Radiation Oncology Department Quality Performance Review Survey

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1.1. Do your radiation oncology physicians conduct peer review meetings?
	Yes 45 No 11
1.2. If so, what high risk, low volume procedures or situations do they review? Check all that apply.
	IVBT 7 IMRT 22 HDR 15 LDR 13 TBI 5 Stereotactic Radiotherapy 16 Prostate Seed Implant 26 Retrospective review on patients who return with recurrence adjacent to previously irradiated area 17 Mortality occurred while under treatment or shortly thereafter 23 Unplanned treatment break due to radiation treatment side effects 27 I don’t know 3 Yes they do but they are either not consistent or superficial in nature 8
1.3. If another answer applies to question 1.2 above, please indicate so here.
	Click here for results 22
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 41 Patient wait time 20 Port film repeat rate 17 Block re-cut rate 4 Treatment errors/misadministrations 45 Patient satisfaction 53 Record and Verify overrides 16 Consistency between paper chart and R&V system prior to 1st treatment or change in treatment 17 Number of sim and starts 27
2.2. If another answer applies to question 2.1 above, please indicate so here.
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3. Do you know what constitutes a State reportable event?
	Yes 52 No 4
4. Does your department conduct a root cause analysis on State reportable events?
	Yes 46 No 9
5. Does your department use a Continuous Quality Improvement (CQI) team concept approach to improve departmental processes?
	Yes 48 No 9
6. Has your department initiated or participated in a cross-departmental CQI team to improve processes that are not within your control?
	Yes 28 No 28
7. Do you know what the American Association of Physicists in Medicine (AAPM) Task Group 40 comprehensive QA recommendations for radiation oncology are?
	Yes 28 No 28
8. Do you as an administrator track compliance of these recommendations?
	Yes 18 No 35
9. What process improvement ideas has your department worked on in the past 12 months?
	Click here for results 45
10.1. Is your facility ACR accredited?
	Yes 16 No 40
10.2. ACRO accredited?
	Yes 7 No 46
11.1. Is there an interest in becoming ACR accredited?
	Yes 35 No 13
11.2. ACRO accredited?
	Yes 16 No 33
12. Type of facility:
	Hospital Based 41 Free Standing Facility 17
13. What type of software application do you use to track your department quality initiatives?
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14. What sources do you use to benchmark your performance against?
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15. Please list any other departmental performance enhancement initiatives that you have undertaken that are not included in the above questions.
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