Attendees | Brochure | CE Info/Handouts (attendees only) | CE Letter | AHRA 2018
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Advanced Track: Sunday, July 9
Jump to: Monday | Tuesday | Wednesday

7:00 AM - 2:00 PM
Imaging Classic Golf Tournament
 

11:00 AM - 12:00 PM
Exhibitor Symposium 
Understanding Clinical Decision Support (CDS) requirements for Medical Imaging 
 
George Fuller – Siemens; Oran Muduroglu – CEO, Medicalis

Generously sponsored by SIEMENS

The Protecting Access to Medicare Act (PAMA) of 2014 required that CMS establish a program mandating that healthcare providers document that Appropriate Use Criteria (AUC) is consulted when ordering an exam for Advanced Diagnostic Imaging Services. This session will provide an overview of the requirements related to the use of Clinical Decision Support solutions to satisfy this requirement.

You will learn to:
• Describe the latest updates impacting the AUC consultation / documentation requirements
• Understand the Timelines for compliance and financial implications for non-compliance
• Have some insight into how the new administration may affect these requirements in the years to come

CE Credits: 1


1:00 PM - 2:00 PM
Breakout Sessions

The Joint Commission: Understanding and Complying With the Latest Requirements for MRI Safety
Frank Shellock, PhD, FACR, FISMRM - Keck School of Medicine, University of Southern California (USC) - Playa Del Rey, CA

Frank G. Shellock, PhD, an internationally respected MRI researcher and educator, provides vital information pertaining to the latest requirements for MRI from the Joint Commission, with an emphasis on safety issues. As a member of the Joint Commission’s Ionizing Radiation & Magnetic Resonance Imaging Expert Panel, he is uniquely qualified to present this lecture. Course content includes procedures to manage patients with claustrophobia, anxiety, or emotional distress; guidelines to screen patients with medical implants and devices; recommendations to prevent ferromagnetic objects from entering the MRI environment; methods to handle patients requiring urgent or emergent medical care; and techniques to avoid problems related to acoustic noise. Additionally, this program describes the Joint Commission’s requirements for annual training on specific MRI safety practices.

You will learn to:
• Review the latest Joint Commission requirements for MRI with and emphasis on safety and training.
• Present procedures for managing claustrophobic patients, MRI screening, preventing ferromagnetic accidents, handling emergencies, and avoiding acoustic noise issues.
• Describe procedures to ensure compliance with the latest Joint Commission requirements for MRI safety.

Domains: OM, AM
CE Credits: 1



1:00 PM - 2:00 PM
Cracking the Code: How to Leverage Lean Six Sigma to Improve Your Imaging Clinic
Robin Eastland, RT(R)(M)(CT), CMPE and Amber Ledesma - UTSW - Dallas, TX
James Considine, MBA - Philips Diagnostic Imaging - Latham, NY

This session will describe step-by-step how UTSW employed Lean and Six Sigma tools and methodology to improve workflow at the Rogers MR Outpatient Clinic, and share what the results were of the improvement. Improvement metrics presented include: exam volume, median waiting time, P90 waiting time, % of on-time exam starts, and Press-Ganey Scores (related to waiting time). The effort was initially launched to address median patient waiting time prior to the MR exam, and to improve the percentage of exams started on time, thereby increasing the weekly exam volumes and revenues at the clinic, and improving patient satisfaction. The project employed a cross-functional team, including clinic managers, technologists, schedulers, and others, and a Lean expert from Philips, one of UTSW’s MR vendors. This cross-functional approach enabled a full analysis of the process from when patients arrive to when they depart after their completed scan.

The team began by following the DMAIC structure, completing a project charter, stakeholder analysis, and agreeing project scope with the team and leadership. From there, the team conducted an end to end process walkthrough, documenting each step in the process, variants or decision points, and noting opportunities for improvement. The team also employed tools including SIPOC and Spaghetti Diagrams. The team also analyzed baseline data to understand baseline process performance, and process capability. The team implemented 6S to standardize sub-wait and IV areas. The team also performed an extensive root cause analysis, identifying the top priorities for improvement from among the many observed issues. This preparation work culminated in a 4-day Kaizen event, in which the team focused on identifying solutions and planning implementation.

Key solution areas included: visual management board and daily huddle in the clinic with management and techs; adjusted staffing to provide more even coverage; appointment of lead tech to drive standard work and tech assignments; a formal process to handle late arrivals; improved signage and wayfinding; standardized workflow so all exams followed same process; and scheduling adjustments to improve patient compliance with start times. Process improvements focused primarily on the activity outside the scanning room. No additional service hours, equipment, or staff were deployed to achieve the improvements.

Results were increase in exam volume, decrease in median wait time, decrease in P90 wait time, increase in on-time exams, and increase in Press-Ganey scores.

You will learn to:
• Apply Lean Six Sigma methods to improve performance in your clinic.
• Manage the change process for staff and patients.
• Garner leadership support to implement desired changes.

Domains: OM, CI
CE Credits: 1



1:00 PM - 2:00 PM
Leaders - Are You Inspired or Tired?
Kenneth Fazzino, BA, RT(R), CRA, PMP, FAHRA - Envision Health

Two years ago I spoke on Style Matters. I would like to continue the leadership theme by reviewing traits of successful leaders. How do these characteristics fit in our healthcare world? Looking at the examples, identify which one or many of them you see in yourself. How can you apply them within your teams and re-energize your approach? Be inspired not tired.

You will learn to:
• Recognize leaders are different than managers.
• Identify which traits are your strongest and which need some work.
• Re-energize your purpose as a leader and inspire great things.

Domains: HR
CE Credits: 1



1:00 PM - 2:00 PM
The ABCs of Physician Quality Programs – and the Impact on Radiology Administrators
Karna W. Morrow, CPC, RCC, CCS-P - Coding Strategies - Powder Springs, GA

This session is generously sponsored by Coding Strategies

The reimbursement world is dramatically changing for physicians and it is important for administrators to understand the impact on their departments to avoid becoming collateral damage. Radiologists are completely reliant on the information provided by the work flow of the department both for quality patient care and financial survival. This session will provide the attendees with the basic information and questions to ask over this transition period.

You will learn to:
• Understand the premise for the quality programs and reimbursement models.
• Recognize benefits to patient care and departmental workflow when providers collaborate.
• Determine the specific data elements that will reduce rework and support appropriate quality tracking.

Domains: FM, OM, CI
CE Credits: 1



1:00 PM - 2:00 PM
A Critical MQSA Regulatory Update: 2D vs. 3D, EQUIP New Inspection Criteria, ACR 2016 Digital Mammography QC Manual
Bonnie Rush, RT(R)(M)(QM) - Breast Imaging Specialists - San Diego, CA

This session is generously sponsored by Beekley Medical, Inc.

As part of a facility's mammography life cycle, it goes through two important phases - accreditation and certification. Advances in mammography digital screening technology (2D and now 3D) have muddied the waters with different approaches to these stages and our interaction and obligations with the involved entities. Nuances to the MQSA with digital updates will include personnel requirements to reduce the impact. Inspections then follow annually to ensure we are doing what we say we are doing. In late 2016 the FDA adopted a new phase in inspections with the goal of increasing early detection thru optimized image quality (IQ). The new inspection criteria EQUIP (Enhancing Quality Using the Inspection Program) MUST be implemented with inspection violations beginning in 2018. Additionally in mid-2017 your facility can choose to utilize the 2016 ACR's Digital QC manual. The new QC criteria allows for a simplified approach to QC testing by eliminating some tests and standardizing most others but your digital approach (2D vs 3D) will impact utilization. However, the manual offers insights and forms valuable to meet the EQUIP mandate. Working knowledge on the current status of each of these issues will aid you in reducing their impact while enhancing your digital program under the Mammography Quality Standards Act. 

You will learn to:
• Understand the digital requirements of the MQSA,
• Pass the initial phases of accreditation and certification.
• Determine a team approach to quality imaging.

Domains: OM, AM
CE Credits: 1


1:30 PM - 5:30 PM
Workshop
2017 Executive Leadership Program   (Separate Fee Required)

David Waldron, BSc, ACIB, CDipAF - Traction Business Development LLC - Sedona, AZ

This next-generation leadership development program runs for one year, starting with a 4 hour workshop at the Annual Meeting, then each participant will have a confidential one-on-one 30 minute mentoring phone call each month with the program facilitator to talk through any leadership topic or challenge chosen by the participant. There are three goals for this program:

1. To provide each participant with refreshed leadership skills and competencies; 
2. To create a networking group (with blog) that all participants can utilize going forward; and 
3. To grow the confidence, courage and empowerment of each participant to address the leadership challenges confronting us all in diagnostic imaging.

During the workshop we will combine class work and breakout discussion groups to address different leadership styles; tackle staff engagement, delegation and goal setting; review the importance of your team's culture; discuss performance improvement techniques and finally shatter some paradigms around change management - all to facilitate delivery of your vision for the department.

You will learn to:
• Integrate your vision, values and beliefs into a new, refreshing and motivating suite of leadership tools and approaches that will lead to a more engaged and productive department.
• Incorporate the 'patient experience' as a cornerstone of your department's strategy, recognizing the compelling link between engaged department leadership, engaged department staff and delivering an outstanding patient experience, as evidenced by patient.
• Become an empowered and confident leader, refreshed with new competencies and ready to lead your department to exceptional achievements.

Domains: HR, CI
CE Credits: 4



2:00 PM - 2:30 PM
Beverage Break


2:30 PM - 4:00 PM
Breakout Sessions

AHRA Regulatory Affairs Update
Melody W. Mulaik, MSHS - Coding Strategies, Inc. - Powder Springs, GA
Sheila M. Sferrella, MAS, CRA, RT(R), FAHRA - Regents Health Resources - Franklin, TN

This session is generously sponsored by Coding Strategies, Inc.
This session repeats on Monday at 2:15 pm


Healthcare regulatory changes continue to hit imaging administrators at a rapid pace affecting both compliance and reimbursement. This session will focus on proposed as well as finalized legislation and changes for 2017-2018. Clinical Decision Support (CDS), site-neutral payment and other key issues will be reviewed during this session. The operational impact to your organization will also be discussed as well as any relevant AHRA surveys to see how you compare with your colleagues.

You will learn to:
• Discuss key regulatory initiatives affecting imaging providers
• Ensure attendees understand the short and long term issues associated with regulatory changes.
• Ensure attendees are aware of existing and potential regulatory issues impacting reimbursement for hospitals and imaging centers.

Domains: OM, CI, FM
CE Credits: 1.5



2:30 PM - 4:00 PM
Do They Hear What I'm Saying? **SESSION CANCELLED**
Catherine Wolfe, MA, BA, APR - Toshiba America Medical Systems - Tustin, CA

This session is generously sponsored by Toshiba

Does your audience understand what you are saying? More importantly, do they want to listen to you? There is a global leadership crisis as communities in all walks of life grow dissatisfied with their leaders. Today organizations need a different kind of leader that is willing to stand up for what they believe in and can effectively communicate those values as well as the organization’s direction and focus. Leaders must be clear about their message and be able to communicate in a way so that they understand what is being said and are able to answer the leader’s call to action. This session highlights what is important to teams and organizational audiences and how to communicate successfully both verbally and physically. Incorporating research, numerous examples and case studies, the content will highlight top values important to today’s organizations as well as very specific tools to use in communication.

You will learn to:
• Understand the values that we all want from our leaders and our teams want from us.
• Demonstrate verbal communication tools that engender credibility, engagement and trust.
• Share physical communication techniques that help accentuate a message, inspire credibility and confidence, and stimulate engagement.

Domains: CI, HR
CE Credits: 1.5



2:30 PM - 4:00 PM
Being a Leader: Move ‘em up, move ‘em forward, and move ‘em out
Curtis R. Bush, MBA, CRA, FACHE – Director of Radiology and Imaging Services, Baylor University Medical Center at Dallas

Jack Welch said, “When you become a leader success is all about growing others.” As healthcare continues to change as an industry, and more non-clinical leaders move into the C-suite; imaging has remained a niche leadership service line where clinical leaders remain highly successful. Much like a successful coaching tree in sports; developing leaders underneath you is key to long term success of the organization, and the industry as a whole. As leaders, we work with 3 types of individuals. Those committed to our teams and organizations, who we want to work with to grow and move up in position. We have those that are passive. Some who we must differentiate whether they can be rehabilitated towards a path of accountability, and others who are on a downward trend and becoming a liability. Finally, those that are detached, those who are just hanging on to retirement that we must remove from the organization. It is truly an art to mentor and grow the right individuals to develop an infrastructure of talent for future organization success. It is also incredibly important to identify the appropriate level and stage of an individual’s mindset to determine the appropriate pathway for their development. During this session, we’ll talk about important aspects of development and growth, as well as crucial conversations to re-level and potentially remove employees from the organization.

You will learn to:
• Identify and categorize your team
• Develop an Individual Development Plan (IDP)
• Discern between passive performers and detached
• Develop a Performance Improvement Plan (PIP)

Domain: HR
CE Credits: 1.5


2:30 PM - 4:00 PM
A Data-Driven Multi-Disciplinary Approach to Managing Patient Radiation Dose and Image Quality in CT; aka “What’s Possible when a Medical Physicist and a Radiologist Work Together?”
Vinobalan Duraiaj, PhD, DABR - West Physics - Atlanta, GA
Lisa Laurent, MD,MBA,CPE - Advanced Radiology Consultants - Riverwoods, IL

This session is generously sponsored by West Physics
This session repeats on Monday at 2:15 pm


The presenters will outline how to implement and manage an effective CT radiation dose optimization program that carefully balances radiation dose and image quality. The presenters will also discuss the advantages of dose monitoring and how to effectively utilize dose management software and industry benchmarking resources for tracking and managing dose. The presenters will share joint personal experiences and outcomes related to how the medical physicist and radiologist can join forces to create a team approach in a community-based hospital setting to maximize patient safety and improve clinical diagnosis. The speakers will also discuss the unexpected challenges and opportunities that were identified along the way.

You will learn to:
• Understand the significance of a dose management quality improvement project (DMQIP) and the importance of a team approach.
• Build an effective dose management team and to leverage that team effectively to optimize doses while also ensuring stakeholder engagement and support.
• Understand one successful approach to CT dose optimization and identify the elements that may apply to one’s own program.

Domains: CI, OM
CE Credits: 1.5



2:30 PM - 4:00 PM
Radiation Dose Monitoring: A Commitment to Radiation Safety
Jan G. Clark, M.Ed., R.T.(R)(CV)(M)(QM) - VCU Health - Richmond, VA
Shelia Regan, B.S., R.T.(R)(CT)(M)(RCES) - VCU Health - Richmond, VA

Do you know where the high radiation dose areas are in your facility? Do you monitor patient radiation exposure? This course will introduce the learner to various patient radiation dose monitoring systems, data collection and patient follow-up processes by sharing experiences from a large academic medical center. He/she will be better informed regarding patient dose monitoring system options and their possible applications to both fluoroscopy and computed tomography. 

The attendee will gain an understanding of The Joint Commission (TJC) requirements regarding patient radiation dose monitoring and reporting. 2015 The Joint Commission (TJC) Requirements regarding CT dose monitoring will be reviewed. Mechanisms for meeting the 2015 requirements will be discussed. An overview of a program designed to meet the requirements will be shared.

This presentation demonstrates how an institution’s commitment to radiation safety, regarding patient dose monitoring, can enhance patient care, improve patient safety. From the discussion of the organizational structure at this organization, one can glean ideas for staffing that would improve organizational efficiency and could provide technologists a new career path opportunity.

You will learn to:
• Recognize characteristics of dose monitoring systems as they apply to fluoroscopy and computed tomography.
• Give an example of a Patient Dose Monitoring System that can be used in Fluoroscopy
• Meet 2015 TJC requirements regarding CT Dose Monitoring.
• Explain how a Patient Dose Monitoring system can be used in Computed Tomography.
• Create an organizational structure that will improve organizational efficiency and provide technologists with a new career opportunity.

Domains: CI, OM, HR
CE Credits: 1.5



2:30 PM - 4:00 PM
Technologies That Will Disrupt Imaging and Healthcare Within 5 Years
Leslie Jebson, MHA, MBA, FACHE, FACMPE - SIU School of Medicine - Springfield, IL

The healthcare landscape continues to evolve at a rapid pace. 

New devices, technologies and the manner in which we coordinate healthcare services are all apart of this industry evolution. However, there are a handful of real technologies on the immediate horizon that will inevitably disrupt and transform the healthcare delivery space. With it, the imaging arena will undergo significant change. This immersive and interactive session aims to discuss, debate and position imaging professionals for informed insights regarding the implications and adoption of these technologies in the daily professional lives. 
[It is imperative to note, this session will not be any form of commercial product endorsements, rather the overarching technology and it's real implications on the imaging industry ]

You will learn to:
• Categorically review the most transformative emerging technologies in healthcare delivery.
• Objectively gauge the potential implications of disruptive technologies on the field of imaging.
• Identify opportunities to position imaging services as a leader in new technology adoption.

Domains: AM
CE Credits: 1.5



4:00 PM - 4:30 PM
Beverage Break


4:30 PM - 5:30 PM
Breakout Sessions

Developing Leaders: How to Make Life as a Leader Easier
Lori Thies, RT(R), MBA, CRA - Lee Memorial Hospital - Fort Myers, FL

Would your life be easier if your team thought more like you? Do you look outside your office door and see a line of people waiting? As leaders we balance so much craziness, from finance, to engagement, to the safety of our patients. At times it can feel overwhelming. A team is a group of people that work well together but a team of leaders provide guidance, instruction, and direction for the purpose of achieving key results. 

In this session we will discuss how to build your team into a team of leaders. We will discuss ways to develop your team to have key leadership skills. For example, we will review ideas to help your teams learn how to address conflict, understand what is behind the word “budget”, how to be a team builder, and many other leadership skills. 
Devoting your time to develop your team will have big rewards. This is a great way to reprogram your department from the inside out.

You will learn to:
• Build ownership.
• Build staff retention.
• Support Succession planning.

Domains: HR, CI
CE Credits: 1



4:30 PM - 5:30 PM
Enterprise Imaging – Strategy to Design
Louis Lannum, AS - Cleveland Clinic - Beachwood, OH

The number and type of medical imaging content being acquired and stored within a healthcare organization continues to expand. Managing these images for some organizations has become a challenge, especially for image producing service lines outside the Radiology department. Many organization have no real strategy to manage this growth and provide the necessary infrastructure, and support structure to store, manage and provide access to all imaging content acquired across the health care delivery system. 

The presentation will focus on establishing an Enterprise Imaging Strategy that defines the goals and objectives for the program. The foundation of the program is the strategic initiative to capture all digital medical imaging, securely store them and make them accessible and viewable as part of the EMR. 

As part of the initial phase of the project, a department assessment is conducted that identifies imaging assets and programs that are capturing imaging content. Once documented, the components of an Enterprise Imaging Strategy are outlined and a model roadmap will be developed that defines the initiative. With this information, you can begin to design a multi-department program and develop the technology requirements needed to provide the necessary storage infrastructure, workflow applications, image access tools and exchange platforms required to make your imaging strategy a reality.

You will learn to:
• Recognize the details and benefits of establishing an Imaging Council within your organization to drive and provide oversight of the imaging program.
• Understand the technology components of the enterprise imaging infrastructure that provides the foundation of the program.
• Develop an Imaging Playbook that moves your organization from strategy to design and implementation.

Domains: CI
CE Credits: 1



4:30 PM - 5:30 PM
From One Size Fits NONE to Personalized Breast Screening
Nancy M. Cappello, PhD - Are You Dense, Inc. & Are You Dense Advocacy, Inc. - Woodbury, CT

This session is generously sponsored by FujiFilm Medical Systems

The critical causal and masking risk of dense breast tissue remained in the medical literature for more than a decade, until Connecticut became the first state to mandate the reporting of dense breast tissue to the patient through the mammography reporting results. As of today, twenty eight state legislatures have enacted legislation to protect women from missed, delayed and advanced stage breast cancer. A federal density reporting law is in Congress. Dr. Cappello will take you on a journey from breast cancer survivor to global patient advocacy, having lectured in Rome, Tokyo and Paris. She will highlight the research on mammography, screening and breast density as both a causal and masking risk. After more than a decade of normal mammograms, it was that tragic time in her life that she was offered personalized screening, including her risk of having dense breast tissue. Dr. Cappello will discuss how the standard of care for screening must be personalized screening for all women PRIOR to a cancer diagnosis to reduce late stage disease and mortality. Patient specific screening strategies tailored to the patient's family history, age, genetic profile and breast density must be the norm to reduce over diagnosis and improve outcomes. Dr. Cappello will provide a call to action for breast care centers to assess their data to determine if they are reducing advanced disease. An opportunity for a q and a will be provided.

You will learn to:
• Assess a patient's risks of breast cancer for personalized screening.
• Recognize your breast screening program by analyzing your data based on the regional and advanced disease.
• Incorporate breast density and other patient risks for a personalized breast screening model.

Domains: OM, CI
CE Credits: 1



4:30 PM - 5:30 PM
Clinical Decision Support – Ready or Not, Here it Comes
Sheila M. Sferrella, MAS, CRA, RT(R), FAHRA - Regents Health Resources - Franklin, TN
Melody W. Mulaik, MSHS - Coding Strategies, Inc. - Powder Springs, GA
Jacqui Rose, CRA, FAHRA - Premier Health-UVMC - Troy, OH

This session repeats on Monday at 4:15 pm

The goal of this session is to provide radiology administrators with the critical information they need to ensure they are adequately prepared for the required implementation of Clinical Decision Support (CDS). 

This interactive and dynamic session will include an overview of the key components of Clinical Decision Support with a focus on how its implementation will impact radiology administrators and staff. The current implementation timeframe requirements will be discussed as well as where delays could potentially occur. The operational challenges as well as the benefits of CDS implementation will be reviewed in detailed so that attendees can assimilate this information into their own implementation plans. A practical discussion of how one community hospital tackled this challenge will be had to allow attendees to gain valuable knowledge.

You will learn to:
• Review the current regulatory timeline to identify key past and future milestones for Clinical Decision Support (CDS).
• Understand what the requirements are for referring physicians, radiologists and for imaging organizations (providers).
• Review and discuss one facility's journey to implement CDS.

Domains: OM, CI
CE Credits: 1



4:30 PM - 5:30 PM
Radiation Management Review
Stephen Balter, PhD and Max Amurao, PhD, MBA - Columbia University - New York, NY

This session is generously sponsored by MAVIG

Ionizing radiation can be a hazard to patients, workers, and visitors. Fear of radiation presents additional challenges. Radiation’s benefits usually far exceed its risks. However, inappropriate radiation use can result in adverse events. Relevant education facilitates safety. This course presents brief practical overviews of general safety principles, staff radiation safety, and patient radiation management. It continues with examples of operational implementation in interventional radiology, and concludes with a sampling of administrative challenges. Because of anxiety, safety is often demanded irrespective of cost. Reducing radiation use by replacing obsolescent equipment can be effective. An appropriate radiation protective environment requires continuing attention and support. Regulatory compliance assures basic safety but does not guarantee either optimum safety or efficacy. Even in a resource limited environment, safety can be optimized by successfully managing these and other issues.

You will learn to:
• Understand radiological safety basics for workers, patients, and visitors.
• Develop administrative means to optimize radiation safety.
• Facilitate training and compliance for physicians and staff.

Domains: OM, AM, CI
CE Credits: 1



5:45 PM - 6:30 PM
First Time Attendee & New Member Reception


6:30 PM - 8:00 PM
President's Reception