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  • 28 Apr 2017 2:06 PM | Oregon Society of Radiologic Technologists (Administrator)


    Dear Colleague: 

    The Medicare Access to Radiology Care Act of 2017 was introduced on March 29 by Senator John Boozman (R-AR) as S. 769 and on April 5 by Rep. Pete Olson (R-TX) as H.R. 1904. These bills will enact a law that amends Medicare reimbursement policy and supervision levels for radiologist assistants to align them with state radiologist assistant laws. 

    Adoption of new language contained in H.R. 1904 or S. 769 will enable radiologist assistants to work under less stringent supervision levels and be more efficient health care providers. Passage of the bill will allow radiologists to devote more focused time reviewing and interpreting complex medical images or urgent cases, thus increasing access to care. 

    Radiologist assistants have advanced education and clinical experience, and can expertly and safely perform radiologic assessments and certain procedures that traditionally are performed only by radiologists. 

    Without Medicare's recognition of radiologist assistants, the profession is in peril. As a direct result of Medicare's current policy, radiologist assistants are losing their jobs and universities are on the verge of suspending or terminating their educational programs.

    All radiologic technologists can help by contacting their senators and asking them to cosponsor S. 769 and their congressman asking him or her to cosponsor H.R. 1904.  This is easy to do by using ASRT's Advocacy Action Center to learn more about the bills and send a message

    You can find more information, monitor activities and follow up with your federal lawmakers on the MARCA bills in the ASRT Advocacy Action Center

    Sincerely,

    Michael Latimer, M.S.R.S., R.T.(R)
    President


  • 28 Apr 2017 1:21 PM | Oregon Society of Radiologic Technologists (Administrator)

    New Business:

    1. Proposed rule to establish civil penalty schedule for employing an unlicensed person to perform imaging.  

    • OBMI is drafting a proposal to fine facilities for employing an unlicensed person.  They voted to accept a proposal which would fine institutions based on the number of individual patients served.  The proposed fee schedule is as follows:
      • $5,000 if service was provided to no more than 50 patients.
      • $10,000 if service is provided to 51-100 individual patients
      • $20,000 if service is provided to 101-150 individual patients
      • $30,000 if service is provided to 151-200 individual patients
      • $50,000 if service is provided to more than 200 individual patients
    • There was discussion on this as one of the board members felt like the fines were too harsh especially considering rural organizations, but the board ruled to proceed with the proposal noting the penalties need to be significant enough to detour facilities from using non licensed employees to operate imaging equipment.
    • I asked if this would apply to current situation of APRN's reportedly using fluoroscopy while performing pain management injections and the reply was yes.
    • Next steps:  This will go to public comment.  

    2. Five year review of specified administrative rules, in accordance with ORS 183.405.

    This was just a procedural item as they must review their administrative rules every 5 years.  No discussion to note.  

    3.  Proposed policy for handling public records requests

    • Policy on how to request public records including fees to obtain public records was approved.  Currently OBMI will only release the name and address of a licensee.  
    4. Planning future election of Board Chair and Vice-Chair.
    • This was an informational item from Ed that there will upcoming elections so for those board members who might be interested in serving ad chair or vice chair, they should let Ed know.

    Old Business:

    1. CT waiver request – follow-up question following the Board’s January action on CT waivers.

    • Last meeting there was a request for a CT waiver from a rural hospital which was denied.  A CT tech from this facility has attempted to take her CT registry with ARRT three times and has failed.  ARRT will not allow her to sit for another test, but OBMI could sponsor her to take the ARRT test which would apply to Oregon only.  Meaning if she were to pass the exam administered by OBMI, but written by ARRT she would only be allowed to practice at her specific site and in Oregon.  She would not be able to practice anywhere else and would not be considered ARRT registered.  
    • The board had mixed feelings on allowing her to test for a 4th time.
    • Currently the facility has 9 CT techs.
    • Next steps:   The board requesting the site prove that not having her employed has created a hardship.

    2. Board action regarding possible rulemaking regarding supervision of temporary limited permit holders

    • The rulemaking is still in process for supervision and the board suggested that the RAC meet again to clean up some of the language on the proposal.  
    • Tom King reported an inspection with Pioneer Pacific's LXMO program in Wilsonville and it passed inspection.  He mentioned their organization of student records was lacking and the rooms were very messy which was concerning to him if students were picking up on these habits.  
    • They held student interviews which reflected the organization concerns from instructors.  
    • There was also much discussion on the extremely low pass rates and Rick Hoylman said these scores were unacceptable and the schools should be held accountable.
    • Next steps:  Tom will continue to inspect LXMO schools and the board put in a request to the board's attorney to see if OBMI has the authority to hold the school accountable to their low registry scores. The attorney will investigate whether or not the board can step in and consider issuing sanctions against LXMO who have poor registry pass rates.  

    3. APRNs providing verbal instructions during fluoroscopy procedure—update on SB 801.

    • SB 801 legislation was pulled There has been no contact from ONA on the proposal.  
    4.  Update on OBMI’s legislative concepts for the 2017 session in Salem. 
    • HB 2267 for Opthalmic Sonography was signed by the Governor.  
    5. Update on legislative action on the OBMI budget for the upcoming 2017-19 biennium.
    • Informational only.  Nothing noted.  


  • 24 Apr 2017 3:24 PM | Oregon Society of Radiologic Technologists (Administrator)


    Tauna Callahan - PCC - 1st Place (Center)

    Amber Hagen - PCC - 2nd place (Left)

    Karen Wickman - Oregon Tech  - 3rd place (right) 

  • 18 Apr 2017 3:09 PM | Oregon Society of Radiologic Technologists (Administrator)

    Links to Ergonomic/SPHM Equipment Ideas

    “Ergonomics in the Radiology Work Setting” ---   OSRT Annual Conference April 21, 2017

    Candace Shorack, MA, OTR/L       

    CShorack@peacehealth.org   541-222-2541

    Friction Reducing Devices: Lateral Patient Movement

    HoverTech International    Hovermatt

    http://www.hovermatt.com/hovermatt-menu.html

    McAuley Medical   RollBord Transfer Board

    https://www.mcauleymedical.com/Samarit_Rollbord.php

    Jamar, Patran, Tollos, etc.  Slippery Tubes and Sheets

    https://www.youtube.com/watch?v=gh19ULKUJww

    http://www.patran.net/

    North Coast Medical   SLIPP Patient Mover

    https://www.ncmedical.com/item_1795.html

    Reposition & Position Supine Patients

    HoverTech International    HoverAirWedge

    http://www.hovermatt.com/air-wedge.html

     

    Barton Medical Convertible Chair/Transfer System

    http://www.pattersonmedical.com/app.aspx?cmd=getProduct&key=IF_45956

     JZ Imaging & Consulting   Leg Lift

    http://www.jzimaging.com/Leg_lift_positioning_aid.htm

     

    Transfer Seated Patients: Standing Aids

    Romedic   ReTurn 7500 Standing Aid

    https://www.handicare.com/en/products//transfer-and-lifting/sittostand-aids/systemromedic-return7500i-/c-39/c-204/p-293

    Gimme A Lift

    http://www.gimmealift.com/hospitals/

    Transfer Seated Patients: Non-Powered Options

    AliMed  Beasy transfer boards

    http://www.alimed.com/beasy-transfer-board/

    Arjo Huntleigh   Sara Stedy

    http://www.arjohuntleigh.us/products/patient-transfer-solutions/standing-raising-aids/sara-stedy/

    Transfer Seated Patients: Powered Options

    Brewer   Lift Mate

    http://brewercompany.com/product/brewer-liftmate/

    Sit-to-Stand Lift (many manufacturers & models)

    http://invacare.com/cgi-bin/imhqprd/inv_catalog/prod_cat_detail.jsp?s=0&prodID=ROZE&catOID=-536885359

    Portable Dependent Lift (many manufacturers and models)

    http://www.hill-rom.com/usa/Products/Category/Patient-Handling/Mobile-patient-lifts/Golvo-8000--8008-Patient-Lift/

    Patient Transport

     PHS West   Bariatric self-propelled chair

    https://www.phswest.com/products/patient-transport-chairs/

    Stryker   Prime TC Patient Transport Chair

    https://www.google.com/search?q=stryker+patient+transport+chair&sourceid=ie7&rls=com.microsoft:en-US:IE-Address&ie=&oe=&safe=active&gws_rd=ssl#spf=1

    Zoom Stretcher

    http://www.stryker.com/en-us/products/PatientHandlingEMSandEvacuationEquipment/Stretchers/GeneralPurposeTransportStretchers/PrimeSeriesStretchers/index.htm

    Equipment for Staff Use

    Darcor    Casters (Galifco Oregon)

    http://darcor.com/

    Positioning Bolsters for Support of Technologist’s Arm

    Size 6” x 8” x 12”

    http://www.isokineticsinc.com/category/pt_rehab_pt_positioning_bolsters/product/cl_54

    Size 3” x 8” x 12”

    http://www.isokineticsinc.com/category/pt_rehab_pt_positioning_bolsters/product/cl_53

    Computer Work Stations:

    Ergotron    Sit/Stand Desks

    http://www.ergotron.com/en-gb/products/stand-up-desks/desk-conversions

    Alternative Mouse Designs:

    Evoluent Vertical Mouse

    https://evoluent.com/

    Contour Design RollerMouse Pro2  

    http://www.contourdesign.com/US/product/rollermouse-pro2/

    Alternative Keyboard Designs: 

    Microsoft Sculpt Desktop Ergonomic

    https://www.microsoft.com/accessories/en-us/products/keyboards/sculpt-ergonomic-desktop/l5v-00001

    Kensington Comfort-Type Keyboard

    https://www.kensington.com/us/us/4489/k64338us/comfort-type-usb-keyboard

    Ceiling Hoist Lifts

    There are numerous manufacturers and vendors for ceiling hoist lifts. When it’s practical for your patient census, it is less expensive to install ceiling tracking in more than one area and use portable hoist motors that can be moved room-to-room as needed for patient transfers and movement.

    Oregon Workers’ Compensation System as a Funding Source for Equipment

    The Employer-at-Injury Program (EAIP) is designed to encourage the early return to work of injured workers. EAIP is administered by all workers compensation insurers in Oregon. Insurers establish their own EAIP policies & practices. SAIF will pay vendors directly for EAIP equipment purchases. Other insurers require employers to cover the cost of equipment until they are reimbursed by the State of Oregon.

    Eligibility & Benefits of EAIP:

    • 1)       Injured workers must have filed a workers compensation claim and be released for work with restrictions that prevent the worker from doing full-duty regular work.
    • 2)       ​The injured worker must be doing “transitional work” which must be within the worker’s specific injury-caused restrictions.
    • 3)      $5,000 per injured worker for worksite modification and purchases of tools and equipment

    Official Sources of Information & Answers about EAIP:

    1)            Call toll free   1-800-452-0288

    2)            Email   eaip.oregon@oregon.gov

    3)            Web    http://wcd.oregon.gov/rtw/Pages/eaip.aspx

    Case Example Information Packet:

    Email me CShorack@peacehealth.org and I will send you a detailed 13 page packet including:

    • 1)      Information and advice based on my experiences using EAIP work site modifications to purchase ergonomic equipment for Peacehealth Sacred Heart Medical Center injured staff.
    • 2)      List of 14 types of equipment that have been purchased by Peacehealth using EAIP funding.
    • 3)      Sample Equipment Justification Form with specific injured worker case example.
    • 4)      Full texts of justifications for 7 types of patient handling equipment that you are welcome to adapt and use.
    Full texts of Progressive Modified Return-To-Work Plans that we use to design modified light duty work for Imaging Tech and Imaging RN staff. You are welcome to adapt 



  • 06 Apr 2017 2:10 PM | Oregon Society of Radiologic Technologists (Administrator)


    Dear Colleague: 

    The Medicare Access to Radiology Care Act of 2017 was introduced on March 29 by Senator John Boozman (R-AR) as S. 769 and on April 5 by Rep. Pete Olson (R-TX) as H.R. 1904. These bills will enact a law that amends Medicare reimbursement policy and supervision levels for radiologist assistants to align them with state radiologist assistant laws. 

    Adoption of new language contained in H.R. 1904 or S. 769 will enable radiologist assistants to work under less stringent supervision levels and be more efficient health care providers. Passage of the bill will allow radiologists to devote more focused time reviewing and interpreting complex medical images or urgent cases, thus increasing access to care. 

    Radiologist assistants have advanced education and clinical experience, and can expertly and safely perform radiologic assessments and certain procedures that traditionally are performed only by radiologists. 

    Without Medicare's recognition of radiologist assistants, the profession is in peril. As a direct result of Medicare's current policy, radiologist assistants are losing their jobs and universities are on the verge of suspending or terminating their educational programs.

    All radiologic technologists can help by contacting their senators and asking them to cosponsor S. 769 and their congressman asking him or her to cosponsor H.R. 1904.  This is easy to do by using ASRT's Advocacy Action Center to learn more about the bills and send a message

    You can find more information, monitor activities and follow up with your federal lawmakers on the MARCA bills in the ASRT Advocacy Action Center

    Sincerely,

    Michael Latimer, M.S.R.S., R.T.(R)
    President


  • 08 Mar 2017 3:16 PM | Oregon Society of Radiologic Technologists (Administrator)

    After a flurry of activity around SB 801, it’s now been tabled with no action since being pulled from the public hearing agenda last Monday, February 26. Although the bill has been quiet, members of the OSRT have been diligent in efforts to stay on top of the return of this bill. We’ve been requesting meetings with Senators on the Committee for Health Care, communicating with other organizations, informing technologists and the public about this bill, as well as preparing a response on further action of it.

     

    This Thursday, March 9th there will be a working session of the Senate Committee on Health Care. At this meeting they are set to discuss and hopefully adopt a non-controversial bill that OBMI submitted for consideration, HB 2267. There is a chance that at this hearing the door will be open for the details of SB 801 to be considered as an amendment. We have no formal proof that this will happen and are told it is unlikely. However, as tenacious as the ARNPs have been about being granted these privileges during this legislative session, it seems this may be a good opportunity for their cause. Rest assured, we are working to have OSRT members present at that hearing to respectfully monitor, listen and offer insight if HB 2267 starts moving toward amendment mode. Stopping SB 801 before it gets started is the best thing we can do.

     

    Your support is vital to this fight. Please continue to stay informed via our website or Facebook page. And important information that requires action will be sent via email to our members. We are always accepting new members.

     

    Thank you,

    Bobbi


  • 07 Mar 2017 11:54 AM | Oregon Society of Radiologic Technologists (Administrator)

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    Annual Drawing Affiliate Competition

    The affiliate that raises the most money per capita will receive $750, and the second place affiliate will receive $250.

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    In order for OSRT to receive credit for your entry, you must list "state affiliate" as how you heard about the drawing.


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  • 01 Mar 2017 12:08 PM | Oregon Society of Radiologic Technologists (Administrator)

    At this time SB 801 is not rescheduled on the Senate Committee’s agenda; however HB 2267 is a “work session” bill.  This is the bill that provides an exemption for individuals performing ophthalmic sonography.  Since the RT statute will be open for amendment with this bill, the ARNPs may try to get the text of SB 801 rolled into HB 2267. There is a currently a hearing scheduled for HB 2267 on Thursday, March 9th at 1:00 PM. OSRT is working diligently with other societies and medical professionals to bring awareness to this extremely important piece of legislation. 


    Bobbi Johnston, RT(R)(MR)

    OSRT President




  • 01 Mar 2017 12:01 PM | Oregon Society of Radiologic Technologists (Administrator)

     Overview

    For those of you who may not be aware, OSRT was notified last week (2/23) that there is a proposed bill going to the senate that would allow Advanced Nurse Practitioners to perform imaging studies to include fluoroscopy, general x-ray, CT, MRI, etc.  Advanced Nurse Practitioners include nurse practitioners, certified registered nurse anesthetists and clinical nurse specialists. 

     Senate Bill 801

    (a) Providing direction to a medical imaging licensee for the purpose of performing a medical procedure that is within the scope of practice of the licensed nurse practitioner, certified registered nurse anesthetist or clinical nurse specialist; or

    (b) Performing a medical imaging modality that is within the scope of practice of the licensed nurse practitioner, certified registered nurse anesthetist or clinical nurse specialist.

                                                     Click here for Senate Bill 801

    As you can see from the wording above, this would give Advance Nurse Practitioners authorization to not only direct techs (a), but perform imaging studies themselves (b).  Given they don't have the level of education to perform these studies it puts the public at risk. We need to get everyone involved including the Radiologists in order to prevent this bill from proceeding.  

     Get Involved

    The public hearing will be held:

    Tuesday 2/28 at 1 PM

    Oregon State Capital, Senate Room B
    Salem, OR


    Here is what you can do:
       
    Verbal Testimony:
    • Attend the public hearing on 2/28/17 @ 1 p.m. at the Capital Building in Senate Room B.  At the beginning of the committee meeting, there will be a table inside the door with a testifier sign-up sheet. Please fill in requested information. As the public hearing progresses, the committee assistant will provide the list to the chair, so the people who sign up will be called upon to testify.


    • If you are not able to make the meeting, call a committee member and express that you are opposed to the bill given that APRN's have no formal training in radiography and pose a serious health risk to the public.  Their contact info can be found here.

      Written Testimony

      • Each committee has an email address to submit a written testimony. This testimony should be submitted 24 hours in advance to the public hearing. Please make sure to clearly identify Senate bill 801 at the top of you testimony.


        Send your written testimony to the Senate Committee on Health Care: shc.exhibits@oregonlegislature.gov.

       Share This Information
        We are hopeful you can share this message. Not only does this affect our patients, but it threatens the jobs of Rad Techs and Radiologists.  Having the support from our Rads will be essential to shut this bill down. Help OSRT create statewide awareness of this bill in the imaging community
         

        Good News

        • ASRT has written a letter of support opposing the proposal and is working with OSRT to assist in anyway that they can. Click here for letter
        • OSRT is working diligently to represent our needs, but we need your help!
        The sponsor, Laurie Monnes Anderson and Rep. Carla Piluso, will be holding a constituents meeting.

        When: Saturday, February 25th
        Where: Rockwood Public Safety Building - 675 NE 181st Ave, Portland
        Time: 10:00am - 11:30am

        OSRT strongly encourages your attendance at the public hearing and/or the constituents meeting.


        Thank you for your support.
        - Oregon Society of Radiologic Technologists 
           


        • 05 Dec 2016 4:42 PM | Oregon Society of Radiologic Technologists (Administrator)

          Radiation Protection Services (RPS) recently cancelled a proposed rulemaking to allow Advanced Practice Registered Nurse’s (APRN’s) to personally supervise fluoroscopy during interventional pain management procedures and requiring additional training for non-radiologist practitioners to become eligible to personally supervise or operate fluoroscopy devices.  The notice of proposed rulemaking was unfiled with the Secretary of State’s Administrative Rules Unit and the related public hearing cancelled.  This was due to RPS learning of a possible conflict between the draft rules and the Oregon Board of Medical Imaging (OBMI) statute that only permits physicians to supervise medical imaging equipment operators [ORS 688.405 (18)].

           

          RPS has subsequently modified the proposed rule language so that it does not refer to “supervision” of operators by APRNs and instead  would allow APRNs to give verbal instructions to operators to activate and terminate fluoroscopy if the APRN has completed the didactic, applications and clinical training that was in the original draft.

           

          Furthermore, the original proposed rules establishing additional training requirements for non-radiologist practitioners to become eligible to supervise or operate fluoroscopy devices have been removed. 

           

          Our agency is requesting your feedback by December 7, 2016,  in order to file a notice of proposed rulemaking with the Secretary of State.  A Public Hearing will be scheduled for January 17, 2017.  It is our intent to make the rules effective February 1, 2017.


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