Click here to view the clickable sidebar

The IAC Standards and Guidelines
for Vascular Testing Accreditation

 

Click here for a printer-friendly PDF of the Vascular Testing Standards

Part A:
Organization

Section 1A: Personnel and Supervision

STANDARD – Medical Director

 

1.1A           The Medical Director must be a licensed physician, MD or DO, in the state or jurisdiction of the facility and must be qualified to interpret noninvasive vascular examinations.

 

1.1.1A            Medical Director Required Training and Experience

 

At the time of initial application for accreditation or at the time of appointment as Medical Director, he/she must demonstrate an appropriate level of training and experience by meeting one or more of the following:

 

1.1.1.1A             Physician Credential for Vascular Interpretation

 

i.               Registered Physician in Vascular Interpretation (RPVI)

ii.             Certification from the American Society of Neuroimaging (ASN)

 

            Comment: ASN certification is accepted for physicians who interpretextracranial and intracranial examinations only.

 

1.1.1.2A             Formal Training Completion of a residency or fellowship that includes appropriate didactic and clinical vascular testing experience as an integral part of the program. For those testing areas in which training is provided, the physician must have recent experience within the past three years in interpreting the following minimum number of diagnostic studies under supervision:

 

i.               extracranial cerebrovascular – 100 cases

ii.             intracranial cerebrovascular – 100 cases

iii.           peripheral arterial physiologic – 100 cases

iv.           peripheral arterial duplex – 100 cases

v.             venous duplex ultrasound – 100 cases

vi.           visceral vascular duplex ultrasound – 75 cases

 

1.1.1.3A             Informal Training The informal training pathway allows for qualification of interpreting physicians through a combination of Continuing Medical Education (CME) and supervised practical and supervised interpretive experience.

i.               A minimum of 40 hours of relevant Category 1 CME credits must be acquired within the three-year period prior to the initial application.

 

·         20 hours must be courses specifically designed to provide knowledge of the techniques, limitations, accuracies and methods of interpretations of noninvasive vascular examinations that the physician will interpret.

·         20 hours may be dedicated to appropriate clinical topics relevant to noninvasive vascular testing.

·         Eight of the 40 hours must be specific to each testing area the physician will interpret.

 

ii.             The physician must acquire a minimum of eight hours supervised practical experience for each testing area to be interpreted; observing or participating in testing procedures in a facility accredited for vascular testing.

Comment: Experience must be documented with a letter from the Medical Director of the facility where the experience was obtained.

 

iii.           The physician must acquire experience in the interpretation of exams while under the supervision of a physician who has already met the IAC Vascular Testing Standard. Experience must be acquired in each of the testing areas in which the physician will be providing interpretations for the following minimum number of studies:

·         extracranial cerebrovascular – 100 cases

·         intracranial cerebrovascular – 100 cases

·         peripheral arterial physiologic – 100 cases

·         peripheral arterial duplex – 100 cases

·         venous duplex ultrasound – 100 cases

·         visceral vascular duplex ultrasound – 75 cases


Comment: Interpretive experience must be documented with a letter from the supervising physician of the facility where the experience was obtained indicating the dates of participation and the number of cases in each testing area.

 

1.1.1.4A             Established Practice Training and experience will be considered adequate for a physician who has:

 

i.               met the medical staff credentialing qualifications;

ii.             has worked in a vascular facility for at least the past three years;

iii.           has interpreted at least the following number of diagnostic cases over the past three years in each of the areas that he/she will interpret:

·         extracranial cerebrovascular – 300 cases

·         intracranial cerebrovascular – 300 cases

·         peripheral arterial physiologic – 300 cases

·         peripheral arterial duplex – 300 cases

·         venous duplex ultrasound – 300 cases

·         visceral vascular duplex ultrasound – 225 cases

 

Comment: A current abnormal case study final report interpreted by each physician applying under the established practice pathway must be submitted in the application.

 


 

1.1.2A            Medical Director Responsibilities

The Medical Director responsibilities include but are not limited to:

 

1.1.2.1A             all clinical services provided and the quality and appropriateness of the care provided;

 

1.1.2.2A             supervising the entire operation; may delegate specific duties to appropriate staff;

 

1.1.2.3A             approval of the medical staff and supervision of their work;

 

1.1.2.4A              maintaining and assuring compliance to the Standards as outlined in this document.

 

Comment: If the Medical Director is off site, he/she must have a physical presence in the facility to participate in regular Quality Improvement (QI) meetings, case study review conferences, personnel interviews and other facility operations.

1.1.3A            Continuing Medical Education (CME)

 

1.1.3.1A             The Medical Director must show evidence for maintaining current knowledge by participating in CME courses that are relevant to noninvasive vascular testing.

Comment: To be relevant the course content must address principles, instrumentation, techniques or interpretation of noninvasive vascular testing.

 

i.               A minimum of 15 hours of CME is required every three years, of which 10 hours must be Category 1.

Comment: Facility internal Quality Improvement (QI) meetings are not eligible as part of this CME requirement.

 

ii.             The CME requirement will be waived if, in the previous three years prior to the application submission, the Medical Director has:

·         completed formal training;

·         acquired the RPVI credential or ASN certification;

·         been employed in the facility less than one year.

 

(See Guidelines below for further recommendations)

STANDARD – Technical Director

 

1.2A           A qualified Technical Director must be designated for the facility. The Technical Director is generally a full-time position. If the Technical Director is not onsite full time, he/she must work a minimum of 20% of normal business hours each month. An appropriately credentialed vascular technologist must be appointed in the Technical Director’s absence and report to the Technical Director. The appointed technologist must: supervise and assist others in performing the examinations; oversee day-to-day operations; and communicate weekly with the Technical Director to maintain compliance with the Standards.

 

Comment: The Medical Director or a member of the medical staff must satisfy the qualifications of the Technical Director to serve in that capacity.

 

1.2.1A            Technical Director Required Training and Experience

The Technical Director must meet the following criteria:

 

1.2.1.1A             The Technical Director must have an appropriate credential in vascular testing:

 

i.               Registered Vascular Technologist (RVT);

ii.             Registered Vascular Specialist (RVS);

iii.           Registered Technologist Vascular Sonography [RT(VS)];

iv.           Registered Diagnostic Medical Sonographer in Abdomen [RDMS (AB)] (visceral vascular testing only);

v.             American Society of Neuroimaging (ASN) (extracranial and intracranial testing only);

vi.            Registered Phlebology Sonographer (RPhS) (peripheral venous testing only).

 

1.2.1.2A             For each testing area applied for, the Technical Director must have performed the following minimum number of studies:

 

i.               extracranial cerebrovascular – 100 cases

ii.             intracranial cerebrovascular – 100 cases

iii.           peripheral arterial physiologic – 100 cases

iv.           peripheral arterial duplex – 100 cases

v.             venous duplex ultrasound – 100 cases

vi.           visceral vascular duplex ultrasound – 75 cases

 

Comment: If the Technical Director does not meet the testing volume requirements for any testing section, a qualified Co-Technical Director must be appointed for those testing sections.

 

1.2.2A            Technical Director Responsibilities

The Technical Director responsibilities include but are not limited to:

 

1.2.2.1A             must report directly to the Medical Director;

 

1.2.2.2A             all facility duties as delegated by the Medical Director;

 

1.2.2.3A             supervision of the technical and ancillary staff (may be delegated);

 

1.2.2.4A             daily technical operation of the facility: staffing, scheduling, record keeping;

 

1.2.2.5A             quality patient care;

 

1.2.2.6A             technical training;

 

1.2.2.7A             operation and maintenance of the equipment;

 

1.2.2.8A             compliance to the Standards as outlined in this document.

 

1.2.3A            Continuing Medical Education (CME)

 

1.2.3.1A              The Technical Director must show evidence of maintaining current knowledge by participating in CME courses that are relevant to vascular testing.

Comment: To be relevant the course content must address principles, instrumentation, techniques or interpretation of noninvasive vascular testing examinations.

 

i.               A minimum of 15 hours of CME is required every three years.

 

Comment: Facility internal Quality Improvement (QI) meetings are not eligible as part of this CME requirement.

ii.             The CME requirement will be waived if:

·         acquired an appropriate vascular credential within the previous three-year period;

 

(See Guidelines below for further recommendations)

STANDARD – Medical Staff

 

1.3A           A qualified medical staff must be designated for the facility. All members of the medical staff must be licensed physicians, MD or DO, and must be qualified to interpret noninvasive vascular examinations.

 

1.3.1A            Medical Staff Required Training and Experience

At the time of initial application for accreditation or at the time of appointment to the medical staff, he/she must demonstrate an appropriate level of training and experience by meeting one or more of the following:

 

1.3.1.1A             Physician Credential for Vascular Interpretation

 

i.               Registered Physician in Vascular Interpretation (RPVI)

ii.             Certification from the American Society of Neuroimaging (ASN)

 

Comment: ASN certification is accepted for physicians who interpret extracranial and intracranial examinations only.

 

1.3.1.2A             Formal Training – Completion of a residency or fellowship that includes appropriate didactic and clinical vascular testing facility experience as an integral part of the program. For those testing areas in which training is provided, the physician must have recent experience within the past three years in interpreting the following minimum number of diagnostic studies under supervision:

 

i.               extracranial cerebrovascular – 100 cases

ii.             intracranial cerebrovascular – 100 cases

iii.           peripheral arterial physiologic – 100 cases

iv.           peripheral arterial duplex – 100 cases

v.             venous duplex ultrasound – 100 cases

vi.           visceral vascular duplex ultrasound – 75 cases

 

1.3.1.3A             Informal Training The informal training pathway allows for qualification of interpreting physicians through a combination of Continuing Medical Education (CME) and supervised practical and supervised interpretive experience.

 

i.               A minimum of 40 hours of relevant Category 1 CME credits must be acquired within the three-year period prior to the initial application.

·         20 hours must be courses specifically designed to provide knowledge of the techniques, limitations, accuracies and methods of interpretations of noninvasive vascular examinations the physician will interpret.

·         20 hours may be dedicated to appropriate clinical topics relevant to vascular testing.

·         Eight of the 40 hours must be specific to each testing area the physician will interpret.

 

ii.             The physician must acquire a minimum of 8 hours supervised practical experience for each testing area to be interpreted; observing or participating in testing procedures in a facility accredited for vascular testing.

 

Comment: Experience must be documented with a letter from the Medical Director of the facility where the experience was obtained.

 

iii.           The physician must acquire experience in the interpretation of examinations while under the supervision of a physician who has already met the IAC Vascular Testing Standard. Experience must be acquired in each of the testing areas in which the physician will be providing interpretations for the following minimum number of studies:

·         extracranial cerebrovascular – 100 cases

·         intracranial cerebrovascular – 100 cases

·         peripheral arterial physiologic – 100 cases

·         peripheral arterial duplex – 100 cases

·         venous duplex ultrasound – 100 cases

·         visceral vascular duplex ultrasound – 75 cases

 

Comment: Interpretive experience must be documented with a letter from the supervising physician of the facility where the experience was obtained indicating the dates of participation and the number of cases in each testing area.

 

1.3.1.4A             Established Practice – Training and experience will be considered adequate for a physician who has:

 

i.               met the medical staff credentialing qualifications;

ii.             has worked in a vascular facility for at least the past three years;

iii.           has interpreted at least the following number of diagnostic cases over the past three years in each of the areas that he/she will interpret:

·         extracranial cerebrovascular – 300 cases

·         intracranial cerebrovascular – 300 cases

·         peripheral arterial physiologic – 300 cases

·         peripheral arterial duplex – 300 cases

·         venous duplex ultrasound – 300 cases

·         visceral vascular duplex ultrasound – 225 cases

 

Comment: A current abnormal case study final report interpreted by each physician applying under the established practice pathway must be submitted in the application.

 

1.3.2A            Medical Staff Responsibilities

Medical staff responsibilities include but are not limited to:

 

1.3.2.1A              interprets and/or performs clinical studies in accordance with privileges approved by the Medical Director and in compliance with the Standards outlined in this document.

1.3.3A            Continuing Medical Education (CME)

 

1.3.3.1A             Each medical staff member must show evidence of maintaining current knowledge by participating in CME courses that are relevant to vascular testing.

Comment: To be relevant the course content must address principles, instrumentation, techniques or interpretation of noninvasive vascular testing.

 

i.               A minimum of 15 hours of CME is required every three years, of which 10 hours must be Category 1.

Comment: Facility internal Quality Improvement (QI) meetings are not eligible as part of this CME requirement.

 

ii.             The CME requirement will be waived if, in the previous three years prior to the application submission, the medical staff member has:

·         completed formal training;

·         acquired the RPVI credential or ASN certification;

·         been employed in the facility less than one year.

 

(See Guidelines below for further recommendations)

STANDARD – Technical Staff

 

1.4A           A qualified technical staff must be designated for the facility.

 

1.4.1A            Technical Staff Required Training and Experience

 

1.4.1.1A             For each testing area applied for, the technical staff member must have performed the following minimum number of studies:

 

i.               extracranial cerebrovascular – 100 cases

ii.             intracranial cerebrovascular – 100 cases

iii.           peripheral arterial physiologic – 100 cases

iv.           peripheral arterial duplex – 100 cases

v.             venous duplex ultrasound – 100 cases

vi.           visceral vascular duplex ultrasound – 75 cases

 

Comment: An individual who does not meet the testing volume requirements for any testing section is considered a trainee.

 

1.4.1.2A             The technical staff must have an appropriate level of training and experience by meeting one or more of the following criteria:

i.               Credential – An appropriate credential in vascular testing:

 

·         Registered Vascular Technologist (RVT);

·         Registered Vascular Specialist (RVS);

·         Registered Technologist Vascular Sonography [RT(VS)];

·         Registered Diagnostic Medical Sonographer in Abdomen [RDMS (AB)] (visceral vascular testing only);

·         American Society of Neuroimaging (ASN) (extracranial and intracranial testing only);

·         Registered Phlebology Sonographer (RPhS) (peripheral venous testing only).

 

ii.             Provisional Staff

 

·         New graduates of a vascular testing program who are employed in an accredited facility must obtain an appropriate credential within one year from the date of graduation and must be listed in the application as provisional technical staff who are eligible for credentialing and must only work under direct supervision of a credentialed vascular sonographer.

·         Individuals employed in an accredited facility who are cross-training in vascular testing or working to fulfill clinical experience pre-requisites for a credentialing examination must obtain an appropriate credential within two years from the start date of training. These individuals must be listed in the application as provisional technical staff who are eligible for credentialing, and must only work under direct supervision of a credentialed vascular sonographer.

 

1.4.2A            Technical Staff Responsibilities

Technical staff responsibilities include but are not limited to:

 

1.4.2.1A             reporting to the Technical Director;

 

1.4.2.2A             performing clinical examinations and other assigned tasks.

1.4.3A            Continuing Medical Education (CME)

 

1.4.3.1A             The technical staff must show evidence of maintaining current knowledge by participating in CME courses that are relevant to vascular testing.

Comment: To be relevant the course content must address principles, instrumentation, techniques or interpretation of noninvasive vascular testing.

 

1.4.3.2A             A minimum of 15 hours of CME is required every three years.

Comment: Facility internal Quality Improvement (QI) meetings are not eligible as part of this CME requirement.

 

1.4.3.3A             The CME requirement will be waived if:

 

i.                      the technologist is considered a provisional staff member,

OR

ii.           acquired an apprioriate vascular credential within the previous three-year period.

 

(See Guidelines below for further recommendations)

STANDARD – Support Services

 

1.5A           Ancillary personnel (clerical, nursing, transport, etc.) necessary for safe and efficient patient care must be provided.

 

1.5.1A            The Medical Director must ensure that support services are appropriate and in the best interest of patient care.

 

1.5.2A            Clerical and administrative support must be sufficient to ensure efficient facility operational record keeping.

 

1.5.3A            Nursing and ancillary services must be sufficient to ensure quality patient care.

 

 

 

Section 1A: Personnel and Supervision
Guidelines

 

1.1A                Medical Director – Continuing Experience

 

·         The monthly volume should be sufficient to maintain proficiency in examination interpretation.

·         In general, the Medical Director should interpret a minimum of five noninvasive vascular examinations per month per area of testing.

·         The total volume of interpretations may be combined from sources other than the applicant facility.

Comment: Lower volumes than those recommended here should not dissuade a facility that is otherwise compliant from applying for accreditation.

 

1.2A                Technical Director – Continuing Experience

 

·         The monthly volume should be sufficient to maintain proficiency in examination performance.

·         In general, the Technical Director should perform a minimum of five noninvasive vascular examinations per month per area of testing.

·         The total volume of cases may be combined from sources other than the applicant facility.

 

Comment: Lower volumes than those recommended here should not dissuade a facility that is otherwise compliant from applying for accreditation.

 

1.2.3A            Technical Director – Continuing Medical Education

·         At least one hour of the 15 CME should be relative to work-related musculoskeletal disorders (MSD).

1.3A                Medical Staff – Continuing Experience

 

·         The monthly volume should be sufficient to maintain proficiency in examination interpretation.

·         In general, the medical staff should interpret a minimum of five noninvasive vascular examinations per month per area of testing.

·         The total volume of interpretations may be combined from sources other than the applicant facility.


Comment: Lower volumes than those recommended here should not dissuade a facility that is otherwise compliant from applying for accreditation.

 

1.4A                Technical Staff – Continuing Experience

 

·         The monthly volume should be sufficient to maintain proficiency in examination performance.

·         In general, the technical staff should perform a minimum of five noninvasive vascular examinations per month per area of testing.

         The total volume of cases may be combined from sources other than the applicant facility.

 

Comment: Lower volumes than those recommended here should not dissuade a facility that is otherwise compliant from applying for accreditation.

 

1.4.1.2Ai        Though the Standards include multiple pathways by which a technical staff member may document experience and training, the IAC encourages that all staff members acquire an appropriate credential in vascular testing.

 

1.4.1.2Aii       The program should be accredited by the Commission for Accreditation of Allied Health Education Programs (CAAHEP) in collaboration with the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS) and/or the Joint Review Committee on Education in Cardiovascular Technology (JRC-CVT) or the Canadian Medical Association (CMA).