The ACR Accreditation Process & Phantom

89 Pages·2010·7.85 MB·English

MARP, Inc.
Physicist’s Role in ACR MRAP Accreditation
May 2010
Carl R. Keener, Ph.D., DABMP, DABR
[email protected]
MARP
Medical &Radiation Physics, Inc.
disclosure
MARP, Inc.
ACR MRAP Physics subcommittee
(cid:88)
ACR MRAP phantom reviewer
(cid:88)
consulting diagnostic physicist
(cid:88)
GE, Siemens, Philips, Toshiba, Marconi, Hitachi, Fonar
(cid:88)
0.2T – 3T
(cid:88)
MRI surveys
(cid:88)
• 2006 – 17 surveys
• 2007 – 33 surveys

• 2008 – 48 surveys

• 2009 – 43 surveys
accreditation
MARP, Inc.
United Healthcare will require accreditation for
(cid:88)
reimbursement by 4th quarter of 2009
MRAP (ACR)
(cid:88)
ICAMRL (IAC)
(cid:88)
outpatient imaging centers
(cid:88)
accreditation started by Dec. 31, 2009
(cid:88)
Medicare Improvements for Patients and Providers
(cid:88)
Act (MIPPA)
providers of advanced imaging services to be
(cid:88)
accredited by January 1, 2012
• Part B
ACR
(cid:88)
IAC
(cid:88)
TJC
(cid:88)
ACR MRAP vs IAC ICAMRL
MARP, Inc.
MARP MRI surveys MARP CT surveys
(cid:88) (cid:88)
43 accredited MRI clients 43 accredited CT clients
(cid:88) (cid:88)
• 42 ACR (2 in process) • 41 ACR (2 in process)
• 1 IAC • 2 IAC
• 2 expired
146 CT scanners
(cid:88)
54 MRI scanners
(cid:88)
ACR accreditation process & phantom
MARP, Inc.
ACR accreditation process
(cid:88)
online application
(cid:88)
• information
• contact
• site
• personnel
• MRI unit
• selection of modalities & exams
• payment
submission
(cid:88)
• clinical Images
• phantom Images
continuing requirements of accreditation
(cid:88)
phantom & phantom tests
(cid:88)
online application
MARP, Inc.
online application
(cid:88)
Section 1:
(cid:88)
• contact and general site information
Section 2:
(cid:88)
• MRI unit information
• selection of modalities & exams
Section 3:
(cid:88)
• personnel information
• physicians
• medical physicists / MR scientist
• technologist
• payment
45-day submission window starts at payment
(cid:88)
online application
MARP, Inc.
information fees
(cid:88) (cid:88)
• magnet • Accreditation / Reinstate
• practice • $2400 for 1 - 4 modules
• $2600 for 5 modules
credentials
(cid:88)

• $2800 for 6 modules
• physicians
• subsequent magnets / same
• technologists
site
• physicists
• $2300 for 1 - 4 modules
modules
(cid:88) • $2500 for 5 modules

• $2700 for 6 modules
• head
• repeat
• spine
• $800 for phantom or
• MSK
clinical
• body
• $1600 for both
• MRA
• cardiac (cid:88) all magnets at site must
be accredited
45 day submission
(cid:88)
period begins
qualifications & responsibilities
MARP, Inc.
MRI supervising physician
(cid:88)
• responsible for MRI protocols
• approves all aspects of the testing materials submission
before sending them to the ACR
lead MRI technologist
(cid:88)
• main contact person with ACR
• should be the primary person who completes accreditation
forms and documents

qualified medical physicist / MR scientist
(cid:88)
• should be responsible for supervising your facility’s weekly
QC and the annual system performance evaluation

• MRI FAQs v1.1.doc
• closely involved with the phantom portion of your testing

materials submission
• assist the supervising physician and lead technologist with
your routine clinical protocols
physicist – initial qualifications (January 1, 2010)
MARP, Inc.
Board Certified
(cid:88)
American Board of Radiology or
(cid:88)
• Diagnostic Radiological Physics or Radiological Physics
American Board of Medical Physics or
(cid:88)
• Diagnostic Imaging Physics or Magnetic Resonance Imaging Physics
Canadian College of Physicists in Medicine or
(cid:88)
• Diagnostic Radiology Physics or Magnetic Resonance Imaging Physics
OR
Not Board Certified in Required Subspecialty
(cid:88)
Graduate degree in medical physics, radiologic physics, physics, or other relevant
(cid:88)
physical science or engineering discipline from an accredited institution, and
Formal coursework in the biological sciences with at least
(cid:88)
• 1 course in biology or radiation biology, and
• 1 course in anatomy, physiology, or similar topics related to the practice of medical physics
3 years of documented experience in a clinical MRI environment
(cid:88)
OR
Grandfathered
(cid:88)
Conducted surveys of at least 3 MRI units between January 1, 2007 and January 1, 2010
(cid:88)
MR scientist
MARP, Inc.
graduate degree in a physical science
(cid:88)
involving nuclear MR or MRI
3 years documented experience in a clinical
(cid:88)
MRI environment