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University of Maryland Medical Center

Departmental Scope of Service Statement

Department: Diagnostic Radiology and Nuclear Medicine

Department Senior Administrator:  Penny Olivi

Department Directors:  Teri Amelung, Jeff Knox

Service Overview

The Diagnostic Radiology and Nuclear Medicine Department provides diagnostic and therapeutic services to inpatients and outpatients throughout the Medical Center.  Services are provided in the main department and in Medical Center areas including: Shock Trauma; Emergency Department; Operating Rooms; Intensive Care Units; Cancer Center, Step-down units, and at the bedside when required.

The department performs 850 to 1000 exams daily, about 350,000 exams annually.  These include General Diagnostic, Nuclear Medicine, PET and PET/CT, Angiography (Neuro and Vascular Interventional), Magnetic Resonance Imaging, Ultrasound, and CT. General Diagnostic Radiology and Ultrasound can be provided at the bedside.  All services of the Department are available at all times.

Types and Ages of Patients Served

The Diagnostic Radiology and Nuclear Medicine Department serves patients in all age groups, with an approximate 60/40 split of inpatient to outpatient.  Major populations seen in the Diagnostic Radiology and Nuclear Medicine Department include patients from the Shock Trauma Center, Organ Transplantation patients and donors, Cancer Center, Cardiology, and the Neurosciences.

Scope and Complexity of Patient Care Needs

The general condition of the patients to whom service is provided spans a spectrum from ambulatory to bed-ridden, post-operative, traumatized or those in critical care.  Special needs may include accommodating handicapped patients and non-English speaking patients.  The department provides diagnostic and therapeutic services in all imaging modalities.

Strategies to Assess and Meet Patient Care Needs

The patients seen by the Department are assessed by consultation, documentation, patient interviews, pre-procedure calls, and direct communication with other health care providers.  The patient care standards and clinical guidelines are taken from UMMS policies and procedures, Diagnostic Radiology and Nuclear Medicine policies, procedures, and imaging protocols.  The department participates in interdisciplinary patient care through conferences, tumor boards, and rounds with other patient care providers.

Patient Care Providers

The members of the multi disciplinary health care team in the Diagnostic Radiology and Nuclear Medicine Department include physicians, physicists, imaging technologists, nurses, and radiology patient aides.  Other members of the team are available on an as-needed basis. 

Staffing requirements in the department are determined by RVUs (based on procedures), patient requirements, and service issues.  Staffing requirements vary according to time of day and day of week.  An on-call system of staff is the mechanisms used to cope with unexpected changes in staffing needs.  On-call coverage is available in sections of the Department which are not staffed 24 hours a day.

Medical Staff coverage of the is provided by a team of Radiologists and Nuclear Physicians, comprised of attending physicians, fellows and residents.  Medical students rotate through the Department monthly.  Orientation of new staff consists of a tour of the Department, provision of lecture schedules, assignment schedules, and educational material.  Our radiologists participate in a peer review process.

Extent to Which Care Meets Patients Needs

The Quality Improvement Monitoring Program of the Department of Diagnostic Radiology and Nuclear Medicine includes the principles of the UMMS Improvement methodology and the follows the Patient Safety and Risk Management template from the Dean’s Office in the School of Medicine.  This program includes monitoring of mandated regulatory standards, customer service activities, and productivity and efficiency.

Recognized Standards

The Department maintains compliance with professional standards and guidelines of the American College of Radiology, the American Registry of Radiologic Technologists, the Maryland Department of the Environment and the State of Maryland Board of Physicians, Nursing and Radiographers.