TechNation - May by MD Publishing

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VOL 6

EMPOWERING THE BIOMEDICAL / CE PROFESSIONAL

MAY 2015

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Biomed Adventures Dancing for a Cause

The Roundtable Ultrasound

MD Expo Scrapbook Photos from the latest MD Expo 2015

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TECHNATION: EMPOWERING THE BIOMEDICAL / CE PROFESSIONAL

THE ROUNDTABLE - ULTRASOUND Ultrasound systems continue to be a valuable medical technology. TechNation chekcs in with industry experts to find out the latest advances in this medical imaging modality and how HTM departments can best manage and service them. Next month’s Roundtable article: Infusion Therapy

NAVIGATING THE 2015 AAMI CONFERECE The annual AAMI Conference and Expo combines learning opportunities with a vendor expo. This year’s conference runs June 5-8 at the Colorado Convention Center in Denver, Colorado. TechNation provides an in-depth look at the upcoming event to help you prepare and get the most out of your time in Denver. Next month’s Feature article: The Importance of Batteries

TechNation (Vol. 6, Issue #5) May 2015 is published monthly by MD Publishing, 18 Eastbrook Bend, Peachtree City, GA 30269-1530. POSTMASTER: Send address changes to TechNation at 18 Eastbrook Bend, Peachtree City, GA 30269-1530. TechNation magazine is dedicated to providing medical equipment service professionals with comprehensive, reliable, information concerning medical equipment, parts, service and supplies. It is published monthly by MD Publishing, Inc. Subscriptions are available free of charge to qualified individuals within the United States. Publisher reserves the right to determine qualification for a free subscriptions. Every precaution is taken to ensure accuracy of content; however, the information, opinions, and statements expressed in the articles and advertisements herein are those of the writer and/or advertiser, and not necessarily those of the publisher.

MAY 2015

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INSIDE

Departments PUBLISHER

John M. Krieg

VICE PRESIDENT

Kristin Leavoy

ACCOUNT EXECUTIVES

Warren Kaufman Jayme McKelvey Andrew Parker

ART DEPARTMENT

Jonathan Riley Jessica Laurain

EDITOR

John Wallace

EDITORIAL CONTRIBUTORS

Roger Bowles K. Richard Douglas Myron Hartman Patrick K. Lynch Todd Rogers Manny Roman Cindy Stephens Matt Tomory Karen Waninger

P.26 THE BENCH

CIRCULATION

Bethany Williams

P.60 EXPERT ADVICE

WEB DEPARTMENT

Betsy Popinga Taylor Martin

ACCOUNTING

Kim Callahan

P.12 SPOTLIGHT p.12

Department Profile: TriHealth Clinical Engineering p.14 Company Showcase: Philips Multi-Vendor Services p.18 Biomed Adventures: Dancing for a Cause p.20 Professional of the Month: Brad Wiley, CBET p.22 MD Expo Recap p.26 p.29 p.30 p.33 p.34 p.36

ECRI Institute Update Tools of the Trade AAMI Update Webinar Wednesday Shop Talk Biomed 101

p.60 Career Center p.62 Ultrasound Tech Expert Sponsored by Conquest Imaging p.64 Patrick Lynch p.66 Roman Review

P.71 BREAKROOM EDITORIAL BOARD

Manny Roman: manny.roman@me.com Patrick Lynch: Biomed Support Specialist at Global Medical Imaging, patrick@plynch.us Karen Waninger: Director of Clinical Engineering at Community Health Network in Indianapolis KWaninger@ecommunity.com Eddie Acosta: A Clinical Systems Engineer at Kaiser Permanente, Northern California, Fastedy99@yahoo.com John Noblitt: Program Director at Caldwell Community College & Technical Institute in North Carolina jnoblitt@cccti.edu

p.71 p.72 p.74 p.78 p.86

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DEPARTMENT PROFILE CHI Clinical Engineering (TriHealth) By K. Richard Douglas

f your customers are saying you’re doing a good job; you’re doing a good job. Who else’s opinion matters more? Companies rise to super success when they get a reputation for superior customer service and others are lost to the winds of time because they ignored this virtue. At the TriHealth hospitals in Cincinnati, Ohio, the clinical engineering department has received superior feedback from its customers and the rating numbers prove it. As part of Catholic Health Initiatives (CHI), the department at TriHealth handles the equipment responsibilities at four in-patient facilities and a number of remote locations. The four primary hospitals, where the department has its main shops, include: Good Samaritan Hospital with 672 beds, Bethesda North Hospital with 524 beds, Bethesda Butler Hospital (adding a new patient unit and expanding from 10 beds to 48 beds) and TriHealth Evendale Hospital with 29 beds. Bethesda Butler is currently a short stay surgical hospital with eight ORs and TriHealth Evendale has 10 ORs and complete imaging and diagnostic departments. Good Samaritan is Cincinnati’s oldest and largest private teaching specialty health care facility and Bethesda North is the city’s leader in acute heart attack care, as well as a top choice for maternity care. Those last two facilities also have on-site account managers who oversee the daily operations of clinical engineering at each hospital. The CE program reports through Supply Chain to the Director of Logistics and Purchasing. Catholic Health Initiatives National Clinical Engineering program is part of Physical Asset Services.

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Managing the TriHealth system’s 32,000 assets and keeping customers happy is all in a day’s work for clinical engineering; the proof is in the pudding. “Customer satisfaction scores of 4.69 or 93.8 percent and 4.8 or 98 percent respectively for Good Samaritan Hospital and Bethesda North Hospital,” says Chris Hamant, CBET, director of clinical engineering, TriHealth. These great ratings came while the departments worked on a major project. “They consistently met and exceeded CHI’s PM completion benchmarks; and averaged greater than 80 percent completion of corrective maintenance work-orders opened monthly,” he says. The department’s 25-member staff includes Regional Director Chris Hamant, Manager Tony McClanahan, two lead technicians, an administrative assistant, a CE-IT network engineer, five imaging specialists, two lab specialists and 12 BMETs. The team works well with their IT counterparts. “Both of our groups have worked for a long time and very hard to develop a strong partnership that focuses first on patient safety and user satisfaction,” Hamant says. “While there are always gray areas, we ultimately land on what is best for the patient and users safety/ satisfaction, and from that starting point we work to improve our processes.”

Jim McCray, FSS I, and Chuck Norris, FSS II work in the lab at CHI Clinical Engineering (Tri-Health)

DEVICE INTEGRATION Big projects have been on the menu for the team at TriHealth in the recent past. Working toward achieving the mandate to have data flowing and connected for electronic records, the department took on several projects and saved money in the process. “The CE departments at Good Samaritan Hospital and Bethesda North Hospital were heavily involved with the system’s EMR implementation project,” Hamant says. “CE’s piece of the project was focused on leading the device integration. CE provided equipment planning, device integration inventories, and installation of over 400 medical interface devices on all medical equipment within the scope of phase one of this multi-year project.” Every data port connection, for a wide array of model-specific patient care equipment had to be researched, identified and reported. “CE provided the documentation and planning reviews for all departments

Jamie Trett, Senior BMET, works on a device desk. Jim Norris, FSS II, works on imaging equipment.

having patient care equipment throughout the major TriHealth facilities,” Hamant says. “Additionally, while assisting with these extra responsibilities, it was expected that CE would oversee the completion of the installation of the new hardware needed — thin client computers, articulating monitor arms, keyboard trays, etcetera — for the end-user EMR documentation equipment mounted to the anesthesia machines.” Because the department has an excellent relationship with the anesthesia staff, and has knowledge of their workflows, Hamant says that the department took on the project, even though it would not normally fall under the scope of their responsibilities. “In addition to the work on the specialized biomedical equipment — anesthesia and patient monitoring — CE was expected to work with the vendors providing service on all imaging modalities connected to PACS to make network configuration changes during PACS server upgrades in order that patients’ imaging information would also interface into the new EMR system,” he says. The department put its savings hat on and came up with a strategy for cutting costs. During the planning process, it was decided that they would second-source

the articulating arms for anesthesia carts and developed a plan for installation of the flat panel monitors and desktop equipment on 61 different machines. “After researching the cost, our staff came up with a plan of action that enabled the facility to realize a savings of $119,000 in parts and labor avoidance,” Hamant says. Beyond these savings, the CE department found another area within device integration, where the budget could be improved in the patient monitoring equipment area. “By adding another NIC, and integrating through the database servers, CE was able to eliminate the need for over 260 EMR provided communication devices. This provided an addition savings of $324,000,” Hamant adds. When the department reviewed the cardiac and radiology PACS server and modality upgrade equipment list, they discovered another area for savings. “CE’s Field Service Specialists, in partnership with the PACS administrators, were able to make over 95 percent of the configuration changes needed to communicate with the new servers which amounted to approximately 84 hours of labor,” Hamant explains. The department was also ahead of the curve on cyber-security. This included

reviewing many of the offsite locations. Hamant says that the department has a means for identifying HIPAA equipment in their database and drilling down on equipment type and identifying highly portable types of equipment. “We worked with various members of the system’s Security Council to develop a plan for PHI Security Education to all directors, office managers and end-users on this topic,” he says. “CE then performed a PHI Risk Assessment — as directed by OEM’s Manufacturer Disclosure Statement for Medical Device Security Form MDS2 — at each of the off-site locations and department locations where this type of equipment is used.” “Remediation was implemented as indicated and the results of the assessments were reported to the System Security Council for follow-up actions by other agencies,” he adds. Away from work, several of the department members belong to the HTM associations in Ohio and Kentucky, according to Hamant. “One member serves on the Kentucky association as a board member and association officer,” he says. The good work that the TriHealth team is doing should keep those scores up on future assessments.

SPOTLIGHT

COMPANY SHOWCASE Philips Multi-Vendor Services

n 1996, Philips launched a multi-vendor service organization designed to provide a direct service model, bringing OEM quality service to a multivendor service solution. Through a quality standards commitment, strategic acquisitions and partnering of resources to support direct service capabilities and organic growth, Philips MultiVendor Services now boasts more than 2,000 Philips Support Specialists who are trained at the Cleveland and Nashville Technical Centers of Excellence to service equipment, provide technical assistance, and deliver OEM parts for virtually every major manufacturer.

People are living longer with continuous chronic diseases, creating the need for more specialized care, in both the hospital and the home. Healthcare systems are challenged to improve access and quality of care, manage resources, and treat patients in lower cost settings. Empowered consumers are increasingly seeking new ways to take control of their health. Digital tools and data-driven capabilities are driving increased collaboration between patients and clinicians across the health continuum. Philips believes the time is right for new thinking and partnerships. “Philips Multi-Vendor Services mission is to do the right thing for our customers, which means we want to provide the best clinical solutions for their needs, at the right level of service, at the lowest possible cost,” said Jim Salmons, Vice President, Philips Multi-Vendor Services. We sat down with Salmons to find out more about Philips Multi-Vendor Services and its extensive service experience with devices from a variety of OEMs.

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At Philips Technical Center of Excellence in Nashville, Tennessee, Philips provides hands-on training for customers’ in-house engineers.

What are some advantages that your company has over the competition? Salmons: Our advantages are in our qualified people, our technology and our flexible service programs that go beyond “break-fix.” To support growing multi-vendor service needs, each of our engineers goes through hands-on, state-of-the art technical training. This allows qualified field engineers to service non-Philips or Philips equipment to OEM standards in a cost-effective manner, regardless of modality, complexity or age. Our remote clinical/technical experts connect directly to Philips medical equipment, as well as systems from manufacturers like Siemens and GE, over secure, encrypted communication links. Our superior technical capabilities such as remote services across a range of manufacturers and modalities help customers increase clinical availability of their equipment.

Providing fast access to quality parts is another key service capability requested by customers. Two companies owned by Philips that support direct access to quality parts include Dunlee and AllParts Medical. Dunlee is a leading X-ray tube manufacturer. AllParts Medical, the only ISO 13485:2003 registered third-party parts supplier, is a leading parts, training, technical support and equipment company. For qualified in-house teams ordering Philips or non-Philips parts, we also provide complimentary parts identification service and volume incentive discount purchase programs that include elimination of re-stock fees, reduction in freight costs, extended parts warranty, free training, free technical support and 24/7/365 access for parts ordering. Whether the objective is to increase system availability, decrease costs, support in-house staff or meet basic uptime needs our customizable service programs can deliver 24x7 service on mission critical equipment, PM only services, shared services, parts only programs, hands-on

Passionate about supporting their health care community customers, Jim Salmons (L), Vice President, and Rich Gerler (R), Director of Technical Operations for Philips Multi-Vendor Services promote a ‘beyond break-fix’ work culture.

clinical training, technical training or cost efficient back-up service labor. Also, unique in our industry, our philosophy is not to compete with in-house organizations but to support them. As business needs change we can help transition coverage from full service to in-house without any penalties.

What are some challenges that your company faced last year? How were you able to overcome them? Salmons: We work with customers to address their greatest challenges: how to reduce costs while improving patient care. As customers look for cost reductions, there are many aggressive, less qualityoriented service providers in the vendor space who promise big savings, but don’t have the resources to support clinical solutions or quality service delivery. We were rated No. 1 in the 2014 IMV ranking as the top multi-vendor service provider because we bring the full weight of our global organization and resources to address individual customers’ cost, clinical and patient satisfaction needs. We take a holistic approach to our customers’ entire business versus just “break-fix” at the cheapest price.

Please explain your company’s core competencies and unique selling points. Salmons: As a global leader in both clinical imaging and biomed solutions, we have extensive service experience with many OEMs, and leverage that core competency and expertise across our non-Philips service offerings. Philips Multi-Vendor solutions provide quality service, expert technical assistance and OEM parts for Philips and non-Philips systems – all from a single source, reducing the complexity of managing multiple original equipment manufacturers (OEMs), insurance providers and third-party service organizations. With our flexible, customized programs and consultative approach, Philips increases uptime, streamlines workflow, lowers costs and helps enhance patient care.

What product or service that your company offers are you most excited about right now?

needs in the changing health care industry. In 2014, Philips announced the formation of “HealthTech” by combining Philips’ existing Healthcare and Consumer Lifestyle businesses. Philips HealthTech is capitalizing on the convergence of professional health care and consumer end-markets across the health continuum, from healthy living and prevention, to diagnosis, treatment, recovery and home care. The creation of Philips HealthTech and the integration of the data from the connected products on Philips’ cloud-based digital health platform are exciting and illustrate the company’s commitment to service in an increasingly connected world, where societies are looking for more effective and lower cost health solutions. Every company is challenged by where to spend their investment dollars, and that’s even more complicated when you are vastly diversified. Philips’ move to focus solely on HealthTech means every dollar, every move and every decision is about how we can improve health care and help our customers improve care and lower costs.

What is on the horizon for your company?

Salmons: On the horizon, we will continue to evolve HealthTech into a global leader providing cost-effective solutions. For multi-vendor service products, we are excited about bringing advanced data analytics and exceptional capabilities to customers. Digital tools and data-driven capabilities will drive increased collaboration between patients and clinicians across the health continuum. The move away from silo models of service provision to the development of well-integrated services is revolutionizing health care. FOR MORE INFORMATION about Philips Multi-Vendor Services go to www.philips.com/mvs

Salmons: I’m excited about Philips’ innovative focus on addressing customer

SPOTLIGHT

The Right Fit For Your In-House Service Needs Philips multivendor service program brings to your department and organization far more than just repair service. Philips skilled trained technicians and program leaders help you with your imaging systems and biomedical equipment service and operational goals, regardless of manufacturer. Visit us at www.philips.com/mvs to find out how you can improve both your in-house service delivery and your bottom line with Philips.

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BIOMED ADVENTURES Dancing for a Cause By K. Richard Douglas

ver the years, dance styles have changed; many have come and gone. From the sock hops of the 1950s and the Peppermint Twist to disco during the late ’70s and break dancing after that, there have been people who have excelled at each. When dancing, it’s one thing to blend into a sea of dancers on a dance floor and yet another to be in front of a crowd of onlookers. You have to be fairly certain of your dance skills to take it to the entertainment level. Anas Askar, a biomedical engineering technician for Aramark, who works at a hospital in Illinois, is one of those brave souls who has no problem or fear displaying his dance prowess. Askar has been in front of crowds going back to junior high school and has the confidence and personality for entertaining. Askar’s talent has found its way into various venues. “I usually do dance routines at fundraising dinners and some improv from time to time. I used be in theater, ever since middle school, so acting and being on stage was instilled in me at an early age,” he says. He says that some of the venues for his dancing have included children’s relief fund charities and improv at dance competitions. He says that the dancing provides some entertainment value to events that might otherwise be just dinner and speakers. Askar injects an element of excitement into what might be a staid event. Being in front of crowds had been a favorite pastime and it has included memorizing lines as well as dance moves. “I carried on that acting into all four

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years in being lead in all the school plays. That feeling of being on stage is an indescribable feeling that I look forward to when the curtain goes up,” he says. Obviously, Askar is not an introvert. “I always wanted to be in movies and on the big screen. I knew to get there that it would take baby steps,” he explains. “I was real into comedy and thought about making funny videos around school. I ended up taking my mother’s digital camera and started recording some of the silly stuff that we would do throughout school.” Even before the advent of YouTube, Askar was bringing his ideas on video to a bigger audience. “I would edit the footage that I had and used to upload them to what was once a popular site; MySpace. Everyone loved what I had posted and would always ask me when a new video was coming out. That’s what drove me to make more funny videos and to start posting them for everyone to see,” he says. Askar even did some extra parts in movies. He says that he was in one of the Batman movies and Ocean’s Eleven, when the movies were shot in Chicago.

BEFORE A LARGE AUDIENCE The Internet has changed our culture and made the world smaller. It allows for real time contact through voice and

Anas Askar dances in front of landmarks in a pink shirt to raise awarness for breast cancer.

video. It can provide a worldwide audience to anyone with a video camera. YouTube has made this fact immensely true with some videos getting thousands, and even millions, of views by people in dozens of countries. Askar has capitalized on this reality and brought his dance skills to an international audience. His YouTube videos have garnered thousands of views. He has also taken the opportunity, with his skills, to bring additional awareness to breast cancer and the need to promote giving to breast cancer research. That was the focus of one of the videos. At work, he always wears a breast cancer awareness ribbon, regardless of whether it is breast cancer awareness month or not. “I knew breast cancer was a serious issue and that not many people were

mindful of it until they had either gotten it themselves or someone close to them was diagnosed with it,” Askar says. “I had seen a video of nurses and doctors at a hospital raising awareness [by] dancing with pink gloves on. Once I saw that, I wanted to raise awareness through the one thing that I knew best that I can do; which was through dance,” he says I went to all different parts of the city of Chicago during Breast Cancer Awareness Month dancing around in a pink breast cancer shirt and glasses to raise awareness in a way that [would] catch people’s attention.” “People all over the world would applaud my video and leave comments telling me how it brought them to tears knowing that their fight of breast cancer wasn’t going unnoticed,” he adds.

A BIOMED FIRST ARAMARK Healthcare Technologies provides biomedical and imaging equipment services to hospitals

nationwide. The company offers both on-site and demand-based services for the maintenance and management of clinical equipment. Askar has worked for Aramark for about three years. He has been at the same location since he started as an HTM professional. He is just fi nishing up his preparation studies to earn his CBET as well. “I repair and maintain a variety of equipment throughout the hospital such as patient monitoring, ultrasound, clinical, workstations, infusion pumps and many more pieces of equipment,” he says. “I had always wanted to work in the medical field, but wasn’t sure which sector I wanted to major into,” Askar recalls. “I was very tech savvy and really into electronics. Once I discovered how biomedical engineering plays a major role in health care technicians operations and patient safety, I knew that this was the right fit for me.”

“It gives me a sense of satisfaction knowing that we can make doctors, nurses, and technicians efficient with their tasks by performing preventative maintenance and troubleshooting when needed. With Aramark, we look to deliver experiences that enrich and nourish lives,” he adds. Just like learning how to maintain a new piece of equipment, the ability to master new dance moves has been an ongoing learning experience. The dancing was a self-taught initiative. “I just watched as I went and it was just practice, practice, practice,” Askar says. Chances are, YouTube viewers will get more entertainment value in the future, while being reminded of a good cause. Until then, you can watch Askar dancing around Chicago in this YouTube video: http://goo.gl/DJmDG1

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SPOTLIGHT

PROFESSIONAL OF THE MONTH Brad Wiley, CBET By K. Richard Douglas

nyone who goes to work every day and dedicates themselves to their profession needs a little recognition once in a while. It helps with job satisfaction, and let’s face it; it validates what we do.

Work makes up a third of our lives, and in the case of the HTM profession, it is integral to the well-being of millions of patients. Brad Wiley, CBET, exemplifies the best of what biomeds do every day and he was recently recognized for his efforts. Wiley, an imaging engineer technician with Trimedx, works at Indiana University Health Arnett Hospital in Lafayette, Indiana. Wiley was recently recognized as the Indiana Biomedical Society’s (IBS) Professional of the Year. In his remarks, while announcing the winner, IBS President, Demetrius Dillard, MBA, CBET, said that Wiley “exhibits the drive and dedication to this career field that we require to receive this coveted award.” Wiley has been a member of IBS for about eight years. In Wiley’s nomination, his former boss, Matt Royal, CHFM, CBET, now director of Biomedical Engineering at Eskenazi Health, said “Brad’s skills allowed the reduction in almost $2 million in service contracts on imaging equipment.” Wiley had no advance knowledge that he was going to be the recipient of the

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honor. It came as a big surprise at the organization’s annual conference, when he learned he had won. He was pretty nervous accepting the award in front of the big crowd. “It was very humbling. I know there are a lot of people who work just as hard as I do and we are all in it together, as far as the stresses day in and day out,” Wiley says. “It’s really nice to know that the hard work paid off and somebody noticed.” Wiley’s reason for getting into biomed is not that different than many of his counterparts. “I wanted to be able to contribute to helping people. I actually started going to school to be an X-ray technologist. I then switched, due to working a full-time job, and not knowing how I was going to do my clinicals. I spoke with an advisor and he asked me if I had ever heard of biomedical electronics,” he explains. “I looked into it and thought it was very interesting. The medical field seems like a great place to do that. It is also a good strong field to be in. It is always growing and changing.” He attended Ivy Tech Community College and majored in Electronics

Brad Wiley, CBET, was recently named the IBS Professional of the Year.

Technology, earning an associate of science degree. “I completed my CBET certification exam in May 2012. Once I got into the radiology field, I went through the RSTI phase classes and have been through other training classes. I have had some great mentors along the way who have really helped me develop,” Wiley says. He has also completed a lot of OEM and third-party training. His HTM career started with TriMedx in 2007, working at Saint John’s Hospital in Anderson, Indiana. In 2009, he took a position as a BMET II at Indiana University Arnett Hospital in Lafayette.

Brad Wiley loves almost any outdoor activity, including fishing!

The next year, he became an Imaging Engineer Technician for TriMedx at the same hospital. Wiley saw the opportunity to move along his career and made the change. The additional imaging training helped also. “There isn’t one particular area that I work in. I work in all modalities of radiology,” Wiley says. “I’m not a specialist by any means, more of a jack of all trades. I have had many great mentors that have helped me excel in my career.”

LEARNING ON THE JOB Wiley joined Indiana University Hospital Arnett about a year after the hospital was built. The warranties on equipment began to expire as he was still new to the job and the only tech at the time. He remained the only tech for eight months. Because the hospital doesn’t maintain service contracts, it provides a challenge to learn all equipment. Wiley says that is OK because each day is very different. “I was on call and I was it; I was radiology, I was biomed, I did everything for the first eight months until we were able to hire someone else. It was pretty rough,” he remembers. “Since then, we have built an urgent care that we took part in, trying to help organize and manage the equipment,” he says.

FAMILY AND PASTIMES “I am recently married and have a very supportive wife who understands the job and the responsibilities that go with it. I also have a supportive family and three beautiful nieces,” Wiley says. Wiley enjoys a variety of activities, both as a spectator and as a participant. At the top of the list is anything involving sports and the outdoors. “I’ve played rugby for almost 15 years now. I’ve never been able to get away from it. It’s just too much fun; it’s hard to quit,” he says. Wiley loves to fish and play golf. He has a motorcycle, which he says he was finally able to get on when the spring weather arrived after a long winter. “I am very grateful for the opportunities that I’ve been given and thank God everyday for all that he continues to do through me and in my life,” he adds. Royal’s nomination letter sums up why Wiley is deserving of the IBS award. “He cares deeply about the mission of his organization and the people they serve. His skill sets and experience make him an MVP when it comes to imaging equipment repair,” he writes. “Brad never backs down from a challenge and always goes down swinging. It was an honor to have worked with Brad over the last eight years.”

Brad Wiley recently married the love of his life.

FAVORITE BOOK:

The Art of Happiness by the Dalai Lama

FAVORITE MOVIE:

I watch a lot of movies, I don’t think I can narrow it down.

FAVORITE FOOD:

There are so many to choose from

HIDDEN TALENT: I play rugby.

FAVORITE PART OF BEING A BIOMED:

It’s not the same thing every day. There is always something different to work on. Also being able to provide support for the staff seeing the patients. Making sure equipment is functioning properly to do their job gives you a good feeling of accomplishment.

WHAT’S ON MY BENCH Water Screwdriver Metric Allen wrenches A Diet Mountain Dew A banana

SPOTLIGHT

MD EXPO EXCEEDS EXPECTATIONS By John Wallace, Editor

D Expo Nashville 2015 was a hit from start to finish, with top-quality education, a packed exhibit hall, networking events and new exhibit features. Vendors and attendees praised the event which visited the Music City for the third time and was met with great success. Almost 700 people descended upon Nashville for the spring MD Expo to participate in signature events including the golf tournament sponsored by DirectMed Parts, the Welcome Reception sponsored by AllParts Medical, the Networking Happy Hour sponsored by MW Imaging and the always informative Keynote Breakfast featuring John Maurer from The Joint Commission and presented by RSTI. A representative from one company said they picked up four leads at the Welcome Reception alone. In addition, new features of the premiere trade show for medical equipment sales and service included a CBET Review presented by David Scott as well as Product Demos, Workshops and a Vendor Networking Lunch. Each of these brought additional benefits to attendees and exhibitors. One of the Product Demos was so successful that the presenter plans to share more

1TECHNATION.COM

MAY 2015

The MD Expo kicked off with a packed Welcome Reception sponsored by AllParts Medical.

information via TechNation’s Webinar Wednesday series. In addition, the Door Prize Extravaganza provided an extra networking opportunity as exhibitors gave away great door prizes. Traffic throughout the show was so busy, one exhibitor said that he ran out of company literature. Several exhibitors commented on the heavy traffic both days that the exhibit hall was open. The top-tier educational seminars provided biomeds the opportunity to expand their knowledge and earn CE credits, all at no charge, thanks to VIP Passes provided by exhibitors. The presentation by John Maurer from The Joint Commission at the keynote breakfast also provided valuable insights. “I received information on The Joint Commission standards for critical access hospitals that I did not know,” John Shore, Director of Clinical Engineering at Tanner Medical Center

in Georgia said. “We are in the window for an inspection now and this will help us be properly prepared.” “I sat in on a class yesterday for the Joint Commission and CMS requirements as well as the keynote (breakfast) this morning presented by The Joint Commission for the updates for 2014 and 2015 that I can take back to my facility and use immediately,” said Kyle Clark with Holzer Medical Center in Ohio. The Music City Surprise Party, sponsored by Sodexo, was the perfect conclusion to a busy and productive MD Expo. Hundreds of people gathered in the lobby of the Omni Nashville hotel for a short walk to the surprise location of the party – the Johnny Cash Museum! The parade stretched five blocks long. Those in attendance were treated to catered snacks along with beer, wine and a signature Tennessee Whiskey cocktail as they waited for a

Karen Waninger (L) and Manny Roman (C) lead a workshop discussion on “The Right Person for the Right Job.”

Pat Lynch of GMI presents to attendees on service contracts

“ I think (MD Expo) has to be in my rotation now. It is a great show with great value!” - John Shore

surprise entertainer. They were not disappointed when Johnny Cash and June Carter’s son, John Carter Cash, took the stage. He performed several of his father’s classic hits while providing the story behind the songs and other insights into the family’s history.

The Music City Surprise Party was held at the Jonny Cash Museum where John Carter Cash preformed for a full house.

Attendees and exhibitors alike praised the MD Expo Nashville for once again providing the perfect atmosphere for learning and networking. People caught up with colleagues and added to their network of contacts throughout the three-day event. “I saw people I haven’t seen in many years and it was refreshing catching up,” Shore said. “There is an opportunity to meet new friends. There is an opportunity to network,” said Carlos Driver from Maury Regional Medical Center in Columbia, Tennessee. “There is definitely the opportunity to learn about some things that you may have questions about or learn new things.” “I think these are great courses that MD Expo has with the seminars and the speakers. It is a lot of valuable information. It’s really beneficial to us

as a program,” said Geminia Hopkins, supervisor Biomedical Engineering at Tennessee Valley Healthcare System. “I also checked off some of the vendors I wanted to talk with just so I can ask them some questions and so they know that I am here since a lot of them are local for us too.” “I think (MD Expo) has to be in my rotation now,” Shore added. “It is a great show with great value!” Ryan Rauch from Carle Foundation Hospital may have summed up the MD Expo experience best. “The Expo was awesome and I am so glad I went. Thanks to you and everyone that put forth the effort to make it amazing,” Rauch said in an email. FOR INFORMATION on the next MD Expo visit www.mdexposhow.com

SPOTLIGHT

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INFUSION PUMPS The Essentials

nfusion pumps are used to push fluids, medications, and/or nutrients into a patient for therapeutic purposes. At their simplest, infusion pumps consist of a user interface that controls an electromechanical pumping mechanism responsible for pushing fluid from the fluid container (e.g., bag, syringe, bottle) through a length of flexible tubing called an administration set (which is often proprietary) into a patient’s catheter. They are most commonly used for IV administrations, although subcutaneous, arterial, intrathecal, and epidural infusions are frequently employed. Infusion pumps are used in hospitals, in alternative care settings (e.g., physicians’ offices, outpatient infusion centers), and, occasionally, in emergency medical service vehicles. In general, infusion pumps are used when the solution to be administered must be delivered with greater accuracy or speed than can be provided through a manually adjusted gravity administration set. Because of their accuracy, infusion pumps have proven to be useful in applications such as continuous epidural anesthesia, administration of IV cardiovascular drugs, chemotherapy, and pediatric applications, as well as for home IV therapy. The basic mechanical performance of all of these devices has changed very little in recent years. However, that doesn’t mean the technology itself hasn’t evolved, and advances in computing power and an increasing awareness of medication safety have resulted in significant changes in the way infusion pumps are purchased, implemented, and used. So when it comes to selection and purchasing, hospitals are concentrating on a host of other issues rather than focusing strongly on mechanical performance. For example: How easy is the pump to use? How well does the system’s dose error reduction system (DERS) function? How

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extensive and configurable is the pump’s drug library? How well does the pump communicate with the pump server—and how easy is it to integrate the pump with other hospital systems, either now or in the future? What kind of tools are provided to help analyze log data? Here are the fundamentals about infusion technology and the issues that surround it.

UNDERSTANDING THE TECHNOLOGY There are the four main types of infusion pumps, each designed to address different care practices. Learn about their features, functions, and capabilities. • Large-Volume Infusion Pumps Also known as general-purpose pumps, large-volume pumps deliver fluids from bags or bottles. • Syringe Infusion Pumps Syringe pumps use a motor to depress the plunger on a syringe that injects fluid into the patient. • Patient-Controlled Analgesic Infusion Pumps Patient-controlled analgesic pumps allow the patient to activate the delivery of pain medication within

predetermined limits; the pump controls and drug reservoir are usually in a lockbox to prevent tampering by unauthorized personnel. • Ambulatory Infusion Pumps These pumps are worn or carried by patients who require infusion support while moving about; the drug reservoir is often a small internal container.

SELECTION AND PURCHASING As with many devices, purchasing infusion pumps is much more complicated than it used to be. Infusion system purchases today involve buying a complete drug

delivery platform, including pumps, software, and communication interfaces. In addition, if you plan to utilize wireless networking capabilities on your infusion pumps, you must ensure that the hospital network is equipped to provide reliable wireless communication everywhere a pump will be. Finally, to experience the safety benefits of dose error reduction systems (DERS), a large commitment to drug standardization and drug library development is required. Buying a pump involves establishing a long-term relationship with the pump’s supplier, on whom you’ll have to rely heavily for initial implementation, product upgrades, and ongoing support. The barrier to switching suppliers once you’ve already implemented a smart pump model is also much higher than with traditional pumps: If you’re going to switch, you will probably have to make changes to the drug library, which can be timeconsuming. You’ll also need to consider that the differences in operation between the devices means that users will need to be retrained, and the differences in the log-analysis and library-editor tools may mean that you lose some of the expertise your administrators have developed from working with the previous system. • Ease of Use: A Critical Component of Infusion Pumps Infusion pumps that are difficult to use may lead to problems such as dose errors and delays in patient care. Here’s a brief rundown of some ease-of-use problems hospitals may encounter, as well as developments that may help make pumps easier to use. • Infusion Technology Purchasing: It’s Not Just about Pumps Choosing an infusion system is much more complicated than it used to be. Before making a decision, you’ll need to know the answer to some important questions.

• Tips and Tools for a Smart Pump Clinical Assessment Performing a meaningful clinical assessment of smart infusion pumps requires careful preparation. Here’s help in defining a process that will produce smart purchasing decisions and improve buy-in from your users.

SAFETY ISSUES • Dose Error Reduction Systems: Features and Functions Dose error reduction systems are life-saving safety features that help prevent infusion pump medication errors. • Infusion Pump Integration: Why Is It Needed, and What Are the Challenges? The process of integrating your infusion pumps with your electronic medical record or other information systems has safety benefits, but it also poses numerous challenges. Find out what the difficulties are, and how to address them. THIS ARTICLE IS EXCERPTED FROM A DIGITAL STORY posted 2/25/15 on ECRI Institute’s membership website. The full article features additional background information and questions to ask during purchase. To learn more, visit www.ecri.org; call (610) 825-6000; or e-mail communications@ecri.org

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TOOLS OF THE TRADE Fluke Biomedical Ansur 3.0

luke Biomedical has released Ansur 3.0 – the largest update to its test automation software platform to date. Ansur 3.0 provides new login features, customization options and more reporting choices to customers than ever before.

New features and benefits of the Ansur 3.0 release include: • Customizable authorization levels: organizations can set user, author and administrator credential levels to enhance traceability and manage access • Compliance enhancements: users can create their own signature to sign templates and results. This new feature is compliant with the FDA requirement, 21 CFR Part 11. • Customizable device under test fields: users can specify the number of fields, groups of fields and field names when creating and modifying Ansur templates Designed to minimize risk and maximize regulatory compliance, Ansur Test Automation

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Software standardizes work and reduces test time to increase productivity and reduce human error in medical device quality assurance testing. Test results are captured electronically and stored digitally in version-controlled records in CMMS or alternative databases of choice. Data can be managed based on user authorization levels. Digital data can then be used for trend analysis to predict service needs, minimize equipment downtime, and provide justification for unique PM schedules to meet the requirements of worldwide regulatory groups such as the Joint Commission, IEC and others. THE 3.0 UPDATE IS AVAILABLE AT www.flukebiomedical.com/Ansur3

MAY 2015

1TECHNATION.COM

AAMI UPDATE

AAMI Unveils Guide on Maintenance Strategies

document intended to help health care technology management (HTM) professionals keep medical devices functioning efficiently and effectively has made its debut.

ANSI/AAMI EQ89:2015, Guidance for the use of medical equipment maintenance strategies and procedures, identifies commonly used practices. It is intended to help HTM departments standardize and document their maintenance procedures, as well as provide guidance to select the most appropriate maintenance strategy for a given type of device. “It’s a good document,” said George Mills, director of engineering at The Joint Commission, the nation’s largest accrediting body for health care. Participating in an AAMI roundtable discussion on preventive maintenance (PM), Mills commented on the new standard. “We get a lot of blank stares” when we ask how facilities get their PM strategies and activities in place, Mills said. “The field should really benefit from the guidance that’s provided in this document.” More of Mills’ comments and a transcript of the entire roundtable discussion appear in the March/April issue of BI&T (Biomedical Instrumentation & Technology). The development of EQ89 started several years ago and picked up steam after the U.S. Centers for Medicare & Medicaid Services (CMS) announced in December 2011 that hospitals should

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MAY 2015

adhere to the manufacturer’s recommendations on PM activities for medical equipment in almost all instances. That move ignited an uproar in the HTM community, with many professionals saying it would be impractical, expensive, and that it failed to recognize the value of some alternative strategies with a proven history of safety and success. Two years later, CMS adopted a more flexible posture, giving HTM departments some latitude in setting their maintenance activities. As EQ89 notes, “A maintenance strategy is not a one-size-fits-all approach. HTM departments should develop a plan that will keep the devices functioning and available without expending resources unnecessarily.” However, HTM professionals should be able to provide documentation on why they have chosen certain procedures, and ensure that procedures comply with any applicable authorities having jurisdiction. The document also advises that before any changes are made, facilities should check the maintenance recommendations of the original equipment manufacturer (OEM), if they are available. It also names several considerations HTM professionals should take into account

when determining a maintenance strategy: the process used to determine the strategy for similar devices; fail safes; the availability of back-up critical devices; and the available evidence and rationale. In addition, the document names factors to consider when there is a potential change to a maintenance strategy, including the consequences of a device failure, the clinical environment in which the device will operate, and the impact of the physical environment on the device (e.g., temperature and humidity, portable versus fixed location). Visit http://my.aami.org/store to purchase a copy.

AAMI FOUNDATION LAUNCHES COALITION TO CHAMPION INFUSION THERAPY SAFETY The AAMI Foundation, in cooperation with industry partners, health care providers, and national organizations, is launching an ambitious initiative to develop and promote solutions that improve patient outcomes with infusion therapy. The National Coalition for Infusion Therapy Safety held its kick-off meeting in Annapolis, Maryland, March 12-13, marking the latest effort by the AAMI Foundation, through its Healthcare Technology Safety Institute, to address a key patient safety issue. Over the next two years, experts from a variety of health care and health care technology backgrounds will develop data-driven strategies to overcome a lack

of compliance with drug libraries, create educational resources for multiple line infusion therapy, and share methods to reduce non-clinically actionable infusion pump alarms. The overarching theme is to find ways to improve patient safety in the context of infusion therapy. These solutions that will be developed are intended to address several priority issues identified in a report developed as a result of a landmark summit on infusion device safety held by AAMI and the U.S. Food and Drug Administration (FDA). “For years, the FDA has received reports of adverse events associated with infusion device therapy. However, it is believed that these reports don’t show the full scope of the problem,” said Marilyn Neder Flack, senior vice president of patient safety initiatives at AAMI and executive director of the AAMI Foundation. “During the 2010 summit, members of the health care technology community vowed to work together to confront this ongoing patient safety challenge. This campaign is the next step in combating this problem.” The campaign is expected to roll out in two phases. After the coalition’s kickoff, the AAMI Foundation will host webinars, develop publications, reach out to key opinion leaders, and create web-based directories for self-guided learning. The current industry partners are CareFusion, Hospira, Baxter, B Braun, PMD Solutions, Smiths Medical, Cerner, Fresenius Kabi, Ivenix, Star Luminal, LLC, and ZynoMedical.

NEW ONLINE COMMUNITY MAKES DEBUT AAMI members have an additional way to connect with their peers through a new forum. AAMI Connect – boasting topicspecific communities designed to enhance the user experience – has replaced the eForums. Conversations dating back to the inception of each eForum community are available in each AAMI Connect community. Each community also has a resource library that houses attachments and resources for easy accessibility. “The community was designed to empower relationship building for AAMI members,” said Allison Rafti, director of membership marketing. “We believe these communities will enable members to tap into the collective knowledge of their fellow professionals and connect with others who are passionate about the same health care technology issues. AAMI Connect is easy to use and intuitive. These re-envisioned communities put information and resources at the fingertips of our members and makes networking easier than ever.” Current eForum users have been automatically subscribed to community and may access AAMI Connect with their AAMI user names and passwords. Please visit www.aami.org/connect to get started today.

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MAY 2015

WEBINAR WEDNESDAY Webinar Wednesday Series Reaches New Heights By John Wallace, Editor

pair of sessions sent the TechNation Webinar Wednesday series to new all-time highs. More than 1,000 people registered to attend the webinars. Hobie Sears returned to the Webinar Wednesday series in February with huge attendance numbers. Sears, senior territory manager at Trisonics, kicked off the Wednesday Webinar series last year and his presentation was well received. His February 2015 webinar was popular with 449 people registered for his presentation “Becoming an Expert in Ultrasound Service.” Sears, an expert in the field, discussed the process taken by veteran ultrasound service engineers on how they approach service. The presentation also included both technical ultrasound specific aspects and a non-technical discussion in regards to the ultrasound modality and with sonographers. With a bachelor’s of science in electronics engineering technology and 25 years of ultrasound service experience, Sears has developed numerous ultrasound courses and has taught hundreds of engineers on ultrasound topics. His expertise stood out as he discussed the nine bridges one needs to maneuver to become an ultrasound expert. After his presentation, Sears held a Q&A session to help technicians address issues they are facing. The informative webinar was a hit with attendees receiving a 4.6 rating with 5 being the best possible rating. Dana Ingram, product manager for Fluke Biomedical, presented the webinar

THE BENCH

Dana Ingram, Product Manager for Fluke Biomedical

Hobbie Sears, Senior Territory Manager at Trisonics

“Defibrillator and AED Best Practices – Saving lives, one test at a time” with 878 people registered to attend. Ingram discussed the best ways to test defibrillators and AEDs for preventive maintenance and included information on current global regulatory standards. Ingram’s presentation was very successful and drew a great deal of questions during the Q&A session. Attendees praised the session in a post-webinar survey. “Excellent information and presentation. Answers to questions submitted were succint and to the point. Well worth attending,” Brice B. said. “This seminar was awesome! I have attended almost all of your webinars and this was a very informative one, about the specific nuances corresponding to HCFA and AAMI standards of guidelines for defibrillator testing as well as suggestions of how to improve PM protocol and specific product failure issues,” Conroy S. said.

“As a small, three-person organization, I appreciate these webinars since we don’t get to travel to any conferences,” Ben W. said. “All of the webinars have been very informative with regards to medical device testing techniques, and also with respect to regulatory updates.” The Webinar Wednesday series continues this month with “Troubleshooting Dicom Networking and Connectivity” by Mike Hill. Hill has experience in Network Management, Gamma Camera and NM Training Specialist, In-house and field Technical Support Specialist. The webinar is sponsored by Universal Medical Resources Inc. Fluke Biomedical is sponsoring at least two more webinars this year, including a session about metrology on June 24. An ESU webinar is scheduled for July 15. A RECORDING OF THE WEBINARS and additional information about upcoming sessions is available online at www.IAmTechNation.com/Webinars.

MAY 2015

1TECHNATION.COM

SHOP TALK

Tracking Equipment Q:

Looking for some out of the box strategies for tracking and locating our temporary pacemakers. Any best practices or pitfalls you are willing to share would be appreciated.

We enlisted the help of the staff and offered a reward of a candy bar or Coke. It worked and most people went for the Coke.

When our PM is due for these, I always send out an email to all department managers and directors informing them of the performance check that is due and asking for assistance to locate and have them ready to be picked up. I generally throw a reminder in the email of the risk level that temporary pacemakers are. I generally find all 26 of ours.

A: A:

M&Ms. It is amazing what people will do for M&Ms.

Here at UT, we have the RTL tracking system in place. The tracker attached to the unit will tell where the unit is at all times.

Tracking equipment is an FDA GMP requirement. Even for hospitals and it’s not limited to where the device is located. Device history and relying on the FDA’s databases helps meet tracking requirements.

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MAY 2015

I got hit this morning by something that seemed so off-the-wall that I have decided to see if I’m the only one, or if I’ve been asleep. The facility recently had a risk management assessment performed by an outside company. One of that company’s actionable items was that we should be testing alarm audibility via objective measures such as decibels on our clinical equipment that has alarm settings. Testing alarms, verifying that they are audible, and ensuring that any alarm volume controls are working properly is old news, we all do it. What has me stymied is that this company is telling us that we should be quantifying exactly how loud they are. Considering that NIST-certified sound level meters seem to start at $400 and go up from there, it’s kind of irritating that my budget is going to get hit to purchase at least two of these. Am I the only one who hasn’t been doing this?

A: A:

Forget NIST. Use the one that you can get for free with your iPhone.

This is not done on clinical alarms at our facility either. The only audible alarms that are quantifiably checked are fire alarm chimes.

We are not, but I wanted to also add that one has to be precise in where the sound level meter is physically located in respect to your monitor. Front, back or side … one foot away, two feet,

five feet? Sound is like gamma radiation, the further away you are, the less loud it will be, all other things being equal.

We have been asked to do this on and off through the years. Most recently as part of the alarm management project. Part of the push has also been a recommendation from World Health Organization (WHO) for decibel levels in patient rooms from 1999 and studies from 2012 about the effects of higher levels on patient healing and recovery. However, their recommendations are lower than the construction guidelines. Through our testing we were able to verify that our baseline levels were within the construction guidelines, but higher than the WHO recommendations and there was nothing we could do to lower the levels without major renovations. The alarms on our ICU equipment were found to be higher than recommended. The recommendation I found says that low level alarms should be 6-10 db over the baseline and high level alarms 15-16 db over. We were at 15 db over for low level and 30 db over for high level. However, the clinical staff did not want to lower these alarms because during peak times they did not feel they would be able to hear them. Instead of lowering the alarm volume we have been focusing on managing the alarms, which is what The Joint Commission is looking for anyway. We have been able to make a huge difference in the overall noise on the units.

TRIM 2.25”

WHY PAY MORE?

Follow Up: Based on the feedback received here, I just had a conversation with our risk manager. We are going to use phone apps. Since this is not a Joint Commission or CMS issue, but a recommendation by an outside riskmitigation company, this should be a viable solution. It definitely will be once we start to build a baseline database for our clinical equipment. I did already realize that I will have to designate a set “testing distance” that will need to be adhered to, and will also set it that all readings will be facing the front of the device undergoing testing.

I’ve also been told that we will have to do spot testing while the devices are in use. This opened up a heated discussion when I refused for my staff or I to manipulate any piece of equipment while it is connected to a patient simply for a test to mitigate risk! I have now been assured that any spot testing will be performed with my staff or myself being in the room, but nursing will be responsible for any device manipulations to make an alarm.

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I was able to find a sound meter from, I think MCM, for $30 or $40 and that is what I have been using to get baseline measurements in the units.

BIOMED 101

From Bombs to Biomed By Carl V. Jones II

little over five years ago I was in the U.S. Air Force and approaching the end of my six-year commitment. I started thinking about what I could do when my military service came to an end. After all, weapons systems maintenance and munitions loading isn’t exactly a career field in high demand. The most obvious and important question was “How can I utilize my military skills and talents while engaging in an exciting and rewarding career?” The answer to this question was not an obvious one. I even thought that maybe my goal was unrealistic. Nonetheless, I researched many careers. And then it happened. I found a career that translated some of my skills and utilized many of the principles used to maintain aircraft and load munitions – Biomedical Equipment Technician. What do weapons systems and bomb loading have to do with that? Let me explain. First off, weapons systems maintenance requires extensive and detailed documentation. Every task is documented on a hard copy and digital database. It’s checked and double checked daily, and if it’s done wrong or falsified it could result in various types of reprimand, ranging

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Carl V. Jones II, AAS Biomedical Equipment Technician

from verbal counseling to court martial. It’s all about the details and when millions of dollars of equipment are being maintained, it’s imperative that every action be documented and inspected for compliance at regularly scheduled intervals. Can you see any similarities there? I’ve explained this comparison many times to friends and coworkers and usually this is the part where you say “OK, I get the similarities in documentation, but how in the world does bomb loading compare to being a biomed?” Bomb loading has nothing to do with being a biomed. But the principles behind bomb loading do. I’ll explain how by defining four key words – safety, certification, reliability and stress.

SAFETY Honestly this is the easiest observation. Safety is key when dealing with explosives. In the biomed field we can all agree safety is a great concern, if not the greatest concern. As hospital professionals, we strive to provide safe equipment for the benefit of our fellow employees, and more importantly, for the patients that the equipment will be in contact with. For example, the average biomed knows the damage a simple shorted wire can do. A clinician may not be as aware and could cause harm to themselves or patients. Similarly, the average bomb loader knows the difference between an armed munition hanging from an aircraft wing and a dud,

while the fighter pilot is most likely unaware. The consequences could be dire for those counting on precision close air support. Does it make us more important because we know of hazards and faults that others don’t? No. But it does mean we bear a great responsibility to ensure the safety of others even if they themselves are not aware of any hazards.

CERTIFICATION The first real and tangible goal for any BMET is certification. The same applies to any weapons loader, you must be certified to load munitions. A certification in any field is awarded based on performance, and states that your training is complete and documented, and that you are capable and competent. Anyone can sit through classes and earn a degree, but a certification needs to be earned and without applying yourself it’s impossible to achieve. This similarity, in my eyes, is the most important. A certification is something you don’t “need,” but once acquired no one will ever question your dedication or the work you put in to achieve the certification. After months of class work and on-thejob training, you are only certified to load bombs and missiles after what you have learned is evaluated and proven. I like to think of it as a rite of passage. If one person on the load crew fails, you all fail and will do it until you master it. It’s the cost of calling yourself a certified loader. The same is true in regards to the CBET exam. You prove that you have become a well-rounded technician.

RELIABILITY In regards to equipment, what good is an infusion pump that doesn’t pump? Or a vital signs monitor that doesn’t monitor? If it doesn’t work, there’s no need for it, and no one will question its removal from the area. Every hospital needs equipment they can rely on. As each and every biomed works on equipment, we ensure its reliability is at 100 percent. There’s never “kind of works” or “sometimes works.” An anesthesia unit should be 100 percent reliable. Would you be confident getting a procedure done with something putting anesthetic gases into your lungs working at 50 percent? I doubt it. Similarly, in a close air support situation, a bomb needs to work as it’s designed in order to suppress any opposition. Anything less would be considered unacceptable. When lives are at stake, 100 percent is the one and only magic number. But, in order to do reliable work, we ourselves must be of the upmost reliability.

STRESS Last, but certainly not least, is stress. We all experience it in some form or fashion and it affects each of us differently. It’s not new to any one and is indeed a part of everyone’s job. Stress is something every military professional is trained to deal with. While I’m sure I’ll never be under fire while performing electrical safety, I’m certain that in the future other forms of stress could possibly affect the quality and effectiveness of my work. My training and experiences in stressful

situations allow me to walk into any stressful environment (such as a heart bypass procedure) and have a clear and focused mind. As a result, decisions can be made accurately and decisively. I’ve learned to use stress as a tool to increase my situational awareness and attention to detail.

SUMMARY That’s how I went from bombs to biomed, I dissected both career fields into key components and found similarities. From there, I compared how my experience in each area could be beneficial based on what I have already done and what could possibly be expected of me as a biomed. This has all been confirmed since day one at biomed school and even more every day as an actual biomed at my hospital. The key to being successful in any career field is the utilization of your strengths and putting yourself in a position to isolate your weakness and improve upon them. The Air Force made me fearless, instilled a ruthless dedication in me and helped me find my own personal standard of excellence within myself. As a new biomed, the possibilities for future growth are endless. I’m no longer limited by time in grade or time in service. I can fly as high as I want and as fast as I want. The research I’ve done and the biomed community have helped me make one of the best career choices I possibly could, and I couldn’t be happier!

THE BENCH

1TECHNATION.

MAY 2015

ROUNDTABLE Ultrasound

ltrasound systems continue to be a valuable medical technology. We asked industry experts about the latest advances in this medical imaging modality and how HTM departments can best manage and service them. The panel of experts is made up of Jim Carr, Director of Service and International Operations, Advanced Ultrasound Electronics (AUE); Bob Coyle, Director, Northeast Division, MW Imaging Inc.; Don Fletcher, Owner, InterMed Ultrasound Services Inc.; Nick Haralam, Senior Territory Manager, Trisonics; Tobin Taylor-Bhatia, Senior Director, Customer Services, Ultrasound, Philips Healthcare; Matt Tomory, Vice President of Sales, Conquest Imaging; and Christine Wright, Director Business

THE ROUNDTABLE

TOMORY: Ensure the system meets all the current and potential future needs of the department(s) using it as upgrades can be very costly post-installation. Also, does the system have a proven track record for performance and reliability? Ask for a comprehensive list of customers, not just reference sites.

JIM CARR

Director of Service and International Operations, Advanced Ultrasound Electronics

HOW CAN PURCHASERS ENSURE THEY ARE MAKING A WISE INVESTMENT IN AN ULTRASOUND SYSTEM? CARR: Purchasing a used or refurbished system from a reputable company is the best way to maximize your investment. Ensure the systems you are considering meet your clinical needs, including any features such as DICOM or 3D that you may want to use in the near future. Carefully investigate the service options for the system and probes, and purchase a system that has alternate providers for parts and probes. COYLE: Buy from a reputable dealer, don’t buy on price alone. Check references and talk to others who have purchased from the dealers that you are considering. Ensure that you will be supported after the system is delivered. FLETCHER: Understand in detail what the user’s needs are, find out which make/ models will meet those needs, determine if a used system will meet those needs or if the unit has to be new. Consult with multiple sellers of both new and used equipment, this will help you determine if additional

1TECHNATION.

MAY 2015

BOB COYLE

WRIGHT: Knowing what your clinical demands are is the most important factor in assuring each system will fit the need for purchase. Many look for all the bells and whistles and can overcomplicate the requirements resulting in an increase in workflows and potential decrease of diagnostic confidence. You should always ask two questions, 1. Will a new system improve patient throughput? 2. Do I realize additional revenue?

Director, Northeast Division, MW Imaging, Inc.

questions need to be answered prior to making the purchase. HARALAM: Purchasers should get the department requesting the unit involved, make sure the unit is the correct model type, has the options they need for their specific applications, and be sure the system is at a current software level. The buyer should also research the company they are buying from and ask what type of warranty they will receive and for how long. Ask the vendor for references from customers who have purchased equipment from them and request a brochure on the product you are considering for purchase. TAYLOR-BHATIA: When purchasers look at making an investment in ultrasound, it is important that they consider the total cost of ownership. In addition to the upfront cost of the system, there are additional components purchasers should consider when comparing the value of an ultrasound system including reliability, services, warranty, education, and financing. Finding an ultrasound manufacturer partner will help ensure that they find the right solution to help ensure that they’re able to maximize return on investment.

WHAT ARE THE MOST IMPORTANT FEATURES TO LOOK FOR WHEN IT COMES TO AN ULTRASOUND SYSTEM? CARR: The system needs to meet the needs of the clinical users, with the modes and transducers required for the diagnostic studies they need to perform. Good reliability and serviceability means the system will be available for clinical use more often. Buying a system for which third-party service, training and parts are available will assure the lowest cost of supporting and maintaining the system over its life. COYLE: System feature requirements vary greatly from department to department and hospital to hospital. Upgradability and probe availability are major features to consider. Look at the types of scans your department is currently doing and what types you foresee them doing in the future. System reliability and ease of operation should be a strong consideration. Support after the sale, both technically and in system operation, should also be strongly considered. FLETCHER: Image quality, type of exams the system will be used for, calculations capability, connectivity and image storage, and, of course, serviceability.

purchased for such as radiology versus cardiology. The configuration and functional capabilities of the system will be different for each department.

HARALAM: It depends on the application the system will be used for. DICOM and Harmonics are a must. It should have the option to export to CD/DVD or USB stick, in case PACS is down. The buyer should be aware of all transducers and applications the unit can support for possible future use. TAYLOR-BHATIA: It is critical to understand the use environment and needs of a department. Is it a high volume environment? Is there a clinical area of focus? How experienced are the ultrasound users? Having a keen understanding of the use environment will help purchasers choose the right solution for their department. Philips RightFit Service Agreements include a range of comprehensive options, including custom onsite services for biomedical support and multi-vendor services for all medical systems. The aim is to help enhance operational efficiency and control cost, while providing flexible service options. TOMORY: Aside from performance, research the serviceability of the product post-warranty. There are a lot of good systems in the market today, but what happens after the warranty? Are manuals, passwords and software available or are you in essence forced to stay with the OEM for the life of the product? WRIGHT: Features must meet the needs of expected performance. Ultrasound is a user dependent modality and giving up any confidence or ease of use by that clinical provider poses risk for the consistent quality of images from patient to patient. The best starting point is to ask, what OEM models are my technicians used to?

HARALAM: The buyer should research the product and look for comparable units the department may be interested in. If possible, speak to other facilities using the same system for similar applications. Ask the vendor if a demo is possible so that the department can get a “hands-on” view of the units they are considering. TOMORY: Work in conjunction with the clinical departments when shopping for replacement or additional equipment to assess needs, capabilities and projected reliability. This relationship is critical as HTM is an invaluable resource when it comes to making well-informed purchasing decisions.

DAN FLETCHER

Owner, Intermed Ultrasound Services, Inc.

modes and features, and don’t allow any OEM-specific terminology that their salespeople try to use as “lock-out terms” to ensure they have the only system that meets it. Ask for, and check with referrals and other users through groups or user forums, and visit clinical sites using systems under consideration to get a good idea of the clinical usability, serviceability, and reliability to be expected.

HOW CAN HTM DEPARTMENTS BE SURE TO OBTAIN THE BEST ULTRASOUND SYSTEM FOR THEIR FACILITY?

COYLE: Each department varies when it comes to its ultrasound system requirements. Look at both your current needs and what you foresee your department needs will be 3-5 years down the line. Don’t overspend for options and probes that you don’t foresee being utilized by your department during the equipment’s lifespan. It is equally important that you don’t purchase equipment based on your current needs without considering your departmental growth over that same time period.

CARR: Start by educating the clinical users regarding the cost of ownership and the factors that affect it. Ensure the users have identified and prioritized their clinical needs using the common or engineering terms for

FLETCHER: Ultrasound purchases are very user dependent. Get informed on what operational capabilities are needed i.e. cardiac studies, small parts, vascular – for the department that the unit is being

WRIGHT: Talk to the clinical associates and physicians using the device. What are they trying to improve from their current unit? What is missing from their current unit that puts their diagnostic confidence at risk? Do they want exactly what they have, just new or newer? Basically, ask questions to help them through the process and weed down to the essentials necessary to achieve confidence and stay within a budget.

HOW CAN A FACILITY WITH A LIMITED BUDGET MEET ITS ULTRASOUND SYSTEM NEEDS? CARR: It is critical to have the HTM department(s) as a major decision maker, because the cost of ownership of the system over seven years can easily be twice as much as the original purchase price. Avoid buying a system that has been in production for less than two or three years because the price of the system will be very high and there will be little or no experiential data on it, plus you will be part of the “Beta test group” dealing with all the new-system design bugs. Purchase a refurbished system using information on reliability, alternate service providers and the expected service costs as key criteria, and develop a service support strategy that utilizes the in-house

THE ROUNDTABLE

your wants help scale down units to exactly what can fit within a budget. Also, consider redeploying existing equipment.

HOW CAN HTM DEPARTMENTS MAKE SURE THEY WILL RECEIVE PROPER TRAINING AND LITERATURE WHEN PURCHASING AN ULTRASOUND SYSTEM?

TOBIN TAYLOR-BHATIA

NICK HARALAM

Senor Director, Customer Services, Ultrasound, Philips

Senior Territory Manager, Trisonics

HTM departments as much as possible. COYLE: Consider buying gently used refurbished equipment from a reputable dealer. Remember “refurbished” does not always mean refurbished. Sometimes it means “used.” Make sure that the company that you are buying from has the technical expertise and trained staff to supply you with reliable, up-to-date ultrasound equipment. Also, make certain that you will be supported after delivery by both the company’s in-house and field teams.

purchase transducers you may not use. TAYLOR-BHATIA: Beware of features and benefits that do not add value to facility users. Facilities should ensure that they aren’t lured by a cool new feature that its users cannot or will not use. An ultrasound solution is a significant investment. It’s crucial to partner with manufacturers that work with customers and prospective customers to assess risk over time and evaluate the total value of the system to ensure that every customer gets the right solution for their department

FLETCHER: Purchase a system a few years old that has the operational capabilities of the end user. Ultrasound comes in a number of configurations and price points. Find a system that is less than five years old and is easily serviced. HARALAM: The buyer should consider the most important reasons for the need of a system and where it will be used. For example, if the department needs a unit to occasionally go portable with, that does not mean they necessarily need a laptop based unit that can run on battery. In most cases, you will pay a premium for a laptop based unit than a comparable stationary unit that can easily go portable. Be sure not to

1TECHNATION.

MAY 2015 2014

TOMORY: Clinical departments may want to buy the latest and greatest with all the options, but is this needed for current and future patient needs? Also, a reconditioned system is an excellent way to save scarce dollars and still obtain a contemporary system. Like purchasing a pre-owned car, the previous owner has already taken the depreciation. WRIGHT: There are alternative avenues for ultrasound. A refurbished piece of equipment offers you the opportunity to purchase a more expensive unit that is slightly older for a much better price tag. Knowing what your true needs are verses

CARR: The best way is to negotiate at the time of purchase that training, documents and tools needed to maintain the system are included. Do some research to find out what is critical, and get the supplier’s commitments in writing. Some of the critical items typically needed, which the FDA refers to as instructions and procedures, include passwords, copies of installation software, service manuals and procedures. The service training provided by OEMs to users is often not the most effective training available, so try to get a commitment that the training class will be the same as provided to their field service techs. COYLE: Check the company’s website and talk to their personnel. Ask to see technical information and talk to their engineers to gauge technical knowledge. Ask for references and speak to others who have purchased from them before and dealt with their service group. FLETCHER: In the purchase agreement, stipulate that training on the model being purchased will be provided to the department as part of the purchase of the equipment. HARALAM: This should be negotiated and put in writing on the quote. Request a minimum of one-day applications, along with an operators manual (CD, digital or hard copy) and a service manual, if possible. Ask the vendor about who will be doing the applications training and their qualifications. TAYLOR-BHATIA: If training and education is important to their users, facilities should ensure that this is part of their purchase agreement. Manufacturers should provide in-house teams with the right mix of technical training, education

HARALAM: If the department is requesting a particular unit, the buyer should be sure which version or cart level and what options they are getting. Do not assume all unit options or packages are the same. Ask the vendor, whom you are considering purchasing from, about their service representatives and how quick they can respond in case of service issues.

MATT TOMORY

Vice President of Sales Conquest Imaging

and support. Such classes should focus on real-world maintenance using live systems conducted by highly experienced instructors. These benefits can be an important component of the total cost of ownership adding to the value of an ultrasound solution. TOMORY: Always include items such as clinical and technical training, service manuals and software in the negotiating process and as line items on the purchase order to ensure you have all the tools to support the use and service of the product. WRIGHT: Application training is offered even for refurbished equipment from the clinical perspective. One should also make sure service training is included in the purchase price from the biomed perspective.

WHAT ELSE WOULD YOU LIKE TO ADD OR DO YOU THINK IS IMPORTANT FOR BIOMEDS TO KNOW ABOUT ULTRASOUND SYSTEMS? CARR: Maintaining and servicing ultrasound systems is often a way to save money for the facility while actually improving the level of service, safety and

CHRISTINE WRIGHT

Director of Business Development, Axess Ultrasound

quality. It does require a resource with the proper training, tools and support. One of the quickest and largest impacts you can have at most hospitals is to assure the users are doing the maintenance and inspections recommended by the manufacturers. This is especially true for transesophageal probes (TE, TEE, TOE) that are very expensive to repair or replace and are supposed to be inspected and tested for electrical safety before every patient exam. COYLE: Ultrasound equipment, as with most capital purchases, is a major investment and a poor decision can haunt your department for years to come. Make certain that your facility is purchasing reliable equipment from a reliable source. Also, ensure that everyone that is being affected by the decision is involved in the decision.

TAYLOR-BHATIA: Biomeds need to understand the serviceability, reliability and remote services of a solution to ensure they can quickly get assistance if they need to escalate issues to the manufacturer. The best services contracts are those that are flexible enough to supplement in-house system education, training and servicing. Ultrasound use is growing and there are a variety of sectors making ultrasound equipment. Understanding a systemâ&#x20AC;&#x2122;s unique needs, what features are most critical to address those needs, and the total cost of ownership of the system will help ensure that biomeds select the right system for their department. TOMORY: As previously mentioned, partner with the clinical departments before, during and after a purchase to ensure you are not only getting a system that meets your clinical needs but one that also can be supported internally for the life of the product. WRIGHT: If the biomed is supporting the unit, being properly trained either through the OEM or third-party ISO is critical to understanding how to troubleshoot the failures. Ultrasound is so dependent on the user or clinical provider that learning how to communicate with that associate will help accelerate the troubleshooting process.

FLETCHER: Some makes/models are more difficult to service due to manufacturer design. Find out how difficult it is to access repair parts for each system that you are looking to purchase prior to making your final decision. Even though this is not the first priority in purchasing, it should be considered carefully to keep cost controlled in the future.

THE ROUNDTABLE

PARTS • TRAINING • EQUIPMENT• SUPPORT

EMPOWERING THE ENGI ENGINEER NEER Time to Tri-Imaging!

855-401-4888 sales@triimaging.com www.triimaging.com

“The opportunity for learning abounds at AAMI 2015. Speakers are committed to ensuring their presentations provide attendees first-hand experience and opportunities for engagement throughout the educational sessions.” – Tirza Lofgreen, AAMI Director of Education

2015 NAV

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BY K. RICHARD DOUGLAS

What has more than 1,700 HTM professionals in attendance, features industry-leading experts speaking on important issues and can provide certification renewal points and networking opportunities? OK, you’ve already read the headline and know the answer. Many opportunities can be found at AAMI’s annual Conference and Expo and the 2015 event is sure to live up to the affair’s reputation as being an important fixture within the HTM community each year. TechNation has assembled an overview of the happenings that are taking place at this year’s event. The Conference and Expo combines learning opportunities with a vendor expo. This year’s conference runs from June 5 through June 8 at the Colorado Convention Center in Denver, Colorado. The four-day event will include featured speakers, educational sessions and the chance to speak with representatives from leading medical device manufacturers. The setting offers attendees the chance to enjoy many of the attractions of the Denver area. A downtown pedestrian mall can be accessed through free shuttle bus transportation. The Mile High City provides the Rockies as the backdrop to arts and culture and many urban adventures.

There is something for all levels of HTM professionals, according to AAMI. Clinicians and health care IT professionals will get a lot out of the conference as well. “AAMI 2015 is simply the best place for technology-oriented health care professionals to get cutting edge training on pressing technology challenges,” says AAMI President and CEO Mary Logan, JD, CAE. “We continue to update the event to make sure it is progressive, and conference attendees consistently report that they learn new ideas, tools and solutions they can implement immediately,” she adds. “It’s the best way to stay on top of best practices and to prepare for an accreditation survey. This conference epitomizes the AAMI tagline: Advancing Safety in Healthcare Technology.” By the very nature of the conference, there are benefits that are by-products, like connecting with HTM peers, making new acquaintances and meeting with potential employers.

David E. Francoeur, CBET, regional vice president at Crothall Healthcare and chair of the Technology Management Council, provides an “elevator speech” of what his job entails at the 2014 AAMI Conference and Expo

“The AAMI 2015 education program has something valuable and unique for everyone in HTM. Programming opportunities abound for those who are either in school or new to the profession – ranging to those who have been coming for years,” AAMI Director of Education Tirza Lofgreen says. “The speakers are gearing up to make their presentations interactive, fun, and share their experiences on how to solve complex challenges in health care technology management,” she adds. “After all, that is how we learn, grow and evolve as we strive to make an impact in our jobs and the organizations we work for.” Once you have settled into your accommodations, get ready for the first event on the schedule. The conference kicks off with a welcome reception on Friday, June 5, which will run from 5:30-7:30 p.m. Saturday morning offers an attendee orientation suitable for those new to the conference and those who have been attending for years. The orientation will introduce attendees to what is new at the 2015 conference, give tips on how to make the most of your time there and introduce AAMI leadership. “We are excited about the totally revamped schedule that allows for a variety of session formats focusing on

1TECHNATION.COM

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the most pressing topics facing the HTM community,” says Deborah Reuter, senior vice president for education for AAMI. In addition, there is more time carved into the schedule to allow attendees to visit the expo hall which includes an expanded AAMI/HIMSS Interoperability Showcase, an interactive AAMI booth, Biomedical Society Row, and a record number of exhibits. “There are a lot of new features to both the conference and expo that HTM professionals will not want to miss,” she says.

LEARNING FROM THE BEST The conference features educational opportunities that cover an expansive list of topics. Every year also sees special featured speakers who bring unique insights to attendees. This year, the topic of cybersecurity gets headline status. On June 6, the featured speaker opening the general session is Billy Rios, a cybersecurity expert who will delve into the mind of the hacker and use that perspective to illustrate how this issue can adversely affect a health care organization.

His presentation is titled; “Why the Healthcare Industry Needs to Work Together on Cybersecurity: A Hacker’s Perspective.” The opportunity to hear directly from a representative of The Joint Commission (TJC) should be worth attending in, and of, itself. George Mills, director of engineering at TJC, will bring attendees up to date on activities at TJC, as well as how to prepare for an inspection survey by the organization. After his presentation, Mills will participate in a question-and-answer breakout session. At last year’s conference, Mills used the opportunity to announce some major changes. He always provides essential information to the HTM professionals in attendance. Another important presentation is that of Dr. Tejal Ghandi, MD, MPH, CPPS, President and CEO of the National Patient Safety Foundation. On Sunday, June 7, as part of the morning general session, her topic will be “Harken Lecture – The Changing Landscape of Patient Safety.” AAMI says that her presentation “will focus on the forces impacting care across the continuum, patient-family engagement, the health care workforce, the need for transparency, and improvements needed in information technology to minimize errors.”

DEBORAH REUTER

Senior Vice President for Education for AAMI

EDUCATIONAL SESSIONS Not only do the educational offerings tackle HTM specific issues, but the fundamentals of co-existing and collaborating with other departments within a hospital will be addressed. “The opportunity for learning abounds at AAMI 2015. Speakers are committed to ensuring their presentations provide attendees first-hand experience and opportunities for engagement throughout the educational sessions,” Tirza says. “We are also offering a new track on cross-department collaboration and examples of ways to build relationships with IT, nursing, C-suite, and other hospital departments.” AAMI has distributed the educational programs into six main categories. The first is “trends, innovations, opportunities and threats that can impact the future of health care technology.” Category two includes the “skills and knowledge essential to understanding the management of

TIRZA LOFGREEN

MARY LOGAN

AAMI Director of Education

AAMI President and CEO

technology and people; the core responsibilities of clinical engineers and biomedical equipment technicians; and the impact of information technology on health care technology management.” If that last one is a mouthful, the third category is more succinct and addresses the primary goal of every HTM professional; “Issues and solutions surrounding patient safety.” Educational sessions will also tackle ways to hone and strengthen professional development skills and updates on new imaging technology. The education program promises to address “virtually every major issue facing the field.” A great start for the rookie HTM professional is a new employee roundtable, facilitated by Abbe Meehan. The discussion will focus on the profession’s greatest achievements, challenges faced during a biomed’s first few years, insights from counterparts and “take away ideas on how you can make your work more meaningful and satisfying.” Soft skills are a focus of hiring managers and they have become an important component of a well-rounded HTM professional. There has also been a renewed focus on positioning the HTM department as thought leaders for cost savings, equipment management

“We continue to update the event to make sure it is progressive, & conference attendees consistently report that they learn new ideas, tools and solutions they can implement immediately.” – Mary Logan

2015 AAMI CONERENCE

Attendees will have the opportunity to network with peers throughout the event.

STEVE CAMBELL

ALLISON RAFTI

Chief Operations Officer

Director of Membership Marketing

“We are excited about the totally revamped schedule that allows for a variety of session formats focusing on the most pressing topics facing the HTM community” – Deborah Reuter

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and customer service excellence. Networks will be on the agenda as well, as they continue to demand a larger focus. A session titled: “Service Oriented Healthcare Web Platform for Interoperable Medical Devices, Systems and Apps,” will look at “challenges and opportunities of implementing modern medical IT networks as interoperable cyber physical medical systems in healthcare environments,” according to AAMI. A little international flavor will permeate the conference with a session that compares and contrasts the profession in the U.S. and Japan. Recalls and equipment hazards are a fact of life. Kristina Cybularz of the ECRI Institute will present “Best Practices in Recall Management.” AAMI says that in the framework of product safety alerts management, “you’ll be cultivating within your organization a network of safety champions, which will ultimately result in you helping to successfully advance the objectives of Risk Management and perpetuating a program of patient safety excellence.” For those fascinated by the whole concept of CSI and the associated TV shows, there is a bit of intrigue with the title of a related session; “CSI: Clinical Scene Investigation Developing an

In-house Forensic Investigation Team.” Taught by Courtney Nanney of Catholic Health Initiatives, the session “is designed to demonstrate how to set up an in-house forensic investigation team to evaluate patient incidents and ‘near misses.’” The session will look at who should be included on a team from clinical engineering, risk management, radiology, clinical lab and nursing, among others. It will also look at how to investigate an incident and the sharing of best practices. TechNation has taken a look at how HTM professionals have faced disasters and dealt with their consequences. That topic has also found its way into this year’s conference. “Disaster Management: HTM Roles and Responsibilities,” will be presented by Andrew Moser of the Department of Veterans Affairs. Moser will look at how “disaster scenarios, that would usually overwhelm hospitals, can now be managed with the assistance of technology. A large portion of this technology is also maintained by clinical/biomedical engineers, thus creating a role for HTM.” Thinking of taking the CBET exam? You’re in luck. The conference offers a two-day preparation course for the CBET exam. If you already hold the CBET or the CCE, SRES or CLES

The AAMI Annual Conference & Expo attracts a range of medical device manufacturers and vendors showcasing the latest in health care technology.

certification, you can earn 1.5 renewal points by attending the full conference. Visit www.aami.org/certification for more information.

MEET MANUFACTURERS The conference portion only makes up half the equation. There are plenty of opportunities to see the latest and greatest equipment in the expo hall. With access to more than 200 medical equipment manufacturers, the chance to learn about new equipment and talk directly to the representatives is available. The Expo includes expanded hours this year with new features. AAMI says; AAMI and HIMSS have partnered to bring the Interoperability Showcase to the Expo, showcasing hands-on engagement through a life-sized operating room and home health care setting. AAMI also says that this year’s Expo will allow attendees to “get a first-hand look at state-of-the-art technology, including wireless telemetry, monitoring devices, equipment management software [and] imaging equipment.” Many exhibitors at the Expo will

present 20-minute interactive product showcases, which will run throughout Expo hours. Those hours will be from noon to 2 p.m. and 4:15-6 p.m. on Saturday, June 6 and Sunday, June 7. They will pick up again on Monday, June 8 from noon to 2 p.m. Admission to the Expo can be part of a full conference or one-day registration. Purchase of an Expo Plus registration for $30; provides a one-day pass that includes access to the general session, Expo and Career Center on the day of attendance. The Expo also offers opportunities to network with peers and colleagues where biomeds can make new HTM acquaintances and in an informal atmosphere. The chance to network also exists at the welcome reception on June 5, from 5:30-7:30 p.m., and at Expo happy hours from 4:15-6 p.m. on June 6 and June 7. The networking possibilities don’t end there. There is also the Awards Celebration at 6:30 p.m. on June 6 and the AAMI Volunteer and International Reception at 6:30 p.m. on Sunday, June 7. In addition to meeting colleagues from around the country, there is the opportunity to meet face-to-face with your next potential employer. The Career Center offers the chance to view

a list of updated job postings, receive career guidance and learn about certification. Not only can you interface with employer representatives; but interview as well. There are many reasons to attend the 2015 AAMI Conference and Expo; make the trip to Denver yourself and find out why 1,700 HTM professionals can’t be wrong.

Make sure to visit the TechNation advertisers on the following pages who will be exhibitiing at this year’s conference.

2015 AAMI CONERENCE

AAMI EXHIBITORS AllParts is dedicated to servicing the needs of imaging service teams. AllParts provides OEM replacement, Dunlee and Philips parts from its 80,000 square foot facility in Nashville TN.

AIV, Inc. Booth: 800 Harmans, MD Phone: 410-787-1300 Fax: 410-787-1337 Toll Free: 800-990-2911 Website: www.aiv-inc.com AIV, an ISO 13485 registered company, offers medical device support services to extend the life of your equipment— infusion pump repair and replacement parts, along with high-quality patient monitoring accessories.

ALCO Sales & Service Co. Booth: 640 Burr Ridge, IL Phone: 630-655-1900 Fax: 630-655-1990 Website: www.alcosales.com ALCO Sales & Service Co. is a leading supplier of medical equipment parts. We represent over 275 manufacturers including: Hill-Rom, Stryker, and Welch Allyn, just to name a few. ALCO works diligently with bio-medical technicians and clinical engineers to assist them in lowering their costs for replacement parts and casters.

AllParts Medical LLC Booth: 113 Nashville, TN Phone: 615-690-5050 Fax: 615-690-5055 Toll Free: 866-507-4793 Website: www.allpartsmedical.com

1TECHNATION.COM

MAY 2015

Ampronix Booth: 635 Irvine, CA Phone: 949-273-8000 Fax: 949-273-8020 Toll Free: 800-400-7972 Website: www.ampronix.com Ampronix is a renowned authorized reseller of the medical industry’s top brands, as well as a world class manufacturer of innovative technology. Since 1982 Ampronix has dedicated itself to meeting the growing needs of the medical community with its extensive product knowledge, outstanding service, and state-of-the-art repair facility.

AMX Solutions Inc. Booth: 907 Augusta, GA Phone: 706-793-2697 Fax: 706-793-8051 Toll Free: 866-630-2697 Website: amxsolutionsinc.com We’re proud to introduce our newest “solution” for the AMX portable and that is the DR Ready System. It’s priced under $100K and comes with a parts warranty which includes the tube. The system comes complete with software, dual monitors and an AED panel but can be purchased for use with your choice of software and any AED panel.

Axess Ultrasound Booth: 107 Indianapolis, IN Phone: 317-275-5554 Fax: 317-275-5567 Toll Free: 855-242-9377 Website: www.axessultrasound.com Axess Ultrasound, your one-stop ultrasound solution, is a leader in ultrasound service, parts, probe and system repair, and training for nearly 1,000 hospitals and healthcare facilities worldwide. Our service team specializes in the highly technical repair of TEE probes.

Bayer HealthCare Booth: 301 Whippany, NJ Phone: 412-767-2400 Fax: 412-406-1620 Toll Free: 800-633-7231 Website: www.radiologysolutions.bayer.com Bayer HealthCare’s Equipment Service offering has ensured the reliability of Medrad® products for over 40 years. You’ll appreciate our flexible solutions, professional experience, and high-quality service delivery that you’ve come to expect for your Bayer injection systems, MR monitors and interventional equipment. Multi Vendor Service provides repair for ultrasound transducers, MRI coils, dry film printers, and CR systems.

BC Group International, Inc Booth: 209 St. Charles, MO Phone: 314-638-3800 Fax: 314-638-3200 Toll Free: 800-242-8428

Website: www.bcgroupintl.com BC Group International is a major manufacturer and designer of test equipment for the biomedical community. With over 75 product lines, including our own familiar Green-labeled BC Biomedical products, we are the 2nd largest supplier of biomedical test equipment in the US. Calibration and repair for all brands available.

BC Technical, Inc. Booth: 842 West Jordan, UT Phone: 801-280-2900 Fax: 801-280-3900 Toll Free: 888-228-3241 Website: www.bctechnical.com

BMES (Bio-Medical Equipment Service Co Booth: 828 Louisville, KY Phone: 800-626-4515 Toll Free: 888-828-2637 Website: www.bmesco.com BMES provides cost effective repair services of patient monitoring equipment to hospitals, clinics, surgery centers, as well as medical equipment companies. It is our goal to provide our customers an unparalleled experience with regards to quality, turn around time, and price.

ConquestQuality Imaging Because Matters. BC Technical is the leading non-OEM provider of service, support, refurbished systems, and parts for NM, SPECT, SPECT/CT, PET, PET/CT, CT, and MR. We specialize in cold head repairs and/or exchanges and magnet parts and services, and we produce our extremely popular Remote Magnet Monitor, ColdTRAC.

BETA Biomed Services, Inc. Booth: 138 Rowlett, TX Phone: 972-475-7613 Fax: 972-475-9814 Website: www.betabiomed.com BETA Biomed Services, Inc., specializes in high-quality, cost-effective repair or replacement of all major manufacturerâ&#x20AC;&#x2122;s Pulse Oximeter sensor cables. All work is covered by our one-year warranty.

Booth: 641 Stockton, CA Phone: 209-942-2654 Fax: 209-942-2572 Toll Free: 866-900-9404 Website: www.conquestimaging.com Conquest Imaging partners with ultrasound providers to deliver the highest quality parts, probes, service, training, and technical support available. Our Quality Assurance 360 reconditioning and testing program ensures our customers receive parts that perform to OEM specs and are backed by the best warranty in the business. We train, perform tech support and offer service on most makes and models.

ECRI Institute Booth: 212 Plymouth Meeting, PA Phone: 610-825-6000 Fax: 610-834-1275 Website: www.ecri.org

ECRI Institute, an independent, nonprofit organization, has been dedicated to the discipline of applied scientific research to discover which medical procedures, devices, and drugs are best for healthcare organizations. We deliver our services via web resources and tools, customized consultation, and reportsâ&#x20AC;&#x201D;to provide insight and guidance for medical technology decisions.

Elite Biomedical Solutions Booth: 719 Cincinnati, OH Phone: 855-291-6701 Fax: 866-941-4887 Website: www.elitebiomedicalsolutions.com The mission of Elite Biomedical Solutions is to provide the medical community with cost-effective solutions for their clinical needs. We collaborate with hospital biomedical departments as well as ISOs. Our goal is to identify key replacement parts and, in turn, engineer a higher quality, less expensive alternative.

Exclusive Medical Solutions, Inc. Booth: 142 Schaumburg, IL Phone: 866-676-6371 Fax: 847-278-1155 Website: www.emedicalsol.com Exclusive Medical Solutions is a nationwide provider for medical imaging equipment, service, parts, and transducer repairs. We cover Ultrasound, X-Ray, CT, MRI, Mammography, and Bone Densitometers. Quality is our priority!

2015 AAMI CONERENCE

Fluke Biomedical/RaySafe Booth: 511 Hopkinton, MA Phone: 508-435-5600 Fax: 508-435-5665 Website: www.flukebiomedical.com Fluke Biomedical offers a complete line of quality assurance test and simulation products for biomedical/clinical engineers and imaging technicians. From electrical safety testers, patient simulators and performance analyzers to automation systems, we provide the benchmark in quality and value. Fluke Biomedical recently acquired Unfors RaySafe and accelerated our ability to provide a complete line of quality assurance devices for the diagnostic imaging industry.

General Anesthetic Services, Inc. Booth: 728 South Park, PA Phone: 412-851-4390 Fax: 412-851-4396 Toll Free: 800-717-5955 Website: www.generalanestheticservices.com General Anesthetic Services is the premier independent anesthetic vaporizer service organization throughout the World. G.A.S. is an ISO registered company providing vaporizer service. Our reputation is based on quality, in-depth product knowledge and customer service.

GMI is your nationwide partner for acquiring, maintaining, and managing all

1TECHNATION.COM

Injector Support and Service LLC Booth: 909 Orlando, FL Phone: 888-667-1062 Website: www.injectorsupport.com From bio-medical technical support with parts identification and sales to preventative maintenance with calibration verifications, ISS is dedicated to providing only the very best in contrast injector support and service.

MedEquip Biomedical Booth: 434 Doral, FL Phone: 305-470-8013 Fax: 305-470-8016 Toll Free: 877-470-8013 Website: www.medequipbiomedical.com MedEquip, an ISO 9001:2008 company, is the nation’s premier third party service parts provider and depot repair center for HP/Philips, GE/Marquette, Spacelabs, Datascope, and Siemens patient monitoring. Try our free Technical and Clinical Application Support Call Center. Save 50% off OEM pricing on repairs and parts. Quality pre-owned patient monitors for sale and rent. One year warranty.

Global Medical Imaging Booth: 625 Charlotte, NC Phone: 704-940-7755 Fax: 800-958-9987 Toll Free: 800-958-9986 Website: www.gmi3.com

of your ultrasound and nuclear medicine assets. GMI provides new and refurbished equipment, on-hand parts to maximize uptime, probe repair solutions to help reduce operating cost, a national network of service engineers to reduce downtime, and 24/7 technical support to diagnose problems. We also provide hands-on training to enable you to improve your in-house capabilities.

MAY 2015

MedWrench Booth: 939 Peachtree City, GA Phone: 866-989-7057 Website: www.medwrench.com MedWrench.com is a product-focused social network where medical professionals, manufacturers, dealers, and industry experts can ask questions, provide opinions, and share ideas. MedWrench provides the quickest way to find medical equipment information, from solving problems to purchasing, all in one place. Visit MedWrench and start building your “bench” of equipment.

MW Imaging Booth: 341 St. Charles, MO Phone: 636-925-0030 Fax: 636-925-0070 Toll Free: 877-889-8223 Website: www.mwimaging.com For over 20 years MW Imaging has specialized in ultrasound systems, probe sales and repair, and OEM parts. MW Imaging provides customized full service and PM contracts, T&M service, free loaner probes and evaluations, hero kits, and unprecedented 24/7 Tech Support.

Pacific Medical LLC Booth: 611 San Juan Capistrano, CA Phone: 800-449-5328 Fax: 800-369-9804 Toll Free: 800-449-5328 Website: www.pacificmedicalsupply.com Pacific Medical has a long tradition of leadership and innovation when it comes to new and recertified patient monitoring equipment. We buy, sell, and repair all patient monitoring equipment and accessories from a wide variety of OEMs.

Philips Healthcare Booth: 102 Andover, MA Phone: 978-659-2800 Toll Free: 800-934-7372 Website: www.philips.com/healthcare

Radcal Corporation Booth: 235 Monrovia, CA Phone: 626-357-7921 Fax: 626-357-8863 Website: www.radcal.com

At Philips Healthcare, our solutions are redefining the patient and clinician experience across the continuum of care. Through collaboration, we understand our customer’s needs and help them provide better care at a lower cost to more patients – now and in the future.

Radcal is synonymous with quality non-invasive diagnostic x-ray meters and ion chambers. The Accu-Gold Family of meters uses not only your Radcal ion chambers, but also solid-state Multisensors for all your parameter measurements in all modalities. Providing Better Solutions for You.

RTI Electronics manufactures the Black Piranha multi-meter, the most efficient X-ray QA solution. The Black Piranha features Plug-N-Play for easy detector identification and set-up. The Black Piranha is wirelessly interfaced to your PC or a Windows tablet for fast and complete documentation with RTI’s Ocean 2014 software. RTI also introduces the Cobia Flex, a single modality line of X-ray QA meters with built-in display. Fast, accurate, and affordable. Call for your Black Piranha or Cobia demo!

SERVICES GROUP

Prescott’s, Inc. Booth: 712 Monument, CO Phone: 800-438-3937 Fax: 719-488-2268 Website: www.surgicalmicroscopes.com Prescott’s, Inc., is dedicated to offering the finest in reconditioned and new microscopes. Depending on your budget requirements, we can provide any brand of microscope system that you may need. Prescott’s also offers a complete service program supported by technicians around the country.

Pronk Technologies Booth: 335 Sun Valley, CA Phone: 818-768-5600 Fax: 818-768-5606 Toll Free: 800-609-9802 Website: www.pronktech.com Pronk Technologies produces the revolutionary SimCube (NIBP), OxSim (SpO2), and SimSlim (Multi-Parameter) simulators and now the first Palm Sized IV Pump Analyzer, FlowTrax. Designed for biomedical and clinical engineers, these devices are easy to use, rugged, affordable, and reliable.

Sage Services Group Booth: 811 Charleston, SC Phone: 877-281-7243 Website: www.sageservicesgroup.com

RSTI Booth: 225 Solon, OH Phone: 440-349-4700 Fax: 440-349-2053 Toll Free: 800-229-7784 Website: www.rsti-training.com Since 1985, RSTI has been the industry leader in multi-vendor diagnostic imaging training. We provide in-depth educational programs for the repair and maintenance of diagnostic imaging systems. Our training center houses over 45 fully functional imaging systems representing the technologies deployed in today’s medical facilities. Our hands-on training programs are designed to provide healthcare technology service professionals the skills they need to support today’s medical imaging systems.

RTI Electronics, Inc. Booth: 140 Towaco, NJ Phone: 973-439-0242 Fax: 973-439-0248 Toll Free: 800-222-7537 Website: www.rtielectronics.com

Sage Services has a national footprint of sales associates providing first class solutions for all patient monitoring needs. The 4 pillars of our business include Depot Repair, Replacement Parts, Refurbished Equipment and Patient Cables keeping us focused and specialized.

MEDICAL EQUIPMENT SALES AND SERVICE

Southeastern Biomedical Associates, Inc. Booth: 614 Hudson, NC Phone: 828-396-6010 Fax: 828-396-6030 Toll Free: 888-310-7322 Website: www.sebiomedical.com Southeastern Biomedical is an independent sales and service organization. In addition to new and refurbished product sales, a variety of PM, parts, and repair services are also available. Our strengths include depot repair, technical support, and parts for all GE/Marquette, Critikon, and Corometrics product lines.

2015 AAMI CONERENCE

Stephens International Recruiting, Inc. Booth: 643 Lakeview, AR Phone: 870-431-5485 Fax: 870-431-5489 Website: www.bmets-usa.com Quality Healthcare Technology Management Staffing Services! Professional healthcare technology management (HTM) recruitment and placement services, specializing in the clinical equipment, medical imaging, medical device, and medical instrumentation industry.

Summit Imaging Booth: 435 Woodinville, WA Phone: 866-586-3744 Fax: 866-586-3740 Website: www.mysummitimaging.com Summit Imaging’s expert team understands that your time is valuable. We provide innovative and scalable solutions to empower you to get your ultrasound equipment up and running with the right parts and probes that will last. We back this commitment up with the best warranty in the business and free aroundthe-clock support.

TechNation Booth: 941 Peachtree City, GA Phone: 770-632-9040 Fax: 770-632-9090 Toll Free: 800-906-3373 Website: www.1technation.com

1TECHNATION.COM

MAY 2015

For over 20 years, MD Publishing has provided its readers with valuable news and information with its monthly magazines Medical Dealer, OR Today and TechNation. With the continued growth and support of 1technation.com, and the twice annual MD Expo (mdexposhow. com), MD Publishing has become the centralized resource for the industry!

Tenacore Holdings Inc. Booth:506 Santa Ana, CA Phone: 800-297-2241 Fax: 866-776-3101 Website: www.tenacore.com Tenacore provides high-quality, costeffective products and services to the healthcare industry. We manufacture and repair a wide range of parts and products for SPO2 probes and cables, ECG cables, fetal transducers, oxygen blenders, suction regulators, patient monitoring, and infusion pumps. Tenacore is ISO13485:2003 certified and FDA registered.

Tri-Imaging Booth: 840 Old Hickory, TN Phone: 855-401-4888 Website: www.triimaging.com Tri-Imaging provides quality imaging parts/support to industry service companies and hospitals. Expanding to a larger facility solely focused on “EMPOWERING THE ENGINEER” allowing us to increase parts, technical support, training, equipment (installs, de-installs, sales) and service support capabilities.

Trisonics, Inc. Booth: 329 Highspire, PA Phone: 717-939-6860 Fax: 717-939-6864 Toll Free: 877-876-6427 Website: www.trisonics.com Trisonics is your ultrasound imaging partner specializing in ultrasound service, support, systems, parts, and transducers. Our goal is to provide cost-effective solutions with an emphasis on personalized service. With expertise in multi-vendor system repair and sales, our experienced staff will guide you to the right solution for all of your ultrasound needs.

USOC Bio-Medical Services Booth: 529 Irvine, CA Phone: 949-243-9109 Fax: 949-243-9113 Toll Free: 855-888-8762 Website: www.usocmedical.com USOC Bio-Medical Services provides biomedical equipment repair solutions to hospitals, healthcare facilities, clinics, and medical companies of all types and sizes. We are committed to providing highquality, cost-effective equipment and services to all of our clients. USOC Bio-Medical fosters a climate where innovation, creativity, and continuous quality improvement takes place. Each member of our organization is dedicated to excellence and continual organization and professional improvement.

2015 AAMI CONERENCE

What Do Your Vaporizers Look Like Inside? Inner Contamination

Cover Contamination Valve Contamination Vaporizer Contamination

Contamination

Product Adulteration

Preventative Maintenance • Tec 3, Tec 4, Tec 5, Tec 7 • Drawover • Draeger 19.1, 19.3, 2000

• Aladin Cassettes • Key Fillers • Perfusion Mounts

•

Patient Safety

Toll Free 800-717-5955

www.generalanestheticservices.com lynnefisher@gas-worldwide.us

Injector Support & Service Providing professional, timely and superior support and service for medical contrast injectors. injectorsupport.com 888.667.1062 Visit us at AAMI booth # 909

1TECHNATION.COM

MAY 2015

2 Great

opportunities to meet the

TriMedx team. Learn about career opportunities and how TriMedx supports the training and development of its associates! AAMI Conference and Expo June 5-8, Denver, CO MD Imaging Expo, July 22-24, Indianapolis, IN TriMedx is committed to providing ongoing training and development opportunities to its associates. Stop by and visit us at one of the two events above to learn more about imaging opportunities across the US, and our Plus One Tech training program.

TriMedx Axess Ultrasound eProtex TriMedx International Medxcel Facilities Management

CAREER CENTER

Sudden Job Loss – Now What? By Cindy Stephens

very close friend called me one day, and was very distressed. Between her tears, she informed me she had suddenly been let go of her job. She knew she had been having problems with her immediate supervisor but thought she had been dealing with it professionally and never felt there was a threat of losing her job. This was her dream job – and she had worked hard for the organization for nearly two years. The CEO loved her and my friend received kudos for her outstanding work by the CEO, the Board, and many of the people in the community that she worked with.

Cindy Stephens Stephens International Recruiting, Inc.

1TECHNATION.COM

MAY 2015

I was completely stunned that she was let go. After hearing the story and asking lots of questions, I came to understand one simple truth: her supervisor just did not like her. The supervisor had been out to get rid of her from the very beginning. This was just one of those situations that could not be fixed. The HR manager who handled the termination was of little help. My friend was informed of the “at-will” status and because the supervisor felt they could no longer work together, the relationship would be severed. Perhaps the hardest thing to understand was the supervisor gave her an outstanding performance evaluation and even a raise the year prior. Then, just prior to her being terminated, lied to the HR manager about several situations. Many other employees admitted to the HR Manager that the supervisor was out to get my friend, regardless of the outstanding work she was doing. However, the HR manager felt there was no other option but for ties to be severed. My friend was given the option to resign, effective immediately. The CEO had agreed on a small severance package and agreed to provide her an excellent reference if anyone contacted him.

Needless to say, I listened to my friend’s grief and her frustration. She was extremely scared and knew the loss of income would drastically effect her family’s financial situation. My friend knew that personality conflicts happen, but she had never been in this type of situation in her entire career. She felt she had handled everything professionally, but regardless, nothing could be done since the supervisor was insisting on letting her go. Many people have found themselves in this same situation – suddenly unemployed and going through an emotional roller coaster. Many successful people in the world have experienced major setbacks in their careers. How you respond to the setback and how you make the best of it is what will matter in the end. Here are some tips to help get through a sudden job loss.

ACCEPT YOUR EMOTIONS In this situation, it is normal to feel angry, hurt, rejected, and a strong panic, regardless of the reason for the job loss. Grief is a very natural response to losing a job, and dealing with this is the first part of moving forward. Acknowledge

what happened and understand that grief is normal. Sharing your feelings with close family or a close trusted friend will help you to get through the grief process, and help you to deal more effectively with what is to come.

DON’T DWELL ON IT Rather than dwelling on the unfairness and how poorly it was handled, accept it for what it is. While you do not want to beat yourself up or allow yourself to become immobilized, use this as a learning opportunity. Remember … you are valuable!

career, so stay focused on the positive. Analyze where you want to be in your career and where you want this path called life to take you next.

FOCUS ON YOU DUST OFF YOUR RESUME Update your resume, determine who your references can and should be, and highlight the accomplishments of your past positions. Review it carefully for content, grammar and typographical errors. Update your cover letter and highlight your skills that will benefit the hiring organization.

NETWORK LEARN FROM IT Analyze the situation for future use, then put it away for now. Reflect on what you learned from this experience, and concentrate on your career priorities. Maybe this experience has a silver lining and you will find a better job opportunity as a result of this unfortunate situation.

DO NOT SPEAK OUT PUBLICALLY Becoming angry and speaking out only reflects poorly on you. Turn to people you trust for support. Under no circumstance is this the opportunity to blast a company, the supervisor, or anyone else. You will regret this later and it may come back to hurt your opportunities to find a new job.

DISCOVER YOUR STRATEGY The next step is to accept the reality that you are unemployed and develop a strategy to get back on track. Remember, this is a short pause, not the end of your

Following a set schedule will keep you focused and will be more efficient and productive while you are unemployed.

Reach out to people you know and trust, and let them know you are in search of a new position. Taking action will help you feel more in control of your situation and you will find an outpouring of support and encouragement from friends and other contacts. Building relationships and strengthening your on-going relationships with friends can be rewarding and fun. Networking can lead to new opportunities so stay connected with your contacts and friends. Most job opportunities are found through knowing people.

BE PATIENT, BUT PERSISTENT Searching for a new job may take time. Be patient, but persistent. Remain positive during your search, and always be prepared for an interview. Get up every day and be ready for an interview. Dress professionally, or be ready to switch to professional clothes just in case a call comes in for an interview.

During your down time, take advantage of your time by reviewing your career goals, focusing on your skills, accomplishments, and successes. Keep up-to-date by reading trade journals and reviewing your job skills and industry knowledge. Volunteer at your child’s school or local charity. Don’t forget to list any new achievements on your resume to explain what you did during your employment gap. There are many ways to get through a sudden job loss. Just remain positive and proactive, and don’t let this unfortunate situation bring you down. While feelings of panic and uncertainty are normal, remember that the most effective job searches are results of targeted search strategies that leverage your experience and skills to a prospective employer. The good news is that many people who have been laid off move on to other opportunities and, in the end, find they are happy it happened as they found a more fulfilling work situation. And my friend … well, she ended up in a better job making a little more money than the previous one. It pays to not give up!

EXPERT EXPERT ADVICE ADVICE

ULTRASOUND TECH EXPERT