| 1. Physicis weekly checks |
| 2. Linear Accelerator Downtime; Monthly QA, Patient/Visitor Slips, Trips and Falls; Exposures to Blood & Body Fluids; Operational Statistics; Screenings and Patient Support Services; Clinical Research (accrurals, revenue generated and received, % of trials with active pt accrural); professional education programs offered/# of attendees; patient care staff productivity; employee satisfaction (turnover rate, absenteeism, overtime hours/dollars); documentation; charge capture errors |
| 3. All CBC's completed; Side Effects / Action Taken Documented |
| 4. Essentially all criteria above is tracked by manager, however not reported to hospital QA dept. |
| 5. Completeness of chart, Weekly Status Check compliance, Pain assessment and follow up |
| 6. Planned tx not given due to machine failure |
| 7. Dictation to chart time |
| 8. compliance with JCAHO pain standards |
| 9. PATH,CONSENT,ID PHOTOS..ETC |
| 10. Tracking the time from consult to first treatment |
| 11. tracked side effects BAT vs. no BAT |
| 12. 1. Pain assessment 100% of the time, 2. Consent form signed prior to simulation, 3. Peer reviews on at least 5% of all new starts 3. Patients billed correctly - 100% of patients checked - 96% threshold target |
| 13. Too numerous to describe |
| 14. not sure |
| 15. monthly chart review |
| 16. Weekly chart checks for required medical information |
| 17. Dose calcs 2nd check, sim instructions, path report and records, consults within 10 tx days, weekly on-treatment visits |