MO-G-BRE-05: Clinical Process Improvement and Billing in Radiation Oncology: A Case Study of Applying FMEA for CPT Code 77336 (continuing Medical Physics Consultation)

2014 ◽  
Vol 41 (6Part25) ◽  
pp. 433-433
Author(s):  
S Spirydovich ◽  
M Huq
Keyword(s):  
Process Improvement ◽  
Radiation Oncology ◽  
Medical Physics ◽  
Clinical Process

Reduction of radiation safety incident reporting following implementation of the radiation oncology incident learning system (RO-ILS).

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 236-236
Author(s):  
Carl Nelson ◽  
Lori Ann Roy ◽  
H. James Wallace
Keyword(s):  
Process Improvement ◽  
Radiation Oncology ◽  
Radiation Safety ◽  
Medical Physics ◽  
Incident Reporting ◽  
Learning System ◽  
Near Miss ◽  
Radiation Incident ◽  
Safety Incident ◽  
Incident Learning

236 Background: The Radiation Oncology Incident Learning System (RO-ILS) was initiated nationally June 2014 and is free, web-based, and currently used in more than 425 U.S. radiation facilities. RO-ILS was implemented at University of Vermont Medical Center (UVMMC) in October 2016 to facilitate safer, higher quality care. This implementation of RO-ILS was reviewed in order to determine whether the conversion to a new reporting system at UVMMC impacted radiation incident reporting at our institution. Methods: Radiation safety reporting at UVMMC included radiation incidents submitted by radiation therapists, dosimetrists and medical physics. Prior to RO-ILS, safety/quality incidents were submitted via a specified reporting form and submissions were reviewed monthly by the Radiation Oncology Quality Committee. After implementation of RO-ILS, radiation safety incidents were entered in RO-ILS and reviewed by the UVMMC RO-ILS administrator. Radiation incidents reported prior to October 2016 were entered into RO-ILS with the initial safety incident date. Results: Between April 2014 and May 2018, 136 radiation safety incidents were reported. There was a median of 7 incidents reported per quarter, decreasing from 8 to 6 per quarter after RO-ILS was implemented. Similarly, the average incidents per quarter was 8 and decreased from 8.9 to 6.7 per quarter after RO-ILS was implemented. Radiation incident types reported prior to RO-ILS were 78% “Near Miss” events but after RO-ILS decreased to 34%, while “Operational/Process Improvement” incidents increased from 17% pre RO-ILS to 49% post RO-ILS. The rate of radiation incidents reported per new patient starting radiation (the most frequent process associated with reported radiation incidents) was 0.59% and showed no significant trends or shifts before or after implementation of RO-ILS. Conclusions: Following implementation of RO-ILS at UVMMC, reported radiation incidents per quarter and the proportion of “Near Miss” events decreased, while the percentage of “Process Improvement” submissions increased. Further training and awareness of RO-ILS is planned with the goal of increasing staff participation and more robust reporting.

The Solo Practice of Medical Physics in Radiation Oncology

10.37206/80 ◽  
2003 ◽  
Author(s):  
Per H. Halvorsen ◽  
Julie F. Dawson ◽  
Martin W. Fraser ◽  
Geoffrey S. Ibbott ◽  
Bruce R. Thomadsen
Keyword(s):  
Radiation Oncology ◽  
Medical Physics ◽  
Solo Practice

EVOLUTIONARY APPROACH IN PROCESS IMPROVEMENT — A CASE STUDY IN AUTO ELECTRICAL ALTERNATOR MANUFACTURING

2012 ◽  
Vol 11 (01) ◽  
pp. 27-50 ◽  
Author(s):  
A. J. JEGADHEESON ◽  
L. KARUNAMOORTHY ◽  
N. ARUNKUMAR ◽  
A. BALAJI ◽  
M. RAJKAMAL
Keyword(s):  
Process Improvement ◽  
Manufacturing Process ◽  
Welding Process ◽  
Evolutionary Approach ◽  
Geometrical Analysis ◽  
Designed Experiments ◽  
Self Development ◽  
Riveting Process

Evolution is "understanding and overcoming current constraints in small steps toward optimum." "Understanding" requires elucidation of facts and corroborating theories that can explain those facts in a coherent manner. "Overcoming" requires self-development to suit the environment. In this paper, a case study about how a manufacturing process is improved in terms of productivity and quality using evolutionary improvements is explained. Here "Understanding" is achieved through use of Shainin Technique, PM analysis, Affinity Diagram, and the engineer's ingenuity, along with Relations diagram. "Overcoming" is achieved through Geometrical Analysis and Designed Experiments. The Study has set a new benchmark in the Stator riveting process by proving it can yield the desired results, and the need to adapt welding process is avoided.

A Case Study in Extended Value Engineering

2002 ◽  
Author(s):  
R. Anderson ◽  
R. Sturges
Keyword(s):  
Process Improvement ◽  
Cost Reduction ◽  
Systematic Approach ◽  
Value Engineering ◽  
Cost Comparison ◽  
Mining Equipment ◽  
Analysis Process ◽  
Extended Value ◽  
Product And Process

Extended value engineering techniques provide an efficient, systematic approach to expose unnecessary costs, spur innovation, and direct efforts toward product and process improvement. Extended value engineering involves the comprehensive application of function diagramming, cost/cycle analysis, process diagramming, and competitive cost comparison. The application of these techniques to a mining equipment manufacturer, specifically to an ore haulage vehicle, is described in terms of cost reduction and manufacturing process improvement.

scholarly journals A Contemporary Case Study Illustrating the Integration of Health Information Technologies into the Organisation and Clinical Practice of Radiation Oncology

2005 ◽  
Vol 34 (4) ◽  
pp. 136-145 ◽  
Author(s):  
Andrew A Miller ◽  
Aaron K Phillips
Keyword(s):  
Information System ◽  
Quality Assurance ◽  
Radiation Oncology ◽  
Information Technologies ◽  
Data Use ◽  
Design Management ◽  
Implementation Cost ◽  
Health Information Technologies ◽  
Local Solutions

The development of software in radiation oncology departments has seen the increase in capability from the Record and Verify software focused on patient safety to a fully-fledged Oncology Information System (OIS). This paper reports on the medical aspects of the implementation of a modern Oncology Information System (IMPAC MultiAccess®, also known as the Siemens LANTIS®) in a New Zealand hospital oncology department. The department was successful in translating paper procedures into electronic procedures, and the report focuses on the changes in approach to organisation and data use that occurred. The difficulties that were faced, which included procedural re-design, management of change, removal of paper, implementation cost, integration with the HIS, quality assurance and datasets, are highlighted along with the local solutions developed to overcome these problems.

Sign in / Sign up

Export Citation Format

Share Document