Sunday, July 12 - Wednesday, July 15


Sunday, July 12 | Monday, July 13 | Tuesday, July 14 | Wednesday, July 15

CE Information: ARRT Category A Continuing Education (CE) credit will be available at the AHRA Annual Meeting and Exposition. CE credit for states with licensure for radiologic technologists will also be available. The number of credits per session will be listed in the onsite program book. AHRA will be using an electronic tracking system for CE credits at the 2020 Annual Meeting. The bar code on your badge will be scanned as you enter a session and as you leave the session. You must get BOTH scans in order to receive CE credit. Since the bar code on your badge tracks your attendance, you can only get CE credit if you have your badge with you at the session! Each night you will receive an e-mail listing the sessions you attended and the number of credits you received that day. This e-mail will also include links to online session evaluations—please make sure you complete the evaluations! After the conference you will receive an e-mail listing your complete attendance history and number of credits earned. More details about the CE tracking system will be provided in the onsite program book.

Session Handouts: AHRA will post session handouts on its website 1-2 weeks before the start of the conference so attendees may print the handouts for the sessions they wish to attend in advance and bring them to the conference. Notes sections are also available in the onsite program book.

Practice Management Track: Presentation topics and speakers were identified to create a robust educational program designed to address the real-life challenges faced by today’s radiology practice managers and hospital administrators. Practice Management presentations are highlighted by PM.

Sunday, July 12    To The Top


11:00 AM - 12:00 PM
Exhibitor Symposium
(details coming soon)

1:00 PM - 2:00 PM
Breakout Sessions

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

How Can I Comply With the TJC Standards for Fluoroscopic Imaging?

Discussions:
• 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
Present:
• 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 Credits: 1


I Feel Like I’ve Been Run Over by a Truck
Katharine McKenna, BA Theater - Best Selling Author, Motivational Speaker, Self

Have you ever had a moment where your entire world is turned upside down? Where you feel like your life has been smashed into a million pieces, and you are unsure of how you will ever put those pieces back together again? For me, that moment was when my body was run over by an 18 wheel truck about 11 years ago. This one event changed my life forever, and the experiences I had with medical professionals during, and after that moment, impacted the way I saw the world.  Patient care is a growing concern for many hospital systems around the world, but many struggle to find the voice of the patient due to limited availability of skilled patient speakers. In my talk, I draw from my own positive and negative experiences in the hospital system, and walk through what a huge impact the communications choices of my providers had on me and my healing. During my talk, I will walk the audience through how the way that care providers interact with their patients has deep and lasting effects. I explain through personal examples that the relationships they build with their patients can change the way patients see their challenges, how they feel about their caretakers, and how they feel about the hospital itself.

You will learn to:
• Describe how patients adjust to being a sick or injured person - what that adjustment is like and what might help or hinder that adjustment.
• Explain the importance of communication between medical professionals and their patients as they are healing. How what you say and do impacts patient's healing process.
• Discuss resilience in patients, and also in everyone as medical professionals.

Domains: CI, HR
CE Credits: 1


Leadership and Radiology in Global Health
Melissa P. Culp, M.Ed., RT(R)(MR)(ARRT) - Vice President and Chief Operating Officer, RAD-AID International

This presentation defines global health, discusses the need for radiology in global health, and presents a sustainable methodology for radiology integration within global health based on RAD-AID International's Radiology Readiness framework.  Additionally, the participant will be able to articulate the impact of radiology’s role in the World Health Organization’s Global Target of reducing non-communicable diseases, such as cancer and cardiovascular disease, and in support of the United Nations Sustainable Development Goals. Finally, the presentation will review RAD-AID's Business Education Program and the need for health administration education in global health to create sustainable solutions and system level change in procurement, supply chain management, human resources, and leadership.

You will learn to:
• Define global health, discuss the need for radiology in global health, and understand sustainable methodologies for radiology integration within global health.
• Articulate the impact of radiology’s role in the World Health Organization’s Global Target of reducing non-communicable diseases, such as cancer and cardiovascular disease, and in support of the United Nations Sustainable Development Goals.
• Implement concepts related to the World Health Organization’s framework for action on interprofessional education and collaborative practice within global health radiology.

Domains: CI, HR
CE Credits: 1


The Culture of Lean Leadership: Creating Opportunities and Lessons We Learned
Alpana Patel Camilli, RT, (CT), CRT, AS - Manager, Diagnostic Radiology, UCSF Health
David Poon, RT, CRT, BSMDI - Radiology Supervisor, UCSF Health

This session is generously sponsored by UCSF Health

Organization development takes time, patience and the mindset to bring about cultural shifts in thinking within the leadership team and also within each individual team member. Practicing Lean Leadership provides an abundance of benefits to an organization resulting in maximizing the value we deliver to our patients while bolstering shared leadership within our teams. Shared leadership fosters employee engagement and boosts morale. As managers become more engaged with their teams through the distribution of duties and follow up, reporting staff are encouraged to become engaged and motivated to continuously improve as their achievements are recognized and ideas implemented.

Managers will be required to coach and recognize specific talents within individual team members to learn the drivers of staff engagement. With a concentrated approach, managers can create an environment of positive continuous improvement and the value this mindframe brings to our patients, peers, and the various other departments that work directly with Radiology.  The mindset of Lean leadership decreases costs of an organization by continuously thinking in terms of reducing waste and improving processes. Organizations will also see the benefit of having long life career employees, as this mindset increases employee retention. When we inspire and encourage our teams to think in this mindset we establish a base for success for our teams and the organization. In this presentation we will discuss various examples of the Lean Management mindset, experiments implemented and the resulting lessons learned as we attempt to shift the department culture to lean into positive continuous improvement.

You will learn to:
• Use the methodology and mindset of Lean Leadership.
• Use techniques to optimize staff engagement and how to get your team to think in terms of continuous improvement and therefore create the ultimate patient experience.
• Demonstrate how the two guiding tenants of continuous improvement and demonstrating respect can reduce overall waste for the imaging department.

Domains: AM, FM, OM
CE Credits: 1


The Many Languages of Data 2: An Interactive Exercise to Drive Change
Stefanie A. Manack, CRA, MS, BS, AAS, R.T. (R)(M)(VI) - Operations Manager, Imaging, Accumen
Judy Zakutny, AAS - Operations Manager, Imaging, Accumen

This session is generously sponsored by Accumen

Speaking the same language and working collaboratively on any project is critical to its success, along with ensuring that all team members have the same understanding of the scope, purpose and goal of the project. Whether evaluating staffing levels, patient access, asset utilization or supply costs, all process improvement initiatives start with data gathering. A thorough, objective review and analysis of the current state is the cornerstone of any process improvement. Using a common data language and building on last year’s presentation, “The many languages of data: Finding a common dialect to drive change” this interactive, hands-on session will use sample data reports to evaluate an imaging department’s metrics and craft the most effective message using the best medium.

You will learn to:
• Efficiently and effectively define a common data language for your project.
• Analyze and interpret common sample reports and define the data that will meet your goals and drive change in your department.
• Best present your findings to stakeholders

Domains: CI
CE Credits: 1


2:00 PM - 2:30 PM: Beverage Break

2:30 PM - 4:00 PM
Breakout Sessions

An Introduction to Artificial Intelligence for Imaging Managers
Todd Minnigh, BS - Chief Marketing and Commercial Officer, XR, GE Healthcare

This session is generously sponsored by GE Healthcare

A.I. has begun to proliferate across healthcare applications from scheduling and acquisition devices to reporting and treatment. A.I. is on the cutting edge of innovation today. How are things changing and what might be the impact?
The technology being created now is allowing us to elevate what we do, to focus on those things that require a human touch, creativity and abstract thinking. This talk will walk through how A.I. algorithms are used, created and implemented, followed by relevant examples of A.I. currently implemented in imaging. Many of these tools seem to hold the potential to make real differences in healthcare delivery, accuracy and the patient experience. 

Some areas we will cover:
1. Deep Learning and A.I. including how these algorithms are created using AWS, Intel, Microsoft and other company’s tools and technologies. 
2. New applications becoming available and the value they promise for imaging departments
3. A discussion of where A.I. is going and some thoughts on where we may see it next in medical imaging

This vendor neutral educational talk will walk us through this area of technology at a high level to share some innovations and insights into this profound and exciting change.
 
You will learn to:
• How A.I. algorithms are created today to give insight on why these tools work, and background when they dont work perfectly.
• Understand an overview of relevant applications of A.I. in the context of imaging departments.
• Understand the perils and pitfalls of A.I. including an understanding of the accuracy of these tools and how it has been measured.

Domains: OM, CI
CE Credits: 1.5


Case Study: Diversity
Gerard Wilson, BSRS, CRA, RT(R)(CT) - Senior Manager, Imaging Services, The University of Texas Medical Branch
This session repeats on Tuesday at 2:15 pm

Details coming soon!

You will learn to:
• coming soon

Domains: TBD
CE Credits: 1.5


Coding Tips & Traps
Melody W. Mulaik, MSHS - President, Coding Strategies, Inc.

This session is generously sponsored by Coding Strategies, Inc.

This session will include an overview of radiology-specific coding risks including new technologies, appropriate utilization of new codes introduced in 2020 and other top radiology coding and compliance concerns. Potential audit concerns, including extenders and supervision, will also be discussed to identify potential opportunities for improvement in system operations. Sufficient time will be designated during the session to ensure that session participants have ample opportunity to have their coding questions and/or concerns addressed.

You will learn to:
• Understand an overview of current radiology procedure coding risks including unbundling, payor audit targets and confusing codes.
• Review procedure coding updates for 2020 as well as key areas of concern.
• Ensure attendee coding questions are addressed through an interactive Q&A portion of the session.

Domains: FM, OM
CE Credits: 1.5


Creating Your Leadership Habits that Drive Results
Joan Beltran Franey, MBA (1983-2015 ARRT, CRT) - VP Ancillary Services, Kaiser Permanente Northern California

This session is generously sponsored by Kaiser Permanente Northern California

Leaders are consistently having to prioritize their daily, weekly and even monthly activities to make sure they are focused on the most important and impactful activities. The balance between the priorities come from various stakeholders with oftentimes conflicting messages. This session will explain and provide new thinking and tools to enhance your ability to develop a roadmap for your strategy, your structure and behaviors that drive results and a method that will help you keep on track consistently. 

This is a proven method that, if followed, can give you more clarity, balance and effectiveness in the results you achieve. The specific thinking will be how to structure your strategy, criteria for prioritizing and templates for behaviors as well as then developing your template for Leader Standard Work (triad audience experiential exercise) that supports following through on the strategies you've developed. The leader may walk away with a clearer understanding of how to prioritize their work, conversations they might need to have to re-prioritize and a method to stay consistently focused on the most important activities to drive performance and sustain this over time.

You will learn to:
• Use a template for clarifying your goals, structure and behaviors.
• Interactive Session designed with NeuroScience involved to ensure that you are able to hardwire the habits you most need.
• Develop a standard leader visual management system to stay consistent with your priorities.

Domains: HR
CE Credits: 1.5


The Multi-Modality Technologist: Next Generation Staffing Models
Leslie Jebson, MHA, FACMPE, FACHE - Executive Director, Adjunct Lecturer, Texas A&M Health Science Center

Staffing and efficiency challenges, coupled with growing patient care demand and safety considerations are driving the reinvention of imaging job duties and roles. This immersive session will examine the development and adoption of new imaging staffing models. These models are anchored by multi-modality employees that traverse both technologies and delivery settings, across the entire patient care spectrum.

You will learn to:
• Understand multi-modality job titles and duties.
• Identify and discuss regulatory challenges for multi-modal technology staff development and training.
• Examine effective staffing models by delivery setting rather than modality.

Domains: HR
CE Credits: 1.5

4:00 PM - 4:30 PM: Beverage Break

4:30 PM - 5:30 PM
Breakout Sessions

Denials, Denials, Denials, Oh My!
Sara Nofziger-Drew, CHBME, CPC, CPB, CPPM - Director of Client Relations, HealthPro Medical Billing, Inc.
Megan Rodden, BA - Director of Operations, HealthPro Medical Billing, Inc.

This session is generously sponsored by HealthPro Medical Billing, Inc.

Your billing team is getting claims out the door quickly but more often than desired, denials are being returned by the insurance company instead of a payment. Now your team has to jump through hoops to try to receive payment. Understanding what steps you can take to prevent denials and follow up to overturn the initial denial is vital to your full circle Revenue Cycle Management. In this session, join us as we review how to avoid instant denials, unexpected errors, tools needed for denial processing, workflow processes, and quality assurance. We will also show you how to trend and track your denial process to prevent them from happening and ensure you are recovering the payment that was initially denied. In the end, this session will provide you with the knowledge and understanding of what steps you can take to reduce your denials, how to overturn them and the best practice to monitor them.

You will learn to:
• Avoid initial denials and unexpected errors in your billing process.
• Understand the best workflow process along with tips and tricks to resolve denials.
• Track and trend your denials so you can identify and reduce them.

Domains: FM, CI
CE Credits: 1.0


Journey to Baldrige: Continuous Performance Improvement
Michael A. Janis, MBA, RT(R)(CT)(N)CNMT - Executive Director of Outpatient and Ancillary Services, HSHS St. Anthony's Memorial Hospital

The need to improve your organization’s performance has never been greater: customers expect more, good employees are hard to find, you have to do more with less, and competition is intensifying. Most find themselves asking:
"Where do you start?"
"How do you know which processes need the most attention?"
"how do you achieve – and sustain – high performance over time?"

The presentation I envision provides the detail and examples of processes improved at HSHS St. Anthony's and how we elevated as an organization and specifically in the radiology department. Key items of discussion will include "SBAR" process (Situation - Barrier - Assessment - Recommendation), I Promise Room created for daily safety huddle (Entire hospital sends representative for improved cascading communication), Online Registration and elimination of waiting rooms.  The overall goal is to share our journey to processes improvement and a goal of zero harm to the organization. We started with ILPex (Illinois Performance Improvement) 3 years ago and received the bronze award 2x - commitment to excellence and this year were awarded the silver award - progress to excellence.

You will learn to:
• Develop a plan for the department and/or organization.
• Establish the process improvement tools and templates to establish consistency
• Evaluate examples of completed projects and projects in process.

Domains: OM, CI
CE Credits: 1


Leadership Through Coaching
Amy Hollis, RT(R) (M), CRA, MHA - Director of Imaging Services, Monroe Clinic

We all know that leadership matters. What we often fail to realize, however, is that how we lead our teams impacts the success of our departments and organizations. This session will focus on the coaching leadership model and its direct effect on finances, safety, quality, and engagement. During this session, you will learn strategies to bring your staffing metrics in line to help you control costs. You will also learn how empowering employees to champion safety and quality initiatives places improvement in the hands of those closest to the work. After all, they have the most knowledge and can make the biggest impact. We will discuss real-life results. The presenter will provide a case study on the implementation of the coaching model. Data metrics will be shared to demonstrate the level of success possible through coaching and engaged leadership. The presenter will provide take home tools that can be scaled up or down to fit any organization.

You will learn to:
• Bring your staffing metrics in line to reduce cost.
• Empower and engage your front-line employees to make quality and safety improvements.
• Run and analyze leading data metrics so you can make impactful changes.

Domains: HR, FM, OM
CE Credits: 1


Simulation and Radiology
Traci Foster, CRA, MSRA, RT(R) - Assistant Director Radiology, Texas Children's Hospital The Woodlands

Simulation has exploded in the healthcare industry and is gaining momentum worldwide. Simulation is a major component of HROs and can be invaluable in a healthcare setting. The purpose of this presentation is to provide education on what simulation is and how it can be useful in a radiology setting. There are four primary purposes for simulations and all successful simulations include components that are designed to best meet the goals of both the simulation and the learners. 
Simulation is an invaluable tool and when paired with radiology, can help with delivering the best possible care for our patients.

You will learn to:
• Define simulation.
• Identify the purposes of simulation.
• Discuss the uses of simulation in a radiology setting.
• Discuss uses of simulation in a radiology setting.

Domains: OM
CE Credits: 1


Take Back Your Life! Personal Productivity
Steven Crawford, MBA - Director / Senior Consultant, McGhee Productivity Solutions

This highly impactful session is designed to enable professionals to dramatically increase their productivity while creating greater balance in life. This program supports participants in creating an approach to using Microsoft Outlook to manage their constant stream of communication, tasks and projects.  Participants will gain insights to help spark behavioral change and adoption of proven productivity principles. This session is an opportunity for leaders to create greater levels of empowerment in their role. By the end of this dynamic program, participants will experience a sense of control through an organized, focused approach to their objectives, projects and action steps. Key issues addressed include: e-mail overwhelm, reducing interruptions and integrating personal and professional priorities.

You will learn to:
• Manage Interruptions.
• Manage eMail.
• Have The Weekly Review

Domains: HR, CI
CE Credits: 1


5:45 PM - 6:30 PM
Welcome Reception for New Members and First-Time Attendees
This invitation only reception is a great way to get acquainted with AHRA. Connect with new colleagues and then join them at the President’s Reception, immediately following

Monday, July 13    To The Top


7:45 AM - 8:45 AM
Exhibitor Symposium
Details coming soon

9:00 AM - 11:00 AM
Grand Opening Ceremony & Keynote:
Lex Gillette
Details coming soon

11:00 AM - 2:00 PM: Exhibit Hall Open & Lunch served 12:00 - 1:30 PM

2:15 PM - 3:45 PM
Breakout Sessions

Policies & Best Practices: MRI and Implant Patients
Tobias Gilk, M.Arch, MRSO, MRSE - Sr. VP - RAD-Planning, Founder - Gilk Radiology Consultants
This session is generously sponsored by Gilk Radiology Consultants

If you're finding yourself pushed to do more implant or device patients in MRI, and you're not sure whether / if you should, this session will help you answer those questions. This session will be a workshop, helping managers and senior technologists identify needed policies, practices, and training for the brave new world of MRI studies in patients with medical implants. We'll be discussing different implant types (from orthopedic to deep-brain stimulators), different MRI scanners (1.5 vs. 3.0, horizontal vs. vertical field), and different patients (pediatric, bariatric, and geriatric). This session will help you identify what the risk factors are (or could be), and how to manage or mitigate them.

We'll discuss individual roles and responsibilities of technical and clinical staffs. We'll discuss frequently-occurring disparities between and among staffs when it comes to MRI knowledge and risk-tolerance (and how to close those gaps). We'll discuss policies and procedures, what makes for 'binder-stuffer' policies, and what makes them useful. This seminar won't make you turn your site into a 'bleeding edge' MRI provider, but will give you the information to respond to patient and referrer requests in a clear and confident way.

Learning Objectives:
• Identify and quantify the implant-specific risks of MRI studies
• Manage and mitigate risks associated with MR imaging patients with implants.
• Use tools to expand your clinical MRI offerings without increasing risks beyond your site's comfort level.
 
Domains: OM
CE Credits: 1.5

Price Transparency: Three Angles, One Vision for Healthcare
Susan Hollabaugh - VP, Regulatory Analysis and Conformance, RadNet, Inc.
Charlie Shaw, MBA, PMP, FACHE, Managed Healthcare Professional with HIAA - SVP HealthCare Network Strategy, RadNet
 
Patient expectations have changed in the era of high-deductible health plans—and due to easily accessible information. Patients are more discerning, actively shopping for services that will bring value for every dollar spent. For anything digital, they expect an Amazon-like experience—immediacy, clarity, control, and multiple options. In this panel discussion, the issue of price transparency is addressed from three distinct perspectives. A provider (RadNet) will share his take. A payor (a data platform that has relationships with all major payors) will share another point of view. Finally, a patient will reveal what the experience is really like for those who receive services. A moderated Q&A is included. Attendees will learn about new patient expectations, new solutions (and the role of IT), what the real issues (and obstacles) are, how regulations affect price transparency, and how the differing needs of healthcare constituents play a role in the movement.

You will learn to:
• Understand patient needs and expectations on price and billing.
• Understand government efforts to promote transparency.
• Understand the role of technology in creating real solutions on this issue.

Domains: FM
CE Credits: 1.5


Regulatory Update
Sheila M. Sferrella, MAS, CRA, RT(R), FAHRA - President, Regents Health Resources
Melody W. Mulaik, MSHS - President, Coding Strategies, Inc.

Details coming soon.

Domains: CI, OM, FM
CE Credits: 1.5


Suicide Prevention and Brain Health: Talk Saves Lives
Shirley Weddle, AAS, BBA, RT(R)(M), CIIP - Imaging Informatics Specialist, TDIcon

In 2017, more than 47,000 individuals died by suicide in the United States and almost 1.2 million are estimated to have attempted suicide. Suicide takes more lives in the U.S. than homicide, war and natural disasters combined.  JCAHO is addressing the need for Safety Planning Intervention in health care organizations while state legislatures are increasingly requiring suicide prevention training for educators and licensed health care professionals. Research utilizing fMRI and Nuclear Medicine imaging is occurring in an attempt to find an objective means to detect mental/brain health issues early and to monitor the effectiveness of interventions. It is important to understand that mental health is brain health.

Do you know the warning signs and symptoms of suicidal ideation? If you do recognize signs, do you know what to say or do to help that person who is struggling? 
Do you understand how suicide loss grief is different than other loss grief and how it affects that person’s relationships and work performance?

You never know when you will be the one person that is available to save the life of someone who is contemplating suicide. This presentation utilizes evidence based information and research as well as the personal experiences of the speaker who lost her only child to suicide in 2014 to bring awareness of the scope of suicide loss and mental health/brain health issues in our work and personal environments, to educate regarding warning signs and interventions, and to support those who struggle and who have lost someone to suicide.

You will learn to:
• Identify causes, warning signs and symptoms of suicidal thoughts and ideation while debunking suicide myths.
• Utilize resources to help someone directly and through referral who is experiencing mental/brain health issues and suicidal thoughts in personal and work environments.
• Understand and support those that have lost someone to suicide and how to recognize the difference between grief and depression.

Domains: OM, HR, CI
CE Credits: 1.5


Tracking KPI’s for Operational Improvements in X-Ray
Todd Minnigh, BS - Chief Marketing and Commercial Officer, XR, GE Healthcare
This session is generously sponsored by 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 Credits: 1.5


3:45 PM - 4:15 PM: Beverage Break

4:15 PM - 5:15 PM
Breakout Sessions

Eating the "Stress Elephant" One Bite at a Time
Josh Block, BA in Business Management/Marketing - President, Block Imaging

The usage of the word "stress" has ballooned over the last 25 years and in many ways has become a catch all for the kaleidoscope of life's challenges. In this session, we'll look to break down the root causes and provide a framework and tools for helping leaders and teams navigate a culture that feels enduringly "stressed out."

You will learn to:
• Identify the root causes of stress SO THAT we can be more equipped to shape our future decisions, actions and relationships.
• Leverage personal identity as a means of combatting stress.
• Help team members break down and navigate situational and chronic stress and anxiety.

Domains: HR, CI
CE Credits: 1


Advanced Tools to Manage and Stay Current with Hospital Fluoroscopic Safety Policy
Brendan Loughran, MS, PhD, DABR - Medical Physicist, Landauer Medical Physics
This session is generously sponsored by Landauer Medical Physics

The regulatory and institutional requirements on a hospital or system-wide fluoroscopic policy are ever-changing and increasingly demanding. Regulatory bodies and best practice mandate that every fluoroscopic case record complex dose metrics. It is also required that these metrics be monitored in real-time during the fluoroscopic procedure with call-outs to the performing physician. Predetermined dose levels must be decided so that reporting and follow-up actions can be performed if these levels are exceeded. These dose levels are cumulative requiring a review of all prior substantial fluoroscopic procedures included from the past 6-12 months. If predetermined dose levels are exceeded, communication with the patient and other physicians is necessary to monitor possible late-term, severe skin effects. Finally, all of these metrics and data must be recorded and available for quality review and possible event reporting. 

Despite these challenges, a comprehensive fluoroscopic policy is possible. Now, more than ever, advanced monitoring tools are available to assist with the management of such a policy. This presentation will address the essential and current elements of a fluoroscopic safety policy and discuss how advanced tools can aid in the day-to-day fluoroscopic policy management.

You will learn to:
• Understand what is required in a hospital or system-wide fluoroscopic safety policy.
• Identify and recognize challenges to the day-to-day management of a fluoroscopic safety policy.
• Learn what advanced tools exist to facilitate the management of hospital or system-wide fluoroscopic safety policy.

Domains: OM
CE Credits: 1


Growing Forward with Human Resources- Performance through People
Billie McKee, MHA MBA RT(R)(T) CRA FAHRA - Chief Human Resource Officer, Henry Co Medical Center
This session is generously sponsored by Henry Co Medical Center

Growing Forward with Human Resources
(Performance through People)
Challenge

In November 2017, I accepted the Chief Human Resource Officer position at HCMC. I had been the Imaging Director for the previous 13 years. Needless to say, this was quite a different working environment than the clinical areas I had always worked in through the years. One of the biggest differences/challenges was the massive amounts of paper that flow through the HR department on a daily basis. Coming from a paperless/filmless area, this was quite the adjustment for me. It really gave me an appreciation for the HR staff and how things can really get lost in the shuffle of paper. We employee close to 1,000 partners and believe me when I say, that’s a lot of paper!

So, I set out to see what we could do about making the HR department more efficient by eliminating some of the paper. We began looking at HRIS systems in the Spring of 2018 and quickly realized we needed Payroll on board with us to make this a completely successful project. Also, our Turnover rate when I came into this position for entire organization was about 26% with approximately 284 open positions, with an average time to fill of about 30 days. Nursing turnover was 33% alone. We also wanted to gauge what our 1 year retention rate was after the previous year of changes in our new hire and on-boarding processes.

You will learn to:
• Define our Goals for Success.
• Discuss solutions that we applied.
• Impact and Outcomes of Efforts.

Domains: HR
CE Credits: 1


Is Access affecting your Throughput?
Kecia 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

Is Access affecting your Throughput?
The objective of this project was to increase access and throughput within MRI by improving pre-exam and exam activities. The project, "MRI Makeover," was created for the purpose of process improvement in the MRI department. The project was organized by utilizing three different stages of planning. The three stages included three different groups that were instrumental at different stages within the project. Each group included key stakeholders within the institution. The stakeholders included radiologist, medical directors, radiology directors, informatics, schedulers, marketing, human resources and technologist. Operational metrics included appointment availability, average protocol times, utilization percentage, and daily available appointments.

Within our presentation we will show how by optimizing MR protocols to reflect a scan time of less than 30 minutes, can improve your overall access. We will also show that by reducing the MR appointment time-slots from 45 minutes to 30 minutes allowed for an increased daily available appointment metric. We will show how the daily available appointment increased by 40% post-intervention. Lastly, we will discuss step by step the process improvement methods used to create the MRI Makeover project. This information will allow for a better understanding of the challenges you may potentially encounter. It also will illustrate the success that you can and will achieve.

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 Credits: 1


KPIology
Sara Nofziger-Drew, CHBME, CPC, CPB, CPPM - Director of Client Relations, HealthPro Medical Billing, Inc.
Megan Rodden, BA - Director of Operations, HealthPro Medical Billing, Inc.
This session is generously sponsored by 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 Credits: 1


5:30 PM - 6:30 PM
Exhibitor Symposium
Details coming soon.

6:30 PM - 7:30 PM: CRA Alumni Reception

Tuesday, July 14    To The Top


7:00 AM - 8:00 AM
Exhibitor Symposium
Details coming soon

8:15 AM - 9:15 AM
Breakout Sessions

Using Account Based Marketing to Reach Referring Physicians
Megan Fulton, BA, Advertising - Marquette University - Global Marketing Director, Fixed Radiography, GE Healthcare

How do you implement Account Based Marketing (ABM) on a level that fits within your current scope of people, budget, and technology? More, how do we in Healthcare manage the line between personalization and “too personal?” 

At its core, ABM is about people. Nobody understands the human condition better than those who contribute to positive change in their patients’ lives. Taking that passion and applying it to reaching referring physicians can happen through delivering quality marketing in five pillars. First, Audience Intelligence. Just as you know your patients’ histories, come to know your target physicians and approach everything you do through their lens. Next, Customer Experience. Understand what path your referring physicians are on, and map your strategy to their journey. Third, Empathetic Content. Develop content that speaks to your audience’s goals, challenges, and everyday experience. Fourth, Thoughtful Delivery. Make sure to map the right channels to the right physicians and deliver content at the right time so the delivery of your message is as successful as possible. Finally, Analytics. Track engagement and success through a core set of analytics and expand as your ability to quantify expands.

You will learn to:
• Develop a baseline persona for your target audience and map their decision-making journey.
• Leverage personas and journeys as the starting point for engaging content.
• Strategize a pilot ABM program and establish key performance metrics.

Domains: CI, FM
CE Credits: 1


Building a Radiology AI Incubator: Patient Care through Innovation
Imad 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 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 Credits
: 1

“This is Me” - How Leading from Identity Changes Everything
Josh Block, BA in Business Management/Marketing - President, Block Imaging

Everyday, leaders make important decisions that impact people’s lives and shape their cultures without a clear road map. We have the opportunity to engage our teams in order to build trust, confidence, security, clarity, kindness and fulfillment. In this session, we’ll talk about the power of leading from identity as a means to equip and encourage us on the tricky, tiring and at times lonely road of leadership. 

You will learn to:
• Understand personal identity and how it relates to leadership.
• Examine the changes you can make in your leadership once you understand your personal identity.
• Create action steps that will have a lasting impact.

Domains: HR
CE Credits: 1


It's Not Just Access Anymore: Patient-centered Operations in Imaging
Stefanie A. Manack, CRA, MS, BS, AAS, R.T. (R)(M)(VI) - Operations Manager, Imaging, Accumen
Judy Zakutny, AAS - Operations Manager, Imaging, Accumen
This session is generously sponsored by Accumen

Patient-centeredness and patient-centered care have become common buzzwords in healthcare. Like all patient-facing parts of healthcare, Imaging departments have worked to find ways to increase patient satisfaction and design an experience that meets the needs of the patients. But what does it mean to truly put the patient at the center of your imaging operations? Patient-Centered care involves more than just access, and has an application in every facet of your operation. In addition to providing the best experience for your patients, a true patient centered approach will positively impact your overall imaging operations. In this session we will discuss not only patient access but how a patient-centered approach to utilization, staffing, operations and even supply chain decisions can improve your patient and staff satisfaction scores and have your patients choosing your organization time and time again.

You will learn to:
• The history of patient-centered care and what it TRULY means to put patients at the center of imaging operations.
• Holistically view Patient Access, Operations, Asset Utilization, Staff Productivity and Supply Chain decisions from a patient’s point of view.
• Understand the integral role radiologists play in patient-centered care.

Domains: OM, AM, CI
CE Credits: 1


Just "B"
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" 
Be-
Brief,
Bright,
Gone,
Present
Engaged,
Supportive
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 wuth 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 Credits: 1


9:15 AM - 9:45 AM: Beverage Break

9:45 AM - 11:00 AM
General Session & Keynote
Yassmin Abdel-Magied
Details coming soon

11:00 AM - 2:00 PM: Exhibit Hall Open & Lunch served 12:00 - 1:30 PM

2:15 PM - 3:45 PM
Breakout Sessions

Becoming a High Reliable Organization with Implementation of Clinical Decision Support
Joyce Timko, MBA, CRA, RT(R)(M)(CT) - Director, Diagnostic Imaging, Orange Regional Medical Center
Gene Bernieri, CRA, FAHRA, RT (R) (MR), LRT, CRT - Senior Admin Ancillary Services, Greater Hudson Valley Health System / ORMC

A High Reliable Organization (HRO) is one that places safety at the forefront of each and every action. Through the development of becoming an HRO the imaging department engrains safety for the patient, employees and visitors at every step of the process. Ensuring the most appropriate exam is ordered for patient is one aspect of an HRO aided by the implementation of a clinical decision support mechanism. Full implementation of a clinical decision support mechanism incorporates many disciplines from billing, IT, physician offices, radiologist and diagnostic imaging staff. Each team member places safety as the driving force to ensure quality care for patient. The clinical decision support system is one of the multiple barriers put in place at a HRO as a barrier to stop errors. An HRO will place safety first all the time every time, have awareness of safety within the organization, collect data to trend reduction of errors, have open transparent communication, and provide an accountable and empowered environment for all. Through our journey to become an HRO, the imaging department implemented initiatives to reduce error and harm while improving our culture of safety.

You will learn to:
• Understand the requirements to become an HRO Imaging Department.
• Identify the successes and challenges with Implementation of CDS in an HRO.
• Identify the Impact of an HRO and CDS on the Diagnostic Imaging Department.

Credits: 1.5
Domains: OM, CI, AM


Capital Tea Party! Strategies to Enhance Management and Replacement Planning for Your Imaging Equipment Fleet
Jason Newmark, BA, MHA, CRA, FAHRA - Vice President, Diagnostic Services, Baystate Health
Sue Rysted, CRA, RTR(MR), MBA - Radiology Coordinator, Mayo Clinic

One of the best parts about a career in imaging is having the opportunity to work with ever changing and improving technology! Faster scans, reduced radiation, new sources of energy, tremendous image quality, improved patient comfort, and enhanced workflows for staff. All combined to provide the diagnostic backbone to support and enhance the overall care continuum/coordination of patient care for our referrers and patients.True, it can be overwhelming at times to keep up with all of the new innovations, the nuances of service agreements with vendors, and the constant demand from staff and providers to have the latest and greatest tools --- but admit it --- it can be exciting and fun! 

Have a well thought out equipment replacement strategy rather than requesting funding every time some new and exciting product is released could be more favorably received by the committees endorsing or denying funding requests. Another bonus of development of a long range equipment replacement plan is predictable, consistent annual capital equipment depreciation with less drastic fluctuation. The concept can be applied to very larger, multisite facilities as well as smaller stand-alone clinics or hospitals. By setting the expectation that Radiology will request a set dollar amount every year for replacement equipment, it will eventually become an assumed request. There is value in securing and preserving a reputation with the funding committee regarding anticipated annual Radiology funding requests. In this session we will review the approach (and tools) developed and utilized, as well as lessons learned and keys to success.

You will learn to:
• Understand strategies and tools that can be utilized to enhance the management of your imaging equipment fleet; tracking fleet, replacement planning, vendor selection and negotiation, key stakeholders to include, and more.
• Gain perspectives on keys to developing and completing a multi-year, system-wide imaging capital plan.
• Hear and share best practices for requesting and securing financial (and political) support for fleet management and replacement planning efforts.

Credits: 1.5
Domains: AM, CI


Change Your Approach to Change
Nicole B. Dhanraj, PH.D, SHRM-SCP, CRA, R.T (R)(MR)(CT) - RADIOLOGY ADMINISTRATOR, GUAM MEMORIAL HOSPITAL AUTHORITY

Healthcare, specifically radiology is undergoing tremendous change. Consequently, managers are required to continuously improve operations and quality of care delivered. However, current change management models that managers use is one based on identifying the problem and determining the best solutions. Managers are programmed to think of challenges within organizations as problems to be fixed. Dashboards are maintained, and the issues surrounding why we have not met target are dissected using the dominant root cause analysis. These approaches to bring about transformation, and achieve higher results are outdated. This session will argue that this approach is demoralizing and too deficit focused, ultimately not bringing about the change desired. This session will arm 21st century managers with a proven social constructionist view focusing on how to empower and engage your employees using a strength-based approach which would form the basis for implementing new improvement initiatives. Through an appreciative inquiry, positive change model, the session will provide a guide to the catalytic processes to achieve transformative change and growth throughout all crucial areas, whether in your department or through engagement with multidisciplinary teams. There will be a discourse of appreciative inquiry principles and how to adapt the model to foster positive change that brings about better results than traditional change management approaches. A discussion of the advantages of this approach to bring out the best in the radiology workforce, drive innovation, reverse the 80/20 rule, and propel organizational operations from good to exceptional will be provided.

You will learn to:
• Identify the issues with using traditional change management models.
• Explain appreciative inquiry and summarize its applicability in healthcare.
• Use the appreciative inquiry model to bring about positive change in the radiology department.

Credits: 1.5
Domains: OM, CI


Improve Mammography Performance Stats: "EQUIP" to Increase Accuracy, Decrease Liability, Gain Market-share
Bonnie Rush, RT(R)(M)(QM) - President, Breast Imaging Specialists
Wendy Marshall, RT(R)(M)(QM) - Co-Founder, Mammography Quality Management (MQM, LLC)
This session is generously sponsored by Breast Imaging Specialists

Although the MQSA Federal Regulations have improved cancer detection in mammography, unacceptable image quality (IQ) remains the most cited cause of failure in our screening programs. It is the deficiency in positioning skills to adequately capture and demonstrate breast tissue, that remains the main impediment to early detection and is a major cause of malpractice cases. Thus the FDA advanced IQ mandates in the 2017 Enhancing Quality Using the Inspection Program (EQUIP) requiring every facility to implement IQ standards and maintain QA records of their methodology.

While equipment QC is established and effective, the EQUIP provides minimal directives to monitor the artistic (human) contribution to IQ, leaving it up to the facility to determine their approach for addressing this requirement. Improving positioning capabilities requires the implementation of a meaningful continuous quality improvement (CQI) method to analyze personnel performance, to identify human trends and performance deficiencies that negatively affect image quality, and provide a framework to empower change. This is accomplished by a team effort with a vision to establish a process equal to the attention given to the equipment contribution to image quality. 

This course will address a CQI method of meeting the essential components and reaching the critical goal of EQUIP – increased early detection capabilities. You will leave with an understanding of how CQI in positioning improves CDR, reduces legal ramifications, can be a boom to efficiency positively impacting overhead, enhances external and internal customer satisfaction, and heightens your facility’s reputation and ability to maximize market-share.

You will learn to:
• Develop a clear understanding of the EQUIPs IQ Program.
• Determine the factors involved in implementing an IQ CQI program.
• Identify the attainable benefits of a CQI positioning program.

Credits: 1.5
Domains: OM, CI


Case Study: Diversity (Repeat)
Gerard Wilson, BSRS, CRA, RT(R)(CT) - Senior Manager, Imaging Services, The University of Texas Medical Branch

Program details coming soon!

Credits: 1.5
Domains: TBD

3:45 PM - 4:15 PM: Beverage Break

4:15 PM - 5:45 PM
Breakout Sessions

Equipping Yourself for Success Managing Imaging Coding & Compliance
Melody W. Mulaik, MSHS - President, Coding Strategies, Inc.
This session is generously sponsored by Coding Strategies, Inc.

Radiology is an intricate and complicated specialty. Coding and compliance guidelines frequently change and not 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 order, 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.

Credits: 1.5
Domains: FM, CI


In the Eye of Hurricane Florence: Lessons Learned
Timothy Ludwig, MHA,RT(R),CRA,FAHRA - Vice President, Ancillary Services, CarolinaEast Health System

September 2018 Hurricane Florence was approaching small town New Bern, NC situated just inland at the confluence of the Trent and Neuse rivers that flow into the Atlantic Ocean. We had experienced hurricanes before but nothing prepared us for what was about to come. Florence moving at sometimes only 1 mile per hour pelted New Bern for 4 days delivering over 30 inches of rain and 10 feet of storm surge. The town and surrounding areas were dealt a tremendous blow. But through it all, CarolinaEast Health System with its 350 bed flagship Medical Center took all that the storm had to deliver and never missed a beat. This presentation will focus on how this beacon of light prepared for the storm, dealt with the storm for the 4 days of onslaught, and how we worked to assist the region to recover. I will share stories of housing the local Police Department, the National Guard as well as members of the community who had nowhere else to go. How we reacted when the local dialysis center closed leaving hundreds without lifesaving dialysis. How scores of staff members lost everything in the storm but worked tirelessly to provide care. This will be a presentation of what went right, what we learned, and how the human spirit of healthcare workers was the strongest when the chips were down. Anyone working in healthcare will take away something from this presentation whether practical knowledge or making an emotional connection with their fellow healthcare workers.

You will learn to:
• Prepare for an impending natural event.
• Avoid pitfalls.
• Identify what is most important during a disaster situation.

Credits: 1.5
Domains: CI


Management of MRI Safety: Understanding the Risks
Kristan Harrington, Kristan Harrington MBA, RT (R), (MR), (MRSO) (MRSC-) - MRI Consultant, William Faulkner & Associates
William Faulkner, Wm. Faulkner, B.S.,R.T.(R)(MR)(CT), FSMRT, MRSO (MRSC-) - MRI Consultant, William Faulkner & Associates
This session is generously sponsored by William Faulkner & Associates

MRI Safety is becoming more important as a serious issue and it is critical for management as well as all staff to understand the consequences. Data shows that over the past 18 years incidents have increased significantly. Several deaths have been reported. MRI is a modality that can kill you instantly. There is a lack of understanding by most people that are non-MR personal that work in the hospital. This lack of understanding creates significant risk that administrators and staff should be fully aware of to mitigate the risks associated with these dangers. Understanding how to effectively educate staff and implement culture changes in daily work habits helps to reduce and possibly eliminate these risks. It is very important for administrators and management to know that these risks exist and the consequences legally that possibly manifest when an accident occurs. These accidents are associated with the 3 powerful magnetic fields: the static field, the gradient magnetic field, and the radio frequency field. Each of these fields has serious consequences when an accident occurs. This presentation will cover the areas where culture change can be implemented to mitigate these risks the most effectively to create a safe environment for MRI and the safety of patients as well as all others entering the MRI environment.

You will learn to:
• Understand the risks associated with the 3 strong magnetic fields and the accidents associated with them.
• Realize the dangers and consequences associated with accidents that occur in the MRI environment.
• Create a culture change at your facility to assist in making a safe MRI environment for all persons entering the MRI environment.

Credits: 1.5
Domains: OM


Radiologic Technologist Burnout – Signs, Symptoms & Cures
Ronald Jones, MSRS - System Director, St Luke's Health System

There is a disturbing trend gearing up and it has the formula to be extremely disruptive to healthcare as a whole. An alarming number of radiologists have been experiencing burnout in the last few years. As of 2018, radiology is the seventh-highest physician specialty where burnouts are occurring (Kane 2018). This is in stark contrast to its 20th ranking on the burnout list in 2017. 

If the rads are burning out, you can be sure the techs are right behind them. It is already known through scientific studies that healthcare workers burnout in their jobs at a higher rate than other sectors due to the emotionally taxing interactions between healthcare workers and patients. (Singh et al, 2016) An overly stressed radiographer is indicative of an overly stressed radiology department as a whole. Pairing this with our coming baby boober retirement influx of enormous proportions having an enormous impact and you have a recipe for epic disaster (Barr 2014). 

So I decided to probe a little deeper and do some research on what is causing employees to burnout. This article will list the responses of a forum of employees that I queried on what has caused them to burnout in past jobs and what is eating at them now. I will also offer stress-reduction techniques and methods for reversing burnout.

You will learn to:
• Understand the Definition, Signs, and Symptoms of Job Burnout.
• Review 15 Causes of Burnout and Two Potential Resolutions for Each One.
• Discuss Self Care Methods and When It Is Time to Quit Your Job.

Credits: 1.5
Domains: HR


Washington Update
Bill Finerfrock, BA - President, Capitol Associates, Inc.

Presentation will cover the latest information on Medicare implementation of the Clinical Decision Support program, as well as regulatory and legislative policies of interest to medical imaging management professionals. We will discuss price transparency, competition and efforts to expand the site neutral payment policy for provider-based, off-campus outpatient facilities. Information will be provided on future direction for health policy and how the Presidential and Congressional elections in November, 2020 could impact health policy beginning in 2021 and beyond.

You will learn to:
• Have a better understanding of CMS' plans for implentation of the Clinical Decision Support initiative, chance for delay in implementing the program and documentation requirements.
• About how the outcome of the 2020 election could impact health policy, in the future.
• We will discuss whether there will be an expansion of the Medicare site-neutral payment policy and the potential impact on medical imaging managemers and off-campus provider-based facilities.
• Have a better understanding of how the regulatory and legislative process impact how providers are paid.

Credits: 1.5
Domains: OM, FM, CI


6:00 PM - 7:00 PM: 2020 Awards & AHRA Fellows Reception (by invitation only)

Wednesday, July 15    To The Top


7:15 AM - 8:15 AM
Exhibitor Symposium
Details coming soon

8:30 AM - 9:30 AM
Breakout Sessions

AI in Radiology: What You Need to Know
Woojin Kim, MD - Radiologist, VA Palo Alto
This session is generously sponsored by VA Palo Alto

Artificial Intelligence (AI) remains one of the hottest topics in radiology today. Therefore, it is crucial for those in medical imaging management to understand this technology and its applications. When it comes to understanding AI in medical imaging, one needs to appreciate the fear, hope, hype, and challenges of this technology. While the fear by radiologists of being replaced by AI in the near future has abated in recent years, there is now the fear of missing out. Second, there is hope when it comes to what AI can do for our specialty. We will review the basics of AI, and then we will explore the latest state of AI in radiology. Third, we will examine hype versus reality when it comes to AI technology both outside radiology as well as in radiology. Fourth, there are a number of challenges with AI when it comes to radiology, and we will examine where we are today. Finally, the current AI research and vendor products are heavily focused on using AI for image interpretation. This presentation will examine the use of AI beyond image interpretation and show how AI can benefit the entire imaging value chain to benefit both medical imaging professionals and our patients.

You will learn to:
• Appreciate hype versus reality when it comes to AI in medical imaging and the current state of the AI technology.
• Understand the challenges of AI in radiology.
• Examine the use of AI beyond image interpretation through its non-interpretative use cases.

Credits: 1
Domains: OM, CI


Beyond the Horizon - Empowering Leaders
Laurie Hitzel, CRA, MSed, RT(R)(M) - Administrative Director, Ancillary Clinical Services, AdventHealth

Today’s leaders must be prepared to do more every day. Therefore it is imperative to create a layered leadership culture across departments. Everyone is a process owner and must think like a stakeholder. Leaders that focus on scouting out talent within their frontlines and investing in their employees are better able to create succession planning at multiple layers of the team. Inclusion of the frontline, leads, supervisors, and managers are imperative to the success of the organization. It takes the entire village to be successful. Whether you have multi-facility responsibilities, multi-disciplinary accountabilities, or this is your first manager role; we can all agree planning is the key to success. During this session we will look at some lessons learned along the way. You will gain an understanding of the importance of creating a successful leadership culture and recognize the importance of empowering both current and future leaders. By looking beyond the horizon, our teams will be better equipped for success.

You will learn to:
• Create a successful leadership culture.
• Understand the importance of succession planning.
• Expand horizons beyond imaging roles.

Credits: 1
Domains: HR


Cheers! Reflections and Perspectives on Passionate and Effective Leadership
Jason Newmark, BA, MHA, CRA, FAHRA - Vice President, Diagnostic Services, Baystate Health

“Making your way in the world today takes everything you got. Taking a break from all your worries, it sure would help a lot. Wouldn't you like to get away? Sometimes you want to go where everybody knows your name
And they're always glad you came…”

Don’t you agree that these famous lyrics from the ‘Cheers’ theme song ring so true for each of us in healthcare leadership roles? Sometimes being a leader takes everything we’ve got! Often times, we just need to get away from the day to day. And, at least once a year, we all need to attend an AHRA annual meeting where many people know our names and all are glad we came!”

Join me for an interactive discussion on what it means to be a leader in today’s healthcare environment. Allow me to share the story of my own leadership journey, as well as personal perspectives on the key ingredients necessary for to be a truly effective leader. Through the sharing of real life leadership perspectives, I hope to promote open dialog and sincere personal reflections from attendees. Are we leading with intent or simply reacting? Are we truly present each day or just going through the motions? Are we in the “right” roles to be our most authentic and “best” selves? Attendees will help each other reignite (or add high energy fuel to) their passion for leadership. And, all will be well prepared for continued deeper discussions …quite possibly over a pint at Cheers!

You will learn to:
• Deeply reflect upon your own personal leadership status (traits, strengths, opportunities for improvement, and longer term goals).
• Appreciate the different paths available to take on broader leadership responsibilities.
• Better appreciate the differences between “managing” and “leading”.

Credits: 1
Domains: HR


CT Protocol Optimization: Why and How
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.

Credits: 1
Domains: OM


Free Up 39 Minutes Per Day Per Radiologist
Reed Humphrey, Master's degree in Broadcast Communications from the University of Tennessee, and a BA in Mass Communications from North Carolina State University - VP of Business Development, Canopy Partners
This session is generously sponsored by Canopy Partners

With healthcare administrative burdens on rise, radiologists are constantly searching for ways to work more productively and efficiently. In this session we will discuss an innovative strategy called the Radiology Concierge Service, which enables radiologists to balance and distribute their workload and reduce the number of phone calls and interruptions in their day. We will learn how Greensboro Radiology, a radiology group with 70 radiologists, has increased Rad productivity by 10%+ by combining a unified worklist with Reading Room Assistants. With their radiologists freed up to focus on being doctors, this practice has seen an increase in physician satisfaction as well as referring doctor and patient satisfaction. Our speaker, Reed Humphrey, will spotlight the Greensboro Radiology Case study and explain what a concierge desk is and how to implement one for your practice.

You will learn to:
• Define the problem and solution.
• Explain what a concierge program is and how to build one (people, systems and processes).
• Spotlight the Greensboro Radiology case study and show the before and after results.

Credits: 1
Domains: FM, OM, AM

 
9:30 AM - 10:00 AM: Beverage Break

10:00 AM - 11:00 AM
Breakout Sessions

The Impact of Incivility on Healthcare: Being an A#$ is costly!
Tricia W. Trammell, CRA, R.T. (R)(M)(QM)(BS) - Regulatory Compliance Supervisor, Medical City Plano & Medical City Frisco

We have all been treated with incivility at some point or another in our lives and in our careers. In the healthcare environment, incivility can have a lasting and costly impact on revenue, employee and patient engagement and patient outcomes. In this session, we will discuss what incivility is and how it impacts safety, engagement and revenue. We will discuss effective ways to improve civility in the healthcare environment. We will contemplatively consider our own behaviors and ways to improve civility in our own departments.

You will learn to:
• Recognize the impact of incivility on employee and patient engagement.
• Understand the impact of incivility on patient safety.
• Improve civility in the healthcare environment.

Credits: 1
Domains: CI, OM


Is Happily Ever After Once Upon a Time
Gina Greenwood, MBA, CRA, R.T.(R),(MR) FSMRT - Director, Radiology Services, UW Health
This session is generously sponsored by UW Health

Positive psychology is a relatively new field of study that established prominence in 1998. It was then that Dr. Martin Seligman chose to move beyond traditional psychological disciplines that focused on mental illness in favor of pursuing the science of happiness, well-being and positivity. Defined, positive psychology is the scientific study of what makes life most worth living. 

Research has uncovered many elements that contribute to positive and engaging experiences. What’s truly exciting is that each of us have within ourselves the ability to become happier and live a more positive, upbeat life. Happiness matters. A lot. Happy people are more productive, build stronger relationships, are more resilient, feel better about themselves, uplift people around them and are less likely to get sick. Happy people are more generous, they cope better with stress and trauma, they’re more creative and better able to see the big picture. Sign me up! Better yet, sign up all the people in my workplace! 

Research shows that happy people are happy because of the way they behave. The key to becoming happier is to change what you do and how you think. This session will discuss what it is that determines levels of happiness and suggest actions to take to reliably and consistently increase levels of happiness. This is information that can make an impact on your own life, but also translate into the workplace in a way that will subtly enhance performance and create a more positive environment.

You will learn to:
• Understand what determines happiness.
• Understand how positive psychology impacts performance.
• Employ strategies to increase positivity in your life.

Credits: 1
Domains: HR


Managing for Daily Improvement (MDI) in X-ray
Roberta Edge, MHA, CRA, FAHRA - Director of Diagnostic Imaging, Sutter Gould Medical Foundation
David Mawson, ARMRIT; XLT - Technical Supervisor, Sutter Gould Medical Foundation

Our organization challenged us to develop a method to manage for daily improvement in a clinical area. We chose x-ray since it is a 99% walk in business with a built in waste of 7 minutes. We did a Kaizen event, and the team developed standard work that reduced the cycle time by 5 minutes, and developed a workflow for the presence or absence of a tech assistant. We later brought that workflow from our Modesto office to our Stockton office to improve the workflow in that clinic

You will learn to:
• Use data to create a solution to a problem.
• Recognize the value of standard work.
• "Copy and improve" when you share across work spaces.

Credits: 1
Domains: OM


Patient Experience: How Do You Want Your Patient to Remember You?
Sara Butterworth, MHA, RT(R)(CT)(MR) - Operations Manager, Owensboro Health Regional Hospital

Consumer driver healthcare is pushing the patient experience to the next level. A high reliability facility (safety) and reimbursement stems from a solid patient experience. This interactive discussion will focus on three (3) patient experience drivers: Communication, Environment, and Responsiveness. Communication between healthcare provider and patient, care transitions, and empathy. We will go beyond cleanliness in discussions around environment. And responsiveness - not just timely but compassionate. With each key driver, team buy in is crucial. How do you get the biggest bang for your buck? Employees should believe they are giving excellent care. Take the patient experience to the next level.

You will learn to:
• Increase patient experience scores through improved communication, responsiveness, and environment.
• Evaluate your current patient experience, determine your key drivers, and how to get the biggest bang.
• Begin to use the patient experience as a pathway to high reliability.

Credits: 1
Domains: CI, OM


Recent Legal Developments all Radiology Providers Need to Know
Adrienne Dresevic, JD - Founding Shareholder/Attorney, The Health Law Partners, P.C.
Clinton Mikel, JD - Partner/Attorney, The Health Law Partners, P.C.
This session is generously sponsored by The Health Law Partners, P.C.

The presentation will provide an overview of hot legal topics relevant to radiology. The presentation will discuss: (1) proposed updates to the Anti-Kickback Statute (AKS) and Physician Self-Referral (Stark) Law; (2) updates the Medicare Physician Fee Schedule (PFS); (3) CMS’ Final Rule for Program Integrity Enhancements to the Provider Enrollment Process; (4) Appropriate Use Criteria (AUC) program requirements; and (5) prominent cybersecurity issues and practices to combat threats. 
Presenters will discuss the proposed rules issued by the Center for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services Office of Inspector General (HHS OIG) for Stark Law and the AKS, respectively. Presenters will discuss CMS’ and HHS OIG’s focus on modernizing the healthcare industry by removing barriers to value-based care and aiding the continued shift from a fee-for-service system to a value-based system. Presenters will discuss the CY 2020 PFS Final Rule. Presenters will break down changes to Medicare payment policies under the PFS and how they may affect radiologists once effective. Presenters will discuss the Final Rule for Program Integrity Enhancements to the Provider Enrollment Process. Presenters will discuss CMS’ new authorities to combat fraud and waste in federal health insurance programs and how this may impact radiology providers and suppliers. Presenters will discuss the implementation of the AUC program. Presenters will provide an overview of AUC consultation requirements and the program implementation timeline. Lastly, presenters will discuss key cybersecurity threats in healthcare and provide an overview of practices providers should implement to combat them.

You will learn to:
• Understand major proposed changes to Stark Law and the AKS and how those changes would impact radiology providers and suppliers.
• Understand new program initiatives that were recently made effective or will be going into effect soon (e.g., AUC program and Program Integrity Enhancements to the Provider Enrollment Process).
• Understand major cybersecurity threats to the healthcare industry and how to best prepare for them.

Credits: 1
Domains: FM

 
11:00 AM - 1:30 PM: Exhibit Hall Open & Lunch served 12:00-1:00 PM.

1:45 PM - 2:45 PM
Exhibitor Symposium
Details coming soon

1:45 PM - 2:45 PM
Breakout Sessions

Administrative Backbone: Guidelines for Policy Excellence
Elizabeth Knoff, RT(R)(CT)(QM), MBA - Radiology Quality Project Manager, Stanford Health Care

Policy writing can be a dreaded process for administrators, but it doesn't have to be. In this course we will cover the entire policy life cycle and how policies fit into the administrative structure of a high performing organization. Important pearls and pitfalls of policy writing covered in this course will make policy writing less stressful and more rewarding for the authors. When written in clear and concise language, policies can serve as educational references for frontline staff, communication tools for conveying expectations, and proof of organizational regulatory compliance. Attendees will learn how to build policies that complement organizational values. Writing a new policy is not always the appropriate response to closing a gap. Preserving the purpose of policies and being able to ascertain when information requires a policy, a procedure, a guideline, etc., is just as important as being able to draft a well-written document. Considerations for employee autonomy and decision making must be made before making every aspect of care a policy and/or procedure. Synchronization with other areas of the organization prevents policies and procedures from creating staff confusion or opening up the organization to litigation risk. Stakeholder engagement is important for creating policies meaningful to the entire organization. Engaging with stakeholders broadens the perspective of the policy author and helps reduce silos by building cooperative networks. Shifting the perspective on policy writing will make it a dynamic way to build strong supports for the entire health care team.

You will learn to:
• Choose the appropriate format (policy, procedure, guideline, etc.) for documenting information.
• Write meaningful policies that support organizational excellence.
• Identify and engage all relevant stakeholders in the policy process.

Credits: 1
Domains: HR, OM, CI


Designing for Impact: Using Data Driven Design to enhance Human Centered Care
Michael Peters, MBA, FACHE, CRA, RT(R)(T) - Senior Healthcare Strategist, HDR Inc.
This session is generously sponsored by HDR Inc.

Healthcare in the United States is a highly complex and disconnected system to maneuverer for patients and care providers alike. Imaging services is no exception to this, and is often a service line that requires patients to experience multiple layers of inefficiency to obtain services rendered. At the core of this dysfunction lies three rooted problems: Physical and Personal barriers in accessing care; Lack of Human Centeredness for all end-users within Imaging Services; and the struggle to transform from functionality driven to user needs driven. 

As a result over the past decade, “experience design” has been driving internal and external works of the healthcare industry primarily to address the move toward value based care initiatives. In order for Human Centred Design to fully be realized, common hospital design complaints must be addressed, and we must put end-users at the front of driving change in product, service, and experience. 

As some design features look good on paper, they may end up being impractical or confusing, preventing users from achieving their desired outcomes. That’s where data-driven design enhances the human centred design process, by translating client data into useful information to expedite the decision-making process. It shows a continuous effort for improving human outcomes through alternative design strategies, transforming function driven to user driven. 
So please join me in further discussing how engaging in Data Driven Design can enhance the natural human connection, while improving operational efficiency and cost of care delivery.

You will learn to:
• Identify physical and personal barriers to Human Centered Care.
• Identify trans-formative approaches to humanizing imaging for all stakeholders.
• Transform from function driven to user needs driven.

Credits: 1
Domains: OM, CI


How to Make Your LinkedIn Profile Work For You
John J. Beall, BSHS, FAHRA - Retired, US Army
This session is generously sponsored by US Army

LinkedIn is a "professional" social media company, why don't you use it for that? While you may be completely happy working at your current job how you celebrate it may help entice that new recruit and LinkedIn can help you. In the early 90's, you could apply for a job by visiting companies and filling out an application or providing a resume. Does that happen anymore? Not always – the internet has disrupted this method of talent acquisition by giving both employers and employees far greater access to opportunity. The internet freed us from the geographic restrictions that existed when I was a kid.

Through LinkedIn, employers get the resume along with an understanding of the potential employee’s network, mutual connections, online presence, endorsements, recommendations/referrals and their personal brand. The LinkedIn profile paints a much clearer picture of a potential employee’s fit with the culture of an organization.

You will learn to:
• Identify the "Do's and Dont's" for setting up your profile.
• Understand how to personalize your URL.
• Understand how leveraging your profile can help.

Credits: 1
Domains: HR


Just Culture in Radiology - Are you Ready?
Alison Lampke, MHA, CNMT - Operations Manager, Lahey Hospital and Medical Center

The Joint Commission suggests instituting an organization wide policy of transparency that sheds light on all adverse events and patient safety issues within the organization, thereby creating an environment where it is safe for everyone to talk about real and potential organizational vulnerabilities and to support each other in an effort to report vulnerabilities and failures without fear of reprisal.

Just culture understands that Humans will make mistakes & systems will fail. The framework of a Just Culture ensures balanced accountability for both individuals and the organization responsible for designing and improving systems in the workplace. Just culture teaches us about three manageable behaviors based on the choices of those in the work environment – human error, at-risk behavior and reckless behavior and provides us with tools to manage these behavioral choices.

Conducting a “threshold Investigation” with the individual involved in an event ensures that the necessary information is gathered to determine the appropriate algorithm to use and guides us to the best course of action for workplace accountability, system improvements and managing organizational risk. In this presentation we will review Just Culture concepts, tools, techniques and algorithms that help us evaluate events based on a set of duties inherent to the system in order to determine which of the three behaviors was most likely in play. This gives us the ability to address the event and the people involved in a standardized, fair and constructive way rather than simply reacting to “outcome bias”.

You will learn to:
• Understand the types of Human behavior and managing behavioral choices with a modern approach to workplace accountability.
• Understand the core competencies of a Just Culture and shift your focus from errors and outcomes to system design, behavioral choices and situational awareness.
• Utilize tools to assist in fair, constructive responses to manage organization risk, errors and events, and establish groundwork for individuals to evaluate their own behavioral choices and prevent adverse outcomes.

Credits: 1
Domains: OM


Managing the Manager
Kernesha S. Weatherly, MHA, CNMT, RT(CT) - Director of Radiology, UAB Medicine

Almost everyone has had a manager and realize the level synchronicity needed to augment the success of their relationship. But how many realize that their most influential manager is themselves? As you move through leadership, it is important that you learn how to effectively manage yourself and those around you. In this talk we will discuss key indicators that will enhance your effectiveness and thus boost your contributions to the operational success of your organization. In evaluating ones self-control, transparency, adaptability, achievement, initiative and optimism, one will expectantly recognize whether they are an asset or liability to the organization. 
We will begin the session asking participants to examine themselves via a short questionnaire. There we will explore the pros and cons of their results and identify ways to enhance their performance. We will also incorporate real life examples of different type management skills and discuss its effectiveness. When will then explore the importance of effective communication as well as setting clear expectations. Lastly, we explore ways to adjust once one realizes there is a problem as well as best practices when dealing with new and or inexperienced managers. This session is geared towards managers and is intended for their personal development.

You will learn to:
• Identify the importance of self-management and how it directly correlates with the success of a department.
• Compare and contrast the effectiveness of different managerial types.
• List and discuss various ways of conducting a continuous and effective self-management program.

Credits: 1
Domains: HR

 
2:45 PM - 3:15 PM: Beverage Break

3:15 PM - 5:15 PM
Closing Business Session & Keynote
Details coming soon

7:00 PM - 10:00 PM    To The Top
AHRA’s All-Star Theme Pary
Close out AHRA 2020 by showing off your favorite sports jerseys, gear, or sports themed costume at the AHRA 2020 Theme Party. Whether you’re a Patriots, Yankees, Blackhawk or Tiger Woods fan, be ready to show your team spirit with your AHRA friends and family! Enjoy food, drinks, and plenty of dancing. GAME ON!