How MOSAIQ helped a radiation oncology center earn APEx accreditation

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Radiation Center of Greater Nashua in New Hampshire awarded Accreditation Program for Excellence (APEx)

The Radiation Center of Greater Nashua (Nashua, New Hampshire), a freestanding radiation oncology center in the United States, has been awarded a four-year accreditation with the American Society for Radiation Oncology (ASTRO) Accreditation Program for Excellence (APEx®). The clinic credits Elekta software solutions for helping them make it a reality.

Accredited by ASTRO and operating under the direction of Radiation Oncology Associates, P.A., the Radiation Center of Greater Nashua was established collaboratively in 1992 by New Hampshire’s Mary Hitchcock Memorial Hospital, Southern New Hampshire Medical Center and St. Joseph Hospital.

“Elekta’s MOSAIQ helped us to demonstrate our commitment to patient safety in many ways.”

Elekta’s MOSAIQ® Oncology Information System helped us to demonstrate our commitment to patient safety in many ways, ultimately helping us meet the APEx requirements,” says Luc Sirois, Chief Physicist at the Radiation Center of Greater Nashua.

Developed by ASTRO, APEx is a voluntary, independent radiation oncology practice accreditation program based on a comprehensive set of 16 evidence-based standards of radiation oncology practice. These standards are focused on five pillars of patient care: the process of care; the radiation oncology team; safety; quality management; and patient-centered care. Departments seeking accreditation must submit their policies and procedures for evaluation to ensure they demonstrate their practice’s commitment to high safety and quality standards through the provision of patient-centered care; engaging patients and families in care coordination and communication.

MOSAIQ tools make the difference

By using Quality Check Lists (QCLs) and leveraging the power of MOSAIQ IQ Scripts, the Radiation Center of Greater Nashua can automatically schedule periodic medical record reviews (chart checks), respecting the verification frequencies established by APEx. Automating this process also ensures that periodic checks are assigned to the appropriate staff and that no periodic checks are missed.

With the help of the assessments feature within MOSAIQ, the Radiation Center of Greater Nashua can create a variety of checklists for documenting nursing evaluations, medical physics chart reviews and pre-treatment time-outs, a measure consistent with APEx’s expectations and allows them to consistently and effectively meet that mark.

The MOSAIQ site setup feature provides therapists with a quick glance at the various photos, diagrams and notes necessary for documenting and reproducing patient positioning from the simulation procedure, all of which are APEx requirements.

Concerning patient documentation in the chart, APEx guidelines state that the referring physician must receive a copy of the consultation, treatment summary and follow-up note within one month of physician signature/approval for each visit. MOSAIQ embedded electronic faxing allowed them to easily demonstrate compliance with this guideline.

“MOSAIQ provided tools required to report on the standards such as timely documentation and weekly physics checks, by utilizing the inherent quality and safety features.”

“During the accreditation process, we were able to review our policies and procedures to ensure we were meeting APEx criteria,” says Beth Gray, Executive Director. “MOSAIQ provided the tools required to report on the standards, such as timely documentation and weekly physics checks, by utilizing their inherent quality and safety features.”

APEx has a distinctive program structure that includes both a self-assessment process and a facility visit conducted by a medical physicist and a radiation oncologist. APEx integrates Maintenance of Certification (MOC) templates that promote value and efficiency for physicians and final evaluation reports that link standards and performance to quality improvement resources. APEx applicants also have access to a library of quality improvement practice management tools to facilitate a culture of safety.

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