1. 1 QA Violations A Look at the First 3 Years...

2. 2 QA-Preparing the Facilities Remembering the Beginnings- Subchapter 22 Quality Assurance Regs Workshops provided QA education Over 1500 registrants in attendance Compliance Guidance Documents

3. 3 QA Findings Year 1 Inspectors--inspection review to ensure QA program started. --Medical Physicist QC Survey completed --QA Manual completed --Initial QC tests completed --Processor QC started

4. 4 QA Findings Year 2 AHA!... QA Program and QC testing... here to stay! Some registrants stored, disposed of units Inspectors checking QC reports thoroughly Annual Medical Physicist QC Survey - - - actually meant ANNUAL!

5. 5 QA Findings Year 3 Continue to perform thorough reviews during inspection Registrants still not performing all QC tests at specified time intervals Repeat Violations result in monetary penalty assessments

6. 6 TRENDS What types of violations are we seeing? How do they impact the work of the QA Medical Physicist?

7. 7 QC VIOLATIONS What 5 violations do you think are the MOST POPULAR?

8. 8 1st Most Popular QC Violation Missing QC Test Items - Rad 46% Year 1 2 3Total # Violations7418195122072

9. 9 2nd Most Popular QC Violation No annual Medical Phys. QC Survey - Rad 18% Year 1 2 3Total # Violations346239 240 825

10. 10 3rd Most Popular QC Violation No or Incomplete QA Manual 11% Year 1 2 3Total # Violations 32310482 509

11. 11 4th Most Popular QC Violation No QA Program 8% Year 12 3Total # Violations3451120376

12. 12 5th Most Popular QC Violation Processing Film when QC Test Failed 7% Year 1 2 3Total # Violations12390102 315

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16. 16 Medical Physicists Role How do these violations impact the work of the QA Medical Physicist?

17. 17 QA Violations & Medical Physicists Medical Physicists Annual QC Survey MP review all the periodic QC tests - done and reported properly If test items are missing - must be noted on the annual QC Survey If items are missing, the facility FAILS in these items

18. 18 QA Violations & Medical Physicists Medical Physicists Annual QA Program Review MP review with the Registrant: QA program & QA Manual Registrant must: document the periodic tests Table 1 throughout the year See the FAQs for more information

19. 19 QA Violations & Medical Physicists Documentation is very important! When inspectors find QC test violations, sometimes the MP QC survey indicates the facility passed, some items not done. Confusion for registrant. The MP annual QA Review - facility missed some QC tests. NOTE: ALL test result records MUST BE made available for review by the certified medical physicist and the state inspector.

20. 20 QA Goals Increase Registrant Compliance BRH Inspector & Physicist –communication –collaboration Educate Registrants –how to lower ESE –how to improve IQ

21. 21 Quality Assurance THANK YOU! GRACIAS! MERCI BEAUCOUP!