On-Demand Sessions

The following sessions will be available for viewing in the on-demand library at anytime throughout the AHRA 2020 Virtual Annual Meeting and for 30 days afterwards. The breakout sessions will also be available on-demand, including the Q&A portion with the presenters! CE credit is available for all sessions by taking the associated CE exam.

• Artificial Intelligence 101: An Overview of Practical Model Deployment in Radiology
• CT Protocol Optimization: Why and How
• Equipping Yourself for Success Managing Imaging Coding & Compliance
• How Can I Comply with the TJC Standards for Fluoroscopic Imaging?
• Is Access affecting your Throughput?
• Just "B"
• KPIology
• Tracking KPI’s for Operational Improvements in X-Ray

This list is subject to change.
Artificial Intelligence 101: An Overview of Practical Model Deployment in Radiology  To Top
Imad B. Nijim, MBA - Chief Information Officer, Radiology, MEDNAX Radiology Solution / vRads

AI in radiology is a dynamic field with the potential to be the most disruptive technology since the digitization of film. The MEDNAX Radiology / vRad AI Incubator is an innovative and novel approach to engaging AI developers and technology leaders. In this presentation, we will share our approach to developing an AI adoption strategy and engaging partners through data sharing, data annotation, and model validation program. We will share lessons learned and best practices for model development, workflow integration, medical and regulatory oversight, and operational control.

You will learn to:
• Develop an AI adoption strategy.
• Engage with partners through data sharing, data annotation, and model validation program.
• Work with model development, workflow integration, medical and regulatory oversight.

Domains: OM, CI
CE Credit: .5

CT Protocol Optimization: Why and How  To Top
Amanda Robertson, DHSc, RT(N)(CT), CNMT - Supervisor, UF Health Jacksonville
Izabella Barreto, PhD - Clinical Assistant Professor, University of Florida Medical Physics

CT protocol optimization is essential for ensuring patient safety and image quality and is required by the Joint Commission and the American College of Radiology (ACR) CT Accreditation program. The American Association of Physicists in Medicine (AAPM) considers these tasks essential to CT quality assurance and offers practice guidelines addressing key players and the protocol review process. The aim of this presentation is to describe our initial experience in forming a new CT Protocol Optimization Committee in a university hospital system. We discuss the necessity of a team approach with collaboration of radiologists, technologists, physicists, administrative staff, and hospital management. Furthermore, we address how our institution collects baseline data, performs dose comparison and image quality review, documents changes to protocols, and implements protocol changes across different scanners in order to ensure consistent protocol parameters. We also describe challenges faced in standardizing protocols across eight different CT scanners of varying vendors and generations located in five facilities. We hope to encourage other hospitals to embark on this ongoing investment in improved quality of patient care.

You will learn to:
• Analyze Joint Commission standards related to CT dose and protocol optimization.
• Develop a plan to perform CT protocol optimization.
• Establish a method to evaluate and track progress in CT dose reduction while ensuring diagnostic quality.

Domains: OM
CE Credit: 1

Equipping Yourself for Success Managing Imaging Coding & Compliance  To Top
Melody W. Mulaik, MSHS - President, Revenue Cycle Coding Strategies

Radiology is an intricate and complicated specialty. Coding and compliance guidelines frequently change and keeping up with these changes can be challenging. Ensuring that you understand the key issues specific to imaging services will ensure your operational and financial success. Radiology Managers/Administrators must be able to effectively manage or oversee compliance for their departments/organizations to ensure revenue is not inappropriately gained or forfeited. This session will provide a high level overview of the terminology and nomenclature for this challenging area. Additionally, key compliance issues, including orders, supervision, the use of extenders and more, that impact radiology will be reviewed to ensure understanding. The possibility of having dedicated staff responsible for the oversight or direction performance of key components will be discussed to determine if this is a possibility for your organization. Job responsibilities and financial justification will be reviewed to assist with your analysis. These issues and more will be answered during this exciting and “animated” session.

You will learn to:
• Review key coding and compliance concepts to equip radiology managers/administrators will the knowledge they need to successful oversee and manage these functions within in their organization.
• Understand how radiology coding/billing is different from other specialties/departments and discuss key areas of concern to avoid compliance concerns.
• Discuss the advantages of having dedicated staff to oversee these functions and how to justify from a budgetary standpoint.

Domains: FM, CI
CE Credit: 1

How Can I Comply with the TJC Standards for Fluoroscopic Imaging?  To Top
Cherylann B. Green, (RTR)(CT) - Radiology QA Coordinator, UF Health Jacksonville

We knew it was coming: TJC standards for fluoroscopy. Did we know it was going to encompass so many processes to review? I didn’t! Even after reviewing the TJC standards and the document they are utilizing to reference-I had many questions. A team was organized to discuss these standards and create a process that we envision will continue to keep our patients safe when performing studies with fluoroscopic imaging. My objective is to share my journey in creating a process to be compliant in every aspect of these new standards.

• TJC standards for Fluoroscopic imaging
• Where to begin in creating a comprehensive process and policy
• Tackle obstacles to proposed process
• Initializing newly created process and policy
• Validate effectiveness of process
• Reviewing data and outliers to process
• Data from my facility to validate process
• Share policy and any forms created for TJC compliance
• Applications necessary to create a comprehensive process

You will learn to:
• Create a process to be compliant with the TJC standards on fluoroscopic imaging.
• Add a policy and documents to strengthen the process.
• Evaluate the process for any fail safes that may be needed to make the process as comprehensive as possible.

Domains: OM, CI
CE Credit: 1

Is Access affecting your Throughput?  To Top
Kecia L. Turner, BSRT, (R), (MRI) - Enterprise Imaging Manager, MRSO, The University of Alabama at Birmingham
Jeff McGough, MSHA, CRA - Director, The University of Alabama at Birmingham

This session will show how optimizing MRI protocols can drastically improve patient access. Through a step by step discussion, participants will learn the process improvement methods we used to significantly increase provider satisfaction through improved scheduling access. We will also discuss best practices learned and possible pitfalls during this implementation. 

You will learn to:
• Identify importance of collaboration as a team to accomplish the objective of the project.
• Identify the need for process innovation to increase access.
• Identify the various stages needed make this project a success.

Domains: OM, CI
CE Credit: 1

Just "B"  To Top
Kenneth Fazzino, BA, RT, PMP, CRA - Sr. Director, Envision Physician Services

Leaders are all pressed for time and success is getting ever harder and more complex. Some basic items which will help navigate interactions and teams to success. The "B's" 

We will review what each of these represent, how to apply with our teams and the impact on collaborations. The B's can help promote success, efficiency and overall leadership skills. Will discuss a few of many "Be's" which have proven to be important over the years. Colleagues will appreciate the approach.

You will learn to:
• Use presentation skills to build confidence and efficacy.
• Understand how this creates success with your teams in meetings and projects.
• Understand why it matters, what happens if you fall short.
• Establish a welcoming and collaborative environment.

Domains: HR
CE Credit: .5

KPIologTo Top
Sara Nofziger-Drew, CHBME, CPC, CPB, CPPM - Director of Client Relations, HealthPro Medical Billing, Inc.
Jill Briggs, CPB - Director of Claims Analysis and Account Management, HealthPro Medical Billing, Inc.

You know what KPIs to watch for but your still struggling with how to trend them and how to improve your numbers. Understanding the proper way to trend your KPIs is vital before you can make significant strides to improve. In this session, join us as we review how to trend your KPIs, what you can learn from the trends and the action steps to take to improve them. We will also show you the power in looking at CPT utilization and other data through Pivot Tables. We will teach you how to create a Pivot Table and put the knowledge you learn from those Pivot Tables into action. Overall, this session will provide you knowledge to focus on the trends from your data, what those trends reveal, and the steps you can take to improve those trends including your bottom line.

You will learn to:
• Trend your KPIs and what those trends mean.
• Understand the action steps to improve your KPIs.
• Understand how to create a Pivot Table and how to use the results of the table to drive improvement.

Domains: OM, FM
CE Credit: .5

Tracking KPI’s for Operational Improvements in X-Ray  To Top
Todd Minnigh, BS - Chief Marketing and Commercial Officer, XR, GE Healthcare

“Without data, you’re just another person with an opinion” said Edwards Deming, the father of modern quality management. To make real change managers need to track Key Performance Indicators (KPI’s) with precise enough detail to address the specific causes of issues. For X-ray quality this is typically includes repeat/reject rates, exposure levels and system use. Effectively reducing rejects will reduce cost, workload, wait time, and can improve patient satisfaction. Today, digital dashboards exist to make tracking all this – and who did the work, much easier.
Little, et al., published in JACR a repeat rate of 24.5% before focused improvement actions studied at U Chicago drove improvements of over 10%. While departments are often closer to 10-12%, many struggle to reach the AAPM reject rate targets of 8% for adult and 5% for pediatric imaging. Challenges encountered include having comparable data between systems, ability to track rejects and exposure levels by technologist, and efficient ways to aggregate data across multiple systems.

Common radiographic imaging KPI’s include: 
1. Reject Analysis rates to know where to improve
2. Exposure Index (EI), Deviation Index (DI) and Dose Area Product Meter (DAP) data to track optimal exposure levels
3. Equipment Quality Assurance procedures and detector data to manage system performance and use

Knowing who took each image or encountered each incident is essential to taking corrective actions. Information on who did the work can also help to balance workload and identify top performers. Listen in to hear some best practices and workflow improvements!

You will learn to:
• Tips and tricks across multiple vendors for capturing KPIs critical to making improvements.
• Use approaches to create to engage employees for positive improvements
• Use tactics for capturing user ID information associated with images and incidents.

Domains: OM, AM
CE Credit: 1