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Nemawashi: Lessons From Japan for Dissolving Resistance and Achieving Lasting Improvement

October 26th, 2:00-3:00 PM (EST) - Keynote Session 
Kitty McKay 

The torrent of constant change demanded in healthcare burdens us as leaders and burns out our front-line caregivers. We try our best to keep pace by adapting, adjusting and aligning, but too often the improvements we attempt are met with resistance. Resistance can take many forms, intentional, passive or just a sense of overwhelming priorities. The result is a graveyard of well-intentioned innovations and work flow enhancements that are eventually abandoned. There is hope, tools and a philosophy to help us manage change, however... For thousands of years the Japanese have successfully worked together to achieve goals, while adapting to change. And they have a lot to teach us. By applying the art of “nemawashi” (preparing the ground so roots take hold and change flourishes), we can dissolve resistance and achieve the lasting improvements that are needed to sustain ourselves in these challenging times.
You will learn to:
1. Define and apply “Radical Listening”
2. Implement three easy steps into your interactions with staff that results in happier employees, better work flow and improved patient experience
3. Engage employees in meaningful change that matters to them and the organization

Domains: HR,OM

CE Credits: 1


Moral Injury: The Invisible Occupational Hazard

October 29th, 2:00-3:00 PM (EST)
Nicole Dhanraj, PH.D, CRA, R.T (R)(CT)(MR), GMHA – Tamuning, GU

Within radiology, there is a focus on occupational hazards such as patient safety, ergonomics, stress, and burnout. As managers, we develop quality and safety measures to mitigate the negative outcome of these issues. However, in a healthcare world focused on the black ink on balance sheets, increasing the competitive position, and hammering productivity, healthcare workers are faced with a significant silent crisis; moral injury. Moral injury is largely ignored in radiology and the healthcare industry. Healthcare professionals are faced with ethical and moral challenges which can be very difficult to navigate especially when confronted with operational experiences that undergrid an employee's deeply held beliefs and values. Moral injury results but it is often disguised as burnout or disgruntled workers and can have significant impact on an employee's career or longevity in an organization. This session aims to provide an overview of moral injury in the workplace, its causes, and strategies of how to address these ethical dilemmas, including whistleblowing which left unaddressed can have a profound effect on an employee's well-being and ultimately the organization's success.

You will learn to:

  1. Identify and define moral injury in the radiology department/clinic
  2. Recognize the causes and impact of moral injury in radiology departments/clinics
  3. Understand strategies to deal with ethical dilemmas and how to provide support for employees suffering from moral injury.

Domains: OM, HR

CE Credits: 1

Delivering High-Value Imaging with Clinical Decision Support

October 30th, 2:00-3:00 PM (EST)
Ashima Lall
Sabiha Raoof

In this session, learn from clinicians in two distinctly different settings about their experience delivering high-value imaging as they prepare to implement CDS (Ashima Lall, Mainline Health) and optimize operations using CDS (Sabiha Raoof, Jamaica and Flushing Hospitals). Dr. Lall will describe an approach that is patient-centered and that engages stakeholders in the R-SCAN QI project to prepare for CDS implementation enterprise-wide. Dr. Raoof will share her personal Imaging 3.0 story that led her to represent radiology, CDS, and patient-centered care as part of CMS’s National Faculty for the Transforming Clinical Practice Initiative. Both presenters will share data supporting how their programs have created an ROI message that is driving ongoing success in high-value imaging.

You will learn to:

  1. Describe the elements of and activities needed to develop a QI project with Patient and Family Advisory Council participation
  2. Apply strategies to reduce low-value imaging in their care settings
  3. Understand and apply strategies to overcome organizational resistance to CDS and access and apply the R-SCAN QI project and R-SCAN resources to support Choosing Wisely guidelines

Domains: CI, OM

CE Credits: 1

Managing Difficult People

October 31st, 2:00-3:00 PM (EST)
David Waldron, CEO, Traction Business Development LLC – Sedona, AZ

This will be a reprise of the session from the Summer 2018 meeting in Orlando.  The session will start by covering the leader's behavior - building staff engagement, motivation, setting both performance and behavior expectations, then we'll work through coaching and into performance improvement plans.  Finally working with HR to develop an exit plan for toxic and unresponsive employees.

You will learn to:

  1. To become an intentional leader
  2. To develop emotional intelligence and engage each and every member of your team
  3. How to handle unresponsive and toxic employees

Domains: HR

CE Credits: 1

Fluoroscopic Radiation Management

November 1st, 2:00-3:00 PM (EST)
Stephen Balter, Ph.D., Columbia University – New York, NY

Ionizing radiation can be a hazard to patients, workers, and visitors. Regulatory and Joint Commission compliance are focused on baseline safety. Optimized, cost-effective radiation management reduces risk but requires administrative knowledge and support. Radiation’s benefits usually far exceed its risks. However, inappropriate radiation use can result in adverse events. This course presents brief practical overviews of general safety principles, staff radiation safety, and patient radiation management. It continues with examples of operational implementation in interventional radiology. The presentation concludes with a discussion of the administrative aspects of new Joint Commission fluoroscopy requirements.

You will learn to:

  1. Understand staff risks in the interventional fluoroscopy environment.
  2. Understand patient risks in the interventional fluoroscopy environment
  3. Understand the Joint Commission's new 2019 fluoroscopic requirements

Domains: OM

CE Credits: 1

2019 Coding, Compliance & Reimbursement Preview

November 2nd, 2:00-3:00 PM (EST)
Melody Mulaik, MSHS, CRA. FAHRA, Coding Strategies, Inc. – Powder Springs, GA

This session will provide as much information is available on the new 2019 procedure codes as well as a high-level review of what is anticipated for reimbursement and other regulatory changes.

You will learn to:

  1. Review 2019 Diagnostic and Interventional Codes
  2. Review anticipate reimbursement changes for 2019
  3. Discuss other key areas of concern for the coming year

Domains: FM, OM

CE Credits: 1

Leadership Standard Work for Imaging Leaders - Adaptability is the New Efficiency

November 5th, 2:00-3:00 PM (EST)
Ron Jones, MSRS RT (R,CT) ARRT, St Luke's Magic Valley – Filer, ID

Does your leadership team have a variation in the standards and processes for executing duties? Do you have irrelevant metrics, troubles problem solving, and issues with reporting, supervision or accountability? No worries! I once did also. But not anymore. In the next 60-90 minutes, I'll teach you the tools necessary to manage your team in a lean, efficient way by enabling you to identify, prioritize and solve issues in every area. I will show you how to automate your job as well as engaging your staff in problem solving. How?

1. Gear up. The right tools will ensure continuous problem solving within your department is happening constantly and efficiently.

-Teamwork Boards, Helicopter Flow Chart, SIPOC, KPIs, Leadership Duty Schedules, Kamishibai Boards/Cards and DMAIC.

2. Situational awareness. Appropriately identify measures for monitoring your operations accurately.

-Recurring and active huddles, work the Teamwork Board process, create Buy-in, benchmark against peers with visible dashboards.

3. Launch. Identify and implement oversight standards for all sites and modalities enabling you to monitor and sustain. Adaptability is the new efficiency.

You will learn to:

  1. Gear up. The right tools will ensure continuous problem solving within your department is happening constantly and efficiently.
  2. Situational awareness. Appropriately identify measures for monitoring your operations accurately.
  3. Launch. Identify and implement oversight standards for all sites and modalities enabling you to monitor and sustain. Adaptability is the new efficiency.

Domains: OM, HR, CI

CE Credits: 1

How to Improve the Radiologist Workplace by Reducing the Risk of Work Related Repetitive Stress Injuries and Visual Fatigue

November 6th, 2:00-3:00 PM (EST)
Greg Patrick, BS, RedRick Technologies

Radiologist continue to be asked to perform more tasks, read more studies and integrate more information, all within the same amount of time. The stress from such a productivity focus has been shown to increase the radiologist’s risk to burnout and repetitive stress injury (RSI).  Recent scientific literate has documented the prevalence of these afflictions, their impact, and presented recommendations reducing their risk with proper reading room and PACS workstation ergonomics.  Other reading room factors such as acoustics, lighting and environmental controls can reduce visual fatigue and distraction that enable radiologists to operate at their high efficiency and reduce the risk from burnout and RSI’s. This session will review the risks radiologists face, where they arise from and what the radiology administrator can do to minimize them. Real-world experience from a radiology department administrator will be shared, along with educational information about ergonomics and reading room design.

You will learn to:

  1. Understand the real risks to repetitive stress injuries in radiologists today and how to reduce them.
  2. What ergonomic and design elements in the reading room are critical to reducing the risk of radiologist visual fatigue and burnout.
  3. Hear first-hand experience how a radiology administrator has realized these benefits at their hospital.

Domains: OM

CE Credits: 1

Clinical Decision Support

November 7th, 2:00-3:00 PM (EST)
Ryan Lee, MD, MBA, MRMD, Einstein Healthcare Network – Philadelphia, PA

In this session, you will learn the fundamentals of radiology clinical decision support. The basics of what clinical decision support is will be presented along with the benefits of having it in your network. The current legislation of what will be required in the near future will be discussed along with likely future requirements. Finally, a glimpse of future uses of clinical decision support will be presented with examples from projects currently being worked on in the Einstein Healthcare Network.

You will learn to:
1. Describe what radiology clinical decision support (CDS) is and why it has value
2. What is the current state of legislation and clinical decision support
3. Identify advanced uses of clinical decision support

CE Credits: 1
Domains: OM, FM


Imaging and the Blockchain

November 8th, 2:00-3:00 PM (EST)
Susan Hollabaugh, BS Political Science, Minors: Economic and Public Administration, RadNet – Baltimore, MD

This session will cover the basics of blockchain- what is blockchain, how does it work, why is it different from other types of interoperability. The session will cover real uses cases for blockchain that are being used in healthcare today including the current state of blockchain readiness for healthcare and what might the future look like. The session will wrap up with thoughts about how blockchain might fit into the medical imaging world, and how to prepare. 

You will learn to:

  1. Recognize the attributes of a blockchain and how it is different from other types of databases.
  2. Evaluate a blockchain use case to determine if blockchain is the right technology to use.
  3. Match platforms used in blockchain with different types of use cases.

Domains: OM

CE Credits: 1