Diagnostic Imaging Quality Assurance Program


The Diagnostic Imaging Quality Assurance Program was created to provide a quality assurance program for medical imaging in the Province of Saskatchewan.  Provincially funded, the DIQA Program is under contract from the Ministry of Health (Medical Services Branch) and administered by the College of Physicians and Surgeons of Saskatchewan.

What We Regulate

Regulatory Bylaw 25.1, Operation of Diagnostic Imaging Facilities in the Province of Saskatchewan, has been developed to ensure the provision of an acceptable quality of patient care in diagnostic imaging.

This document indicates conditions that must exist in any diagnostic imaging facility, whether fixed or portable to allow a physician to:
     - perform diagnostic imaging procedures in that facility; or
     - interpret diagnostic images rendered or obtained in that facility; or
     - refer patients to that facility.


The Advisory Committee on Medical Imaging (ACMI)

The Committee

The Advisory Committee on Medical Imaging (ACMI) of the College of Physicians and Surgeons has been mandated, by its contract with the Ministry of Health, to "develop methods and protocols for the assessment of the quality of medical imaging services provided."

The ACMI is currently comprised of: 
     - four Radiologists
     - one Nuclear Medicine specialist
     - one Obstetrician/ Gynecologist
     - one Cardiologist
     - one Ultrasonographer 
     - one Medical Radiation Technologist
     - representation from Radiation Health and Safety
     - representatives from the Ministry of Health
     - three College staff members, who provide the administration of the DIQA program.

Development of Standards

As part of its mandate, the ACMI has developed Standards of Practicefor Medical Imaging  in the areas of General Ultrasound, Computed Tomography (CT), Bone Densitometry, Interventional Radiology, and Nuclear Medicine.

The following national standards have been adopted by the ACMI for use in its Quality Assurance program:
     - Guidelines for the Provision of Echocardiography in Canada
     - Canadian Association of Radiologists and  Society of Obstetricians and Gynaecologists of Canada Clinical Practice Guidelines for Ultrasound
     - CAR Guidelines for Magnetic Resonance Imaging
     - CAR Practice Guidelines and Technical Standards for Breast Imaging and Intervention

Assessing Compliance

In order to assess compliance with the standards, the ACMI has established a process with which to review imaging physicians, who are selected on a random basis.  Priority is given to Radiologists practicing in remote or solo practices. This process includes peer review assessments of Radiologists, Obstetrician/Gynecologists and those physicians performing Echocardiography (Cardiologists and Internists). Assessment reports are provided to the physician and Medical Director of the facility to provide feedback and education.

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