Quality Improvements of Veterans Health Administration Radiation Oncology Services Through Partnership for Accreditation With the ACR
Quality Improvements of Veterans Health Administration Radiation Oncology Services Through Partnership for Accreditation With the ACR
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DOI：
10.1016/j.jacr.2018.06.029
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发表时间：
2018-12-01
影响因子：
4.5
通讯作者：
Hagan, Michael P.
中科院分区：
文献类型：
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作者：
Kapoor, Rishabh;Moghanaki, Drew;Hagan, Michael P.
每年约有 20,000 名美国退伍军人在退伍军人医疗保健管理局 (VHA) 医疗机构接受放射肿瘤学服务。他们目前可以获得先进技术，包括图像引导调强放射治疗、立体定向放射外科和立体定向全身放射治疗。尽管这提供了现代、安全和高效的癌症治疗方法，但这些治疗方法的技术复杂性以及涉及患者选择和处方的临床决策需要每个 VHA 实践的质量保证。为了应对这一需求的挑战，VHA 于 2008 年与 ACR 的放射肿瘤学实践认证计划 (ACR-ROPA) 建立了合作伙伴关系。本报告总结了这一持续合作伙伴关系的经验，并展示了 VHA 对 ACR-ROPA 认证的授权以及对其每个放射肿瘤学实践中所有已确定的纠正措施进行内部监控的综合影响。
Approximately 20,000 US veterans receive radiation oncology services at a Veterans Healthcare Administration (VHA) medical facility each year. They currently have access to advanced technologies, which include image-guided intensity-modulated radiotherapy, stereotactic radiosurgery, and stereotactic body radiation therapy. Although this provides access to cancer therapies that are modern, safe, and efficient, the technical complexities of these treatments and clinical decision making that goes into the patient selection and prescriptions demand quality assurances at each VHA practice. To meet the challenges of this need, the VHA established a partnership in 2008 with the ACR's Radiation Oncology Practice Accreditation Program (ACR-ROPA). This report summarizes the experience of this ongoing partnership and demonstrates the combined impact of the VHA's mandate for ACR-ROPA accreditation and internal monitoring of all identified corrective actions at each of its radiation oncology practices.