The challenge

We must comply with the Joint Commission QA requirements and be able to show documented evidence of compliance.
 

Objective

Identify biggest areas of opportunity for QA compliance and drive effective execution.
 

Method

Standardized all MRI and CT weekly QA scans across the department to make sure such QA scans are performed consistently and appropriate records are generated for compliance documentation.
 

Outcome

QA scan sequences clearly identified and standardized in the overall protocol worklist and a process for performing them on a periodic basis streamlined to minimize the administrative burden on the operators.
 

Impact

Assurance of full QA compliance and readiness for the Joint Commission audits with minimal effort for the operators and radiology management at a moment’s notice.
 

Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.