RadSite’s MIPPA Accreditation Program (MAP) includes a review of personnel, policies and procedures, as well as sample clinical images and phantom studies. Applicants must submit three types of documents for review: Professional Qualifications, Professional Oversight and Policies and Procedures. This documentation is required for providers that apply for accreditation of their CT, MRI, PET and SPECT imaging systems. RadSite’s Standards V2.2 provides a detailed explanation of what is required and personal account managers are on standby to provide you with additional information and answer any questions you may have.
Documents to be submitted in this section consist of your credentialing policy, personnel’s licensure, board certifications, CE credits and liability insurance certificates. All of the essential personnel you employ should be able to provide the appropriate validation to satisfy the credentialing requirements. All personnel should be vetted through primary and secondary sources upon hire and at least once a year afterwards. If the position is contracted, we require a copy of the contract or the HIPAA BA agreement.
Oversight or duties and responsibilities. We need to know three important things about your key personnel: what they do (i.e., their responsibilities), what qualifications they need to do the job (i.e., education, licensure and certification), and their reporting structure. Your key clinical staff may hold multiple positions but each position requires its own, separate job description. Reviewing job descriptions as part of the yearly credentialing process is a good rule of thumb!
Policies and Procedures
RadSite requires a sample of your written policies and procedures (P&Ps). We need to know what you do! All policies should contain basic information, name of the policy, date the policy was created and when it was last reviewed/revised, purpose and of course, the actual policies and procedures.
Many small radiology offices don’t have written P&Ps, but keeping a written description of what you do in a formal binder is best practice and will only make your office work more effectively. The binder should have a master index listing all of the policies, the review/revised dates and should be signed off by both the medical director and the imaging/office manager. The key is to document your processes and review them on a yearly basis.
Read the RadSite Standards V2.2, highlight key information and provide what is required. Don’t overthink it. Remember that all applicants have a personal account manager to help guide you through the process if you have questions.
Final Thoughts | Radiology Accreditation Preparation
RadSite is a leader in promoting quality-based imaging standards – along with safety and business efficiency practices in health care. Our programs help assess, track and report imaging trends in an effort to enhance imaging procedures and outcomes. In addition to our accreditation program, we also offer educational programs, publish issue briefs and underwrite research on a complimentary basis to raise awareness of patient safety issues and to promote best practices.