time clinical ultrasound or vascular experience
2. Under private practice, may study full-time in a clinical setting under supervision of a physician and registered sonography
regardless of education, persons must have 12-24 months of clinical ultrasound training experience
professional societies
represents the interests of various groups to the public and governmental bodies
usually: publish professional journals, conduct educational meetings, and represents their members to governmental bodies
often provided: CE verification, scholarships, promotional materials and other services
The American Society of Radiologic Technologists (ASRT)
the oldest and largest national professional association for technologists in the radiologic sciences
founded to advance the profession and promote high standards of education and patient care
How does the ASRT serve its membership?
education, legislation, and public relations
education - ASRT
provides guidelines for the organization, correct operations, and curriculum design for programs in various imaging modalities
sponsors educational conferences and self-study materials for technologists
review and approve educational problems for CE and maintain education records for its members
key role in the approval process for accreditation documents for the following educational programs: radiography, radiation therapy, nuclear medicine, and sonography
legislation - ASRT
supports legislation to protect the public’s from excess radiation exposure by inadequately trained workers
has efforts mandating state licensure and setting minimum standards for both accreditation for educational programs and granting credentials to individuals who administer radiation
well-organized organization to include:
governing and legislative body= house of delegates
board of directors= carry out policies and procedures established by the house, which include the president, vice president, secretary-treasurer, and immediate past president
public relations - ASRT
promotes awareness of the profession and duties of radiographers
developed important documents called “The Practice Standards for Medical Imaging and Radiation Therapy”
International Society of Radiographers and Radiologic Technologists (ISRRT)
objectives to:
advance science and practice of radiologic technology
identify and help meet the needs of radiologic technologists in developing nations
American Healthcare Radiology Administrators (AHRA)
promotes management practice in the administration of imaging services
open to radiology administration in hospital and non-hospital settings, as well as education
Association of Educators in Imaging and Radiological Sciences (AEIRS)
encourage exchange of teaching concepts
help establish minimum standards for teaching radiologic technologies
to advance radiologic education by encouraging educational research and technical writing by its members
Society of Diagnostic Medical Sonographers (SDMS)
goals to promote, advance, and educate its members and community on sonography thereby contributing to enhancing patient care
Society of Nuclear Medicine (SNM)
enhance the development of nuclear medicine
stimulate continuing education activities
develop a forum for the exchange of ideas and information
Association of Vascular and Interventional Radiographers (AVIR)
designed to represent radiographers and allied health care professionals specializing in cardiovascular and interventional studies
help to provide CEU’s in this specialized areas
International Society of Magnetic Resonance in Medicine (SMRM)
main purpose to further development and application of MRI techniques, as well as research development applications
State/local
technologists are able to maintain professional involvement locally through state societies
Joint Review Committee on Education in Radiologic Technology (JRCERT)
mission statement: to promote excellence in education and enhances quality and safety of patient care through accreditation of educational programs in the radiologic sciences
program accreditation: authorities review and evaluate criteria more directly related to the profession
ex) radiation safety and student supervision to ensure patient care quality
Who does JRCERT organization consists of?
board of directors
staff
site visitors
board of directors
volunteers who serve without compensation
have legal duty and responsibility to protect the interest of the JRCERT
establish policies and have professional responsibilities specific to the accreditation process
board is made up of technologists (from education, administration, and clinical practice) radiologists, and one person from the general public
staff
consists of technologists with experience in education and accreditation
responsible for the administration of the accreditation process and implementation of JRCERT policies
works closely with program and institutional officials in the achievement and maintenance of educational program accreditation
site visitors
most teams consist of 2 members
evaluate the program by reviewing the application and self-study materials submitted by the program by visiting the institution
standards
define requirements in areas of mission and goals, integrity, program organization and administration, curriculum and academic practice, resources, students, radiation, and/or general safety, program effectiveness and satisfaction
accreditation process
voluntary process that grants recognition to a institution or specialized program (radiology) that meets certain standards and follows certain educational standards
self-study
program director reports what program does
reviews all aspects of its operation and its outcomes to determine both its assessment of its degree of compliance with the relevant accreditation standards and how well it has adhered to its mission and goals
program then submits in written format to the JRCERT for review
site visit
team verifies that the self-study report is accurately portraying the programs operation and evaluation if the program meeting all of the educational standards
on-site evaluation usually takes 2 days
review the programs master plan of education, program, and student records
make recommendations for improving the educational process
exit review
at the end of site visit, the team provides an oral reports of its findings and does an exit interview
they cite the programs strengths and discusses any findings of noncompliant issues in the educational standards
report of findings
the program is required to respond to the JRCERT before the board determines accreditation
this response should provide any additional information on how they already address issues identified by the site visitors
continuing education units (CEU’s)
hospitals, colleges, and professional organizations provide educational opportunities
can be in the form of self-study, classes, workshops, or seminars
Why do we need CEU’s?
advances in technology
reinforce professional code of ethics
provide advanced growth opportunities
assure public of technologists competencies
ARRT requirements
a technologist MUST renew ARRT registration annually
mandatory continuing education requirements and documentation are required on a biennial bases (2 years)
a technologist has to begin accumulating units on the first day of his/her next birth month, after becoming certified
you must complete 24 CEU’s within your biennium
What information does your ARRT card contain?
ID number
name/address
expiration date
CE biennium dates
if you’re in compliance with CE’s
What are 2 alternatives to meet the CEU requirements?
advanced certification in primary or post primary disciplines
academic courses from an accredited educational institution (college/university), must be relevant to radiologic science and/or patient care
Radiologic Health Branch (RHB) STATE
CRT needs to earn 24 approved CEU’s in the 2 years immediately preceding the expiration date of their permit
RHB accepts the following advances credential certificates issues by ARRT for 24 CEU’s if the certification was issued within the 2 years. immediately preceding the expiration date of their permit RHB certification
don’t need to take extra test to become state certified
renewal registration
must complete renewal form with fees
tech is asked to list educational or learning activities (CEU’s taken)
you do not send it proof, unless specified by the ARRT
CEU documentation
must maintain proof of all CEU’s completed
good idea to make a CEU file and keep all necessary paperwork
if you join the ASRT, they keep an electronic file on all CEU’s completed for your specific biennium
What items are needed for CEY certification for approval?
date of attendance
subject title
content of educational opportunity
contact hours (50-60 minutes for 1 CEU)
name of speaker
name and signature of authorize representative
approved reference #
documentation must be maintained for at least 1 year beyond the end of each biennium
What happens if I don’t get all the CEU’s I need by my biennium?
CE probation
they will receive a registration card with probation status shown
probation is granted for only 6 months of the next biennium. if you do not complete it within 6 months, the tech is no longer registered by the ARRT
mammography experience requirements
perform a min of 200 mammograms during 24 months immediately preceding the date of the facility’s annual MQSA inspection or the last day of the calendar quarter preceding the inspection or any date between the two
continued qualifications requirements (CQR) for radiologic technologists
tech must assemble a professional profile that highlights achievements related to education, work, special skills, and professional development
ARRT is developing a structured self-assessment process. evaluates strength and weaknesses in knowledge and skills based on current content specifications
self-assessment findings will be given according specifically to each individual based on their profile and CEU’s will be required
continuing education opportunities
post primary certification
collegiate/educational programs
self-learning activities
professional conferences
webinars
vendor programs
geographic mobility (employment considerations)
workers that can move from one occupation to another in a different location
economic factors/workforce needs (employment considerations)
shortage of field due to:
# of medical procedures performed is increasing every year
with the american population aging, more will require medical procedures
RT’s also aging-getting ready to retire
a lot of people left CA
advanced opportunities
education
administration
advanced practice
physics
research
medical informatics
sales/applications
industrial
education/administration
education-community college/university
administration- hospital director
advanced practice
radiology assistant
radiologist
physicians assistant
health physicist/ radiation safety officer (RSO)
requires a master of science degrees in radiation physics
certified by American Board of Health Physicists and American Board of Radiology
duties:
overseeing safe use of all ionizing radiation
monitoring radiation exposure of all personnel
maintaining radiation monitoring reports
providing surveillance of lavatories that use radioactive materials
oversee the proper handling and disposal of of radioactive materials
research
management
clinical research associate
biostatistician
clinical data associate
each position requires different levels of education
medical informatics
AKA health informatics
help to develop standards and clinical guidelines, formalize medical terminology, enhance the usability of health information systems (HIS) to facilitate communications and manage the flow of information from physicians to patients