Feature | December 20, 2013

New Joint Commission Rules For Imaging Announced

New Joint Commission rules for imaging announced

Following public comment received in the fall of 2013, The Joint Commission has released new accreditation standards for diagnostic imaging services. Nearly all of these new standard elements of performance (EP) are slated to become effective in a half-year.

The new TJC accreditation requirements are catching up with industry best practice standards. Accredited providers, if they are not already doing so, will need to begin the following by July 1, 2014:

  • Actively managing risks in the MRI environment, including ferromagnetic materials (inside and outside of patients), emergent patients, and acoustic noise. 
  • Providing access controls, direct supervision, and warnings about hazards in the MRI environment. 
  • Keep staff ionizing radiation exposure as low as reasonably achievable (ALARA) and review exposure at least quarterly. 
  • Develop a QC plan for all imaging modalities which includes frequency of evaluation. 
  • For CT, verify accuracy of system displayed dose at least annually.
  • Annual medical physicist evaluations of CT, PET, nuclear camera and MRI scanners (and clinical displays). 
  • For new equipment installations, medical physicist to design, and provide post-installation testing of ionizing radiation shielding.
  • Observe specific educational / credential requirements for medical physicists serving CT scanners.
  • Ongoing annual safety training for CT and MRI technologists.
  • Verify dose for any isotope administered for a nuclear medicine exam.
  • Record CT dose on the study (for CT scanners that have the capability of reporting dose).   
  • For CT, follow industry standards of practice for dose reduction.
  • For CT, review imaging protocols periodically for adherence to industry standards.
  • Collect information on MRI adverse events, including burns, projectile events, and screening oversights when ferromagnetic objects were permitted into the MRI scanner room.
  • Review CT radiation dose data and compare with industry benchmarks. 
  • The one new EP with a delayed implementation date is a call for credentialing of technologists performing CT exams:
  • By July 1, 2015, Technologists performing CT exams will need to be registered and certified by ARRT or NMTCB 
  • Much of the new standards follow closely the field review draft document published earlier this year. 

It is highly recommended that Joint Commission accredited providers of any imaging services review the new standards themselves. The new EPs for diagnostic imaging are available in PDF format from the Joint Commission's website. 

Many of the elements of TJC's updated imaging standards are simply requiring elements that have been a part of existing best practices, or, as with the case with CT dose recording, are state requirements. Many forward-looking imaging providers are expected to find that their existing practices already comply with the new TJC standards, or require only very modest modifications. Please closely review your existing practices against the new EPs to help assure compliance with the new expectations.

Sources within The Joint Commission have indicated that these diagnostic imaging standards represent a first installment, which will be followed by standards updates that will address interventional imaging, nuclear medicine and radiation therapy.

For more information: www.jointcommission.org

Related Content

CT Shows Enlarged Aortas in Former Pro Football Players

3-D rendering from a cardiac CT dataset demonstrating mild dilation of the ascending aorta. Image courtesy of Christopher Maroules, M.D.

News | Computed Tomography (CT) | January 12, 2018
Former National Football League (NFL) players are more likely to have enlarged aortas, a condition that may put them at...
Siemens Healthineers Strengthens CT Portfolio With Four New Systems at RSNA 2017

The Somatom Force with the new FAST 3D Camera

Technology | Computed Tomography (CT) | December 14, 2017
December 14, 2017 — Siemens Healthineers introduced four new...
Toshiba Medical Introduces Aquilion Prime SP CT System at RSNA 2017
Technology | Computed Tomography (CT) | December 13, 2017
December 13, 2017 — Toshiba Medical, a Canon Group company, introduced its new Aquilion Prime SP...
Philips Debuts IQon Elite Spectral CT Scanner at RSNA 2017
Technology | Computed Tomography (CT) | December 11, 2017
At the 2017 Radiological Society of North America (RSNA) Annual Meeting, Philips unveiled the IQon Elite Spectral CT,...
Toshiba Highlights Ultra-High Resolution CT at RSNA 2017
News | Computed Tomography (CT) | December 06, 2017
Toshiba Medical, a Canon Group company, showcased the Aquilion Precision, what it calls the world’s first ultra-high...
Samsung Unveils Mobile CT OmniTom at RSNA 2017
Technology | Computed Tomography (CT) | November 26, 2017
Samsung Electronics debuted its OmniTom mobile 16-slice computed tomography (CT) scanner at the Radiological Society of...
Siemens Healthineers Announces First U.S. Installs of Somatom go.Up CT System
News | Computed Tomography (CT) | November 15, 2017
November 15, 2017 — Center for Diagnostic Imaging (CDI), one of the nation’s largest providers of diagnostic imaging
Medis Releases QAngio CT v3.1
Technology | Computed Tomography (CT) | October 09, 2017
Medis has released a new version of its QAngio CT (computed tomography), which can now be launched from the Medis Suite...
Hitachi Supria True64 CT Receives FDA Clearance
Technology | Computed Tomography (CT) | September 15, 2017
Hitachi Healthcare Americas Inc. announced it has attained U.S. Food and Drug Administration (FDA) 510(k) clearance to...
Orange County, Calif. Hospital Adopts Siemens Somatom Force CT for Cardiac Imaging
News | Computed Tomography (CT) | September 12, 2017
Hoag Memorial Hospital Presbyterian recently became the first hospital in Orange County, Calif., to install the Siemens...
Overlay Init