2. 1 Welcome Medical Physicist Meeting November 9, 2004 2:00 - 5:00 p.m.

3. 2 Update on New Jerseys 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

4. 3 QC Tests Performed by Medical Office Staff Annual Medical Physicist QC Survey State Inspections Key Elements to Successful Program

5. 4 Three Medical Studies Tracked for ESE & IQ PA Chest AP Lumbosacral Spine AP Foot

6. 5 QA Program Timeline Year 1 QAYear 2 QAYear 3 QA 4/01-9/029/02-9/039/03-9/049/04-9/05 Year 4 QAPre QA 6/00-4/01

7. 6 PA Chest Data

8. 7

9. 8

10. 9 AP Lumbar Spine Data

11. 10

12. 11

13. 12 AP Foot Data

14. 13

15. 14

16. 15 Reductions in ESE

17. 16

18. 17 Image Quality Improvements

19. 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

20. 19 Violation History