Achieving Achieving AccreditationAccreditation

ininEcho, Nuclear and Echo, Nuclear and

VascularVascular

Robert Skotnicki, D.O., F.A.C.C.Robert Skotnicki, D.O., F.A.C.C.

OutlineOutline1.1. What is the Intersocietal Accreditation What is the Intersocietal Accreditation

Commission?Commission?2.2. Why do we need Accreditation?Why do we need Accreditation?3.3. AC historyAC history4.4. Where do we start?Where do we start?5.5. Where do we find help?Where do we find help?6.6. How much does Accreditation cost? How much does Accreditation cost? 7.7. What are the Application essentials?What are the Application essentials?8.8. Any Tips or Quips from AC experience?Any Tips or Quips from AC experience?

Accreditation achieved through:Accreditation achieved through:

Intersocietal Commission for the Accreditation Intersocietal Commission for the Accreditation of Echocardiography Laboratories in Echo of Echocardiography Laboratories in Echo (ICAEL)(ICAEL)

Intersocietal Commission for the Accreditation Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories in Nuclear of Nuclear Medicine Laboratories in Nuclear Imaging (ICANL)Imaging (ICANL)

Intersocietal Commission for the Accreditation Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL)of Vascular Laboratories (ICAVL)

Under the auspices of the Intersocietal Under the auspices of the Intersocietal Accreditation CommissionAccreditation Commission

What is an Intersocietal Commission on What is an Intersocietal Commission on Accreditation (IAC)?Accreditation (IAC)?

IAC founded on April 5, 1997IAC founded on April 5, 1997 Seven years after the Intersocietal Commission Seven years after the Intersocietal Commission

for the Accreditation of Vascular Laboratoriesfor the Accreditation of Vascular Laboratories Prompted by the incorporation of the Prompted by the incorporation of the Intersocietal Commission for the Accreditation Intersocietal Commission for the Accreditation

of Echocardiographic Laboratories of Echocardiographic Laboratories Followed later in the same year by Intersocietal Followed later in the same year by Intersocietal

Commission for the Accreditation of Nuclear Commission for the Accreditation of Nuclear Medicine LaboratoriesMedicine Laboratories

The Intersocietal Accreditation CommissionThe Intersocietal Accreditation CommissionIs composed of:Is composed of:

The past president of all CommissionsThe past president of all Commissions The current president of all CommissionsThe current president of all Commissions

The Intersocietal Accreditation Commission (IAC)The Intersocietal Accreditation Commission (IAC)provides oversight to: provides oversight to:

Intersocietal Commission for the Accreditation of Intersocietal Commission for the Accreditation of Echocardiography LaboratoriesEchocardiography Laboratories

Intersocietal Commission for the Accreditation of Intersocietal Commission for the Accreditation of Nuclear Medicine LaboratoriesNuclear Medicine Laboratories

Intersocietal Commission for the Accreditation of Intersocietal Commission for the Accreditation of Vascular LaboratoriesVascular Laboratories

Intersocietal Commission for the Accreditation of Intersocietal Commission for the Accreditation of Computed Tomography LaboratoriesComputed Tomography Laboratories

Intersocietal Commission for the Accreditation of Intersocietal Commission for the Accreditation of Magnetic Resonance LaboratoriesMagnetic Resonance Laboratories

Intersocietal Commission for theIntersocietal Commission for theAccreditation of Echocardiography LabsAccreditation of Echocardiography Labs

American College of CardiologyAmerican College of Cardiology American Society of EchocardiographyAmerican Society of Echocardiography Society of Diagnostic Medical Society of Diagnostic Medical

SonographersSonographers Society of Pediatric Echocardiography Society of Pediatric Echocardiography

ConsultantConsultant Technical ManagerTechnical Manager CEOCEO

Intersocietal Commission for the Intersocietal Commission for the Accreditation of Nuclear LaboratoriesAccreditation of Nuclear Laboratories

Academy of Molecular ImagingAcademy of Molecular Imaging American College of CardiologyAmerican College of Cardiology American College of Nuclear PhysiciansAmerican College of Nuclear Physicians American Society of Nuclear CardiologyAmerican Society of Nuclear Cardiology Society of Nuclear MedicineSociety of Nuclear Medicine Society of Nuclear Medicine Society of Nuclear Medicine - Technologist Section- Technologist Section

CEOCEOPhysicistPhysicist

Intersocietal Commission for the Intersocietal Commission for the Accreditation of Vascular LaboratoriesAccreditation of Vascular Laboratories

American Academy of Neurology & American Society of American Academy of Neurology & American Society of NeuroimagingNeuroimaging

American College of CardiologyAmerican College of Cardiology American Institute of Ultrasound in MedicineAmerican Institute of Ultrasound in Medicine American Society of EchocardiographyAmerican Society of Echocardiography Joint Section on Cerebrovascular Surgery/American Association Joint Section on Cerebrovascular Surgery/American Association

of Neurologic Surgeons/Congress of Neurologic Surgeons of Neurologic Surgeons/Congress of Neurologic Surgeons Society of Clinical Vascular SurgerySociety of Clinical Vascular Surgery Society for Vascular MedicineSociety for Vascular Medicine Society for Vascular SurgerySociety for Vascular Surgery Society for Vascular UltrasoundSociety for Vascular Ultrasound Society for Diagnostic Medical SonographySociety for Diagnostic Medical Sonography Society of Interventional RadiologistsSociety of Interventional Radiologists Society of Radiologists in UltrasoundSociety of Radiologists in Ultrasound

CEOCEO Technical ManagerTechnical Manager

Why should my practice/hospital become Why should my practice/hospital become accredited?accredited?

Improve standard or quality of care by ourImprove standard or quality of care by our facilityfacility

protocol review and organizationprotocol review and organization enhanced quality assurance and correlationenhanced quality assurance and correlation

Confidential peer reviewConfidential peer review Recruiting gem for technologists and physiciansRecruiting gem for technologists and physicians Marketing tool Marketing tool

patient confidencepatient confidence referral physiciansreferral physicians

Qualification for re-imbursementQualification for re-imbursement Strongly recommended by ASNC and ACCStrongly recommended by ASNC and ACC LitigationLitigation

ProsPros ConsCons

Every one is doing it!Every one is doing it!

ICANLICANLHow many at present-607 labsHow many at present-607 labs

Private offices 77%Private offices 77% Freestanding Imaging Ctrs 4 %Freestanding Imaging Ctrs 4 % Hospitals 10%Hospitals 10% Mobile labs 3%Mobile labs 3% Other 6%Other 6%

Type of imagingType of imaging MPI 598MPI 598 RNA 210RNA 210 General Nuclear Med 45General Nuclear Med 45 PET 19 PET 19

Associated Cardiologists has been Associated Cardiologists has been accredited since:accredited since:

2000 in Adult Echocardiography2000 in Adult Echocardiography 2001 in Nuclear Cardiology2001 in Nuclear Cardiology 2001 in Vascular Ultrasound2001 in Vascular Ultrasound

Accreditation re-cycles every 3 yearsAccreditation re-cycles every 3 years Nine times!Nine times!

First time around First time around 6-8 months in Nuclear by Chief Technologist6-8 months in Nuclear by Chief Technologist while supervising 2 sites, 5,000 case/yrwhile supervising 2 sites, 5,000 case/yr volume.volume.4-6 months in Echocardiography by Chief 4-6 months in Echocardiography by Chief Technologist while supervising 2 sites,Technologist while supervising 2 sites, 6,000+/yr volume.6,000+/yr volume.8-10 months in Vascular Ultrasound by Chief 8-10 months in Vascular Ultrasound by Chief Technologist while supervising 2,000 exams/yr Technologist while supervising 2,000 exams/yr

Prior to present resources Prior to present resources www.Intersocietal.orgwww.Intersocietal.org consultantsconsultants

Where/How to StartWhere/How to Start Review the “Standards”Review the “Standards”

www.Intersocietal.orgwww.Intersocietal.org www.ICAVL.orgwww.ICAVL.org www.ICANL.orgwww.ICANL.org www.ICAEL.orgwww.ICAEL.org www.ICAMRL.orgwww.ICAMRL.org www.ICACTL.orgwww.ICACTL.org

Each discipline has their own unique set Each discipline has their own unique set with ultimately the same content albeit with ultimately the same content albeit different orderdifferent order List of specific requirements and regsList of specific requirements and regs Document that is 50-80 pagesDocument that is 50-80 pages

StandardsStandards General SummaryGeneral Summary

DefinitionDefinition PersonnelPersonnel Type of studiesType of studies Minimal VolumeMinimal Volume

OverallOverall Per physicianPer physician Per TechnologistPer Technologist

InstrumentationInstrumentation ProtocolsProtocols

ExamExam ReportReport SafetySafety

Imaging Energy ExposureImaging Energy Exposure Emergency procedures/resuscitation equipmentEmergency procedures/resuscitation equipment

QAQA Multiple Site RequirementsMultiple Site Requirements

Definitions:Definitions:

Vascular: A Vascular laboratory is a unit performing noninvasive Vascular: A Vascular laboratory is a unit performing noninvasive vascular diagnostic testing under the overall direction of a Medical vascular diagnostic testing under the overall direction of a Medical Director. A Technical Director is appointed who is responsible for Director. A Technical Director is appointed who is responsible for direct supervision of the technical staff and the daily operations of the direct supervision of the technical staff and the daily operations of the laboratory.laboratory.

Nuclear: A Nuclear Cardiology, Nuclear Medicine and/or Pet facility Nuclear: A Nuclear Cardiology, Nuclear Medicine and/or Pet facility consists of at least one nuclear imaging camera, a qualified physician consists of at least one nuclear imaging camera, a qualified physician and a nuclear medicine technologist. Each facility must have a and a nuclear medicine technologist. Each facility must have a Medical Director and a Technical Director. It may be a single site or a Medical Director and a Technical Director. It may be a single site or a conglomerate of sites, a mobile facility or a combination of the above, conglomerate of sites, a mobile facility or a combination of the above, meeting the organizational structures defined in this document. There meeting the organizational structures defined in this document. There may be additional physicians, nuclear medicine technologists, and may be additional physicians, nuclear medicine technologists, and other professional and/or technical personnel. When more than one other professional and/or technical personnel. When more than one technical member is employed, a Technical Director (e.g. chief technical member is employed, a Technical Director (e.g. chief technologist) is responsible for supervision of the technical staff.technologist) is responsible for supervision of the technical staff.

Echo: An Echocardiographic laboratory is defined as an entity Echo: An Echocardiographic laboratory is defined as an entity located at one postal address, composed of at least one ultrasound located at one postal address, composed of at least one ultrasound instrument and a Medical Director and a Technical Director instrument and a Medical Director and a Technical Director performing and/or interpreting transthoracic echocardiography. There performing and/or interpreting transthoracic echocardiography. There may be additional physicians and sonographers. The laboratory may may be additional physicians and sonographers. The laboratory may also perform transesophageal, stress or fetal echocardiography.also perform transesophageal, stress or fetal echocardiography.

PersonnelPersonnel Medical Director Medical Director

TrainingTraining ExperienceExperience

Technical Director qualificationsTechnical Director qualifications QualificationsQualifications

Medical StaffMedical Staff Additional Technical staffAdditional Technical staff Patient care PersonnelPatient care Personnel CME requirementsCME requirements

PhysiciansPhysicians TechnologistsTechnologists

Responsibilities and dutiesResponsibilities and duties PhysiciansPhysicians TechnologistsTechnologists

Ancillary personnelAncillary personnel Clerical, administrativeClerical, administrative PhysicistPhysicist IT supportIT support

Medical DirectorMedical Director EchocardiographyEchocardiography

The Medical Director must be a licensed physician.The Medical Director must meet one of the following criteria1:A) Level III training in echocardiography.B) Completion of a twelve-month formal training program inechocardiography.C) Level II training in echocardiography plus one year of experience that includes interpretation of at least 600 echo/Doppler examinations.D) Completion of a six-month formal training program in echocardiography plus one year of experience that includes interpretation of at least 600 Echo/Doppler examinations.E) Three years of echocardiography practice experience and at least 1800 echo/Doppler examination interpretations, preferably with Testamur status by the National Board of Echocardiography (NBE) in Echocardiography by 2010.

Medical Director Medical Director NuclearNuclearA. Certification in nuclear cardiology by the Certification Board of NuclearCardiology (CBNC).B. Board certified (or Board eligible but within two years of finishingtraining) in cardiology and completion of a minimum of a 4 month formaltraining program in nuclear cardiology [Level 2 as outlined in theACC/ASNC COCATS Training Guidelines (2006 revision)]. Thisrequirement applies only to cardiologists who began their cardiologytraining in July 1995 or laterC. Board certified in cardiology and training equivalent to Level 2 training,or at least one year (full time equivalent) of nuclear cardiology practiceexperience with independent interpretation of at least 600 nuclearcardiology studies. This requirement applies only to cardiologists whobegan their cardiology training before July 1995.D. Board certified (or Board eligible but within two years of finishingtraining) in nuclear medicine.E. Board certified (or Board eligible but within two years of finishingtraining) in radiology with at least 4 months of nuclear cardiology training.F. Board certified (or Board eligible but within two years of finishingtraining) in radiology and at least one year (full time equivalent) of nuclearcardiology practice experience with independent interpretation of at least600 nuclear cardiology studies.

Medical Director

Vascular

A.) Formal Training Program – Completion of a residency or fellowship thatincludes appropriate didactic and clinical vascular laboratory experience asan integral part of the program. For those testing areas in which training isprovided, the physician should have experience in interpreting the followingminimum number of studies while under supervision: Vascular Laboratory Examination Minimum Number of Cases • carotid duplex ultrasound 100 cases • transcranial Doppler 100 cases • peripheral arterial physiologic tests (e.g. extremity pressures, Doppler waveforms, exercise testing, reactive

hyperemia) 100 cases • peripheral arterial duplex 100 cases ultrasound • venous duplex ultrasound 100 cases • visceral vascular duplex 75 cases ultrasoundThe formal training experience must be documented by a letter from thedirector of the training program verifying the areas of testing and the extentof the training and experienceB.) Informal (or self-study) training - Appropriate training and experience forproper qualifications to interpret noninvasive vascular laboratory studies canbe achieved through formal accredited post-graduate educationA minimum of 40 hours of relevant Category I CME credit must be acquiredwithin a three-year period. At least one half of these hours must be met withcourses specifically designed to provide knowledge of the techniques,limitations, accuracies and methods of interpretation of the noninvasivevascular laboratory test the physician will interpret. The remaining hoursmay be dedicated to appropriate clinical topics relevant to vascularlaboratory testing. Documentation of the CME courses with a listing of thecontent must be submittedComment: At least eight (8) of these hours

ChoicesChoices NuclearNuclear

Myocardial perfusion imaging *Myocardial perfusion imaging * Equilibrium radionuclide AngiographyEquilibrium radionuclide Angiography General Nuclear MedicineGeneral Nuclear Medicine PETPET

Echocardiography Echocardiography Adult Transthoracic* Adult Transthoracic* Adult TransesophagealAdult Transesophageal Adult Stress EchoAdult Stress Echo Pediatric TransthoracicPediatric Transthoracic Pediatric TransesophagealPediatric Transesophageal Fetal EchoFetal Echo

VascularVascular Carotid Duplex Ultrasound *Carotid Duplex Ultrasound * Transcranial Doppler Transcranial Doppler Peripheral Arterial *Peripheral Arterial * Peripheral Venous *Peripheral Venous * Visceral Vascular *Visceral Vascular * Screening (exercise testing, extremity pressures, reactive hyperemia)Screening (exercise testing, extremity pressures, reactive hyperemia)

VolumeVolume 600 cases600 cases

Training minimum in Echo and NuclearTraining minimum in Echo and Nuclear Overall laboratory volume/year in Echo and NuclearOverall laboratory volume/year in Echo and Nuclear

300 cases300 cases Minimum/year for Medical Staff in EchoMinimum/year for Medical Staff in Echo Minimum/year for SonographersMinimum/year for Sonographers Minimum Vascular studies (of each 5 types) Minimum Vascular studies (of each 5 types)

performed in established practice for trainingperformed in established practice for training 100 cases100 cases

Overall laboratory volume/year Stress EchoOverall laboratory volume/year Stress Echo Minimum/year for Medical Staff in Stress EchoMinimum/year for Medical Staff in Stress Echo Minimum/year for Sonographers in Stress EchoMinimum/year for Sonographers in Stress Echo Minimum Vascular (5) studies in formal training Minimum Vascular (5) studies in formal training

programprogram Minimum/year (5) for Vascular SonographersMinimum/year (5) for Vascular Sonographers Minimum/year (5) for Medical Staff in VascularMinimum/year (5) for Medical Staff in Vascular

Lower Volumes than those recommended Lower Volumes than those recommended here, however, should not dissuade a here, however, should not dissuade a laboratory that is otherwise compliant laboratory that is otherwise compliant

with the ICAEL/ICANL/ICAVL Standards with the ICAEL/ICANL/ICAVL Standards from applying for Accreditation.from applying for Accreditation.

StandardsStandards General SummaryGeneral Summary

DefinitionDefinition PersonnelPersonnel Type of studiesType of studies Minimal VolumeMinimal Volume

OverallOverall Per physicianPer physician Per TechnologistPer Technologist

InstrumentationInstrumentation ProtocolsProtocols

ExamExam ReportReport SafetySafety

Imaging Energy ExposureImaging Energy Exposure Emergency procedures/resuscitation equipmentEmergency procedures/resuscitation equipment

QAQA Multiple Site RequirementsMultiple Site Requirements

DecisionDecision Proceed without any changes necessaryProceed without any changes necessary Proceed with minor changes necessaryProceed with minor changes necessary

Re-writing protocolsRe-writing protocols Patient confidentiality concernsPatient confidentiality concerns Archiving issuesArchiving issues

Delay for 6 months to a year with major changesDelay for 6 months to a year with major changes Bldg additionsBldg additions Staff certificationStaff certification

HELP!HELP!

Where to get HELPWhere to get HELPWeb sites of each Commission with hyperlink Web sites of each Commission with hyperlink

to Accreditation OnDemand to Accreditation OnDemand Free webcasts of 15-20 minute duration each on 5-Free webcasts of 15-20 minute duration each on 5-

7 topics 7 topics 1.1. Preparing your staff and facility for accreditationPreparing your staff and facility for accreditation2.2. Do your protocols meet the minimum Do your protocols meet the minimum

requirements?requirements?3.3. Documenting your laboratories accuracyDocumenting your laboratories accuracy4.4. Are all of your final reports complete and Are all of your final reports complete and

accurate?accurate?5.5. Case studies: documenting your accuracyCase studies: documenting your accuracy6.6. What to expect at the site visitWhat to expect at the site visit

Where to get HELPWhere to get HELP Web sites of each Commission with hyperlink to Web sites of each Commission with hyperlink to

Accreditation OnDemandAccreditation OnDemand Software assistance available for all 5 disciplines Software assistance available for all 5 disciplines

from private vendors at a cost!from private vendors at a cost! JR associates offers protocol support for Echo and VascularJR associates offers protocol support for Echo and Vascular at a cost of $ 900 for 33 protocolsat a cost of $ 900 for 33 protocols Echo ToolBox from the ASE is offered at a very reasonable Echo ToolBox from the ASE is offered at a very reasonable

price. price. The American Society of Echocardiography developed The American Society of Echocardiography developed

Echo ToolBox™ as a web-based, interactive program Echo ToolBox™ as a web-based, interactive program that facilitates the accreditation process and promotes that facilitates the accreditation process and promotes excellence in cardiovascular ultrasound laboratories.excellence in cardiovascular ultrasound laboratories.

Not only is Echo ToolBox™ a user-friendly and Not only is Echo ToolBox™ a user-friendly and comprehensive tool that walks participants step by step, comprehensive tool that walks participants step by step, screen by screen, through the application process itself, screen by screen, through the application process itself, but it is also an affordable and time-saving option forbut it is also an affordable and time-saving option forlabs of all sizes.labs of all sizes.

Prices start at $ 75/yr for ASE members and $ 150/yr Prices start at $ 75/yr for ASE members and $ 150/yr non ASE members, with reduction for high numbers of non ASE members, with reduction for high numbers of staff members. This is a yearly subscription.staff members. This is a yearly subscription.

Where to get HELPWhere to get HELP Web sites of each Commission with hyperlink to Accreditation Web sites of each Commission with hyperlink to Accreditation

OnDemandOnDemand Software assistance available for all 5 disciplines from private Software assistance available for all 5 disciplines from private

vendors at a cost!vendors at a cost! ConsultantsConsultants

Vascular has about +/- 30Vascular has about +/- 30 Echo has about +/- 34Echo has about +/- 34 Nuclear has about +/- 40 Nuclear has about +/- 40

Cost $ 4,000-$ 10,000Cost $ 4,000-$ 10,000 Location may add thousands of dollarsLocation may add thousands of dollars Extent of services Extent of services Fill in the blanks-software integration with DiCOM networkingFill in the blanks-software integration with DiCOM networking ACCREDITATION IMAGING ASSOCIATES NORTH ACCREDITATION IMAGING ASSOCIATES NORTH

AMERICA, INC. AMERICA, INC. Nuclear consulting. Contact: April A. Adams, RN, CNMT, RT(N). Nuclear consulting. Contact: April A. Adams, RN, CNMT, RT(N). 11111-70 San Jose Blvd, #310, Jacksonville, FL 32223. Phone: 11111-70 San Jose Blvd, #310, Jacksonville, FL 32223. Phone: 904-524-2892, Fax: 904-214-0444. Email: 904-524-2892, Fax: 904-214-0444. Email: aiana@bellsouth.netaiana@bellsouth.net

ACCREDITATION CONSULTING GROUP ACCREDITATION CONSULTING GROUP Vascular, Echocardiography, and Nuclear consulting. Contact: Vascular, Echocardiography, and Nuclear consulting. Contact: Ken Suhr, 71 Heritage Drive, Shrewsbury, NJ 07702. Phone: Ken Suhr, 71 Heritage Drive, Shrewsbury, NJ 07702. Phone: 917-748-3697, Fax: 732-383-5799. Email: 917-748-3697, Fax: 732-383-5799. Email: acgconsult@comcast.netacgconsult@comcast.net

Cost of AccreditationCost of Accreditation Technologist hoursTechnologist hours Outside assistanceOutside assistance

Software only $ 400 e.g.Echo ToolboxSoftware only $ 400 e.g.Echo Toolbox $ 900 software protocol$ 900 software protocol In House Consultants $ 4,000-15,000In House Consultants $ 4,000-15,000 consider locationconsider location consider networkingconsider networking consider supportconsider support phonephone onsite (extra cost?)onsite (extra cost?)

All start with The Standards at $ 200All start with The Standards at $ 200

Individual DisciplinesIndividual Disciplines

ICAVL Base Fee $ 1,000ICAVL Base Fee $ 1,000 300 for each area300 for each area 750 each site750 each site ICAEL Base Fee $ 1,500 Adult TTICAEL Base Fee $ 1,500 Adult TT 250 Adult TE250 Adult TE 250 Adult Stress250 Adult Stress 1,500 Pediatric TT1,500 Pediatric TT 250 Pediatric TE250 Pediatric TE 250 Fetal250 Fetal 200 per staff (7-25)200 per staff (7-25) 50 per staff over 2550 per staff over 25 750 per site750 per site 500 mobile500 mobile ICANL Base Fee $ 3,800 ComprehensiveICANL Base Fee $ 3,800 Comprehensive Nuclear StressNuclear Stress PETPET Nuclear MedicineNuclear Medicine 3,300 any one of the three3,300 any one of the three 1,000 each site1,000 each site

Application EssentialsApplication Essentials Use online applicationUse online application Must purchase a copy of the StandardsMust purchase a copy of the Standards Include Random Audit ConsentInclude Random Audit Consent Include Accreditation AgreementInclude Accreditation Agreement Two sets of case studiesTwo sets of case studies Complete mobile or multiple site Complete mobile or multiple site

supplemental applicationsupplemental application Review web site often for changes and Review web site often for changes and

updates in all of the above before updates in all of the above before submissionsubmission

Tips and QuipsTips and Quips

Case StudiesCase Studies Prepare case studies based on lab Prepare case studies based on lab

volumes and staff (both Technologists volumes and staff (both Technologists and Medical)and Medical) Submit two copiesSubmit two copies

Do not delete namesDo not delete names Do not send originalsDo not send originals Send best quality imagesSend best quality images Send entire examinationSend entire examination Representative cases from as many staff Representative cases from as many staff

members as possiblemembers as possible Actual typed reports must be unifiedActual typed reports must be unified

MiscellaneousMiscellaneous Insufficient CMEs will hold up acceptanceInsufficient CMEs will hold up acceptance Incomplete QA policiesIncomplete QA policies QA documentationQA documentation Cases must be done to current Guidelines Cases must be done to current Guidelines

AppropriatenessAppropriateness ASE Report StandardsASE Report Standards ASNC ASNC

Report must be standardizedReport must be standardized No typographical errorsNo typographical errors Rapidity of report productionRapidity of report production Prepare for site visitPrepare for site visit

Ready access to all documents and facilitiesReady access to all documents and facilities Including CME certificatesIncluding CME certificates

Nuclear will want to watch physician interpret nuclear studies!Nuclear will want to watch physician interpret nuclear studies! Not reading from hard copyNot reading from hard copy Review of all data systematic orderReview of all data systematic order They like colorsThey like colors

ConclusionConclusion1.1. The Intersocietal Accreditation Commission is The Intersocietal Accreditation Commission is

the governing body providing oversight to the governing body providing oversight to Accreditation Commissions.Accreditation Commissions.

2.2. Yes, we need Accreditation.Yes, we need Accreditation.3.3. AC history was provided as example.AC history was provided as example.4.4. We have direction regarding initiation of the We have direction regarding initiation of the

credentialing process.credentialing process.5.5. Help is available through multiple resources.Help is available through multiple resources.6.6. A list of the Accreditation cost was provided.A list of the Accreditation cost was provided.7.7. The Application essentials were presented.The Application essentials were presented.8.8. Brief list of Tips and Quips from AC Brief list of Tips and Quips from AC

experience.experience.