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Sample text
Conversely, FP1 includes BI-RADS 0’s, a high percentage of which have a low index of suspicion. Furthermore, measuring FP1 involves knowing the cancer status of all women for whom additional imaging was recommended (defined in BI-RADS as Category 0—incomplete, needs additional imaging). This is challenging because results of the subsequent evaluation may not be available. Currently, MQSA does not require that Category 0 examinations be tracked to determine the final overall assessment. The Committee recommends that for women who need additional imaging, mammography facilities must attempt to track these cases until they resolve to a final assessment.
In addition, the Committee questioned whether the current CME and volume requirements enhance performance. These issues will be described fully and the current state of research on these topics will be described in the sections that follow. The current state of knowledge about existing measures and standards is described first in order to define the terms needed to assess the medical audit requirement of MQSA. CURRENT STATE OF KNOWLEDGE REGARDING APPROPRIATE STANDARDS OR MEASURES Effectively measuring and analyzing interpretive performance in practice presents many challenges.
It is unproductive to invest in efforts to increase the number of entrants into the specialty without also addressing factors that lead to early departures from the existing workforce. Efforts directed at retaining already highly skilled practitioners, even for part-time work, could be a cost-effective way to maintain access to high-quality breast imaging Copyright © National Academy of Sciences. All rights reserved. html 14 IMPROVING BREAST IMAGING QUALITY STANDARDS services. For example, interpreting physicians who wish to work part-time often find it difficult to interpret mammograms because malpractice costs are not adjusted for less than full-time work.
