Effective Date: 12/27/89
Title: Section 16.22 - X-ray screening; general requirements; mammography

16.22 X-ray screening; general requirements; mammography.

(a) General requirements. This applies to each person or operator that provides x-ray screening to a target population when there is no individual order for each procedure.

(1) All screening shall be performed under the supervision of a licensed practitioner pursuant to Section 89.4 (a) of this title.

(2) The screening program operator shall establish and maintain a referral system for communicating findings to the patient's primary care provider in a timely fashion.

(3) The screening program operator shall establish and maintain a referral system for patients with suspicious findings or disease when the patient does not report having a primary care provider.

(4) The screening program operator shall annually review the program to determine the appropriateness of continuing screening and report the findings of that review to the Department.

(5) A prospective screening program operator shall apply to the Department and submit information prior to operation indicating how the operator will comply with paragraphs (1) through (4) of this subdivision.

(6) The screening program operator shall prepare and submit to the Department within 15 days of a request, a report that includes the following information for a requested time period:

(i) the total number of patients screened by diagnosis;

(ii) the total number of suspicious findings or disease;

(iii) the total number of patients referred for follow-up for each suspicious finding or disease diagnosed.

(b) Mammography. The following requirements for mammography screening are in addition to those in paragraphs (1) through (5) of subdivision (a) of this section.

(1) All mammographic images shall be interpreted by a qualified physician.

(2) Baseline mammography images shall be maintained for ten years.

(3) Palpation and the teaching of breast self-examination shall be provided.

(4) The screening program operator shall perform an annual analysis of false-positive and false-negative findings for cases where the data can be obtained.

(5) The facility shall prepare and submit to the Department an annual report including:

(i) total number of individuals screened by age group;

(ii) total number of patients referred for follow-up by age group; and

(iii) results of the analysis of false-positive findings.




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