ICAVL ApplicationICAVL Application

Suzanne Dowers, BS, RVTSuzanne Dowers, BS, RVT

Laboratory SupervisorLaboratory Supervisor

DMC Harper HospitalDMC Harper Hospital

16 March 201116 March 2011

Preparing Your ApplicationPreparing Your Application

�� How To PrepareHow To Prepare�� Case StudiesCase Studies and and Send a SubmissionSend a Submission

�� IACIAC AgreementAgreement

�� AttachmentsAttachments

�� HHelpfelpful Resourcesul Resources�� Sample DocumentsSample Documents

�� CME ResourcesCME Resources

�� Links & ReferencesLinks & References & & WebcastsWebcasts

�� IAC NewsletterIAC Newsletter

How to Prepare How to Prepare -- Case StudiesCase Studies

� Case study submissions are required in order to assess the interpretative and technical quality of the laboratory. All of the details of the vascular anatomy should be visualized adequately.

� Please note: � All cases must be selected from within the past 12 months

from the date of application filing.

� Remember to submit the entire application, including case studies, in duplicate.

� Case study requirements have been grouped into the following categories:� EXTRACRANIAL CEREBROVASCULAR,

� INTRACRANIAL CEREBROVASCULAR,

� PERIPHERAL ARTERIAL,

� PERIPHERAL VENOUS, � VISCERAL VASCULAR and SCREENING

How to Send a Submission

� Please note: Laboratories are required to send printed or electronic final reports.

� Submit all images utilized in the interpretation of a study by a physician.

� Use sample cases from as many medical and technical staff members that interpret or perform the vascular examinations in the laboratory as possible.

� Two reviewers evaluate every application; therefore it is imperative that all case study materials submitted to the ICAVL be sent in duplicate.

� If you are unable to submit digital images, high quality black-and-white and color copies of processed images may be submitted on paper.

� Cases are to be performed with current personnel on current equipment.

� Labeling Your Submission� Label all cases (an adhesive label affixed to each page is

recommended), including any disks or hard copies, with:� Laboratory name/ID number/site location

� Patient name � Date of study � Type of study

How to Prepare How to Prepare –– IAC AgreementIAC Agreement

�� A completed IAC Accreditation Agreement A completed IAC Accreditation Agreement

(current published version is 7/2010) in order (current published version is 7/2010) in order

to receive an accreditation decision. to receive an accreditation decision.

�� Download the IAC AgreementDownload the IAC Agreement� To download the IAC Agreement and get complete

instructions, visit the Legal>Agreement section of the IAC website»

� Download the IAC Policies and Procedures� To download the IAC Policies and Procedures and get

complete instructions, visit the Legal>Policies & Procedures section of the IAC website»

How to Prepare How to Prepare -- AttachmentsAttachments

� Applicant laboratories are required to upload and submit all attachments electronically.

� Case study materials [i.e., reports, hard copy and CDs] must still be shipped to the ICAVL office, in duplicate.

� Uploading of electronic or scanned documents Is an easy process.

� Upon being prompted within the application questionnaire for a specific document, the user clicks “browse," selects the appropriate document from their computer or memory/storage device and then clicks “open.

� The document is uploaded to the correct location within the application and then saved once the user navigates away from that page by clicking the “previous,” “next” or “end” button at the bottom of the screen.

� Only the file types in the box listed to the right may be used when uploading attachments to the application questions.

� The file size for each document must be less that 4 MB. This includes .zip/compressed files.

ACCEPTABLE FILE

FORMATS

.txt .doc

.docx

.rtf .tiff

.gif

.jpg

.jpeg

.png

.pdf

.xls.xlsx

Useful ResourcesUseful Resources

� The on line tool section is full of resources to help you through the ICAVL accreditation process, including:� Sample documents

� Links & references � CME resources

� On Demand webcasts � IAC Newsletter

VERY USEFULSample Forms:

• Blank QA Log

• Venous QA Log• Instructions for a QA Log

QA Log InstructionsQA Log Instructions

2

1

Diagnostic

criteria

correct in

report 12

Match

by

severit

y 11

Match

by

locatio

n 10

Correlativ

e study

findings 9

Vascul

ar lab

finding

s 8

Correl

ative

study

date 7

Correl

ative

study 6

Vascular

lab date 5Vascular

lab study 4

Side 3Ident

ificati

on 2

No. 1

No. 1: Each correlation gets its own line. See standards for the number of correlations needed for each type of examination.Identification 2: Each patient should be identified. Examples: medical record number, laboratory examination number.Side 3: Bilateral examinations should generally be two correlations (one line for each side) as long as the correlative study is also performed bilaterally. If the correlation study is performed on one side only, one correlation is recorded (for example, bilateral carotid ultrasound but a unilateral contrast angiogram is one correlation). Some examinations do not have a side (for example, hepatoportal examination).Vascular lab study 4: Name of the vascular lab study. Vascular lab date 5: Date of the vascular lab study.Correlative study 6: Type of correlative study. Only one correlative study is used even if several different correlative tests have been performed. Contrast arteriography/venography is used if it is available. CT or MR is used next, followed by surgical correlation, followed by other correlations. See specific standards for acceptable correlative studies.

QA Log QA Log –– VascularVascular

#

Patient

Identifi

cation Side

Vascular

Lab Study Study Date Study

Correl.Study

Date

Vascular Lab

Findings

Correlative

Study Findings

Match by

Location

Match by

Severity

Diagnostic

Criteria

Correct in

1 P.H. LT Ven dup 3/10/2010 Venogram 4/28/2010 DVT, CFV, FV, POP V DVT FV & POP V Yes Yes Yes

2 C.J. RT Ven dup 9/14/2010 Venogram 9/16/2010 DVT, CFV, FV, POP V DVT FV extensive Yes Yes Yes

3 R.B. RT Ven dup 6/18/2010 Venogram 6/20/2010 DVT, CFV DVT CFV Yes Yes Yes

4 S.S. RT Ven dup 1/30/2010 Venogram 2/2/2010

DVT, CFV, FV, POP V,

PTV, PER V DVT CFV, FV Yes Yes Yes

5 S.S. LT Ven dup 1/30/2010 Venogram 2/2/2010 DVT CFV, FV DVT CFV, FV Yes Yes Yes

6 B.J. RT Ven dup 2/19/2010 Venogram 2/25/2010 DVT EIV, CFV, FV Diploid IVC filter Yes Yes Yes

7 B.J. LT Ven dup 2/19/2010 Venogram 2/25/2010 DVT CFV, FV, POP V Diploid IVC Yes Yes Yes

8 R.B. RT Ven dup 7/7/2010 Venogram 9/13/2010 DVT FV, CFV DVT CFV Yes Yes Yes

9 R.B. LT Ven dup 7/7/2010 Venogram 9/13/2010 DVT CFV DVT CFV Yes Yes Yes

10 R.A. LT Ven dup 1/4/2010 Venogram 1/5/2010 No DVT No DVT Yes Yes Yes

11 H.H. LT Ven dup 3/19/2010 Venogram 4/14/2010 DVT EIV, CFV EIV Yes Yes Yes

12 T.C. LT Ven dup 3/16/2010 Venogram 6/16/2010 Insuff. (fem) EIV OCC Yes Yes Yes

13 D.R. RT Ven dup 7/29/2010 Venogram 8/20/2010 Insuff. Insuff. Yes Yes Yes

14 S.S LT Ven dup 3/30/2010 Venogram 4/2/2010 DVT FV, POP V LT DVT CIV Yes Yes Yes

15 L.S. LT Ven dup 8/31/2010 Venogram 8/31/2010 DVT, PTV, PER PE Yes Yes Yes

16 J.W. RT Ven dup 8/28/2009 Venogram 8/29/2009 DVT CFV DVT CFV Yes Yes Yes

17 C.D. RT Ven dup 1/21/2010 Venogram 2/23/2010 Venous stasis Venous stasis Yes Yes Yes

18 H.H LT Ven dup 5/3/2010 Venogram 5/4/2010 DVT, PE DVT, PE Yes Yes Yes

19 S.R RT Ven dup 2/2/2010 Venogram 3/25/2010 Chronic Chronic Yes Yes Yes

20 S.R. LT Ven dup 2/2/2010 Venogram 3/25/2010 Insuff. Insuff. Yes Yes Yes

21 F.S RT Ven dup 10/10/2009 Venogram 8/26/2010 Insuff. Insuff. Yes Yes Yes

22 A.F. RT Ven dup 1/23/2008 Venogram 1/24/2008 DVT, CFV, FV, POP V DVT CFV & FV Yes Yes Yes

23 S.M. RT Ven dup 7/14/2010 Operative 8/26/2010 2.6 sec Ablation (R GSV) Yes Yes Yes

24 T.J. RT Ven dup 5/14/2010 Operative 6/30/2010 2.9 sec Ablation (R GSV) Yes Yes Yes

25 L.M. RT Ven dup 5/13/2010 Operative 7/14/2010 1.6 sec Ablation (R GSV) Yes Yes Yes

26 M.P. RT Ven dup 5/24/2010 Operative 6/30/2010 3.3 sec Ablation (R GSV) Yes Yes Yes

27 J.J RT Ven dup 5/6/2010 Venogram 6/7/2010

DVT CFV, FV, POP V, PTV

& PERV RT DVT CFV Yes Yes Yes

28 W.D. RT Ven dup 5/11/2010 Venogram 5/16/2010 DVT CFV RT CFV Yes Yes Yes

29 M.D. LT Ven dup 9/22/2010 Venogram 9/27/2010 DVT ILIOFEM ILIOFEM Yes Yes Yes

30 G.T. RT Ven dup 7/19/2010 Operative 7/27/2010 DVT CFV, FV, POP V, PTV, Diploid IVC filter Yes Yes Yes

% Agreement*= 100%

Quality Assurance Log

Laboratory Name: Harper Vascular lab

Correlation for: VENOUS STUDIES

CME ResourcesCME Resources

� As outlined in the ICAVL Standards, part of the criteria for achieving ICAVL accreditation is the fulfillment of certain continuing education requirements by laboratory staff members.

� As a service to vascular professionals looking for noninvasive vascular-related CME, the ICAVL maintains the following list of resources for continuing education. The courses contained herein typically provide 5 or more of these relevant credits.�� UPCOMING CME COURSESUPCOMING CME COURSES

�� RECURRING COURSES & SELFRECURRING COURSES & SELF--STUDYSTUDY

�� ONLINE CMEONLINE CME

�� WORK RELATED MUSCULOSKELETAL DISORDERS WORK RELATED MUSCULOSKELETAL DISORDERS (MSD) CME(MSD) CME

Related Links and WebcastRelated Links and Webcast

� ICAEL: Echocardiography Laboratory Accreditation The Intersocietal Commission for the Accreditation of Echocardiography Laboratories

� ICANL: Nuclear Medicine, Nuclear Cardiology and PET Accreditation The Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories

� ICAMRL: Magnetic Resonance Laboratory Accreditation The Intersocietal Commission for the Accreditation of Magnetic Resonance Laboratories

� ICACTL: Computed Tomography Laboratory Accreditation The Intersocietal Commission for the Accreditation of Computed Tomography Laboratories

� ICACSF: Carotid Stenting Facility AccreditationThe Intersocietal Commission for the Accreditation of Carotid StentingFacilities

http://www.intersocietal.org/icavl/

seeking/on_demand.htm

IAC NewsletterIAC Newsletter

�� The Autumn 2010 Issue of the IAC Newsletter is The Autumn 2010 Issue of the IAC Newsletter is

available on line.available on line.� The IAC Newsletter is now online in 2010! If your laboratory has

enjoyed the printed newsletter in the past, the IAC is excited to

announce the delivery of our publication directly to your e-mail.

Now in an online format, the IAC Newsletter continues to reach out to imaging laboratories with information about IAC accreditation

that will enhance the operations and level of patient care provided,

with direct applicability to the accreditation process.

� Every issue of the IAC Newsletter brings you important accreditation news pertaining to the IAC as a whole, as well as

news sections specific to each division which include the latest

program updates, policy changes and other pertinent information.

� View the Autumn 2010 Issue of the IAC Newsletter»

http://www.intersocietal.org/icavl/main/newsletter.htm

Sample of a ProtocolSample of a Protocol------------------------ 4.1.4D------------------------- HOSPITAL

I. SUBJECT: Peripheral Arterial Disease Modality DiscrepanciesII. EFFECTIVE Date: 4/08, Reviewed 4/10III. SIGNATURE: ______________________________________

IV. POLICY: Method for resolution of multiple testing modalities ordiscrepancy in the interpretation of peripheral arterial disease.

V. PROCEDURES:1. Comparison of vascular lab findings with same and/or other modality

and correlate.2. Upon discrepancy, vascular study reviewed by technical staff and

vascular surgeon.3. When available, gold standard comparison considered arteriography.

Although CTA and MRA also maybe used based upon specific conditions.4. Correlation is made with patient history and symptoms, and determine

appropriate education of technologists and interpreting physicians, and/or corrective action regarding technique and/or protocol when indicated.

The hardest is step is … The hardest is step is …