How to prep a site before offering mobile CT, PETPosted on: 08.17.17
Whether it’s used while you upgrade and remodel, to accommodate increased volume, or for disaster recovery, a mobile CT or PET/CT unit might be the ideal solution either on a short-term or long-term basis. Independent of the mobile imaging provider you choose, there is some lead-time needed to prepare your facility for the service from a regulatory standpoint as well as from a site planning position.
Adding a mobile CT unit to your facility requires the x-ray tube to be registered with the state and an annual evaluation performed by a licensed physicist. Some states also require initial acceptance testing be performed by a licensed in-state physicist. Ideally, the mobile provider’s Radiation Safety Officer will coordinate this service. The process could take anywhere from 2 weeks to 3 months, depending upon the state.
In the case of a PET/CT unit, if the mobile company does not currently hold a radioactive materials license in a particular state, a new application must be submitted. While the approval process can take between three and six months, in many states, the company also has the ability to work under reciprocity for a temporary time period until the new application is approved.
When a current radioactive materials license is already in place, only an amendment to include the additional location address and authorized user is needed. An amendment can take one to three months, depending upon the state. As with a dedicated CT unit, the PET/CT x-ray tube must be registered with the state, and an annual physicist evaluation will be performed on both the CT and the PET portion of the scanner.
A memorandum of understanding must also be signed by both the facility and the PET/CT provider. This document outlines the responsibilities of each party and as evidenced by their signatures, their agreement to the assignments. It is required in all states.
Physical site requirements
Choosing a physical site for the mobile unit is an important decision. Space, shielding design, proximity to your building, and occupancy of the surrounding areas are important factors to consider. The recommended support pad for the mobile unit is concrete and is 10’11” x 40’8”; the measurements for the recommended service pad are 21’ x 58’, which will allow full-service access to the unit.
You’ll also need to consider the size and weight of the trailer when deciding on an area. Its overall weight is 57,000+ pounds, and it is 53’ long. The designated area should provide ample space and be able to adequately support the trailer’s weight without concern of shifting or sinking. Asphalt is ideal because it allows for a firm, level surface, but tightly packed gravel is an option, as is grass in some situations.
Another consideration is power to the mobile unit. A single electrical power source, 3/N/PE AC 480V service fused at 150 amperes, is required for operation of a PET/CT system. It should be located within 300 feet of the main power source. A Lockout/Tagout provision in accordance with OSHA Standard 1910.147 is also required.
Telephone and data service requirements
The mobile unit will have three telephone connections. For use at the site, you’ll need to purchase and install one Hubbell all-weather telephone connection. 50’ phone cords are included with the mobile unit, and the unit is also supplied with 2 CAT5 data line connections, along with the required 50’ data connection cables.
Site Planning Guide
These are the major highlights of the planning phase that you’ll need to consider. Once you decide to move forward, many companies will offer a site-planning guide that delivers more detail, including model numbers and requirements specific to their service to ensure smooth delivery, set up, and proper functionality.
How mobile Women’s health facilities are changing the hospital landscapePosted on: 05.11.17
Patients are expecting better service from physicians and hospitals. Compounded by the new quality measures that are heavily weighted on patient experience, hospitals are recognizing the need to make changes. If patients don’t report a positive, comfortable or reassuring experience, then providers’ quality scores decline, and it negatively affects reimbursement payments.
The patient experience is a combination of both environment and equipment. A 2015 study of veteran women reported that environmental elements were critical to having a positive experience. At the same time, quality and current technology should be a standard expectation.
In women’s health facilities, substantial modernizations are being made. Many are looking at how their women’s healthcare environments can improve both quality and environmental criteria so that they meet the public and private sectors’ expectations.
Larger hospitals are renovating their space, but it’s an expensive undertaking. You’re also seeing it in the design of new mobile units, too. There is much more emphasis and attention on creating a more feminine environment, particularly through color palettes, tone, texture, and lighting. The goal is to have the female population feel more comfortable and relaxed. Ultimately, the traditional clinic setting is not as appealing to women during a mammography or gynecological exam.
Today, in terms of equipment, the biggest debate is 2-D versus 3-D and whether the additional expense is worth it. The trend is creating a lot of interesting discussion. Equipment, in general, is a factor that contributes to the overall patient experience.
It’s difficult, though, for hospitals to continue to chase the newest trend or the next modality, especially when a new and improved version of your cutting edge technology is likely already in the works. Smaller hospitals are getting out of the business for just that reason. They’re choosing to use a mobile service in order to avoid the risk of not being able to provide the most positive experience for their patients.
In addition, many don’t have enough volume to dictate spending money on the newest technology. It simply doesn’t make sense to have a mammography unit at the hospital. It does make sense, however, for a mobile unit to be at their location once a week that can provide both components to create a positive experience.
Could a mobile service help your hospital?
While renovation might be the right choice for some, using a modernized mobile service unit could be the smart choice for others, especially when it comes to women’s health. From helping large hospitals with high capacity issues, to serving the smaller hospital communities with access to state-of-the-art equipment, the added value they provide could help raise your patients’ positive experience level and ultimately your provider quality scores.