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Continuous Quality Improvement in Radiology

Course Details

Course Number
Section Number
Summer I 2016
Days & Times


Kimberly Onstott (view Profile)

Course Attachments


No textbooks required for this course.
Course Objectives

Course Objectives:


Being a professional means making an investment in your profession. With today's patient being much more informed about health care, and much more discerning about treatment appropriateness and quality, it is vital that you rise to meet the challenges of the patient and health care delivery. As a working technologist, you will be asked to do more with less--more examinations, more patients, in much less time--without compromising quality. As a department director, you will be expected to provide the highest quality care in your department, with fewer people and a great deal less financial support.

The changes that have to be made to allow this to happen will be difficult and many times painful. This course is an overview of the concept of continuous quality improvement and how changes can be made without increasing the difficulty and pain.

Upon completion of this course, the student should be able to:

  • Delineate the role of the health care manager in continuous quality improvement
  • Describe  the 8 step model for continuous quality improvement
  • Apply the tools used in implementing a continuous quality improvement program
  • Identify the barriers to successful continuous quality improvement.
  • Analyze a scenario for the existence of a problem, customer identification, customer needs and expectations, and possible solutions.
  • Generate solutions for a problem using relevant tools and procedures.
Course Expectations

Class Activities and Assignments

ALL STUDENTS ENROLLED IN RADS 4633 COURSE MUST COMPLETE ALL COURSE REQUIREMENTS. Students can proceed through the course content at their own pace within the boundaries set by the Course Schedule and the MSU Academic Calendar. See the Course Schedule for specific information about activities and due dates. Late work is not accepted and a zero (0) will be recorded after the due date. I strongly suggest you do not wait to the last minute to complete assignments.

Assessment Quiz This quiz is not graded, but is meant to familiarize you with some important material from the syllabus and to familiarize yourself with the format of the unit quizzes. It is highly recommended.

Introductions Please introduce yourselves in the introduction discussion board. There are a wide variety of technologists in this course from entry-level to seasoned technologists, and a wide variety of technologists with experience in differing modalities. Please share your experience and connect with each other to enhance your learning. Students may continue to use this discussion area to talk, network, or to ask each other questions.

Modules The course content is divided into 6 individual Modules. Each module contains a study guide, an associated quiz, and a discussion topic. See the Course Schedule at the end of this syllabus for all deadlines.

Module 1: Quality Improvement Development and Principles

Module 2: Characteristics and roles of the quality manager and skills that enable effective quality management

Module 3: The Management Model

Module 4: Developing Measures to Monitor Performance

Module 5: The Manager's Tool Kit - Part One

Module 6: The Manager's Tool Kit - Part Two

Study Guides Each module contains a study guide. These are your main sources of instruction. Each study guide has objectives that the student should pay close attention to while reviewing each module. At the end of each study guide there may be some important key items listed that the student should review along with the objectives before attempting the associated quiz. Several video files are embedded within this course to help you better understand the various charts, graphs, and content. When you click on these, a second window will open to display the video. When finished watching, just close that window and you can return to the course content. Note: the videos can take up to a few minutes to load. Please be patient as they really can be helpful. If you are unable to open them, you may have to enable pop-ups or you may have to change your browser.

D2L Open Book Unit Quizzes - 40% Each examination accompanies each module of instruction and is designed as an "open book" evaluation of the material. Be sure to complete the unit exam at the end of each module. Some units may require special drawings, work, etc. for you to completely understand the information. While you will not have to submit this work, you should be familiar with how to construct some of the items as the final WILL require you to label, identify, and/or apply these tools and processes. Pay close attention to those requirements, because the final exam is in essay format and is CLOSED book. Once you feel comfortable with the study guides, and the associated objectives and key points, you should complete the associated Unit exams. When a student is ready for the quiz, he or she will log on to D2L and receive a customized timed unit quiz consisting of randomized multiple choice questions. Note: Keep in mind that even though the quizzes are multiple choices, matching, and true/false, the final exam is in short essay/application format. Be sure to review the concepts from the quizzes as if you were applying them to real world applications. Practice doing this as you move through the course. It is important to know the unit content before attempting the unit quizzes because they are timed. Quiz scores will be available immediately after a student submits his or her quiz for grading. See the course schedule for the open and close dates for the quizzes. The first three quizzes are open the day that classes begin. In the middle of the semester the first three quizzes will close and the last three quizzes will open. Be sure to start the quizzes well in advance of the close time for the exams. If you are not finished by the time the exam period closes, the exam you are working on will shut down even if you have not finished. Also, save your answers continuously to avoid losing your answers. Quizzes not completed by the due dates, will receive a zero (0). Under NO circumstances will an extension be made to complete quizzes not completed by the close date. Students should contact the instructor in extenuating circumstances before the close date of the quizzes; such cases will be dealt with on an individual basis. All quizzes must be completed before taking the Final Exam. If students have technical difficulties during a quiz, they should use the Help link at the top toolbar in D2L, contact the MSU Information Systems Support Staff, and send an email right away to the professor explaining what happened. Technical issues may occur (cannot see an image, cannot see your grade, etc.). The easiest solution is to see if the issue can be corrected by simply changing browsers. Internet explorer is a good browser however fewer occurrences have been noted by using Firefox as a browser for D2L. If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she should send an email to the course instructor that includes the following:  Unit Quiz Number (1 - 6)  Question Stem  Answer Scored as Correct by the Computer  Answer the Student Thinks Should be Correct  Rationale Supporting Why the Student's Answer is Correct  Page numbers must be included when referencing the textbook in a rationale After reviewing the case, if the course instructor thinks a revision is justified, the student's quiz score will be revised to reflect the additional points and the test bank will be updated. It may take several weeks for the student to receive a response because the instructor works on batches of questions for a particular quiz at a time.

Discussion Board Posts and Responses -15% There are several discussion board topics and an introduction posted under the “Discussions” link. You must meet the deadlines to get credit. Spelling, grammar, and substance really do count. Try not to veer off subject, and be respectful and considerate of your fellow student's submissions. You must post at least one original response to the topic AND you must respond to at least two postings for each topic. The grade for each discussion topic is an all or nothing grade. If you do not complete all three portions, you will not receive any credit for partial work. The discussion board counts as 15% of your grade. If you do not understand this requirement, please let me know.

Comprehensive Final Exam - 45% All quizzes must be completed before the Final Exam is taken. ProctorU/Scheduling: The comprehensive proctored final exam will be administered using Desire2Learn (D2L) and ProctorU online proctoring. For ProctorU instructions please read the ProctorU student instruction guide included in the content section of this course, and you may also follow the link below. Be sure to test your system with a representative from ProctorU before your exam date to avoid any delays on your test date. Be aware certain equipment is required, so review the instructions as soon as possible.

 You must schedule your exam with ProctorU.  You may schedule your exam at any time within the testing dates in the course schedule, just keep in mind if you take the exam after hours there may not be anyone available in the event of technical problems, and you may have to reschedule.  Contact a ProctorU representative to check your equipment and bandwidth real time before your test date. If anything changes after this check (new computer, updates, ISP changes, etc.), REPEAT the check.  All exams are monitored and a log is created by ProctorU. If you are disconnected during your exam, you must immediately send an email to your professor, and immediately contact ProctorU by phone. *All times will be documented*  The exam must be taken within the scheduled test dates, regardless of any technical issues that may arise. This is the student’s responsibility!  My suggestion is to take the exam during the first days it is available to avoid receiving a ZERO due to technical issues. If you have to reschedule it must be within the scheduled dates and times.  *Note* The final exam will not be available to ProctorU until all of the quizzes have been attempted. If the student has missed a quiz, it is the student’s responsibility to contact the professor for permission to take the final. ProctorU allows you to take an exam on demand or by appointment. All appointments should be made at least three days in advance. To make an appointment, simply create an account at Once logged in, click on the “new exam” link and selecting the exam, date, and time you desire. You must submit payment (based on the length of the exam) at this time - usually about $25.00. You will receive an email confirming their reservation at the email address they provided to ProctorU. Reservations made within 72 hours of an exam are subject to a $5 late registration fee. Students without an appointment can take their exam on demand within 15, 30 or 45 minutes by using ProctorU’s convenient Take it Now feature. This premier feature is designed to give students added convenience and costs $8.75. Late registrations and Take it Now features are subject to availability. *Be mindful of when you schedule your final exam. If you schedule it outside of the 4 day summer work week (M-TR), there may be no one at MSU available to help if you have technical problems. Late submissions will NOT be accepted Final Exam Content: Students are not allowed to print the final exam.

The Final Exam is closed book. No textbooks or notes may be used. You may bring one sheet of blank scratch paper. The exam is two (2) hours in length, closed book, and in an essay/application format. The final has been derived from the entire content of this course. Review all of your quizzes, your study guides, and your discussion exercises.  The final consists of a provided scenario with eight separate areas requiring you to identify the problem and work through that problem using the skills you have obtained throughout the semester.  The final exam is designed to challenge you to incorporate all of the skills you learned in each of the units.  You will need to be able to identify your customers, prioritize them, understand the consequences of not satisfying their needs, and analyze the given problem.  You will need to critically look at the PDCA model and be able to work a problem thoroughly through that model.  You will need to be familiar with the tools and be able to apply them to your problem.  In the end, you will have truly usable problem-solving skills that will work for you and help you transform your workplace. You will be given directions concerning a narrow-focused problem supplied by your instructor, and then will have 8 tasks to complete regarding the problem.  The final will test you over all problem-solving techniques and tools contained in the course. Remember, the final exam is in an essay format; you will have to remember what you learned in the modules and actually apply what you learned to the scenario. Be sure to review the concepts from the study guides and the quizzes as if you were applying them to real world applications. Practice doing this as y

Grading Standards

The following grading scale is used for this course:

90 and above








59 and below


Submission Format Policy

Should be submitted electronically as email attachments using the following guidelines:


  • Times New Roman or other typical legible font (not Courier) (10 or 12 point for bulk of text)
  • 1” margins on all sides
  • Double-spaced
  • Standard Radiologic Sciences Department Cover Page

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Late Paper Policy

Any student that missed a quiz expiration date will not be allowed to take the quiz once the time has expired. If this happens, the student will receive a grade of zero (0) for that quiz. If a student misses a deadline for an activity or assignment, that assignment/activity will not be graded and a grade of zero (0) will be given. Emergencies do occur and they will be dealt with on an individual basis. Inform me of personal emergencies before the deadlines/due dates and expiration dates have passed.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

N/A Online Course

Other Policies

Conduct/Honesty/Honor System Policy

RADS 4633 adheres to the MSU Code of Conduct.  In particular, academic dishonesty, however small, creates a breach in academic integrity.  A student’s participation in this course comes with the expectation that his or her work will be completed in full observance of the MSU Code of Student Conduct.  A student should consult the Student Handbook for answers to any questions about the code.

     Many components of RADS 4633 are designed to be highly interactive with students helping each other learn.  Students are encouraged to take full advantage of many resources available including Internet sites, handouts and module notebooks, other textbooks and journals, faculty, and peers. This interactive collegial learning environment is conducive for life-long learning.

     Specific components of RADS 4633 are designed to represent the efforts of each student individually and are NOT to be shared.  These components include the written assignments submitted for a grade.  When students submit their efforts for grading, they are attesting they abided by this rule. 

     Cheating includes, but is not limited to, (1) use of any unauthorized assistance in taking quizzes, tests, or examinations, including using any devices to access the Internet or online information; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or completing other assignments; or (3) the acquisition of tests or other academic materials belonging to the university faculty or staff without permission.

     Plagiarism includes, but is not limited to, the use of, by paraphrase or direct quotation without correct citation in the text and on the reference list, the published or unpublished works of another person. Students may NOT submit papers and assignments that they have previously submitted for this or other courses. The use of materials generated by agencies engaged in "selling" term papers is also plagiarism. Students are encouraged to review the tutorials and suggested websites for more information about plagiarism. Papers and other assignments may be submitted to an external agency for verification of originality and authenticity.

     Academic dishonesty (cheating, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification.  If students are guilty of academic dishonesty, a grade of zero (0) may be given for the quiz, assignment, etc.  Cases may also be referred to the Dean of Students for possible dismissal from the university.


     By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course.  The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality and authenticity, and for educational purposes. Specifically, faculty may submit student papers and assignments to an external agency to verify originality and authenticity, and to detect for plagiarism.


Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at