Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m.

1. WelcomeMedical Physicist MeetingNovember 9, 20042:00 - 5:00 p.m.

2. Update on New Jersey’s Quality Assurance Program Bureau of Radiological Heatlh 25 Arctic Parkway Ewing, NJ Bureau Chief Paul G. Orlando (609) 984-5634 Office (609) 984-5811 Fax

3. Key Elements to Successful Program QC Tests Performed by Medical Office Staff Annual Medical Physicist QC Survey State Inspections

4. Three Medical Studies Tracked for ESE & IQ • PA Chest • AP Lumbosacral Spine • AP Foot

5. QA Program Timeline Pre QA Year1 QA Year 2 QA Year 3 QA Year 4 QA 6/00-4/01 4/01-9/02 9/02-9/03 9/03-9/04 9/04-9/05

6. PA Chest Data

9. AP Lumbar SpineData

12. AP Foot Data

15. Reductions in ESE

17. Image Quality Improvements

18. Goals Established at the Onset of the Quality Assurance Program • Reduce unnecessary radiation • Set initial goal to reduce ESE 10% by 2005 • Achieved 32.5%-62.0% reductions in ESE • Improved image quality resulting in better diagnosis and fewer repeat x-ray studies • Set initial goal to increase IQ 15% by 2007 • Achieved 20.9% improvement in IQ • More timely equipment repair, less down time • Improved understanding of x-ray risks and benefits • Closer ties with constituents

19. ViolationHistory