Radiation Oncology Department Quality Performance Review Survey

TMATech.com > Survey Results 2005

1.1. Do your radiation oncology physicians conduct peer review meetings?
 
Yes 29
No 9
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.
 
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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.
 
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3. Do you know what constitutes a State reportable event?
 
Yes 36
No 1
4. Does your department conduct a root cause analysis on State reportable events?
 
Yes 31
No 5
5. Does your department use a Continuous Quality Improvement (CQI) team concept approach to improve departmental processes?
 
Yes 33
No 5
6. Has your department initiated or participated in a cross-departmental CQI team to improve processes that are not within your control?
 
Yes 17
No 21
7. Do you know what the American Association of Physicists in Medicine (AAPM) Task Group 40 comprehensive QA recommendations for radiation oncology are?
 
Yes 29
No 9
8. Do you as an administrator track compliance of these recommendations?
 
Yes 13
No 24
9. What process improvement ideas has your department worked on in the past 12 months?
 
Click here for results 31
10. Is your facility ACR/ACRO accredited?
 
Yes 18
No 20
11. Is there an interest in becoming accredited?
 
Yes 10
No 12
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?
 
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13.2. What specific quality reports would you like to generate but currently aren’t able to?
 
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14.1. What areas of interest in your QM program are you benchmarking?
 
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14.2. Whose benchmarks are you using?
 
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15. Please list patient outcome initiatives you are tracking.
 
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