ADVANCING THE IMAGING PROFESSIONAL
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contents
ICE FEATURES
April 2018
“One of the things that makes ISO really powerful is you have to be
GOING
initially certified, and then surveilled once a year for a three-year cycle, and then certified as long as you desire to remain certified.” – Bob Clancy
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Professional 22 Spotlight
40 Going ISO In the tug-of-war among original equipment manufacturers (OEMs) and
Some of the best imaging ser-
independent service organizations (ISOs), one of the biggest points of lev-
vice engineers in the country work
erage continues to be quality assurance. One of the most sought after and
in the field for the makers of the
commonly understood signifiers of those best practices is adherence to
equipment they service. Keven
standards published by the International Organization for Standardization.
Long is one of those experts with Philips Healthcare who special-
ICE Recap & Scrapbook
A move from the hot summer to the cooler month of February proved beneficial for the 2018 Imaging Conference and Expo (ICE). The February 16-18 conference provided continuing education, a top-notch exhibit hall packed and signature networking events. The ICE18 Leadership Summit and Reverse Expo added even more value for some of the nation’s leading experts on medical imaging.
izes in ultrasound. When not on the job, Long can often be found enjoying the great outdoors with his wife and children.
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10 Imaging News
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28 MRI Gallery 33 Tools of the Trade
48 Career Advice 50 Daniel Bobinski 53 ICE Photo Contest 54 Index
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ADVANCING THE IMAGING PROFESSIONAL
news
IMAGING NEWS A LOOK AT WHAT’S CHANGING IN THE IMAGING INDUSTRY Siemens Healthineers Launches Next-Generation Ultrasound System Siemens Healthineers has launched the ACUSON Juniper, a new ultrasound system with advanced applications and imaging performance while featuring a lightweight, ergonomic design and complete maneuverability for use across a wide variety of clinical segments. Though small in size, the ACUSON Juniper does not compromise in performance, offering providers a system that is not only powerful, but nimble in design. Siemens Healthineers incorporated feedback from the 365 participants in its largest-ever ultrasound co-creation project to ensure that the ACUSON Juniper meets the needs of today’s changing health care landscape. The system’s versatility and adaptability makes it ideal for diverse patient anatomies and physiologies. Users can customize the ACUSON Juniper based on patient interactions for improved clinical workflow. “We’ve created a system that enables customers to transform care delivery and improve the patient experience by adapting to the needs of the ultrasound user,” says Head of Siemens Healthineers Ultrasound North America Peter Pellerito. “The ACUSON Juniper’s nimble, versatile design affords health care providers the flexibility to utilize the system throughout all clinical departments while maintaining high-quality imaging capabilities.” The smallest, most lightweight system in its class, the ACUSON Juniper adapts to virtually any exam environment and maneuvers easily with no tradeoffs in performance. Sleep 10
ICEMAGAZINE | APRIL 2018
and boot-up times of mere seconds allow clinical users to transfer the system within a hospital without sacrificing time with patients. Designed to address the needs of differing clinical departments, the system has flexible, intuitive and customizable tilt
settings. Five active transducer ports allow for the system’s quick and easy readiness after transfer from department to department. The ACUSON Juniper’s LED monitor and touch panel are the largest in its segment. The system’s two standard USB ports enable quick transfer of images to patients, eliminating the need for print-out documentation. Further improving the patient experience, the ACUSON Juniper is 40 percent quieter than other ultrasound systems in its class. Additionally, a protective sheet is available for the system’s keypad, to facilitate the reading and use of the controls while in a sterile environment such as the operating room. This protective skin can be disinfected for reuse. With an imaging performance that belies its small size, the ACUSON Juniper is powered by a completely new imaging platform. Its new front-end engine offers system sensitivity and specificity as well as high dynamic range for improved tissue differentiation. A new signal processor reduces probe and patient motion artifacts, and enables fast image acquisition. A new back-end engine allows advanced elastography imaging and has a new measurement package. For use across departments, the Acuson Juniper is equipped with 16 transducers and is customizable with advanced imaging applications for use in radiology and interventional radiology, urology, cardiovascular, orthopedic and obstetrics/gynecological imaging. • ADVANCING THE IMAGING PROFESSIONAL
news
Summit Imaging Offers Support Via Text Messaging Summit Imaging is now offering global SMS text messaging directly to its existing toll-free customer service number. Summit Imaging’s Customer Support Team is always researching ways to be more responsive to health care facility customers. Now anyone can text the toll-free number at and receive responsive support 24x7 ranging from general inquiries of medical device support to free technical support. “SMS is an area of continued investment for Summit Imaging so you can expect to see more advances and improvements as customers give us feedback on these new features and Summit Imaging works to lower downtime and total cost of ownership,” says Summit Imaging CEO Lawrence Nguyen.
When combined with other-cloud based systems Summit Imaging can deliver quick and effective customer service 24x7. Customers can simply send a SMS-Text message to 866-586-3744 and a Summit representative will respond immediately, if more information or support is needed you can set a time for the team to call you when it’s convenient. Summit Imaging adds this service to its growing list of easy to use and free platforms including the Youtube channel that launched in 2017 that already includes hundreds of how-to videos and discussions with industry leaders and management professionals. • For more information, visit Mysummitimaging.com.
Oregon Biomedical Association Expo Set For May Planning for the fifth annual 2018 Oregon Biomedical Association (OBA) Expo and Vendor Fair is in full swing! The OBA Expo and Vendor Fair will be held May 17-18 at the PDX Holiday Inn. The OBA Expo and Vendor Fair brings together corporate, professional and academic individuals to advance understanding, celebrate and display equipment in the field of healthcare technology. The 200 members of the OBA also engage in a series of classroom presentations geared toward continuing edu-
cation. A diverse assortment of medical equipment vendors encompassing over 50 tables will be on hand to show the latest in design and function of all types of clinical and medical devices. “With more vendors, more door prize drawing opportunities, and wider classroom topic scope, make your plans to get to this meeting now,” OBA Secretary Scott Stockton writes in an email. “The educational format remains the same as last year with three lectures and three independent tracks to choose
from. As before, flexibility has been maintained to choose the lecture best suited to your interest or need.” Tickets are free but you must be registered to be eligible to win door prizes. Visit orbmet.org/expo. •
Innovatus Imaging Completes European Business Acquisition Innovatus Imaging has completed the acquisition of the European Bayer Multi Vendor Service (MVS) business, which is now Innovatus Imaging Europe B.V. “The acquisition of the European Bayer MVS business and its team’s extensive expertise is the next step in our long-term strategic goal of continued growth,” said Dennis Wulf, chief executive officer, Innovatus Imaging. Formed in September 2017, Innovatus Imaging is the result of three former companies – Bayer MVS; Wetsco Inc. and MD MedTech – joining forces
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to draw on their combined expertise. The company maintains headquarters in Pittsburgh and operations in Tulsa, Denver and the Netherlands. Innovatus Imaging’s certified expertise spans the entire life cycle of a medical imaging product – from design, development and manufacturing to sales, distribution and repair. The company is ISO-13485 certified to repair ultrasound transducers, MRI coils, CR systems, dry film printers and digital radiography (DR) solutions. Innovatus also has an FDA-registered site for the design and
manufacturing of specialty ultrasound transducers. The company’s culture of continuous improvement includes investment in research and development to constantly enhance the organization’s device repair capabilities. • For more information, visit www.innovatusimaging.com.
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news AUE Expands Sonosite Repair Services Advanced Ultrasound Electronics (AUE) has announced a new Sonosite solution. Over the past 18 months AUE has invested significantly in research and development, systems purchases, and parts inventory to be able to handle all facilities’ Sonosite ultrasound needs … repairs, parts and sales of refurbished systems and some new systems, all at significantly less cost than the OEM. System Repairs: Qualified technicians are well versed on all Sonosite systems, have replacement parts in stock, and AUE performs repairs in-house down to the component level. AUE can repair those systems that have been “retired” by the OEM, and systems others can’t fix. AUE has a vast inventory of parts and common failure components on hand. The team of technicians, specializing in the Sonosites, will get system repaired and returned fast. Loaner Systems: AUE offers loaner systems while a system is being repaired, to keep facilities up and running with no downtime. Tiered Pricing: No hassle, economical
pricing structure. No hidden costs or unexpected charges. Fast Turn-around Time: Ask us about AUE’s 24-hour emergency service. Systems Sales: AUE sells refurbished systems and some new systems, all at significant savings compared to OEM pricing. Probe Testing and Repairs: AUE has many common probes in stock and ready to
ship. They can also repair most probes, depending on condition. AUE is a leading multi-vendor ultrasound company. AUE supports GE, Philips, Siemens, Toshiba and virtually all major brands. AUE has added Sonosite as well. AUE currently offers sales and service to customers in all 50 states as well as Canada, Central America and Western Europe. •
Tri-Imaging Solutions Certified to Award CEUs Tri-Imaging Solutions’ two-week BMET to Imaging 1 course is now certified to award 73 Continuing Education Units (CEUs) from the AAMI Credentials Institute (ACI). CEUs awarded by the ACI indicate a dedication to a BMET’s ongoing commitment to demonstrate renewed knowledge and competency in their industry. Health care is an ever-changing and evolving field and with that comes a necessary commitment to education.
The BMET to Imaging 1 course provides intensive imaging theory and unmatched hands-on education with the expectation that every student completing the course can successfully conduct imaging system PMs and troubleshooting Monday morning upon return to work. As a leader and first to market with the blended learning approach – similar to today’s college courses – the BMET to Imaging 1 course is taught onsite at the Nashville train-
ing facility in two-weeks as opposed to the industry standard of four-weeks. The proven method of combining online pre-course work, to be completed prior to arrival at the training facility with classroom and hands-on training with equipment helps reduce time spent onsite without compromising content. Remaining 2018 BMET to Imaging 1 course dates include: April 9-20; June 18-29; September 17-28; and November 26-December 7. •
Planmed Verity CBCT Scanner Launches with New Features Planmed is proud to present the improved Planmed Verity CBCT scanner – a unique 3D imaging solution for orthopedic as well as head and neck imaging. The scanner now offers enhanced image quality, new options for head and neck imaging, Planmeca Ultra Low Dose imaging protocol for lower patient doses, and Planmeca CALM algorithm for motion artefact correction. Image quality of the adaptable and mobile Planmed Verity has been enhanced to 12
ICEMAGAZINE | APRIL 2018
meet all imaging needs. The high-quality images of Planmed Verity visualize even the smallest bone structures with minimal interference,” according to a news release. “This exceptional image quality combined with new patient and volume positioning options makes it possible to acquire images of the head and neck region with greater precision than before. Planmed Verity covers ear, nose, and throat imaging as well as basic 3D dental imaging needs.”
The Planmeca CALM motion artefact correction is now available for Planmed Verity. The new features are now available inside the European Union and other countries in the European Economic Area where CE mark applies. •
ADVANCING THE IMAGING PROFESSIONAL
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Vantage Galan 3T XGO Edition with AllNew Saturn X Gradient Receives FDA Clearance Physicians now have access to more neuro and cardiac MR imaging capabilities with the Vantage Galan 3T XGO Edition from Canon Medical Systems USA Inc. Outfitted with the all-new Saturn X Gradient, the system can provide up to 30 percent improved signal-to-noise ratio (SNR) for brain diffusion weighted imaging (DWI), resulting in even higher resolution neuro images than previously offered. The newly FDA-cleared system enables sequences for quantitative analysis and allows cardiac exams to be completed with fewer breath holds and improved patient comfort. The Galan 3T XGO Edition offers the ability to conduct quick, comfortable and high-quality neuro imaging exams, and allows for faster sampling and higher resolution images, thanks to PURERF and Saturn technologies. This, combined with the ability to stack protocol sequences, results in quick neuro exams, enabling health care providers to produce higher resolution images for myriad neuro exams in under five minutes. New software that comes with the system also offers MultiBand SPEEDER technology, which allows for multiple slices to be acquired at the same time, reducing diffusion weighted imaging scan times by up to two times. The Galan 3T XGO Edition also delivers enhanced cardiac capabilities, including T1 mapping that utilizes MOdified Look-Locker Inversion recovery (MOLLI) sequence and allows providers to acquire a more quantitative characterization of myocardial tissue within a single breath hold. The system’s Phase Sensitive Inversion Recovery (PSIR) in the heart provides improved contrast in late-enhanced imaging and eliminates the need for inversion time (TI) calibration scan, allowing cardiac exams to be completed with fewer breath holds and greater patient comfort. •
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Nine Systems Add 3D Mammography Imaging Via Aspire Cristalle FUJIFILM Medical Systems U.S.A. Inc. recently announced nine of the initial health care systems across the United States which have selected Fujifilm’s ASPIRE Cristalle mammography system with 3D imaging or Digital Breast Tomosynthesis (DBT) option to improve their diagnostic imaging capabilities and women’s health patient outcomes. “Every day, women turn to mammography centers to know for sure whether they are healthy, at risk, or in immediate danger,” said Rob Fabrizio, director of strategic marketing, digital radiography and women’s health, FUJIFILM Medical Systems U.S.A. Inc. “And every day, more radiologists turn to Fujifilm for inno-
vative imaging and technology they can trust.” The ASPIRE Cristalle with DBT combines Hexagonal Close Pattern (HCP) capture technology and intelligent image processing, optimizing dose and contrast based on individual breast composition. The result is low dose and fast acquisition of exceptional images for all breast types. In addition, patients can experience a noticeable improvement in comfort during procedures with Fujifilm’s patented, flexible comfort paddle design, which provides gentle and even compression that is designed to adapt to patient curves. Recently, Fujifilm partnered with Assured Imaging LLC (Tucson, Arizona), Franklin
Hospital (Benton, Illinois), Little River Healthcare – King’s Daughters Clinic (Temple, Texas), Morton General Hospital (Morton, Washington), Northern Radiology Imaging, PLLC (Watertown, New York), Samaritan Medical Center (Watertown, New York), Self Regional Healthcare (Greenwood, South Carolina), Tiffany Breast Care Center (Youngstown, Ohio) and University Suburban Health Center (South Euclid, Ohio). •
Patients Lack Information about Imaging Exams Patients and their caregivers desire information about upcoming imaging examinations, but many are not getting it, according to a new study published online in the journal Radiology. The researchers found that half of all patients and caregivers end up seeking information on their own. As medicine shifts to an era of patient-centered care, much of the efforts in radiology have focused on communicating the results of imaging tests to patients. Less attention has been paid to engaging patients prior to and during the examination, said study lead author Jay K. Pahade, M.D., an associate professor of radiology at the Yale School of Medicine in New Haven, Connecticut. To find out more about this often-overlooked aspect of care, in early 2015 Dr. Pahade and colleagues surveyed patients and caregivers at three pediatric and three adult hospitals across the U.S. Questions focused on patient and caregiver preferences for receiving imaging test information before an exam and what type of information they found most useful.
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Overall, 1,117 of 1,438 respondents, or 78 percent, reported receiving information about their examination. “This means one in five people are showing up for the exam without any information about the test they are getting,” Dr. Pahade said. “This is an important finding in today’s health care system, where we want more patient engagement and involvement.” Ordering providers were the predominant and preferred source of examination-related information. For pre-examination information, respondents placed the highest importance on information about examination preparation and the lowest importance on whether an alternative radiation-free examination could be used. In the pediatric hospitals, respondents – typically parents – placed an even higher value on pre-examination information. “In the radiology realm, we need to take more ownership over the entire imaging process,” he said. “One big gap has been in the pre-imaging part of that process, and the data show we have work to
do in closing that gap.” Half of respondents reported seeking information themselves. Connecting patients with already existing resources is an easy and cost-effective way to ensure that they are well-informed, Dr. Pahade noted. At Yale, appointment reminders sent to patients now include, along with the examination time and location, links to pertinent information on RadiologyInfo.org, an online resource for medical imaging, jointly sponsored by RSNA and the American College of Radiology. Dr. Pahade joined the committee that reviews the site after the survey was completed. RadiologyInfo.org tells patients how various X-ray, CT, MRI, ultrasound, radiation therapy and other procedures are performed. It addresses what patients may experience and how to prepare for their exams. The website contains over 230 procedure and disease descriptions covering diagnostic and interventional radiology, nuclear medicine, radiation therapy and radiation safety in English and Spanish. It also offers videos of radiologists explaining common imaging exams. •
ADVANCING THE IMAGING PROFESSIONAL
news
Varian Adds to Acquisitions Varian has acquired privately held Montreal-based Evinance Innovation Inc., a clinical decision support (CDS) software company. This acquisition expands the capabilities of Varian’s 360 Oncology care management platform by tightly integrating clinical workflow, decision support and adherence tracking based on leading cancer care guidelines. The Evinance Decision Support platform is designed to improve quality of care by providing clinicians access to the latest clinical information for making evidence-based treatment decisions while empowering patients throughout their cancer journey. Varian is integrating the Evinance platform within 360 Oncology to provide visual care pathways and compliance tracking based on the National Comprehensive Cancer Network (NCCN) and other evidence-based guidelines. Through this integration, clinicians will have a platform for visualizing a patient’s journey while applying the leading evidence-based guidelines so that doctors and patients can make the most
informed treatment decisions together. Also, Varian recently announced that it has acquired privately held Mobius Medical Systems, a leader in radiation oncology Quality Assurance (QA) software. This acquisition expands Varian’s leadership in radiation medicine, by increasing its portfolio of patient treatment plan QA and machine QA technologies, and enables the company to potentially impact more patients around the globe with software solutions designed to assure the quality of treatments. The Mobius QA software is in use at over 1,000 sites worldwide to ensure patients receive high-quality care. Mobius3D is a 3D dose verification and IMRT/VMAT treatment delivery QA system. Mobius3D performs 3D dose verification for patient plans, supports verification checks throughout the entire clinical process for IMRT and VMAT, and includes modular staged testing to reinforce the confidence of the medical physicist in the patient plan and treatment delivery. DoseLab is fast,
simple and powerful software for quality assurance of medical linear accelerators. In other news, Varian Medical Systems has signed an agreement to acquire all the outstanding shares of Sirtex Medical Limited, an Australia-based global life sciences company focused on interventional oncology therapies, that is listed on the Australian Securities Exchange. This acquisition of a global leader in radioembolization, expands Varian’s addressable market into interventional oncology, and is consistent with Varian’s long-term growth and value creation strategy. Varian expects to leverage its capabilities in treatment planning and delivery, image guidance and processing, oncology practice management software, and radiation safety in combination with Sirtex’s interventional oncology platform to provide customers of both companies with a wider range of cancer care solutions. •
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news DirectMed Parts & Service LLC Receives ISO Certification DirectMed Parts & Service LLC, a medical imaging parts and service company, has received the ISO 13485:2016 certification for its magnetic resonance imaging (MRI) and computed tomography (CT) parts and service. This achievement is in addition to the company’s ISO 9001:2015 certification. The International Organization for Standardization (ISO) is the world’s largest developer and publisher of international standards for the implementation of quality management systems. The ISO 13485:2016 Quality Management Standard for Medical Devices represents the requirements for a comprehensive management system for the design and manufacture of medical devices.
ISO 9001 specifies requirements for a quality management system where an organization needs to demonstrate its ability to consistently provide products that meet customer and applicable statutory and regulatory requirements. “Achieving ISO certification demonstrates that DirectMed has successfully implemented a quality management system that conforms to the world-wide standard for medical device and medical imaging parts and service,” said Tim Kearney, director of inventory management at DirectMed. “The ISO 13485:2016 certification represents an important milestone for our company and reflects our commitment to providing high-quality products
that meet or exceed customer expectations and comply with regulations.” “This ISO certification is a testament to the high level of performance, quality control and continuous improvement we expect at our company. With an expanding global customer base, this level of rigor is important to ensure our 16,000 imaging products continue to provide reliable and measurable results,” CEO of DirectMed Parts & Service LLC Brad de Koning said. •
Carestream Significantly Increases Adoption of Cloud-Based Solutions
Carestream Health’s Vue Cloud now manages more than 26 billion images in public and private cloud data centers around the world. Carestream showcased the technology at the HIMSS conference. “Health care enterprises, radiology imaging centers and hospitals of all sizes continue to select Carestream’s Vue Cloud Services over competing cloud solutions due to its increased security, comprehensive functionality and affordable cost,” according to a news release. “It equips desktop and mobile users with rapid, easy access to patients’ medical images and radiology reports.”
Carestream is a leader in public and private cloud solutions in Europe and Latin America, and is operating this service in other countries such as the United States, Canada and China. Vue Cloud Services enable customers to access Carestream’s Clinical Collaboration Platform, driven by a unified backend that provides image and workflow management and vendor-neutral archiving as well as advanced multimedia and interactive reporting capabilities. The unified backend includes security, data protection and disaster recovery for multiple types of clinical data and standards such as DICOM, PDF, JPEG and XDS. Vue Cloud Viewing Services allow direct access to reports and imaging studies by physicians. It also offers secure, zero-footprint access for distribution and reading by remote physicians with Carestream’s Vue Motion enterprise viewer – a KLAS 2018 category leader. All services can be fully integrated with a facility’s electronic medical record (EMR). •
Diagnostic Solutions Celebrates Seven Years
Diagnostic Solutions is a customer service based parts provider that specializes in all imaging modalities. Charlene Gregg created the company in 16
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February 2011 to offer hospitals and service organizations a cost-effective and time-saving solution for the procurement of imaging replacement parts. Over the past seven years the company has grown to supply multiple replacement parts for most imaging modalities; including general X-ray, portables/C-Arms, mammography, ultrasound, nuclear medicine, MRI, CT, bone densitome-
try, as well as CR/DR and imager parts. Longtime client Tony B. from Volant, Pennsylvania, said he “has used Diagnostic Solutions as a source for medical imaging parts since the company’s inception. They consistently provide the highest quality parts for the best price. They work with us as if they are working for us, and we are a better business because of them.” • ADVANCING THE IMAGING PROFESSIONAL
FDA Clears GOKnee3D MRI Application The U.S. Food and Drug Administration (FDA) has cleared GOKnee3D, a magnetic resonance imaging (MRI) application from Siemens Healthineers that significantly reduces the time required to perform comprehensive diagnostic exams of the knee. GOKnee3D enables a push-button diagnostic 3D knee exam in 10 minutes. Acquisition of high-resolution isotropic 3D images enables flexible evaluation of these images in all planes, including double oblique and curved planar. The volume acquisition of GOKnee3D enables higher scan speeds and optimal image reconstruction with better signal quality than in previous technologies. Supported by dedicated, high-channel Tim 4G knee coils as well as automated field of view adaptation based on machine learning and artificial intelligence, the MRI scanner acquires volume data of the knee joint with the push of a button. “The commercial availability of the GOKnee3D MRI application enables our customers to dramatically accelerate MR imaging of the knee without compromising on diagnostic quality,” said Murat Gungor, vice president of magnetic resonance imaging at Siemens Healthineers North America. “Faster scanning will help our customers shorten both exam and patient wait times in support of an overall improved patient experience.” GOKnee3D is available for the MAGNETOM Aera 1.5T and the MAGNETOM Skyra 3T MRI scanners, with eventual rollout planned for additional scanners in the company’s MRI portfolio. •
PRN Now A Distributor of Radcal For over 40 years Radcal has been an industry leader in manufacturing accurate reliable radiation test equipment for quality assurance, manufacturing, service and compliance applications. The Radcal product line is designed to be tailored to the individual needs of a biomedical engineer, with a broad array of sensors, systems, displays and software. Physician’s Resource Network (PRN) has announced that it is now a resource for Radcal products. Since 1983, PRN Inc. has grown as a supplier of new, used and reconditioned medical equipment. The addition of Radcal products is coming on the heels of a recent announcement in December 2017 that the PRN inventory would begin including products by Zoll Medical. These two product lines round out previous offerings from Datrend Systems Inc. and Medimizer. PRN strives to provide an unparalleled selection for biomedical shops. •
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PEOPLE ON THE MOVE
02
By Matt Skoufalos
1.
Siemens Healthineers of Malvern, Pennsylvania has named Deepak Nath president of laboratory diagnostics, succeeding Franz Walt. Nath will be based in Tarrytown, New York. He has 20 years of experience in management, and since 2015 has been president of Abbott’s vascular division; Nath has also worked at Amgen, McKinsey, and as a computational physicsist at the Lawrence Livermore National Laboratory. Nath has a Ph.D. in theoretical mechanics from the University of California, Berkeley.
2.
Robert Bundick was recently promoted to director HTM and biomedical engineering at ProHealth Care. Bundick previously served as manager of biomedical engineering at ProHealth Care. For more than a century, ProHealth Care has been a health care leader in Waukesha County, Wisconsin and surrounding areas, providing care across a full spectrum of services. ProHealth Care is a regional health care system that offers fitness and wellness services, primary and specialty care, hospital care, rehabilitation, home care, hospice care and more.
3.
PartsSource of Cleveland, Ohio added Mike Maguire as senior vice president and chief supply chain officer; Guy Mansueto as senior vice president and chief marketing officer; Mara Paré as senior director of client solutions; and Mike Poling as vice president of GPO & affiliate networks. Maguire was previously vice president of strategic sourcing for the group purchasing division at Premier Inc.; Mansueto has been vice president of portfolio management at IBM Watson Health; Paré was operations leader of clinical engineering services at Allina Health and UHS; Poling joins PartsSource from Premier Inc., where he was a regional vice president focused on total cost management and quality.
4.
Mayo Clinic of Rochester, Minnesota is seeking a new president/ CEO after announcing that John Noseworthy intends to retire at the end of the year. Noseworthy has spent nine of his 28 years with the organization as its top executive; Mayo Clinic has said its president/CEOs typically serve eight to 10 years.
5.
The Community Oncology Alliance (COA) of Washington, D.C. has named Frederick M. Schnell as its medical director. Schnell is a practicing community oncologist of 34 years, and was most recently CEO of Central Georgia Cancer Care; he is also a clinical assistant professor at the Mercer University School of Medicine and at Emory 18
ICEMAGAZINE | APRIL 2018
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University School of Medicine. Schnell was a founding physician of COA, the third COA president and a long-serving member of its board of directors.
6.
Surface Oncology of Cambridge, Massachusetts has promoted chief business officer Jeff Goater to CEO, succeeding interim CEO Dan Lynch. Lynch will remain executive chairman of the Surface board of directors. Goater joined Surface in February 2017 as chief business officer, was CFO of Voyager Therapeutics, and has spent nearly a decade in investment banking. He began his career as a research scientist, and holds master’s degrees in microbiology/immunology, pathology and business administration from the University of Rochester. Goater also serves on the board of Vaccinex Inc.
7.
ImaginAb Inc. of Los Angeles, California has named Ian Wilson its COO. Wilson is the former CEO and CTO of Edinburgh Molecular Imaging Ltd., has been CTO and COO at Xstrahl Ltd., and formerly worked as strategy manager and head of biology at GE Healthcare. Wilson holds a master’s in biochemistry from the University of Manchester.
8.
Cardiovascular Systems Inc. of St. Paul, Minnesota named Jeff Points its CFO, succeeding Larry Betterley. Prior to joining CSI, Points was assistant controller at Empi, and has worked at CliftonLarsonAllen. He earned an MBA from the University of St. Thomas and a bachelor’s degree in business from Bethel University. Points is a licensed certified public accountant.
9.
Broward Health of Fort Lauderdale, Florida has added Paul C. Schwarzkopf as CFO at Broward Health Medical Center. Schwarzkopf joins Broward Health from Tenet Healthcare where he most recently was senior director of regional finance. Schwarzkopf has an MBA from the University of Miami. Broward Health has also named interim president-CEO Beverly Capasso its president-CEO. Capasso had been on the North Broward Hospital District Board of Commissioner, was previously CEO at Jackson Memorial Hospital, and has held senior management positions at Cleveland Clinic Florida and North Shore Medical Center. ICE
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WEBINAR WEDNESDAY Free HTM Education, Tips Continue
T
he recent Summit Imaging-sponsored Webinar Wednesday presentation “TEE Care and Maintenance to Lower Total Cost of Ownership” attracted almost 300 healthcare technology management professionals from around the world. The live presentation was eligible for 1 CE credit from the ACI. The webinar provided an insightful message as Larry Nguyen, CEO and CTO of Summit Imaging, and Kyle Grozelle, manager of global education and training of Summit Imaging, disassembled a TEE ultrasound transducer and identified the major components while they explained the vulnerabilities of failure from improper care. Attendees gained insight regarding the variations and effectiveness of cleaning techniques used in different hospitals. The discussion covered how different techniques can impact patient care as well as the total cost of ownership for health care facilities. This educational session also helped by illustrating different efforts to prevent unnecessary damage and costly downtime. The webinar also included a question-and-answer session where the Summit Imaging duo fielded queries from attendees and shared their expert opinions based on years of experience in the field. Attendees chimed in with positive reviews in a post webinar survey. The Summit Imaging-sponsor webinar received a 3.8 rating on a 5-point scale with 5 being the best possible score. “I feel that this has been one of the most informative webinars I’ve seen. We 20
ICEMAGAZINE | APRIL 2018
have had multiple companies through our facility to educate proper care and handling, but have never really been able to drill down to the reality of what happens to damage these probes during handling,” Senior Manager Sterile Processing K. Thompson said. “Very informative! A great primer for someone new to TEE ultrasound. Thank you,” said T. Flannery, CBET. “It was great to learn something new and become more familiar with equipment that is used in a facility, but be more knowledgeable about,” said R. Helou, BMET. “As usual an excellent presentation by Summit. I appreciate the information and the images of failures. Great info to share with our users,” said L. Shelman, CBET. The overall Webinar Wednesday series also continues to garner positive reviews. “Webinar Wednesday is a great asset for technicians to gain needed knowledge without having to go through the fire of a repair first hand for the first time,” Lead Biomedical Engineering Technician B. Winslow said. “I look forward to these webinars. They are a great way to come together with colleagues to learn a specific topic, without leaving your office,” Senior Manager D. Armstrong said. “Webinar Wednesday, you are just awesome. I’ve attended your webinars a couple of times even when I
was in Japan. There were one or two topics that I know I could share in my shop so I made the sacrifice of waking up at 3 a.m. for the webinar but it was worth it. Now I’m back in the U.S. so I don’t have to worry about the time difference. The topics you offer are great, can be applied on the job and are definitely worth sharing not just with other BMETs but also with medical providers,” BMET Instructor J. Seriosa wrote. “Webinar Wednesday provides a spectacular service to the hands-on technicians in the field. They provide relevant information on issues that we face in our everyday work. Thanks for helping me become a more valuable and knowledgeable technician with a greater capacity to assure our patients’ safety and our staff’s
“Very informative! A great primer for someone new to TEE ultrasound. Thank you,” –T. Flannery productivity,” wrote T. Johnson, CBET. Attendees of the recent Webinar Wednesday presentation “ACI Updates: What to Expect in 2018” were eligible for 1 CE credit from the ACI. The 60-minute webinar featured Martin McLaughlin, program manager of ACI certification at AAMI. He informed all certified individuals of the changes in recertification. McLaughlin also educated ADVANCING THE IMAGING PROFESSIONAL
individuals who are interested in ACI certification of the recent changes to the CBET, CRES and CLES exam forms. More than 300 people attended the live presentation and more have viewed the presentation online. The webinar and the overall series impressed HTM professionals. “I am looking to get my CBET soon and this webinar helped me know how to prepare and what to expect after I get the certification,” shared J. Kinderman, clinical engineer. “This was a very informative and enlightening webinar delving deep into the re-certification requirements and exam restructuring. As always, you have provided spot on information extremely relevant to our field and careers. Congratulations and keep’em coming,” said T. Johnson, CBET. “This was one of the best Webinar Wednesdays yet. Earning a CBET credit while getting a lesson about all the different ways to earn recertification credit is pretty cool. Thanks for the helpful information,” said J. Smith, BMET. “This webinar was really helpful in clearing up a bunch of questions that my co-worker and I had about getting re-certified,” said H. Rodriguez-Perez, medical systems engineering technician. “Webinar Wednesday series is a great way to expand your education and earn CEUs in a convenient format,” said D. Minke, BMET. “Thank you so much for providing a constant source of current and relevant information to biomedical technicians. Webinar Wednesday is such an easy way to obtain free CEUs for recertification and with the email notifications, CEUs are finding me instead of me always having to find them,” said S. Thibodeaux, BMET. “Webinar Wednesday is a great way to keep up with the industry and industry standards that are constantly changing. Keep up the great work at supplying the great information,” said J. Harwood, senior biomed. “I am essentially a one-man shop in biomed for my employer. The opportunity for continuing involvement in issues and presentations through Webinar Wednesday is unmatched. I don’t even have to leave my bench,” Biomed J. Curtis said. ICE For information about the Webinar Wednesday series, including a calendar of upcoming events and recordings of previous webinars, visit WebinarWednesday.live.
A special thank you to the companies that sponsored this month’s webinars.
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people By K. Richard Douglas
PROFESSIONAL SPOTLIGHT Enjoying His Work: Keven Long
S
ome of the best imaging service engineers in the country work in the field for the makers of the equipment they service. This produces an extraordinary high level of familiarity with the equipment. Keven Long is one of those experts. Long is a field service engineer with Philips Healthcare who specializes in ultrasound. Although he didn’t start out in imaging, he ended up there after realizing a need earlier in his life. “Growing up, I was always the hands-on type. From an early age, [from] working on and modifying toys or working on things in the garage with my father, to working on my car and motorcycle when I was a teenager, I always enjoyed the feeling of fixing, building or making something work,” Long remembers. “I was lucky enough to learn most of this from my father, who was always someone who enjoyed and attempted to fix or build something himself, instead of hiring someone to do it. In high school, I was in drafting and computer-aided design all four years, two hours per day. I planned on going to college for mechanical, civil or computer-aided engineering,” Long says. He obtained an associate’s degree in computer-aided engineering after high school, but at the time of completion, many automotive manufacturers were going through layoffs. Instead of moving on to obtain a bachelor’s degree, he decided to rethink what he wanted to do amid a fear that he would not be able to find a job. 22
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“My wife, who was my girlfriend at the time, was in college for nursing. I also had other family and friends in the medical field. My stepmother is a dialysis registered nurse, and she had told me about a biomedical technician who serviced her dialysis equipment and how important of a role they had ensuring the equipment she used to treat very ill patients was safe,” Long says. “I did some research on this career path; I was very interested. I looked up what degree was required and the rest is history. I enrolled in a biomedical engineering technology program the next semester at Schoolcraft College,” Long adds.
His role was repairing and maintaining operating room equipment,” Long says. Long transferred back to a hospital in Flint, Michigan, a place that was closer to home and where he already knew coworkers because it was where he had done his internship. “In Flint, I worked on many types of equipment and tried to learn as much as possible. I was sent to service school and was trained on repairing and maintaining dialysis equipment. I obtained my certification as well and moved from a biomedical equipment technician (BMET) to a certified biomedical equipment technician (CBET),” Long says.
“That’s when I asked my manager if I could take ownership of this equipment. “
The Transition to Imaging Because the ultrasound equipment was in need of more attention at the hospital in Flint, Long saw an opportunity to help out. “A few years after I was back in Flint, there was some restructuring of who maintained the hospital’s imaging equipment. Most of the imaging equipment was serviced by imaging specialists who also worked for the hospital chain, included in this was ultrasound equipment,” Long says. “The ultrasound equipment was being somewhat neglected because of the specialists’ workload. They were also maintaining CT, MRI, X-ray and other imaging equipment. It was decided to bring the ultrasound equipment in under the biomedical engineering department to be main-
He completed a degree in biomedical engineering technology from Schoolcraft College in Livonia, Michigan. “I initially was hired as a biomedical technician while I was still in school. A position opened at a partnering hospital of the hospital I was at doing my internship for my degree at Schoolcraft. I was hired in Lansing, Michigan. Right out of school in Lansing, I did most of my training with an operating room biomedical technician who was set to retire.
ADVANCING THE IMAGING PROFESSIONAL
Favorite part of being an imaging professional? “Meeting new people, making new friends and solving their equipment issues. I also love being one of the first to see new technology.”
GET TO KNOW THE PRO Favorite movie: “National Lampoon Christmas Vacation” Favorite food: Thanksgiving dinner Hidden talent: “Juggling a hockey puck on a hockey stick indefinitely. I can juggle ‘regular’ too.” What’s in your van? • • • • •
Laptop Philips Service USB dongle Multiple spare parts Pictures of my family Coffee/water/Crystal Light energy packets • Tool bag
Keven Long Imaging Professional
tained. That’s when I asked my manager if I could take ownership of this equipment. I was sent to ultrasound training and started repairing and maintaining the equipment shortly after,” he adds. Long says that while working on ultrasound he worked closely with many field service engineers from different OEMs. “My Philips ultrasound field service engineer always stood out to me; he was great and always seemed to know everything about the equipment we had. I was always impressed by his knowledge and expertise. I learned a lot from him; from ways to diagnose and fix issues to little things to do during preventative maintenance that would ensure a system would function and run efficiently for the users,” Long says. “Luckily enough, a field service engineer position opened up with Philips. I applied and was offered the position. I have been a Philips field service engineer for almost three years now, and the engineer I spoke WWW.IMAGINGIGLOO.COM
about above, is now a coworker of mine,” Long adds. Long’s position at Philips is considered a multi-vendor ultrasound service position. “I not only work on Philips equipment, but I was trained, support and maintain many different ultrasound systems, regardless of the manufacturer. I have been trained on Philips, GE, Siemens, Sonosite, Mindray, Zonare, Hitachi-Aloka, Verathon and Boston Scientific equipment to name a few,” he says. “One of the benefits of being with a company like Philips is that we are a leader in diagnostic imaging, image-guided therapy, patient monitoring and health informatics, as well as in consumer health and home care. I love what I do now, but there are many different career avenues I could travel down with Philips in the future,” Long says. Besides enjoying his job, Long received special recognition at Philips that led to a tropical experience.
“My first full year with Philips, I was selected as a Pinnacle Board Member. There were only a few ultrasound field service engineers that were selected. It was quite an honor. I got to take my wife to Hawaii,” Long says. Off the job, Long enjoys spending time outdoors regardless of the season. “I love camping with my family, watersports and hockey. Every year I build a hockey rink in my backyard. My neighbors may think I’m crazy but it sure is fun. We also spend a lot of time in northern Michigan camping and boating on the lake with family in the summer,” he says. The family he refers to is made up of his “beautiful wife and two beautiful little girls, ages two and five,” Long says. The imaging customers of Philips are in good hands with an imaging service engineer who really likes what he does. And, with the long, cold winter in Michigan, he has had a lot of time to skate on that hockey rink. ICE
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people By K. Richard Douglas
DEPARTMENT SPOTLIGHT The Christ Hospital Health Network HTM Imaging Team
W
hen traversing the country from the upper midwest down to the south, it is most likely you will pass through Cincinnati, Ohio. It sits just north of the state’s border with Kentucky. The city, which was home to the nation’s first municipal fire department and first Jewish hospital, is today known as the home of the University of Cincinnati and the location of many fine examples of historic architecture. When Cincinnati residents have a medical emergency or are suffering from back pain, they head for The Christ Hospital for care. The hospital performed the first ceramic hip replacement in the U.S. in 1982. The hospital is part of a network which includes a Joint Spine Center and other medical care facilities. The Christ Hospital Health Network (TCHHN) has been treating patients for 125 years. The main hospital campus, Christ Hospital, is located in the Mt. Auburn district of Cincinnati. The hospital has been nationally ranked by U.S. News and World Report among large metro hospitals. It’s also been awarded Magnet recognition for nursing excellence. Overseeing the health network’s imaging repair and maintenance needs is an imaging team made up of six dedicated specialists. The team is part of the 33-member Healthcare Technology Management (HTM) department, which is an in-house service, restarted in-house in 2012. HTM is 24
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part of TCHHN operations division led by the COO. The imaging team reports directly to the director of HTM. The group’s areas of specialty include CT, MRI, cath lab, ultrasound, general radiology, women’s service, and metabolic imaging/nuclear medicine. “It is a cross-functional team covering multiple modalities,” says Gregory L. Herr BSEE, MBA, CCE, CHTM, director of the Healthcare Technology Management (HTM) department at TCHHN. Herr says that his team covers multiple hospital sites: The Christ Hospital, The Joint Spine Center and The Christ Hospital Medical Center–Liberty Township, four ambulatory outpatient centers (AOCs) that are strategically located across the Greater
“The department keeps the imaging team members skills well-honed through continuous training opportunities.” Cincinnati area, and over 100 physician office locations. “All imaging systems located at these locations are serviced by the HTM imaging team,” he says. “First call service contracts are used in several specialties as training is com-
pleted and experience built. Full service contracts are maintained for specific specialty equipment. These service contracts may be OEM or third-party, based on best value and availability of resources,” Herr says. “[The] imaging team also supports UPS, chillers and equipment integrated with the imaging systems, e.g. injectors, etcetera. Imaging specialists work with the integrated systems team to inventory and track network settings, configurations, and cyber-security. The department keeps the imaging team members’ skills well-honed through continuous training opportunities. “Training schools are typically requested when new equipment is purchased. Other schools are budgeted in the expense budget each year and scheduled based on availability and need by the imaging team,” Herr says. “The imaging team members coordinate and back each other up and can respond to first call for various imaging modalities. The important aspect is to provide continuing education and training to keep them up to date and able to effectively respond to the clinical user needs. Regional and local imaging conferences also are used to keep current with technical advances and alterative support opportunities,” Herr adds. As part of the HTM department, the imaging team is involved in the planning, decisions and construction of major imaging systems. ADVANCING THE IMAGING PROFESSIONAL
The Christ Hospital Health Network HTM Imaging Team is made up of six people. ABOVE: Jeff Osterhage, Cory Claxton, Mark Hembree and Todd Stropes are seen in an imaging room. TOP RIGHT: Jeff Osterhage and Tim Jasensky help maintain PET and MRI devices. RIGHT: Ericka Jones helps maintain ultrasound devices.
“[For] new construction, HTM is intimately involved in the planning and construction of the facilities required for the imaging systems. The imaging team participates in equipment evaluation with their clinical partners when TCHHN is selecting new devices. Over the past five-plus years in-house, TCHHN, has built two hospitals, four AOCs and many renovations inside the main hospital,” Herr says. While all systems are managed by HTM, the imaging services team has some systems it does not service due to age, specialty and system requirements and those systems may be serviced by OEM or third-parties. “HTM’s imaging team has trained specialists from OEM and third-party training in CT, MRI, ultrasound, cath/angio labs, general radiology (including X-ray, portables, mobile C-arms, fluoro, CR, DR panels), nuclear medicine, mammography and women’s center equipment,” Herr says. Specialized Projects Repair, maintenance and calibration may be among the imaging team’s more routine duties, but that hasn’t held them back WWW.IMAGINGIGLOO.COM
from tackling a number of special projects. Herr says that there have been quite a few since 2011. The construction of the health network’s Joint Spine Hospital, which was completed in 2015, was a big project. The 120-bed hospital includes 12 ORs, imaging, PT/OT and pain management. Herr says that this project also included a materials management building and an extensive redesign to the main hospital. Just this year, the imaging team was also involved in the building of The Christ Hospital Medical Center–Liberty Township, which includes an emergency department, labor and delivery, operating room, imaging, cardiology and inpatient and physician offices. The cardiology component included echo, vascular ultrasound and cardiac SPECT in off-site locations. If this wasn’t enough, the team was also involved with the remodel of a cancer center, which included replacement of linear accelerators, new CT simulators, a new oncology information system and redesign/ remodel and expansion of other areas, according to Herr. In addition to these specialized facili-
ties, the team was involved in the installation of a hybrid cath lab, a fourth EP lab added for ablations and the replacement of another EP lab, the replacement and standardization of more than 23 echo and vascular ultrasound systems, and upgrades of various platforms supporting imaging. They have also taken on an upgrade of cath labs to the newest platform; lower dose and improved image quality and the replacement of two older MRI systems (not including the additional systems added at new sites). More recently, they have handled an ongoing CR to DR conversion, ultrasound replacements and upgrades, Windows OS upgrades, cybersecurity assessment of the imaging modalities’ IT components, replacement of two older CT scanners and the replacement of SPECT and SPECT/CT systems. “Standardization is a priority along with serviceability and user familiarity,” Herr says of many of the projects. With only six members and several projects, the Christ Hospital Health Network HTM imaging team gets a lot accomplished for patents and clinicians in Cincinnati. ICE ICEMAGAZINE
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PRODUCT SPOTLIGHT MRI Market Continues Upward Trend
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he numbers vary, but experts predict continued growth in the North America and global MRI market in the
2020s. In one of the older reports, Global Industry Analysts Inc. (GIA) calls for the global market for Magnetic Resonance Imaging (MRI) equipment to reach $7.5 billion by 2020, driven by aging population, growing patient pools and increasing preference for non-ionizing radiation-based diagnostic techniques. “Magnetic Resonance Imaging (MRI) is rapidly emerging as an alternative to traditional ionizing diagnostic techniques such as CT, X-ray and ultrasound. Continuous advancements in technology, superior imaging capabilities, aging population, increasing incidence of chronic diseases, growing use of hybrid modalities with MRI, and rising demand in emerging markets, represent major factors driving growth in the market,” according to GIA. GIA states the United States represents the largest MRI market segment. Asia-Pacific ranks as the fastest growing market with a CAGR (compound annual growth rate) of 8.1 percent over the analysis period. Mordor Intelligence recently released one of the newest reports on the MRI market. “The global MRI market is expected to register a CAGR of 6.6 percent during the forecast period, 2018 to 2023. MRI is a diagnostic tool for the medical investigations as it is more sensitive than computed tomography (CT), and MRI does not use ionizing radiations. WWW.IMAGINGIGLOO.COM
MRI is widely used in the diagnosis of several diseases, such as cancers, neurological, and cardiac disorders. The increasing incidence of these diseases favor the fast growth of the MRI market,” according to Mordor Intelligence. “North America dominates the MRI market due to the region being more technologically advanced and variety of imaging systems commercially available, which are used in diagnosis,” Mordor Intelligence adds. “The favorable reimbursement policies and insurance coverage in the region are helping the patients undergo early diagnosis, which is required for chronic diseases. Thereby, demand for these MRI systems is high in the North American region. The Middle East and Africa will witness highest CAGR due to rapid growth of GCC MRI market.” MarketsandMarkets also predicts continued growth. “The global MRI systems market is projected to reach $7.19 billion by 2021 from $5.61 billion in 2016, at a CAGR of 5.1 percent from 2016 to 2021,” MarketsandMarkets reports. “Factors such as rising geriatric population; advancements in MRI techniques such as the development of superconducting (SC) magnets, open architecture, ultra-high-field MRI, and software applications; and the advent of MRI-compatible pacemakers are expected to drive the demand for MRI systems among end users in the forecast period,” MarketsandMarkets adds. “On the other hand, high cost of MRI systems, depleting helium gas deposits, and declining reimbursement
rates for MRI procedures are expected to affect the growth of the MRI systems market from 2016 to 2021. However, emerging markets (such as China, India, Brazil, and Middle East), novel application areas such as detection of multiple sclerosis and breast cancer, and advent of hybrid MRI systems provide new growth opportunities to players in the MRI systems market. Furthermore, dearth of skilled labor and complexity of instrumentation may pose challenges for the growth of this market.” Grand View Research makes a more conservative market forecast. “The global magnetic resonance imaging (MRI) market is expected to reach an approximate value of $5.6 billion by 2025. Constant introduction of advanced disease diagnostic technologies is primarily boosting the growth,” according to Grand View Research. “In addition, the rapid growth of MRI sector is attributed to the growing prevalence of chronic diseases which require early diagnosis and timely treatment to prevent late stage complications. Also, rising number of road accidents leading to injuries and complications are augmenting the demand for this modality. The musculoskeletal and spine injuries also demand for magnetic resonance imaging systems for better scans using high-resolution scanning technique.” Among the major manufacturers in MRI, according to MarketsandMarkets, are GE Healthcare, Hitachi Medical Corporation, Philips Healthcare and Siemens Healthineers. ICE ICEMAGAZINE
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products
GE Healthcare SIGNA Premier MRI System The SIGNA Premier is a wide bore 3.0T magnetic resonance imaging (MRI) system that delivers a new level of performance with research-focused clinical capabilities designed particularly for neurological and oncology research and clinical work. This system is built on a platform with a short-bore, high-homogeneity magnet; powerful new gradients; a new digital RF transmit and receive architecture; and cutting-edge applications, including cloud analytics. SIGNA Premier is powered by the innovative SuperG gradient technology to improve diagnostic confidence for clinicians. The SuperG gradient coil introduces outstanding performance and superb stability, which is designed to deliver the performance of ultra-high-performance, research-class 60 centimeter MRI system in a 70 centimeter bore MRI. •
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ICEMAGAZINE | APRIL 2018
ADVANCING THE IMAGING PROFESSIONAL
products
Philips Ingenia 3.0T MRI System The Ingenia 3.0T MRI system produces premium image quality with digital clarity and speed, allowing clinicians to stick to a tight schedule while maintaining consistently high-quality information for a confident diagnosis. The Ingenia 3.0T accomplishes these benchmarks by leveraging its dStream and iPatient technology. Philips’ unique dStream technology allows high-quality images at remarkable speeds due its digital broadband architecture. iPatient helps improve the entire MR workflow with patient-centric imaging from set-up to image result, improving throughput by up to 30 percent. •
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products
Siemens Healthineers MAGNETOM Vida The 70-cm MAGNETOM Vida 3T MRI scanner from Siemens Healthineers features the company’s exclusive BioMatrix technology – a collection of sensors, tuners and interfaces that automatically adapts to anatomical and physiological characteristics to provide consistent, high-quality imaging for all patient types. The scanner architecture and innovative applications simplify and accelerate workflows while increasing exam precision and patient comfort. It is designed with a new magnet and up to 60 mT/m gradient strength to support high-end applications. •
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ICE recap
ICE2018
By John Wallace, Editor
IMAGING CONFERENCE & EXPO FEBRUARY 16-18, 2018 • LAS VEGAS
ICE 2018 ECLIPSES PREVIOUS SUCCESSES A
move from the hot summer to the cooler month of February proved beneficial for the 2018 Imaging Conference and Expo (ICE). The February 16-18 conference in Las Vegas hit all-time highs in registration a month prior to the first class. Walk-up registration numbers added to the avalanche of imaging service professionals and directors on hand to take advantage of ICE’s targeted continuing education, a top-notch exhibit hall packed with vendors and signature networking events. MD Publishing is the parent company that hosts ICE and President John Krieg said conference attendance was up substantially with a sold out exhibit hall. He pointed out that the new February dates were obviously a big hit with everyone in the imaging service industry. Kristin Leavoy, vice president at MD Publishing, echoed Krieg’s enthusiasm. “Making the move to February was the best possible decision for the ICE conference. With a sold-out exhibit hall, an increase in attendance by 30 percent and overall renewed excitement in the conference was exceptional,” Leavoy said. “Clearly, ICE has a home in February rather than July!” The ICE18 Leadership Summit and Reverse Expo added even more value for some of the nation’s leading experts on medical imaging. “Hosting the ICE18 Leadership Summit is our commitment to furthering the industry for imaging administrators and service professionals,” Leavoy said. “Our goal is to 34
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give them a platform to share ideas, best practices and network amongst colleagues so that they can take back these ideas to their administration and help improve their facilities.” From the Event Launch, sponsored by Summit Imaging, to the Finale Party, sponsored by RSTI, attendees and vendors discussed the latest diagnostic imaging trends and shared advice on how they deal with common issues. The Exhibit Hall Welcome Reception, sponsored by MedWrench, added to the close-knit atmosphere of like-minded experts. The Keynote Address, sponsored by PocketHealth, was also a popular event as one of venue’s largest meeting rooms was packed to capacity just minutes after two informative Super Sessions.
“ICE18 was GREAT! Networking is always the best, being able to discuss challenges with other directors, etc. is beneficial. I have been coming to this for years and I love seeing more imaging directors here.” – Jessica Chambers The top businesses from the industry were represented at the conference and deals were struck throughout the conference, including in the exhibit hall, at net-
working events and during scheduled onsite dinners facilitated by the conference and reverse expo. The 2018 ICE conference had lots to offer, including quality education. “The education for this year’s conference was top-notch to say the least. And, having the sessions approved by both ACI and ASRT for continuing education added even additional value for attendees,” Leavoy explained. The conference could be even bigger in 2019 thanks to word-of-mouth advertising by attendees. “I would let my colleagues know that the ICE conference is a diverse meeting that allows HTM leaders and technologists to hear the issues that concern our medical imaging peers,” said Christopher Nowak, CBET, CHP, CSCS, corporate director, Universal Health Services Inc. “Some HTM professionals get caught up in all of the technical aspects of our roles as fix-it personnel and forget about all of the implications surrounding our actions in the repair and maintenance of medical imaging technology. The patient care aspects, the financial reimbursement aspects and the technology needs are often overlooked by HTM professionals. The ICE meeting allows HTM professionals to make the connection between our professional activities managing and servicing medical imaging devices and the needs of our medical imaging peers.” “HTM professionals should place the ICE conference on their calendar for attendance. The value of your time and the costs to attend are reimbursed through the ADVANCING THE IMAGING PROFESSIONAL
ICE recap
knowledge and camaraderie gained at the meeting,” he added. Attendees shared positive comments during the conference and added glowing reviews in a follow-up survey sent out to everyone who attended ICE 2018. When asked about their favorite part of the conference a vast majority of respondents singled out the high-quality educational offerings. “The presenters were truly knowledgeable in their fields and had concise, relevant, actionable information which they shared very well. The discourse between attendees during the lectures was also very valuable since I could see and hear what is happening around the country with like individuals,” Imaging Specialist Nick Trageser wrote in his survey. Networking was another positive from the annual imaging conference. “ICE18 was GREAT! Networking is always the best, being able to discuss challenges with other directors, etc. is beneficial. I have been coming to this for years and I love seeing more imaging directors here,” Director of Imaging Jessica Chambers said. Attendees were also very positive when asked how they would describe the ICE conference to a colleague. “A conference that provides the opporWWW.IMAGINGIGLOO.COM
tunity to learn best practices and how to impact the service and management of imaging equipment,” one attendee shared. “A meeting place for like-minded imaging service businessmen and engineers to meet, network and plan for the future in the industry,” is how Biomed III Cory Williams described ICE. “A really good opportunity to learn about what’s going on in our field right now. Huge networking opportunities … just plain enjoyable and fun and at the same time a truly productive use of time,” Trageser said. “A great opportunity to gain insight from industry peers and leaders from around the country,” Adventist Health Regional Director Rick Walston said. ICE attendees said they would encourage their coworkers and peers to attend the ICE 2019 conference in the Tampa/Clearwater area. The survey results show that 93 percent said they are “very likely” to recommend the event to a friend. “ICE is worth the time and effort to develop relationships with other leaders to discuss best practice, including leaders in biomedical and clinical engineering. It is a great atmosphere to frankly discuss effective strategies for improving patient care across both disciplines,” Regional West Medical Center Director of Imaging and
Dean of the School of Radiologic Technology Wendy Stirnkorb said. “A lot of information about the imaging field is given to each and every individual,” VA Imaging Engineer Marshall Misouria said. “There are many education classes that will answer any questions that you have,” ProHealth Care’s Joe DuPont said. “Take advantage of all that is offered – education, exhibit hall and networking opportunities,” Walston said. “Do it! Absolutely worthwhile and a great time,” Trageser added. “A conference and expo where you can earn AAMI CEUs without the expense of the AAMI conference and see vendors focused on medical imaging,” an attendee who wished to remain anonymous said. “Go! Find a way to get approved to go and reap the benefits of it,” Chambers encouraged. Planning for ICE 2019 is underway. The event will be held in the Tampa/Clearwater area February 17-19. ICE For details, visit AttendIce.com. For up-to-date information, join the ICE Facebook group at www.facebook.com/ groups/1713041448938354.
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ICE scrapbook
2018 ICE SCRAPBOOK F
ebruary proved to be an ideal time to hold the annual Imaging Conference and Expo (ICE) in 2018. Holding ICE 2018 in Las Vegas was also a solid gamble as the conference hit all-time highs in early registration. Walk-up registration numbers added to the flock of imaging service professionals and directors who descended on Vegas to take advantage of targeted continuing education, a top-notch exhibit hall and signature networking events. Add in the ICE18 events and a CRES prep course and everybody left Vegas a winner!
1. ICE participants network during
5. The Exhibit Hall had some of the
8. MD Publishing’s Jena Mattison
10. A packed exhibit hall brought
lunch at the 2018 conference in Las Vegas.
latest technologies and solutions on display ad served as a great venue for the exchange of ideas.
gave away prizes during a round “Jeopardy!”
imaging service professionals faceto-face with the industry’s leading companies.
2. The RSTI-sponsored Finale Party
9. Canon Medical Systems Tom
at the Hostile Grape was a huge hit with attendees and vendors.
6. The educational offerings at ICE
3 & 4. Attendees enjoy catching up
7. The Super Sessions provided
with their peers at the Summit Imaging-sponsored Event Launch.
expert insights and provided for valuable question-and-answer sessions.
1 36
2018 were second to none.
Szostak’s keynote presentation, sponsored by PocketHealth, examined the shifting health care landscape.
11. The ICE18 Reverse Expo served as a catalyst to networking and deal making.
2 ICEMAGAZINE | APRIL 2018
ADVANCING THE IMAGING PROFESSIONAL
ICE scrapbook
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GOING
BY MATT SKOUFALOS
W H AT ’ S C O N N E C T I N G T H E D O T S F O R G R E AT E R C E R T I F I C AT I O N S I N T H E S E C O N DA R Y M A R K E T ?
In the market share tug-of-war among original equipment manufacturers (OEMs) and independent service organizations (ISOs) for contracts to sell, refurbish and service medical imaging equipment and component parts, one of the biggest points of leverage has always been quality assurance. After cost (and likely, personal relationships), the ability to certify the quality of the work performed is commonly cited as a differentiator among companies that earn business and those that do not. Today, more ISOs are pursuing independent certification that describes and validates their processes as reliable, reproducible and vetted by accrediting agencies.
G O I N G ISO One of the most sought after and commonly understood signifiers of those best practices is adherence to standards published by the International Organization for Standardization (ISO), especially the ISO 9001 standard, which dictates the criteria for a quality management system. There is speculation among the secondary equipment industry that the U.S. Food and Drug Administration (FDA) may someday require third-party equipment parts, sales and service companies to adhere to such standards in the future as a risk mitigation measure; until then, however, many ISOs are pursuing the standards certification simply as a matter of process improvement or out of sheer competition. Felicia DeJohn, quality assurance manager for Block Imaging Parts and Service said her company began the ISO certification process at the request of a customer. Once things were underway, DeJohn said the company began taking a closer look not only at its own processes but also the mechanisms behind them. Doing so revealed just how much had changed and reflected the amount of growth Block Imaging had undergone in the time since. “It was a good launch pad,” she said. “We were a smaller organization years ago, but the standard makes you start digging into what you do and how you do it. When you have multiple, different departments within an organization, the opportunity for silo-ing is very much present. What I’ve found in my internal audits gives us the ability to tear down the silos, and make sure each department is able to interact well with each organization.” DeJohn said going through the ISO certification process has been good for Block Imaging. The ISO requirements have given the business an attitude of refinement regarding the evaluation of its operations as well as the ability to instill confidence in customers and
ability to track and be held accountable for shared metrics is something customers and partners appreciate, and those metrics help “communicate to the team why what they’re doing matters,” she said. “The ultimate goal of ISO 9001 is customer expectations,” DeJohn said. “Customers appreciate having an ISO certification the same way that we do when we have customers that are vendors: it makes us easier to work with. The bar of trust is at a higher baseline than it would have been otherwise.” Process improvement doesn’t have to be confined to the ISO standard to be valuable, DeJohn said, but the rigorous nature of the documentation and audit cycle involved inspire a deeper level of consumer confidence than do many unaccredited self-improvement processes. ISO-certified businesses are audited annually by a third-party certifier, which DeJohn said helps to drive continuous improvement. “When you initiate conversation with a customer, there’s a confidence that you have processes in place,” she said. “[Our staff is] able to take a deeper dive, and I know that’s happening automatically because they’re audited on it from an outside organization every year.” If and when changes are required, DeJohn said the processes for doing so are laid out in the standard, which makes those interactions “much more streamlined and easy to execute.” “If you’ve got the knowledge that you have to do internal audits for your organization, when you go through the standard, and audit to the standard, you’re looking at each department,” she said. “You’re reviewing all of these metrics with the leadership.” DeJohn said that although the audit can seem intimidating, she welcomes it as an opportunity for the business to make improvements. Some of the technical changes that ISO certification has effected within Block Imaging
“Making sure that you have a training program and everyone gets the same training helps ensure that you’re consistently putting out good products.”
–Kim Cole
business partners. DeJohn talked about the “shared language” of the standardized process as having value internally and externally. The
have helped shape processes for reporting product nonconformance and customer complaints, even how to handle corrective action
planning when things are found to be out of compliance with the standard. The standard even requires that any outside vendors in its supply chain be able to provide products that maintain customer expectations. It all adds up to a push for verifiable process improvement and overall quality assurance. “When you hear the word audit, people get this guard and this tension about them,” DeJohn said. “I remind myself that this is a practice to know what is the best thing to spend my time on. We just completed our transition audit in July; as we’re going through, if [the auditor] doesn’t find anything, this is a waste of time. I want him to help me improve the quality of our products.” Where its internal processes intersect, the ISO standard also led Block Imaging to develop a process map that helps coordinate the activities of its various departments, from sharing improvements to receiving feedback from colleagues about the changes involved, and generally creating an open forum for dialogue. “We’ve seen amplified communication; we’ve seen kind of an increase in momentum for synergy through our ISO certification,” DeJohn said. “I think there’s been a significant impact on our culture. It’s removing the finger-pointing.” To best drive those cultural changes, DeJohn advocated that companies considering or pursuing ISO certifications begin internal conversations about the benefits of the process before embarking upon it. A conversation can clarify how the organization and its customers will benefit from the certification process, and smoothe the transitions that follow. “Establishing and marketing why you’re doing it is important,” she said. “There can be some resistance; establish up front why you want to do it and how the customer and the organization is going to benefit up front.” Kim Cole, director of customer care and quality officer at Tri-Imaging Solutions said that after undergoing ISO certification, there weren’t necessarily a lot of changes in the company’s day-to-day processes. However, the work of documenting what was being done on a daily basis led to greater codification of its practices overall, and greater consistency during onboarding of new employees or retraining of others. “Making sure that you have a training program and everyone gets the same
W H AT ’ S C O N N E C T I N G T H E D OT S F O R G R E AT E R C E R T I F I C AT I O N S I N T H E S E C O N DA R Y M A R K E T ?
FELICIA DEJOHN, quality assurance manager for Block Imaging Parts and Service
BOB CLANCY, senior vice president at BIZPHYX
KIM COLE, director of customer care and quality officer at Tri-Imaging Solutions
training helps ensure that you’re consistently putting out good products,” Cole said. “So does implementing a customer complaint and feedback process, so that if you do have an issue, you’ll be able to effectively address it.” ISO certification helped Tri-Imaging establish and refine its processes around daily functions like: QA testing, shipping and receiving, harvesting of parts, inventory management and customer orders. A big change that Cole said truly served its business case was that the accreditation process led to Tri-Imaging tracking its warranty rate, commonly referred to in the medical parts industry as the out-of-box failure rate or D.O.A. (dead on arrival) rate of a freshly shipped part. “Because we have a process in place for nonconformance, we were able to do a risk assessment, and do a deep dive into these products to see what’s causing the failure,” Cole said. “We might improve on the repair process, or change our testing procedure.” “Part of the accountability that comes along with [the ISO certification] is making sure that the processes and procedures implemented, if there’re any shortfalls, you can identify them during your internal audits and get any needed corrections made,” she said.
The process and its related improvements led to Tri-Imaging being able to boast a warranty rate of less than 3 percent. Another of the more complicated ambitions brought about by the ISO process was tightening supplier controls, which involved establishing parameters for purchases using an approved list of vetted vendors. Cole said doing so makes customers feel “that you’re doing your due diligence to ensure you’re partnering with the right people.” “As we move toward greater expectations from the customers, we’ve made the investments into our personnel, systems and operations,” she said. “Achieving ISO certification gives you a competitive advantage over a company that does not have this program in place. It tells your customers that you’re here for the long haul; that you’re serious about what you’re doing. Customers want to know that you’re taking quality seriously.” After four years in business, Tri-Imaging has grown to a 30-person company; with the implementation of standardized processes that emerged from the ISO certification process; Cole said that customer audits have led to positive feedback. “We do have some customers that require ISO certification, so if we did not have those standards in place, we would not be able to do business with them,” she said. “As there are currently discussions happening concerning regulations that apply to our industry, maybe one day this will be something that’s required for all parts companies.” Bob Clancy is senior vice president at BIZPHYX, a consultancy that helps businesses prepare for a variety of standards certifications – including TL 9000, ISO 9001 and ISO 140001 – as well as for quality assurance and internal auditing processed. Clancy said the majority of BIZPHYX clients operate in the telecommunications business, but that “in general, they acquire certification because somebody in their supply chain above them is interested in them having it … [and] put a requirement for a quality system or certification in their contract.” “There are intrinsic benefits, but generally speaking, it’s more that companies who they supply to require them to be certified,” Clancy said. “When they come to us, they’re generally not familiar with ISO standards; we provide training and implementation services, and offer consulting to
help companies interpret the standard.” Clancy described the current ISO 9001 standard as “ubiquitous, and applicable to any industry.” The standard doesn’t require the certified company to be a standalone business – it could be pursued by a business unit or an individual department – which allows organizations to think about their business strategies differently, he said. “Stakeholders have to think about interested parties and their quality system,” Clancy said. “They have to think about internal and external issues. They have to identify risks and plan actions to address them for managing services and projects. We help organizations to take a look at their business processes, their design and development, and the documentation. Once all that’s done, they can go through certification.” Preparing for the ISO certification can take anywhere from seven months to a year depending on the size of the company and the nature of the certification sought. The financial impact of the process includes the man-hours of getting documentation completed, plus the cost of registration. Certification costs are based on number of audit days, which range from $1,200 to $1,500 per day. Total certification costs depend on employee headcount, number of locations and other factors. Certification bodies can provide quotes for the total cost of certification services. Firms like BIZPHYX can add some more up-front investment for companies that don’t have the resources in-house to tackle the project, but ISO audits are conducted by third-party credentialing bureaus that operate independently from the International Organization for Standardization entirely. Whatever the results of the audit, Clancy said going through the process can help reduce costs; other market analyses said standards implementation can help businesses gain market share. Lean and Six Sigma tool sets can also be used in conjunction with or in place of those quality frameworks; a competing scheme called CMMI (Capable Maturity Model Integration) is a comparable development model, but is certified as a one-off. “There’s quite a bit of empirical evidence for cost reduction for key performance improvement,” Clancy said. “One of the things that makes ISO really powerful is you have to be initially certified, and then surveilled once a year for a three-year cycle, and then certified as long as you desire to remain certified,” he said. “You’ve always got somebody independently looking over the company’s shoulder.” ICE
insight
IMAGING MATTERS Following the Job
I
work for a fantastic company. How do I know? It is full of wonderful people. When I sat down and talked with the people I report to about considering a career opportunity within the company they all said the same thing. We would hate to see you go, but we don’t want to hold you back. They were supportive and very informative. It is difficult to leave such an incredible team, even when you are moving within the same company. My move is 1,100 miles from where I was working. There are many moving pieces that include property to sell, new driver’s license, new insurance company, finding a place to live, and many other items that can seem overwhelming. A big consideration for me was attempting to leave as little as possible hanging when I changed positions. I know that there was much left unfinished that I wish I could have completed and I have no doubt the team handled it expertly in my absence. I have had a profound impact upon my new state and city. When I went to interview, it snowed for the first time in eight years. The second day I was in the job, the city was shutdown because of an ice storm. All of this, however, was nothing compared to the trip itself. Knowing I had Martin Luther King Jr. Day as a holiday, I decided to drive halfway on the preceding Saturday to an old Navy buddy’s house to visit and spend the night. Then, leave on Sunday to arrive in the new city at my rent44
ICEMAGAZINE | APRIL 2018
ed condo by 8 p.m. local time. Then, I would have Monday to look at apartments. As I have often said, no plan survives contact with the enemy. The list of things I needed to do prior to leaving Saturday took much longer than they should have taken. I got a late start. This, of course, lead to a late arrival at the house of my good friend. Normally this would be no issue. However, since the state has very little in the way of snow removal, the surface streets were solid ice by the time I got to his house. This required some creative driving strategies. The next day I left later than planned. No excuse, it just happened that way. As I climbed into the car that looked as if it was packed by a college student ready to move home, I realized I was in for another long day. After finishing one unabridged audio book and getting well into a second, I crossed into the great state of Texas. As the sun fell in the west and dusk approached I realized something rather profound. I was on what had to be the road where they filmed “The Texas Chainsaw Massacre.” Having seen no chainsaws at all, I finally arrived at my destination. The gate code I was given did not work. After a few phone calls it was revealed that the code had been changed. Finally, I was unloaded and ready to sleep around 11 p.m. I lay down on the bed ever so grateful for the sleep that was about to take me. Then, I rolled over and realized that
Written by John Garrett Director, Clinical Engineering at Baylor St. Luke’s Medical Center
the bed would squeal every time I moved for the next two weeks I was booked to stay there. The next few days were followed by meeting more people than I can remember, the previously mentioned ice storm that shut down the city, and the certain knowledge in my weary bones that I had done the right thing. Things would not be perfect, there were and are challenges that I know about and that are and will be unexpected. But, I have done the right thing for me, my family and the company that I grow to love more each day. I say follow the job. ICE John Garrett has 20 years experience in imaging service including general radiation, mammography, CT and nuclear medicine. He has worked for third-party service companies, manufacturers, sales companies and in-house imaging teams. ADVANCING THE IMAGING PROFESSIONAL
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ADVANCING THE IMAGING PROFESSIONAL
insight sponsored by:
AUE
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DEF IN IN G THE STAN DAR D
IMAGING SERVICE 101 You Are the Face and Ears of Your Organization
I
n my last two columns I have talked about building your personal brand and keeping a good reputation as well as the importance of good communication skills when dealing with customers. These are essential to being a successful imaging engineer because your customers see and talk to you more often than anyone else in your department or company. It is also important to recognize that you are “the face of the company;” you represent the company or department for which you work to them. This can be a difficult part of the job, and is even more challenging if you work outside the office most of the time. That is a reason good service managers make an effort to keep field employees connected to the company or department through conference calls, meetings, company events and communication such as newsletters. When you have gained a level of mutual trust with your customer and converse with them on a regular basis, you may find that they trust you enough to tell you things they probably wouldn’t say to anyone else in your department or company. If they share personal or confidential information or rumors with you, my advice is to keep it to yourself and try to keep your conversations on a professional level. If what they share with you is business related, then you probably have an obligation to share the information, or at least an expectation by your boss to do so. If they complain about something like the uptime of the scanner(s) you service, your company, or the performance of one WWW.IMAGINGIGLOO.COM
of your coworkers, use your customer service communication skills. Acknowledge their concern and ask them what they want you to do with the information and/or tell them what you believe you need to do with it. Try to be as objective as possible and do not take it too personally, the same as you would when probing the customer about a problem with the scanner. You may need to ask questions for clarification and to get additional information, such as dates and names. At the least, you probably need to pass the info to your supervisor. If their complaint has to do with safety of the scanner(s) and could possibly result in patient injury or death, it must be reported to a regulatory authority (the FDA in the United States). If you work for an OEM or ISO, there should be a complaint handling procedure for you to follow and notification of proper authorities would be done by a designated person as part of the process. Sometimes the customer tells you about plans by another hospital or clinic to purchase a scanner or something going on with their facility that constitutes a sales opportunity. Typically, because of the relationship you have with them, they are much more likely to say something like that to you as their service tech than to the salesperson. Often, when you ask them, they will tell you it is OK to pass that on to someone in sales. If they are concerned about the salesman hounding them to death or say they don’t want the salesman to call on them, I would report that to my supervisor and possibly to the salesperson’s manager. If you know the
Written by Jim Carr Director of Services and International Operations for AUE
salesperson well, you might be OK telling them what you found out. Most salespeople are thick-skinned and want that kind of feedback. They know how to handle it so that your relationship with the customer is not damaged. In my experience, the best salespeople realize and recognize the value of the service engineer’s relationship with their customers and nurture a team approach. So, while most of us servicing scanners typically don’t have some of the traits generally associated with salespeople, such as charisma and charm, we often are the company or biomed department to our customers. And, we will hear valuable information from them that needs to be passed on. ICE Jim Carr is Director of Services and International Operations for AUE. He may be contacted via email at JCarr@auetulsa.com.
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insight
CAREER ADVICE Following Up On Networking Leads
F
rom the 2018 ICE Conference that occurred in February in Las Vegas, or any conference you attend, the follow-up on those leads and contacts you networked with is the most important step! How to Network • Send out emails as soon as possible. Don’t wait too long after the conference. Get in touch with people while your conversations are still fresh in your mind. That said, you should wait until the day is over before shooting off an email. When the person is still busy at the conference, emailing right away could make you seem too eager. If you can, send a relevant article on the topic you shared. This will show that you have an avid interest in the topic and that you’re willing to share information with them. If possible, connect the person with other people you know personally or met at the conference. Share information and connections generously, as this will wind up benefiting you later. • Take advantage of social media. In addition to emailing, connect with people on Facebook, LinkedIn and Twitter as a way to keep in touch. These mediums are important networking tools, since they help people stay connected and get to know each other better, too. Send a short message with each friend request reminding the person who you are and stating 48
ICEMAGAZINE | APRIL 2018
how nice it was to talk. If you’re especially active on social media, you can tweet or post about the conference while you’re still there. Tag people you’ve met and make positive comments about panels and the conference itself. Be sure to use the appropriate conference hashtag, too. • Stay in touch by email and phone. If the person emails you, email back. Don’t drop a connection a few days after the conference, because anything can happen. Even if the person doesn’t immediately give you a lead on a new job, he or she might do so down the line. Networking is about sharing who you are and what skills you offer to the world and, if you’re good at keeping in touch, people will remember you when it counts. Consider doing your part to advance the relationship with a connection you’ve made. If you see an opportunity to actually start working with the person, take things to the next level by asking them out for coffee or lunch, or asking for an informational interview. If anyone you met calls on you for help or information, give it. You never know when someone new in the field might be in the position to help you one day. Overall, just be consistent. You don’t want to have a flurry of activity followed by a dead period, and then try to restart the relationship when you need the other person.
Written by Jenifer Brown Health Tech Talent Management
How NOT to Network Here are some tips of what NOT to do when following up! • Avoid badmouthing anybody, no matter how useful this might seem. If the person you’re networking with starts badmouthing, refrain from joining in. It gets around. • Don’t push your ideas. Ask questions and then use your ideas to add to the conversation. • Don’t lie about anything. Trust is an implicit part of networking and dishonesty will damage your reputation. • Never interrupt. Bear in mind how much this irks you when someone does it to you. • Avoid swearing or using any language that might be considered offensive. You don’t know a person’s background or beliefs, so be respectful at all times. • Remember not to be greedy and focused on first. Networking is a relationship strategy, not a selfish pursuit. • Don’t pretend to know people and don’t name drop. ICE
ADVANCING THE IMAGING PROFESSIONAL
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insight
WHY WE NEED TO VALUE HR F
ew departments in an organization get more eye rolls than that group we call human resources. Regardless of whether this is justified, it’s been my observation that many managers misunderstand or, even worse, ignore the strategic partners they have in their HR department. The truth is that HR can add a lot to a company’s bottom line – if you let them. Most of us view human resources as the department – or the person – that takes care of employment particulars and compliance. You know, things like compensation and benefits, employee assistance and labor relations. Obviously there’s more to it than that, but you should know that a traditional HR office is only one side of the HR profession. It’s the side we’re all most familiar with, and it’s called human resource management, or HRM. What most folks don’t know is there’s another side of the HR profession, and it’s called human resource development, or HRD. People working in HRD aren’t usually involved in employee assistance and labor relations. HRD professionals are mainly focused on organizational development, training and development and career development. Naturally, some HR duties are performed by both HRM and HRD personnel, such as staffing and selection, performance management systems, human resource planning and organizational/job design. Now that you know there’s a difference, I need to let you in on a little secret: Incorporating input from both sides of HR can propel your organization to high50
ICEMAGAZINE | APRIL 2018
er levels of productivity, quality and innovation. Let me say that a different way. If you get input from both HRM and HRD personnel, you are almost certain to give your strategic alignment a boost. Conversely, if you’re busy rolling your eyes at HR, or if you think HRM people are automatically good at HRD responsibilities (or vice versa), you’re missing out. Extremely few HR people are proficient at both HRM and HRD roles, so if you expect one side to know the job of the other, you’ll probably find yourself frustrated. Organizations need the skills brought by both HRM and HRD. Not knowing that both of these specialties exist within the HR realm has led to some unfair castigation of the profession. One of the best-known diatribes appeared a number of years ago in Fast Company magazine. The article, written by a Fast Company editor and titled “Why We Hate HR,” put HR through a meat grinder. Granted, some of it was true, but most of it was for effect. In the piece, the editor accused HR of not being strategic players. He portrayed them to be either without business acumen, or whips of the accounting department when personnel cuts need to be made. He also blasted HR for not providing strategic training. It’s a common complaint, but one born out of the mistaken belief that HR is just one big umbrella, and anyone working in HR has been trained in both HRM and HRD responsibilities. It turns out that the editor wrote his scathing article while attending a national convention for the Society for Human
Written by Daniel Bobinski Workplace Consultant
Resource Management (SHRM). Had he attended the convention for the Association for Talent Development (ATD, an organization for HRD folks), he would have seen presentations on strategic planning and increasing the effectiveness of leadership development programs. Stated plainly, the editor was blaming HRM people for not doing HRD’s job. This is a common error, but it’s also a huge and sometimes costly error. Human resource management is certainly the more prominent of the two specialties, but that doesn’t mean HRM personnel have the bandwidth to fulfill both roles. Many HR managers I know are so bogged down in the legal aspects of employment compliance and other employee issues that they barely have time to develop job descriptions, let alone develop or deliver ADVANCING THE IMAGING PROFESSIONAL
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any job training. And even if they have time for creating and delivering training, the ability to stand up and talk does not a trainer make. HRD truly is a distinctly different profession. PROOF APPROVED So what can organizations do better to capitalize on their HR depart- CHANGES NEEDED KEI MEDICAL IMAGING SERVICES is a Philips specialized MRI & CT Service Company. ment? My first recommendation is let it soak in deeply that it’s people who CLIENT SIGN–OFF: Trust KEI as your OEM alternative for quality and professional service! make or break the bottom line. If you’re not investing in your people, you’re PLEASE CONFIRM THAT THE FOLLOWING ARE CORRECT not investing in your company. 512.4 77.1500 LOGO Getting PHONE WEBSITE ADDRESS SPELLING Second, ensure that HR has a seat at the leadership table. HR NUMBER info@keimedicalimaging.com
Daniel Bobinski, M.Ed. runs two businesses. One helps teams and individuals learn how to use Emotional Intelligence. The other helps companies improve their training programs. He’s also a best-selling author and a popular speaker at conferences and retreats. Reach him at daniel@eqfactor.net or (208) 375-7606.
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involved at all levels of operations helps with what I call “strategic alignment.” As someone who’s been a workplace issues consultant for nearly 30 years, I can’t tell you how many businesses I’ve worked with where executives weren’t giving their senior HR professional that seat. This is a mistake. HR professionals are the perfect people to give input to staffing and training issues when the C-suite is discussing expansion or making changes to company operations. HR’s involvement with strategic alignment helps identify and strategically place key personnel, as well as identify training needs so an organization can meet its strategic goals. I remember one HR professional giving me a huge “thank you” after I convinced his CEO to give him a seat at their weekly executive meeting. “I’ve been trying to get in there for years,” he told me. “We’ve been wasting so much time and effort patching holes in their plans because they haven’t had my input at the outset.” The third thing I recommend is this: Realize that most HRM people are not trained in HRD responsibilities, and the same is true in reverse. If you want to implement strategic alignment, both HRM and HRD functions are needed. Misunderstanding or underutilizing either side of the HR profession can be a costly oversight. As I said up front, human resource people – both the HRM and HRD types – can add a lot to a company’s bottom line. And it starts with viewing them as valuable strategic partners. ICE
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index MEDICAL
SYSTEMS TECHNOLOGIES LLC
Adel Lawrence Associates, Inc. p. 53
AUE
Injector Support & Service p. 32
Medical Systems Technologies p. 45, 49
ADVANCED ULTRASOUND ELECTRONICS
D E F I N I N G TH E S TA N D AR D
Advanced Ultrasound Electronics p. 47
RTI, Inc. p. 31
Sodexo CTM p. 21
MedWrench p. 38 Innovatus Imaging
p. Front Cover
DIAGNOSTIC IMAGING & SURGICAL SOLUTIONS
Multi Diagnostic Imaging & Surgical Solutions p. 2
Ampronix, Inc. p. 5
Stephens International Recruiting Inc. p. 46
InterMed Group p. 31 Summit Imaging p. 3
Carolina Medical Parts p. 9
MW Imaging Corp.
International Medical Equipment & Service
p. 19
SOLUTIONS
p. 13
Tri-Imaging Solutions p. 26
College of Imaging Administrators p. 46
Diagnostic Solutions p. 17
International X-Ray Brokers p. 49
PM Imaging Management p. 51
Radon Medical LLC p. 39
Exclusive Medical Solutions, Inc. p. 39
TTI Travel p. 39
Varex Imaging Corporation p. 6
KEI Med Parts p. 53
Ray-Pac® Ray-Pac p. 56
Webinar Wednesday p. 55
Global Medical Imaging p. 45
KEI Medical Imaging Services p. 51 Service that Outperforms
Retrieve Medical Equipment p. 52 Health Tech Talent Management, Inc. p. 32
X-ray Parts, Inc p. 15
MedicalDealer.com
p. 53
RSTI/ Radiological Service Training Institute p. 4
54
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