Advanced Track (subject to change)

Wednesday, August 3

Continental Breakfast

7:15 AM - 8:15 AM
Exhibitor Symposium
Navigating the New Consolidated Appropriations Act of 2016 Challenging Problems … DR Solutions 
Rob Fabrizio
Generously sponsored by Fujifilm

Already faced with the daily challenge of protecting revenue by improving efficiencies, outcomes and patient satisfaction, recent legislation will result in new penalties if you continue to use Computed Radiography. As a follow-on to Fujifilm’s AHRA presentation “Digital Radiography and Accountable Care”, this session will help attendees to understand the business impact of this new legislation on reimbursement to your imaging department. This session will also help attendees to correlate the benefits of a DR transition to a variety of improvements to the domains of care and the facility's bottom line.
You will learn to:
  • Summarize the events leading up to the Consolidated Appropriations Act of 2016 (H.R. 2029), recognize the proposed reimbursement penalties, and differentiate between a "CR" exam vs. a "DR" exam
  • Determine the most appropriate solutions that will provide a seamless "CR"-to-"DR" transition, in terms of departmental workflow and efficiencies
  • Recognize the advantages of DR technology with respect to department efficiency, patient satisfaction and outcomes
Domains: FM, AM, OM
CE Hours: 1

8:30 AM - 9:30 AM
Breakout Sessions

Decoding the Hidden Message in Your Employee Engagement Scores

Lori Thies, RT(R), MBA
Lee Memorial Hospital - Fort Myers, FL

Organizations spend a significant about of resources on employee engagement surveys. What are you doing with this data? It is easy to just review the scores and say “Oh well, that’s their opinion”. This session will offer ways to help leaders use the survey data and build value in their employees. Improving employee engagement is not for the weak at heart. It takes time and energy. Both are valuable commodities, so it is important that you invest wisely.

Employees can frequently use these surveys to send us hidden messages. The discussion will include ideas on how to create effective focus groups and ways to discover what is hiding behind those scores and comments. Figuring out how to decode these messages is invaluable. We will spend time learning how to put the FOCUS back into your focus groups, help you set goals, strategize, and execute your plan.

Thinking outside the box has become a required skill for leaders. Let’s entertain the idea of employees taking ownership in their own engagement. As leaders, how do we help them to feel empowered? Where do you look for help?

I would like to encourage attendees to bring their most interesting and challenging employee engagement issues to submit at the beginning of the session. These issues can be submitted anonymously. The group we will then use the “Focus Group” process presented in the session to create improvement strategies.

You will learn to:
  • Create an Focus Group that yields results.
  • Describe the process of breaking down the scores.
  • Implement creative ideas to build your next Employee Engagement Plan.
Domains: HR, CI
CE Hours: 1

Innovative Transformations Demonstrating Hospital & Radiology Groups Team Play - Case Study
Douglas G. Smith, FRBMA
Integrated Medical Partners, LLC - Milwaukee, WI

Greg Pilat, MBA
Advocate Health Care - Oak Brook, IL

This session is generously sponsored by Integrated Radiology Partners, LLC

In the emerging, highly competitive, increasingly regulated, and rapidly changing healthcare space, especially in the Diagnostic and Interventional Radiology services sector, there is an increasing requirement for all imaging constituents to be able to demonstrate their value contributions.

They must also, today and in the near future, be able to demonstrate cost containment, demonstrate quality outcomes, demonstrate engaged utilization management, demonstrate patient safety, positively engage consumers, ensure patient satisfaction and physician satisfaction throughout the continuum of care.
In order to achieve these requirements and enable the health system and their hospital-based physicians to effectively demonstrate differentiation in their market, and to successfully be prepared to navigate emerging payment mechanisms and regulatory requirements, the historically disparate, and often contentious, Hospital and Radiology Group constituents recognized Radiology must be a "Team Sport" - a courageous move.

This session will present a real life case study of a large, multiple hospital, geographically diverse health system with numerous sites of service, and a collaborative large number of radiology groups serving the health system which have, together, developed a true team approach to engage the emerging landscape through collaboration, innovation, and lots of hard work.

The session will describe what it took to come to the table together, collectively vision the outcomes desired and required to engage the future of imaging services delivery, together, overcome historical differences and learn to celebrate the common mission through collaborative action.

The session will also describe, in detail, the structure of the collaboration, the roles of the each of the core Leadership teams, the initiatives they have engaged, the new initiatives they are tackling, describe the successes achieved and challenges encountered, and describe lessons learned along the way.

The session will also describe how the disparate Radiology Groups serving the health system came together to create a new physician organization enabling them to "speak with one voice", share best practices, collaborate clinically and collaborate operationally, all while maintaining their independence.

The session will describe the challenges which needed to be overcome to permit such a collaboration and integration as well as describe the cultural and structural obstacles they successfully engaged.

The session will also describe what other Hospitals and Radiology Groups, on a smaller scale, are doing to Team Up to collaboratively address the emerging landscape. They are works in progress but also instructive to what can result from true collaboration and integration in engaging the challenges ahead for diagnostic imaging throughout the continuum of care.

The session will provide ample time for the attendees to ask questions and engage the faculty.

You will learn to:
  • Define how effective collaboration among hospital diagnostic imaging leaders and its radiology group leaders is not only possible but is being demonstrated every day in certain settings.
  • Define what it will take to create a collaboration model which truly engages the challenges of today and is a long-term team commitment to demonstrated innovation and results as well as a platform for future engagement.
  • Recognize what it takes to create a collaborative and innovative Physician organization comprised of multiple and disparate radiology groups coming together to make a difference with their health system or hospital while also maintaining their independence.
Domains: FM, OM, CI
CE Hours: 1

Get Insights: Improve Data Visibility in MR Performance
Tammy Merisotis, BSRS, RT(R)(M)
GE Healthcare - Murrells Inlet, SC

Angelic McDonald, MSRS, RT(R)(CT)(MR), CRA, FAHRA
Houston Methodist DeBakey Heart and Vascular Center - Houston, TX

This session is generously sponsored by GE Healthcare

This presentation will outline a collaboration between GE Healthcare and Houston Methodist Hospital, where machine data was used to identify operational improvements and drive measurable outcomes. The presentation will show how data can be used to provide operation insights as well as provide a tool box to manage daily operations.

You will learn to:
  • Define how to translate data to outcomes.
  • Define how data can be used to drive adoption and performance thru key performance indicators (KPIs).
  • Describe what metrics are important to MR department operational performance.
Domains: PM, CI, OM
CE Hours: 1

Leadership Principles That Will Help Create a Positive Environment
Scott Hazelbaker, CRA, MS
Providence Alaska Medical Center - Anchorage, AK

There’s so many classes, on-line courses, degrees, seminars etc. regarding leadership and yet it’s difficult to get good advice on how to lead and motivate the staff.

This class will cover 8 topics that I feel will give you the tools you need to be a successful leader and build a positive environment.

Earning an MBA will not make you a better leader but building a positive environment full of compassion and energy will position your department for success. You’ve got to understand the basic principles and you must have fun.

1. Start with the 1st step. Make sure you like who you report to.
2. Understand the definition of Leadership? You’re not a leader if no one is following.
3. Leadership styles that Fail, (the bull-dog: the detailed leader, the micro manager)
4. Build your team. Know your customers. (Key to leadership success).
5. Empowerment and delegation. It’s not being lazy!
6. Captain! Time to wave goodbye to the ones that don’t want to sail with you
7. Creating the positive compassionate environment. You can’t full the troops.
8. Have Fun!!!

You will learn to:
  • Describe how to create a compassionate positive environment.
  • Understand the principles of effective leadership.
  • Define how to deal with the negative employee.
Domains: HR
CE Hours: 1

One Year After the JC Imaging Standards Changes – What Have We Learned and What’s Coming Next?
Geoffrey West, PhD, DABR, CHP
West Physics - Atlanta, GA

This session is generously sponsored by West Physics

The presenter will discuss and share how the first year of the new JC 2015 Imaging Standards have impacted accredited healthcare organizations, including feedback on actual Joint Commission surveys. The presenter will describe the positive impact the standards have had on patient care and radiation dose reduction as well as any challenges in implementation experienced to date by the Joint Commission and the accredited facilities. In addition, the attendees will learn what new proposed standards changes the JC has planned for the future for imaging facilities, and what impact those changes could have on patient care and the imaging business.

You will learn to:
  • Discuss the elements of performance the JC field surveyors have focused on, and the recommendations for improvement that they have made at accredited facilities.
  • Identify how accredited facilities have responded to the 2015 Imaging Standards and prepared for the final July 2016 deadlines for full compliance.
  • Discuss the potential future changes that will impact standards such as technologist credentialing for CT, and radiation dose reduction for fluoroscopy and other modalities.
Domains: OM
CE Hours: 1

Getting It Right up Front
Aaron Hackman, BART(R)CT
University of Colorado Hospital - Colorado Springs, CO

Discussion will revolve around the processes that need to happen upfront with respect to insurance, and government payors to maximize the probability of being reimbursed for imaging services at the time of billing. This includes the pre-authorization process for plans that require it, and how to use clinical documentation and medical necessity guidelines to gain approved authorizations that are at Peer-to-Peer, denied, or pending status, without asking your referring clinician to make a call. We will discuss the idea of why ICD-10 codes are not needed, or even wanted, on an Imaging order. We will explore why plans that do not require pre-authorization for imaging are really a worst case scenario for you, your patients, and referring providers. We will explore the use of clinical review processes and skill-sets in the authorization process, and why they are essential. We will review denied claim reasons, and what the root cause really is.

You will learn to:
  • Understand how to use clinical notes and medical necessity guidelines to decrease your denied pre-auth rate.
  • Understand why plans that do not require a pre-authorization are a worst case scenario.
  • Describe about implementing a clinic review process to mitigate many of the revenue cycle pitfalls, resulting in decreased denied claims, higher patient and physician satisfaction, and better resource utilization.
Domains: PM, FM, OM, CI
CE Hours: 1

My System, Your System….Should We Share? Considerations for Sharing Information Systems Across Healthcare Organizations
Cheryl Tillmanns, MRT(NM)
Hamilton Health Sciences & St. Josephs Healthcare Hamilton - Dundas, ON, Canada

Diagnostic Imaging is becoming very informatics rich. Many systems, such as PACS, Voice Recognition/Dictation Systems and Advanced Processing Systems are managed directly by the DI Department, essentially forming 'mini-IT' operations specific to the needs of Medical Imaging. As opportunities to expand the use of informatics in imaging continue to grow exponentially, budgets for informatics are not keeping pace. Explore opportunities for consolidation or 'system sharing' between organizations to reduce redundancy and operational expenses, while improving the patient care experience.

You will learn to:
  • Understand when to consider consolidation of informatic systems in Medical Imaging.
  • Explain benefits and challenges of informatic system consolidation/sharing.
  • Explain the on-going support model considerations when offering informatic system hosting.
Domains: PM, CI
CE Hours: 1

Beverage Break

10:00 AM - 11:00 AM
Breakout Sessions

How to Cure the Ills of Commoditization: Understanding and Achieving a Consensus on Quality
Ron Vinau, BS and Allon Yosha, BA
Spreemo - New York, NY

The commoditization of radiology and declining reimbursements are on the rise as a result of online price comparison tools fueled by high deductible policies. Efforts to demonstrate value in order to combat commoditization have included increased patient engagement, physician collaboration, and increased investments in healthcare IT. The session will explore quality standards (and an assessment on the impact on patient outcomes) as an alternative to these traditional tools to combat commoditization.

Specifically, the presentation will outline the three major areas that have been demonstrated to have impactful effects when imaging patients. These three areas comprise: the quality of the equipment, which includes the magnetic strength of the machine, the type of coils being used and the maintenance of the machine; the protocols employed by the facility to obtain the most accurate and detailed representation of the part of the body being imaged; and the educational training of the facility’s radiologists, which may include a fellowship, subspecialty or the area of focus of the practice in general.

During the presentation, we will share a story of a patient’s journey to three different MRI centers and the three very different treatment recommendations the patient was given. We will explore how each recommendation could have impacted the entire course of her care from a financial, physical and quality perspective.

We will conclude by emphasizing the importance of having objective quality metrics in radiology and how incorporating such value driven tactics into a radiology practice can work to combat commoditization and bring in a wave of change of how radiology is practiced and perceived.

You will learn to:
  • Achieve an understanding of current efforts to promote value in radiology.
  • Incorporate value driven tactics into their organizations.
  • Explore alternative programs including quality standards to combat commoditization.
Domains: FM, AM, OM
CE Hours: 1

Surviving and Thriving in an Imaging World of Change
David Marichal, BS
Radiology and Imaging Specialists - Lakeland, FL

Eric Rice, BS
Mach7 Technologies - South Burlington, VT

Consumers of medical imaging are demanding more; more information with more savings. With many increased demands in a dynamic landscape, how can you survive and thrive in this ever-changing world? Leading CIOs are finding ways to optimize workflow with patient imaging acquisition, management and sharing. Enterprise Imaging Platforms are the answer to drive efficiencies, improve satisfaction and create new revenue streams.

Radiology and Imaging Specialists in Lakeland, Florida, (RIS Imaging) has provided imaging services for more than 45 years. Beginning with three physicians and one imaging center office, they have grown organically and through consolidation to be the leading radiology provider in Central Florida with over 29 physicians and five imaging centers. RIS Imaging, like many healthcare organizations, is faced with the challenge of decreasing revenue streams yet referring providers who are demanding more information faster. We live in an on-demand society and when health is on the line, access to fast and accurate information makes all the difference.

To fulfill the needs of their referring providers and patients and to support growth and fuel even further growth, RIS Imaging implemented an Enterprise Imaging Platform (EIP) as their imaging infrastructure. More than a Vendor Neutral Archive (VNA), the platform is designed to make the most of RIS Imaging’s existing imaging investments and offers the five key attributes for success: standards-based for interoperability, scalability, robust workflow management, universal access to images and data and image lifecycle management.

As with many imaging centers, RIS Imaging has grown organically and through consolidation. As a result, seven disparate RIS/PACS systems are in use. RIS Imaging needed a platform that would simplify management of these systems through universal standards, promote interoperability, enable image sharing across the enterprise and offer scalability for future growth.

A powerful, yet intuitive workflow management solution was required to support RIS Imaging’s complex imaging needs. An engine with a simple graphical user interface was the solution to manage scheduling and criteria-based workflow as well as advanced visualization workflow to ensure the images are available at the right place at the right time.

The EIP enables access to DICOM, non-DICOM media, HL7, XDS Documents, and more along with associated data securely and compliantly across the enterprise and beyond. Universal access to images is enabled using best of breed diagnostic visualization tools, clinical viewers and image sharing.
Performing over 700,000 exams a year, image lifecycle management was critical to RIS Imaging to keep storage costs from growing exponentially. Sophisticated image lifecycle management rules are managed by the EIP to optimize storage and increase image management efficiency. With rules in place, imaging growth is not constrained and valuable storage space is optimized.

With implementation of the EIP, RIS Imaging is reshaping their legacy PACS environment by creating a solution formed on the basis of a new image management strategy. This freedom to manage, access and share their complete patient record in real-time or near real-time has resulted in improved patient turnaround times and data communication allowing RIS Imaging to build connections across the care continuum, increasing opportunities for new revenue channels while reducing associated expenses.

You will learn to:
  • Define an Enterprise Imaging Platform.
  • Analyze how an Enterprise Imaging Platform can drive efficiencies, reduce costs and improve satisfaction.
  • Identify opportunities to leverage your Enterprise Imaging Platform to increase and create new revenue channels.
Domains: CI, FM
CE Hours: 1

Clinical Supervision for Radiology Scheduling
Tina Crain, CRA, MS, CNMT, RT(R)(N)(QM) and Kimberly Smith, PhD, RT(R)
University of Kansas Hospital - Kansas City, KS

University of Kansas Hospital has converted to Central Radiology Department that has raised the level of Supervision by placing an individual with Radiology Clinical expertise to over see the group of schedulers. This has given us the opportunity to increase the knowledge of radiology procedures and decrease the number of incorrect procedure scheduling with this staff. We have seen an improvement in our physician/customer satisfaction. We have improved the turnover rate for our scheduling team.

You will learn to:
  • Define clinical expertise in the scheduling department.
  • Raise the level of efficiency in your radiology scheduling department.
  • Detect the effectiveness of a radiology liaison between clinics and radiology to improve customer satisfaction.
Domains: OM, HR
CE Hours: 1

Health Care Reform and Reimbursement
Digna Reus
RSVP Consulting - White Plains, NY

This session is generously sponsored by RSVP Consulting

Health care reform and reimbursement for imaging facilities in 2016 will change. We can expect a decline in our reimbursement. Details will be disclosed on how this will impact your practice and adjustments that can be made to cushion the drop and decline. Participate in this session and you will have the tools needed to continue to grow when there is a decline.

You will learn to:
  • Define how to project the decline in revenue.
  • Identify what can be done to combat the decline.
  • Understand health care reform.
Domains: PM, FM, OM
CE Hours: 1

Leadership Development - Why You Should Invest in Developing Future and Current Leaders
Carla Knisley, MBA, CRA, RT(R)(MR)
OhioHealth - Columbus, OH

The question is not why should you invest in developing leaders, it is why wouldn’t you foster leadership developing leader programs? Leadership development provides many advantages for an organization in multiple aspects. A robust developmental program instills confidence for leaders to achieve and surpass goals. This, in turn, provides a competitive advantage for the organization on many levels such as performance, managing change, positively impacting the bottom line and increases retention.

The investment in development programs does come with a cost of time but the payout creates benefits two fold. Leadership investment will succeed in transforming managers who execute into leaders which motivate, create, and inspire the organization’s vision. Experiences and success stories of leaders who have achieved this feat will be outlined as well as how their personal development journey contributed to their success.

There are many ways to provide development opportunities to associates. The programs should include opportunities for front line staff, new leaders, managers, and senior leaders. The programs range from personal development programs to executive sponsorships which will be outlined in detail during this presentation. Definitions, program details, and implementation strategies regarding personal development programs, talent management, mentoring, staff & manager programs, as well as senior leader programs will be presented.

You will learn to:
  • Define the advantages achieved by investing in leadership development programs from a personal and organizational perspective.
  • Implement various developmental programs and how to successfully implement them.
  • Recognize how successful leadership development is to an organization with statistics and success stories.
Domains: HR
CE Hours: 1

Data-driven Decision-making for Radiology Management - An Introduction to Data Mining
Kent Hutson, MD, CPE
Radiology Alliance - Soddy Daisy, TN

Data-driven decision-making, or “data mining”, is the process of using careful data analysis to make informed decisions. This type of analysis has become possible due to computer algorithms that help the data engineer sift through large amounts of information to arrive at actionable conclusions.

In this lecture, we’ll discuss the principles of data mining, review some of the tools and techniques of the data engineer, and put it all together to see how we might use these methods in radiology management.

Data mining is a process that requires careful consideration of the available data as well as how to process that data. The data has to be viewed with domain-specific knowledge that is independent of the processing tools. We’ll discuss some of the principles important in forming a question and ensuring the data is appropriate to the question.

The computer analysis component of data mining is a collection of computer algorithms that must be chosen and implemented appropriately to arrive at useful conclusions. We’ll discuss these tools so that you have an understanding of how your data might be analyzed.

Finally, we’ll walk through scenarios where data mining might be useful in radiology management for financial and quality improvement purposes. The goal is to provide a starting point to using data-driven decision-making methods as one of your management tools.

You will learn to:
  • Explain the principles of data-driven decision-making ("data mining").
  • Compare the basic techniques of data mining.
  • Recognize how data mining can be used in radiology management.
Domains: PM, CI, OM
CE Hours: 1

Secrets of Productivity Management
David Cowan, MSHS
Ga Tech - Health Systems Institute - Atlanta, GA

When the challenge comes to radically improve your operations - what will you do? There are many basic steps to take but rarely will that meet the objectives. You must employ advanced methods to achieve the quantum improvements required. Learn how to engage your staff in the process, how to collaborate with your other department managers to find shared solutions, and to discover value. How will you find the promised efficiencies in the technologies that were promised. We will learn with case studies and exercises.

You will learn to:
  • Find some of the better practices others are using.
  • Find some practices used in other industries and settings.
  • Recognize how to set and achieve real expense management goals.
Domains: PM, CI, OM, HR
CE Hours: 1

Exhibit Hall Open  --Lunch served 12:00-1:30pm

2:00 PM - 3:00 PM
Breakout Sessions

Analytics in Radiology: Transitioning to Value-based Care
Woojin Kim, MD
University of Pennsylvania - Philadelphia, PA

This session is generously sponsored by University of Pennsylvania

The goals of improving population health at a lower cost and higher quality are placing increased emphasis on value-based care over volume-based approach in healthcare delivery. The field of radiology is no exception, and American College of Radiology’s Imaging 3.0- initiative, for example, is one example of such movements toward value-based care. With the aims of delivering better value to patients, Imaging 3.0 has outlined what it calls “imaging value chain” where each link of this chain represents a discrete number of unique value opportunity activities. The imaging value chain includes following components: imaging appropriateness and patient scheduling, imaging protocols, modality operations, image interpretation and reporting, and report communication and referring physician interaction. In the center of the imaging value chain, inter-connected with every link, lie data mining and business intelligence. Timely analysis and appropriate modification using data mining and analytics tools are critical to the effective monitoring of all components of the imaging value chain. As a result, data mining and analytics have become integral part of imaging informatics. Effective use of analytics will allow access to right information at the right time for right decision.

This presentation will discuss the basics of data mining and analytics and their roles and benefits in radiology. Specifically, attendees will learn through real-life examples, how data mining and analytics can be used to reduce length of stay, improve compliance, increase revenues, decrease errors and medico-legal risk, evaluate outcomes and quality, and optimize productivity and efficiency. We live in a world where simply providing medical imaging services is no longer sufficient. Instead, we must do so with high quality while providing value to our referring providers and, most importantly, our patients. This presentation will show how one can leverage imaging informatics to transition from volume-based care to value-based care.

You will learn to:
  • Discuss data mining and analytics in medical imaging.
  • Identify obstacles to successful analytics deployment and learn how to overcome them.
  • Determine how data mining and analytics can be used to improve quality of care and provide value-based care in radiology.
Domains: PM, CI, OM
CE Hours: 1

Employee Job Satisfaction and Engagement
Lisa Satterfield, PhD, RT(R)(M), CNMT, CRA
South College - Knoxville, TN

Concurrent with the increasing percentage of retirements and growing demand for imaging services is the need to understand the factors that contribute to employee job satisfaction and engagement and how job satisfaction and engagement are interrelated. Buildings, laboratories, equipment and technology infrastructure begin to depreciate the day they are acquired; but the competence and commitment of imaging professionals can increase steadily over time. As such, ensuring that employees are satisfied, engaged, and motivated by their work and work environment is critically important. Investigated by several disciplines such as psychology, sociology, economics and management sciences, job satisfaction is a frequently studied subject in work and organizational literature. As many researchers have suggested, employers benefit if their employees experience a high level of job satisfaction. This is mainly due to the fact that many experts believe job satisfaction trends can affect labor market behavior and influence work productivity, work effort, employee absenteeism and staff turnover. Moreover, job satisfaction is considered a strong predictor of overall individual well-being. Healthcare organizations have significant effects on the people who work for them and some of those effects are reflected in how people feel about their work. This makes job satisfaction an issue of substantial importance for both employers and employees. Further, employees should be happy in their work, given the amount of time they have to devote to it throughout their working lives.

This presentation will discuss how employee job satisfaction and engagement are interrelated. Factors that contribute to employee job satisfaction and engagement will also be discussed. Lastly, the presentation will evaluate how factors that contribute to employee job satisfaction and engagement have changed over the past 10 years and what these changes will require of employers in the future to ensure their employees are both satisfied and engaged .

You will learn to:
  • Discuss the importance of job satisfaction and engagement and how job satisfaction and engagement are interrelated.
  • Discuss factors that contribute to employee job satisfaction and engagement.
  • Discuss how changes in these factors over the past 10 years will affect how employers will ensure employees are satisfied and engaged in the future.
Domains: HR
CE Hours: 1.5

Engaging Radiology Staff in Joint Commission Readiness
Leslie Pegram, BS, RT(R)
UF Health Jacksonville - Jacksonville, FL

Actively involving all Radiology staff in preparing for Joint Commission surveys, can help ensure staff feel comfortable and confident when surveyors walk through your doors. Based on scores received from an Employee Engagement survey, the Radiology department’s goal was to increase employee engagement and involvement in preparing for our upcoming accreditation survey. Another goal was to involve employees in decisions that affect their work. By creating a diversified Radiology Joint Commission Readiness Team, all staff were actively involved in observing and maintain quality standards. Through the request of volunteers, team members were trained and mock surveys were conducted over a 6 month timeframe. Teams were selected monthly and composed of 3-4 members all from different modalities and Radiology roles. The Readiness Team focused on Environment of Care, Infection Control, Hand Hygiene, Staff Observation and Questions. This model empowered staff to become leaders in Joint Commission Preparedness within their modality. Team members were also actively engaged in helping their peers feel confident and prepared. The Readiness Team successful helped increased employee involvement scores on the next Employee Engagement survey by 19% and ultimately helped lead to a successful Joint Commission survey.

You will learn to:
  • Engage staff in preparing for accreditation surveys.
  • Create and train a diversified team.
  • Collect and distribute information noted during the mock surveys to highlight successes and implement plans for improvements.
Domains: OM, CI, HR
CE Hours: 1

Impact on Cost in Nuclear Medicine related to New Technology, Government Intervention and Collapsing Reimbursement Structures
Leah Gannon, MBA
Novation - Irving, TX

John Witkowski, RPh

This session is generously sponsored by Novation

Under an outcome-based services model, one goal of the Affordable Care Act, health care organizations (HCO) continue to drive costs saving initiatives. The acquisition of radiopharmaceuticals, used in molecular or nuclear imaging has entered into an unpredictable era for the line-of-sight of price increases for the long term. Medical diagnostic imaging with 99m Technetium (99m Tc) radiopharmaceuticals represents 80% of the 50,000 procedures performed each day in the U. S. A daughter radioisotope of 99 Molybdenum (99 Mo) is a by-product of Uranium decay.

99mTc is derived from foreign medical reactors still undergoing conversion of their source material away from highly enriched Uranium (HEU) to a global threat reduction alternative non-HEU sources. Government mandates were promulgated to assist in the global change, and in the re-development of domestic 99 Mo and 99mTc production and supply. Included in these mandates were provisions for Full Cost Recovery in the manufacturing and processing of non-HEU 99 Mo. The new cost structuring will ultimately be passed along the supply chain directly to the hospital and imaging centers.

In addition to the price pressures that healthcare will ultimately face from the Full Cost Recovery of non-HEU 99 Mo, the perfect storm awaits on the cost of the ligand, or non-radioactive portion of the radiopharmaceutical. Over the last decade we have seen a divestiture of many low cost pharmaceuticals and consolidation of the industry to single source, proprietary manufacturers. Ultimately, this has led to unprecedented price increases in the market and has continually impacted healthcare organization’s bottom lines.

In addition to the price pressures mentioned above, the recovery of these greater than traditional price increases continue to lag behind the medical reimbursement, in its current methodology, placing healthcare organizations upside down in cost recovery.

In this presentation, you will learn how the future acquisition cost, 99mTc radiopharmaceuticals, combined with all other purchased products and services will have a major impact on imaging budgets and what steps are needed in support of an effective cost management strategy.

You will learn to:
  • Identify issues surrounding Moly-99 and Global Supply (and cost Implications).
  • Issues Surrounding Ligand/Pharmaceuticals (and cost Implications).
  • Explain The Perfect Cost Storm and the Effect on the Healthcare Supply Chain.
Domains: AM, FM
CE Hours: 1

Standardization and Convergence of Radiology Operations Within a Multi-Site Matrix Organization
Matt Rau, MBA, CRA, RT(R)(CT) and Bonnie Graff, CRA, RT(R)(CT)(M)
Mayo Clinic Health System - Lake City, MN

The role of the radiology leader has been undergoing a metamorphosis; A transition from site based radiology practices to system or group practices. The level of inter-connectivity varies among these practices. The common denominator is that standardization/regionalization of the radiology practices is a key element leading to the current and future success of the practice. Convergence not only benefits radiology operations, but most importantly the safety and quality of the product we deliver to our customers. This session is designed to give radiology professionals a detailed look into historical operations vs current operations within a large health system following an enterprise convergence initiative. Specific topics include: equipment standardization, imaging protocol convergence, policy and procedure standardization, ACR/MQSA/State Department preparation and maintenance of records, organizational structure optimization, and orientation/competency convergence. The presentation is meant to be a conduit for interactive discussion as we discuss the lessons learned, techniques employed, challenges, and ultimately the successes of standardization. Following the presentation, participants will be well equipped with qualitative and quantitative evidence that may be applied to convergence within a health system.

You will learn to:
  • Reduce redundancy and ambiguity within a multi-site radiology practice.
  • Convert existing site centric practices to standardized operations.
  • Restructure existing human capital to optimize administrative time.
Domains: PM, OM, AM, CI, HR
CE Hours: 1

Improving CT Workflow and Contrast Media Utilization with Syringeless Power Injector
Dushyant Sahani, MBBS, MD
Massachusetts General Hospital - Boston, MA

This session is generously sponsored by Massachusetts General Hospital

CT technology is rapidly evolving and new clinical and research opportunities with CT are driving the utilization of CT. More CT exams are now being performed with intravenous contrast media injections. However, CT workflow continues be an impediment for widespread adoption of new technologies. Each technologist is confronted with performing several tasks before, during and after the completion of CT exam specific to CM administration such IV access and check, equipment preparation (contrast media [CM], saline loading), monitoring CM injection, release (unloading of saline and CM). These tasks and several others in CT suite can leads to errors and wastage. New syringeless power injector design has several advanced features and is more user-friendly and has the potential to improve CT workflow, CT throughput and CM saving per examination compared to conventional power injectors.

In this presentation, I will review the current workflow challenges in perform contrast enhanced CT exams and share the clinical and research experience with the syringeless power injector in comparison to the dual-syringe injectors. New software solutions integrated with the power injector will also be reviewed.

You will learn to:
  • Review CT Workflow.
  • Discuss Current Practice with CM and Power Injector Use.
  • Share Experience with Syringeless Power Injector and Its Impact on CT Workflow, Users Preference, and Contrast Media Savings.
Domains: AM, OM
CE Hours: 1

How To Be Successful Running a NON-Radiology Department: A Survivor's Guide
Angelic McDonald, MSRS, RT(R)(CT)(MR), CRA, FAHRA
Houston Methodist DeBakey Heart and Vascular Center - Houston, TX

Many radiology administrators are now being asked to cover cardiovascular imaging. While this is a trend that is becoming more prevalent across the country, it comes with specific challenges. This presentation is provided as a guide and comparison/contrast of diagnostic/cardiovascular imaging to help managers understand those challenges. We will discuss some basic clinical differences, coding, IT needs, physician engagement differences and lastly the specialty needs of their administrator.

You will learn to:
  • Summarize some of the more advanced cardiovascular technique differences between diagnostic imaging and cardiovascular imaging service lines such as echo, vascular US, Cardiac CT, Cardiac MRI, pacemaker services and nuclear cardiac stress test.
  • Identify operational differences (IT/ coding/ structured reports) when running cardiovascular imaging service lines.
  • Identify key strategies in building relationships with interpreting physicians within cardiovascular imaging.
Domains: OM, CI, FM
CE Hours: 1

2:00 PM - 3:00 PM
Exhibitor Symposium
The Role of Dose Tracking Systems in Radiation Safety Programs 
Dominic Siewko, MBA, CHP, CSP
Philips Healthcare- Andover, MA
Generously sponsored by Philips

Radiation dose tracking and awareness requirements continue to mount globally from various regulatory sources. The Joint Commission and multiple US States have already implemented standards and regulations for optimizing patient and staff dose while Europe has a new regulation scheduled for 2018. Learn how to turn these requirements into a quality management program that uses radiology information to improve patient care as part of your radiation safety program.
You will learn to: 
  • Design a robust patient radiation safety program for your organization
  • Implement dose tracking into your quality and safety program
  • Discuss the current regulatory requirements and standards with regards to dose tracking

Domains: CI, OM
CE Hours: 1

Beverage Break

3:30 PM - 4:30 PM
Closing Business Session & Keynote

Nice Bike: Making Connections That Move People
Mark Scharenbroich

Mark Scharenbroich’s “Nice Bike” principle is all about acknowledging, honoring, and making connections that move people. According to the Gallup Management Q12 research, just 28% of employees are fully engaged in their organization, which a whopping 71% of the workforce is underperforming or actively undermining their work. However, organizations that focus on employee engagement improve productivity, develop higher levels of customer engagement, increase retention of their best employees, and improve profitability.

Using the “Nice Bike” concept (which involves half-a-million Harley-Davidson bikers, lots of black leather jackets, one beige rental car, and the sincere recognition of what’s really important), Scharenbroich (pronounced SHAREN-BROCK) helps his audiences instill greater passion in their work and feel a profound connection to what they do. This presentation is a guaranteed catalyst for a stronger, more unified team.

Domains: HR
CE Hours: 1

AHRA Annual Theme Party