CM Health Radiology Department attained accreditation against the New Zealand Code of Radiology Management Practice: Radiology Services – Particular Requirements for Quality and Competence, and numerous other guidelines and legislation, in 2007. This is an annual assessment whereby a team of technical experts are invited to assist the accrediting body International Accreditation New Zealand (IANZ) periodically.
To maintain accreditation status with few or no correction action requests. (In 2018 there were four correction action requests).
The 2019 assessment was conducted solely by a lead assessor from IANZ over three days (26 to 28 June).
The assessment confirmed that the service continued to generally to meet the various requirements of accreditation.
No correction action requests (renamed from 2019 as major conformances) were raised against Radiology.
The following table lists the minor conformances in categories.
The following issues were noted regarding accommodation.
The Radiology Service is expected to inform IANZ on progress made in these areas.
In addition high numbers of staff vacancies, particularly for MRTs , were an ongoing issue, and various strategies were being employed to attract trained staff. This shortage impacted on workload and wait lists.
Radiology continues to improve the management of its document control, with some modalities further along than others. Reducing the use of hard copy has been put forward as a two-year project, with the aim to give all access to electronic versions in the CMH document management system Objective.
Not all QC results are recorded electronically – an initiative expected to be implemented across the service.
Diagnostic mammography had been included as part of the accreditation process for Radiology since 2007.
The Breast Screen Counties Manukau Breast Imaging Service, which provided diagnostic mammography services on behalf of the Radiology Department was difficult to separate. Therefore, management had requested to have this modality removed from the scope of accreditation. A separate application for accreditation was expected by the Breast Screen Counties Manukau.
The service’s schedule to its certificate of accreditation will be extended to include CT scanning and general radiography at the Emergency Department in the McIndoe Building (which had been inadvertently omitted), and MR imaging at the new site in the Harley Gray building.
The Women’s Health OGUS was removed from the scope of accreditation, at the request of management.