If you graduate from a residency program that does not offer or use an HDR after-loader for patient treatments, what problems, if any, could you encounter at your first job? The answer is simple, if you are expected to treat patients with an HDR after-loader as part of your job responsibilities, you are not qualified to be listed as an Authorized User (AU) in the HDR material license, and hence you cannot independently treat patients with an HDR after-loader. That is, you are not legally able to fulfill this part of your job description. It’s a potentially embarrassing circumstance in addition to one that may inconvenience physician scheduling. Read more
Did you know that by 2012 the providers of “Advanced Diagnostic Imaging” services must obtain accreditation from an organization designated by the Department of Health in order to get reimbursement for their services? This is a provision in the bill passed by Congress in July 2008. The term “Advanced Diagnostic Imaging” includes Nuclear Medicine, Computer Tomography, PET, and Diagnostic Magnetic Resonance Imaging Services. Section 135 of this bill describes these provisions:
SEC. 135. IMAGING PROVISIONS.
(a) Accreditation Requirement-
(1) ACCREDITATION REQUIREMENT- Section 1834 of the Social Security Act (42 U.S.C. 1395m) is amended by inserting after subsection (d) the following new subsection:
(e) Accreditation Requirement for Advanced Diagnostic Imaging Services-
(1) IN GENERAL-
(A) IN GENERAL- Beginning with January 1, 2012, with respect to the technical component of advanced diagnostic imaging services for which payment is made under the fee schedule established under section 1848(b) and that are furnished by a supplier, payment may only be made if such supplier is accredited by an accreditation organization designated by the Secretary under paragraph (2)(B)(i).
(B) ADVANCED DIAGNOSTIC IMAGING SERVICES DEFINED- In this subsection, the term ‘advanced diagnostic imaging services’ includes–
(i) diagnostic magnetic resonance imaging, computed tomography, and nuclear medicine (including positron emission tomography); and…
The Intersocietal Accreditation Commission (IAC) in an article in their Autumn 2008 newsletter wrote that they were very pleased by the passage of this bill. They stated: “This powerful legislation includes a provision requiring the accreditation of imaging facilities as well as the elimination of a scheduled 10.6% payment cut for physicians.”
In another paragraph they wrote: “The passage of this bill marks a turning point in recognizing the importance of quality standards and accreditation for medical imaging on a nationwide basis. The portion of the legislation requiring accreditation stipulates that the accreditation programs must evaluate that physicians and staff maintain the proper level of training and education; that laboratories use imaging equipment which adheres to strict standards of performance and operates under proper safety guidelines; and that all laboratories establish and maintain a quality assurance program, thereby upholding the standards of quality care for patients, particularly senior citizens.” Here is a link to the IAC website: www.intersocietal.org.
The passage of this bill is also a good news for the Medical Physics community, especially for those of us who are Diagnostic Imaging physicists. The question, however, is whether there will be enough qualified diagnostic medical physicists in 2012 to provide this service on a national basis? So if you are a medical physics student and have yet to choose your area of speciality, this seems to be an opportune time to be a diagnostic imaging physicist.
10CFR Part 35 requires that a physicist who needs to do HDR procedure be listed as an Authorized Medical Physicist (AMP) in the material license. The link below discusses the §35.51 Training for an Authorized Medical Physicist.
I found this link to be quite useful, and I refer to it many times, so I am putting it here for your reference. This is especially useful for and applicable to new physicists who need to do HDR or for the RSOs who need to amend the material license to include new physicists in the license. I am guessing that all the agreement states have adopted this regulation from the NRC (or something similar to it).
Further, if you are changing your job and are already listed as an AMP in the material license in your present job, it’s important to take a copy of the material license with you to your new job! Believe me, this will save you, the RSO, and the institution a lot of time and possibly spare all of you a headache.