ICE Magazine - February 2019

ADVANCING THE IMAGING PROFESSIONAL

FEBRUARY 2019 VOL.3 NO.2 THEICECOMMUNITY.COM

Certification Is certification

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ICE FEATURES

contents

February 2019

" It’s going to require continuous education, continuous on the job training, and getting new

Certification

skills.” stephen grimes"

Is certification

right for you?

34 Is Certification Right For You?

rofessional of P 20 the month

Many companies want to train new hires in their company’s specific

According to a colleague Marty Davis,

practices, especially in the imaging service space, but certification pro- imaging engineer II, “quickly advanced grams offer a way for employers to know that new hires have had some from a biomed to an imaging engineer. hands-on experience, or at least some level of formal knowledge about He takes care of several modalities within the organization. He has a good the fundamental concepts in the field. We look at certifications and training in the imaging service field.

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working relationship with the staff, vendors and his colleagues.”

ICEMAGAZINE

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contents

ICE DEPARTMENTS

11

22

February 2019

26

42

news

people

products

insight

11 Imaging News

20 Professional Spotlight

25 CT Spotlight

38 Careers Center

16 Webinar Wednesday

22 Department Spotlight

26 CT Gallery

41 Imaging Matters

32 Tools of the Trade

42 Daniel Bobinski

18 People on the Move

49 Photo Contest 50 Index

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John M. Krieg john@mdpublishing.com

Art Department Jonathan Riley Karlee Gower Kathryn Keur

Jayme McKelvey Megan Cabot

K. Richard Douglas Matthew N. Skoufalos Cindy Stephens John Garrett Daniel Bobinski Jenifer Brown

Lisa Cover Melissa Brand

Cindy Galindo Travis Saylor Kennedy Krieg

Webinar

Linda Hasluem

ICE Magazine (Vol. 3, Issue #2) February 2019 is published by MD Publishing, 18 Eastbrook Bend, Peachtree City, GA 30269-1530. POSTMASTER: Send address changes to ICE Magazine at 18 Eastbrook Bend, Peachtree City, GA 30269-1530.

For subscription information visit www.theicecommunity.com. The information and opinions expressed in the articles and advertisements herein are those of the writer and/or advertiser, and not necessarily those of the publisher. Reproduction in whole or in part without written permission is prohibited. © 2019

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ICEMAGAZINE | FEBRUARY 2019

ADVANCING THE IMAGING PROFESSIONAL

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news

IMAGING NEWS A LOOK AT WHAT’S CHANGING IN THE IMAGING INDUSTRY

FDA Grants Breakthrough Device Designation

NeuroLogica and Winnebago Team Up Aiming to bring life-saving low-dose lung screenings to underserved areas of the United States, NeuroLogica announced a partnership with Winnebago Industries Inc. to provide access to mobile computed tomography (CT) clinics across America. The units will feature NeuroLogica’s BodyTom Elite, the world’s first portable, full-body, 32-slice CT scanner on board a J38S Winnebago commercial vehicle platform, from Winnebago’s Specialty Vehicle Division. The mobile CT clinics will offer health care providers the ability to perform low-dose lung cancer screenings and travel city-to-city to improve access to lung diagnostic services.

NeuroLogica and Winnebago displayed a mobile lung screening clinic at the 2018 Radiological Society of North America’s Annual Meeting (RSNA) in Chicago, Illinois, from November 25-30, 2018.

“We are proud to increase access to low-dose lung screenings through our partnership with Winnebago,” said David Webster, NeuroLogica’s chief operating officer.

“This is an important step toward delivering high-quality care to patients in the community, especially those patients beyond a healthcare systems’ immediate service area.”

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The mobile CT clinic will feature a BodyTom Elite, the world’s first portable, battery-powered, full-body, 32-slice CT scanner, optional all-electric/zero-emission powertrains will be available through Winnebago’s partnership with Motiv Power Systems. A Lithium-ion battery-based energy management system from Volta Power Systems, which will replace the traditional generator for onboard power and reduce vehicle emissions, will also be included. It will also feature vehicle upfit and customization through Summit Bodyworks Specialty Vehicles, a Denver-based custom vehicle upfitter.

“Winnebago has always been a market leader and industry innovator,” said Jamie Sorenson, Winnebago’s Director of Specialty Vehicles and Advanced Technology. “This year, Winnebago celebrated being in business for 60 years, and for more than 40 of those years, Winnebago has produced commercial vehicles for all types of applications, with a focus on mobile outreach. This partnership with NeuroLogica represents the next evolution in mobile healthcare innovation and has the potential to dramatically change a person’s life.” •

Bayer recently announced that the U.S. Food and Drug Administration (FDA) granted Breakthrough Device Designation to the Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Artificial Intelligence (AI) Pattern Recognition Software, which Bayer is currently developing jointly with Merck, known as MSD outside the U.S. and Canada.

Development of the CTEPH Pattern Recognition AI Software will use deep learning methodology to support radiologists by identifying signs of CTEPH in CTPA scans. This software analyzes image findings from cardiac, lung perfusion and pulmonary vessels in combination with the patient’s clinical history. If the development is successful, the software could be deployed via Bayer’s Radimetrics software, an informatics technology platform that connects contrast medium, injector and scan information to provide important insights.

The FDA Breakthrough Device Program is intended to help patients have more timely access to devices and breakthrough technologies that provide for more effective treatment or diagnosis for life-threatening or irreversibly debilitating diseases by expediting their development, assessment and review. While the FDA Breakthrough Device Designation is expected to expedite the software’s assessment and review, its development remains complex given the nature of the disease and technology. •

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Prestige Medical Imaging Completes 1,000th DR Installation Prestige Medical Imaging (PMI) announced that its has reached a milestone with its 1,000th DR installation via the recent install of three X-ray room suites at the Orthopaedic Center of South Florida in Plantation, Florida, “We are very excited about reaching this milestone and thrilled to share this moment with our new partner, the Orthopaedic Center of South Florida. The systems we have installed there represent industry-leading digital imaging technology that improves image quality and patient through-put,” PMI Chief Ex-

ecutive Officer Bill Haussmann said.

The upgrade at the Orthopaedic Center of South Florida’s Plantation office includes three state-of-the-art fully integrated digital radiography X-ray room suites which replaced three rooms with aging CR technology. The suites feature high-frequency generators, floor-mounted tube supports with TechVision, elevating/ float-top radiographic tables, digital wall stands and DR detectors providing superior imaging and improved patient care. • For more information, visit www.ocsfdocs.com.

United Imaging Healthcare Announced U.S. Market Debut at RSNA United Imaging Healthcare (UIH), an international leader in advanced medical imaging and radiotherapy equipment, announced its official launch in the United States, including the establishment of a U.S. headquarters and manufacturing facility in Houston.

UIH made its U.S. market debut at the 104th RSNA Scientific Assembly and Annual Meeting in Chicago.

“The United States is the largest, and most important, medical device market in the world and we are proud to make our debut at RSNA this year – we are officially open for business in the United States,” said Dr. Xue Min, UIH’s chairman of the board and chief executive officer.

“It is UIH’s goal to provide premium products and services for customers around the globe. In the past five years, we have established R&D centers in the U.S. that are exploring cutting-edge technology, as well as research on CT, MR, PET-CT and RT products. We are building our U.S. regional headquarters in Houston, which will integrate R&D, production, training and marketing services to better serve our customers in the U.S.” The newly established U.S. team is made up of experienced industry professionals who will provide customer-centric services to address the specific needs of local markets.

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ICEMAGAZINE | FEBRUARY 2019

UIH’s North American business is led by Chief Executive Officer Jeffrey M. Bundy, Ph.D., who has more than 20 years of industry experience and previously held positions in sales, marketing, and R&D, including serving as a global CEO in the imaging business from 2011 to 2015.

“UIH is a dynamic company focused on innovative technology. Our commitment to advancements in medical imaging and radiology and our ability to innovate at a rapid pace are core strengths,” said Bundy. “I’m inspired by UIH’s dedication to creating new levels of access for the underserved, and we are committed to be an agent of positive change in our industry, through our product and services offerings.”

UIH’s North American production center is located in Houston, adjacent to the headquarters and the research and development center. This wholly-owned facility is expected to produce multiple UIH product lines by the end of 2019.

The establishment of the Houston production and research and development facility follows the establishment of U.S. research and development centers in Cleveland, Ohio and in Concord, California. • For more information, visit united-imaging.com.

ADVANCING THE IMAGING PROFESSIONAL

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SubtlePET Receives FDA 510(k) Clearance Subtle Medical, a privately held medical device company focused on improving medical imaging efficiency and patient experience with innovative deep learning imaging technologies, has announced 510(k) clearance from the U.S. Food and Drug Administration (FDA) to market SubtlePET. Subtle Medical also recently secured approval to affix the CE Mark on SubtlePET to begin marketing in the European Economic Area without restrictions.

SubtlePET’s artificial intelligence (AI)-powered technology allows hospitals and imaging centers to enhance images from faster scans leading to an improved patient experience during imaging procedures, while boosting exam throughput and provider profitability. SubtlePET is currently in pilot clinical use in multiple university hospitals and imaging centers in the U.S. and abroad.

Subtle Medical’s AI solution enables completion of more exams in a day compared to conventional PET imaging without the need for capital expenditures, reduces patient time in the scanner and helps hospitals and imaging centers enhance their

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bottom line in today’s competitive health care environment. The company’s technology utilizes deep learning algorithms that integrate seamlessly with any OEM scanner and PACS system to enhance images during acquisition without any interruption or alteration in the imaging specialists’ workflow. SubtlePET delivers a significant improvement in the image quality of noisy images resulting from shorter scans, which is particularly beneficial for children and those undergoing repeat PET exams.

SubtlePET is the first product in Subtle Medical’s growing portfolio of new AI technologies to receive FDA clearance.

Subtle Medical is developing additional products to be submitted for FDA clearance. A second product currently undergoing clinical evaluation is SubtleMR, which allows imaging centers to significantly accelerate MRI scans using the company’s AI solutions. SubtleGAD is also being developed to reduce gadolinium dosage during imaging procedures. • For more information, visit www. subtlemedical.com

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news

SuperSonic Imagine Deploys PTC’s ThingWorx PTC has announced that SuperSonic Imagine has deployed PTC’s ThingWorx Industrial IoT Platform for the remote monitoring and service of its patient diagnostic devices.

Founded in 2005 and based in Aix-enProvence, France, SuperSonic Imagine manufactures the flagship Aixplorer series, innovative ultrasound platforms, which feature the exclusive UltraFast technology. UltraFast has given rise to new imaging modes, such as ShearWave Elastography (SWE), which allows users to view and measure tissue stiffness in real-time on a color map, setting the standards of care for non-invasive characterization of breast, liver and prostate diseases.

This past fall, SuperSonic Imagine unveiled the smart, connected Aixplorer MACH 30, its first product supported by ThingWorx. Using SuperSonic Imagine’s unique technology, the Aixplorer MACH 30 includes a new generation of Ultra-

Fast imaging, a technology that enables acquisition rates 200 times faster than conventional ultrasound systems with innovative modes to enhance diagnostic performance. Aixplorer MACH 30 also features a new concept in ultrasound, the revolutionary SonicPad, designed to enhance the user’s intuitive control of the functions needed during an examination, improving both user comfort and exam efficiency. ThingWorx will enable remote monitoring of the Aixplorer MACH 30 devices in the field to maximize uptime, increase the stability of the platform, and avoid patient care disruptions.

“ThingWorx will enable Supersonic Imagine to significantly improve machine reliability,” said Iain Michel, general manager, Smart Connected Products, PTC. “We look forward to supporting this innovative leader to achieve its goal of becoming the industry-standard supplier of diagnostic technology and improving the clinical and patient experience.” •

FDA Approves Planmed Verity Features The U.S. Food and Drug Administration (FDA) has issued an approval letter for the new features and intended uses of the Planmed Verity CBCT scanner. Planmed is pleased to bring these improvements to the U.S. market.

The FDA issued an approval letter for the new features and intended uses of the Planmed Verity orthopedic imaging solution on November 30, 2018.

The improved Planmed Verity now offers enhanced image quality as well as new options for head and neck imaging, the Planmeca Ultra Low Dose imaging protocol for lower patient doses, and Planmeca CALM algorithm for motion artifact correction The new enhancements include the iterative Planmeca CALM algorithm, which reduces artifacts caused by patient movement. The Planmeca CALM is especially useful in challenging weight-bearing examinations in which patients have a tendency to move. Meanwhile, the Planmeca Ultra Low Dose (ULD) imaging protocol enables reducing Planmed Verity’s already low effective patient doses even further – without compromising diagnostic image quality. •

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Varian-Equipped Emory Proton Therapy Center Opens At a December 6 ribbon-cutting ceremony in Atlanta, Georgia, the Varian-equipped Emory Proton Therapy Center officially opened. This five-treatment room facility features the Varian ProBeam proton therapy system. Four of the rooms include 360-degree rotational gantries offering image-guided intensity modulated proton therapy (IMPT), and the fifth room is dedicated to fixed beam treatments.

Varian’s ProBeam system offers fully-integrated IMPT to enable more efficient adaptive proton therapy. Varian’s pencil-beam scanning technology gives clinicians the ability to deliver the dose precisely within the contours of the tumor to minimize dose to healthy tissue.

“The opening of the Emory Proton Therapy Center brings a powerful new cancer treatment option to the citizens of Georgia and expands the resources for comprehensive cancer care within Winship Cancer Institute,” said Mark McDonald, MD, medical director of the Emory Proton Therapy Center. “We are thrilled to offer this leading-edge proton treatment technology in collaboration with Varian.”

“The opening of the Emory Proton Therapy Center is another important step in the growing global availability of advanced cancer treatment technologies like proton therapy,” said Kolleen Kennedy, chief growth officer and president, Proton Solutions at Varian. “We are grateful for the close partnership with Emory on the development of this center to expand the availability of this treatment technology in the southeast of the U.S., and we look forward to our combined efforts in the fight against cancer.” •

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WEBINAR WEDNESDAY Webinar Wednesday Completes Successful 2018 Campaign

T

he webinar “Best Practices For Deploying An IoMT Cybersecurity Strategy” shared valuable insights with HTM professionals who were eligible to receive 1 CE credit from the ACI for participation in the live presentation.

The 60-minute webinar featured CyberMDX CTO Motti Sorani. Attendees were taught the familiar crawl, walk, run mantra for managing any organizational or technological change fits well – allowing for a gradual progression of medical devices cybersecurity posture from building the assets inventory up to preventing cyber attacks. Sorani also discussed how the strategy, designed to minimize organizational burden, uses prioritization and incremental steps as success keys.

More than 200 people attended the live presentation and more have watched a recording online. The session received positive reviews as did the overall webinar series.

“The webinar was very informative and opened our eyes to many issues that could potentially affect our organization,” said J. Walker, supervisor of operations for clinical engineering.

“As security is past due to be an important issue in medical equipment, this was a very useful webinar for biomed and the future direction of the industry,” shared Senior Biomed R. Faut.

“Very interesting presentation, this opened my eyes to the trick that is out there and what we have to do to keep medical devices safe.

Loved the video showing how easy it is for a hacker to control a syringe pump,” said A. Unsworth, BMET. HTM Evolution Webinar Impresses Attendees The final Webinar Wednesday of 2018 fea16

ICEMAGAZINE | FEBRUARY 2019

tured a presentation sponsored by PartsSource. The webinar “An HTM Evolution: Merging, Managing and Standardizing Operations” was a popular presentation to close out 2018 with 231 attendees eligible to earn 1 CE credit from the ACI. The attendance for the live presentation mirrored the average attendance for webinars in 2018. The total number of attendees in 2018 was 6,304 for an average 225 attendees per session.

The webinar featured Doug Kirsop, system HTM director for OhioHealth. In the current health care environment, health systems are consolidating through mergers, which increases the number of acute and non-acute systems in their portfolio. OhioHealth has been very active in the mid-Ohio region, and Kirsop has been tasked with integrating new facilities and merging and onboarding HTM departments at those facilities. During the session, he provided his team’s operational plan to create a cohesive HTM consortium throughout the entire system.

Attendees were able to learn the mindset and leadership approach for a multi-site integration and how to apply key learnings for standardizing and optimizing HTM operations. They also discover where they should look for hidden costs and drag on their organization, and ideas on how to fix them.

Positive reviews flowed in via a post-webinar survey in which attendees shared what they liked about the presentation.

“Doug had some good points we could relate to. I am one to ‘pick the low-hanging fruit.’

I look at and repair things that are out of our scope of work just to keep the flow going in the OR. I’ve mounted, tightened and repaired my fair share of items maintenance should’ve taken care of. I bypass the help desk when the GI

Provation PC is down and call the PC support people directly because they can’t function without it,” said D. Felack, BMET. “I feel like Doug hit on all of the issues I deal with day to day. We are a two-person department with several off-site facilities that we maintain and we are adding two more in 2019 without increasing our staff,” Biomed Manager P. Jenkins said.

“Enjoyed today’s seminar. Host brought some valuable insight to the webinar. He mentioned things like accepting change, being prepared and attending meetings that you might not feel necessary. Those small things will often end up benefiting you in the future,” Clinical Engineering Manager P. Brown said.

The Webinar Wednesday series also received praise following the final presentation of 2018.

“The Webinar Wednesday series is a must for all leaders within HTM, as the unification and synergies created by these presentations will surely help the HTM field flourish. The presenters do a great job of providing a tour guide while orating the key decisions and subsequent actions they have embraced to help adapt and succeed in an ever-changing clinical equipment and healthcare technology management environment,” shared G. Joyner, systems clinical engineering manager.

“This continuing education support via webinars is fantastic. Thank you TechNation team,” said M. Moore, engineering technician.

“The Webinar Wednesday series is a beneficial resource for providing introductory information for a whole variety of topics and aspects of the HTM environment. There are subjects that will interest all players in the HTM community,” said T. Nirsche, performance improvement manager.

“It is difficult to choose a favorite event, ADVANCING THE IMAGING PROFESSIONAL

news however the information provided from each webinar is very valuable. I have shared Webinar Wednesday with seven CBET technicians and they are learning how valuable these events are. I always look forward to the next Wednesday event. I also have gone back to previous events that I found very helpful. I realize how much work and time it must take to get someone to put a webinar together. I have so much gratitude. Please keep the series going,” said Senior Biomedical Technician B. Hayes. ICE For information about Webinar Wednesday, including a calendar with upcoming webinars scheduled and recordings of previous sessions, visit WebinarWednesday.Live.

A special thank you to the companies that sponsored these recent webinars.

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news

PEOPLE ON THE MOVE

By Matt Skoufalos

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Varian will add Anat Ashkenazi, senior vice president, controller, and CFO at Lilly Research Labs, to its board of directors; she will serve on its audit and ethics and compliance committees. Ashkenazi’s career at Lilly has spanned 17 years; she holds an MBA from Tel Aviv University.

Accuray has promoted its interim CFO Shig Hamamatsu to senior vice president and CFO. Hamamatsu joined Accuray as its vice president of financing and chief accounting officer in September 2017, and was named interim CFO October 1, 2018.

He was previously vice president and corporate controller at Cepheid, vice president of finance and corporate controller at Cypress Semiconductor Corporation, and began his career at PricewaterhouseCoopers LLP.

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ViewRay of Cleveland, Ohio named Robert M. Fuchs its chief human resources officer. Fuchs was previously senior vice president and global human resources officer for Advanced Energy, and has been senior vice president and global human resources officer for Spectranetics.

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Donna Lynne has been named senior vice president and COO of the New York, New York-based Columbia University Irving Medical Center (CUIMC), and CEO of ColumbiaDoctors, effective January 15, 2019. Lynne is currently lieutenant governor and COO for the State of Colorado. She holds an MPA from George Washington University and a doctor of public health from Columbia University’s Mailman School of Public Health, where she has been an adjunct assistant professor of public health since 2005.

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Innovatus Imaging has promoted Tracy Schrecengost to vice president of radiography and managing director of European operations. Schrecengost spent two years in field service operations at Innovatus, in supply chain operations positions for Bayer Healthcare and for Medrad, acquired by Bayer in 2006.

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The Focused Ultrasound Foundation has added Syaru Shirley Lin to its board of directors. Lin was previously a partner at Goldman Sachs, and currently serves on the boards of Goldman Sachs Asia Bank, Langham Hospitality Investments and Mercuries Life Insurance. She is on the Hong Kong Committee for Pacific Economic Cooperation, and is an advisor to Crestview Partners.

Hill-Rom Holdings has named Barbara W. Bodem its senior vice president and CFO. Bodem joins Hill-Rom from Mallinckrodt, where she was senior vice president of finance; she succeeds Steven J. Strobel, who will retire. Senior Vice President of Corporate Development And Strategy and Chief Transformation Officer Andreas Frank has been appointed senior vice president and president of the Hill-Rom Front Line Care business, which includes Welch Allyn, Vision Care and Respiratory Care. Vice President of Investor Relations Mary Kay Ladone has been named senior vice president of corporate development, strategy and investor Relations.

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In its acquisition of imaging equipment parts company Prime Medical Imaging Solutions, HealthMed360, LLC of Huntley, Illinois will add Prime Medical co-founders Andrew Slone and Roy Ponce. Slone will be HealthMed’s director of strategic accounts. Ponce will serve as technical parts specialist.

Prime Medical operations and inventory will be relocated to the HealthMed360 corporate office in Huntley.

9 Kaiser Permanente School of Medicine (KPSM) announced 11 members of its inaugural senior leadership team. It includes founding Dean and CEO •M ark Schuster, formerly the William Berenberg Professor of Pediatrics at Harvard Medical School and chief of general pediatrics and vice-chair for health policy in the department of medicine at Boston Children’s Hospital.

•J osé M. Barral will chair the KPSM department of foundational science.

•P aul Chung will chair the KPSM department of health systems science.

•M aureen T. Connelly will be KPSM senior associate dean for academic and community affairs.

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•W alter D. Conwell will be KPSM associate dean for equity, inclusion and diversity.

•A nne Eacker will be KPSM senior associate dean for student affairs.

•W alter Harris will be KPSM senior vice president for administration and finance.

•A bbas Hyderi will be KPSM senior associate dean for medical education.

•M ichael Kanter will be KPSM chair of the department of clinical science.

•C arla Lupi will be KPSM associate dean for assessment and evaluation.

•E lizabeth McGlynn will be KPSM interim senior associate dean for research and scholarship.

•L india Willies-Jacobo will be KPSM associate dean for admissions.

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Broward Health of Fort Lauderdale, Florida has named Gino Santorio president/CEO of Broward Health.

Santorio has an MPA from the University of Albany in New York.

Broward Health also welcomed new commissioner Marie Waugh, chief human resources officer for APTIM.

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Community Health Systems Inc. of Franklin, Tennessee added Elizabeth T. Hirsch to fill an expiring term on its board of directors. Hirsch had been vice president and controller at Praxair Inc. from 2010 until her retirement in August 2016.

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Children’s Hospital Colorado of Colorado Springs, Colorado named Margaret Sabin regional president for Children’s Colorado’s Southern Region. Sabin was most recently president and CEO of Penrose-St Francis Health Services in Colorado Springs. Greg Raymond will become regional COO for the Children’s Colorado southern region. Mike DiStefano will be its regional Chief Medical Officer (CMO). Associate CMO for Children’s Colorado Bill Hardin will retire. Pam Johnson-Carlson will become the regional chief nursing officer for the Children’s Colorado Southern Region.

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Women’s Care Florida of Tampa, Florida has named Helen M. Kuroki its chief medical officer (CMO), succeeding the retiring Donald Wilson. Kuroki was most recently CMO at Catholic Health Initiatives Memorial Healthcare System in Chattanooga, Tennessee.

Find weekly

www.SodexoCTM.com Sodexo is an EEO/AA/Minority/Female/Disability/ Veteran employer.

installments at theicecommunity.com WWW.THEICECOMMUNITY.COM

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people

By K. Richard Douglas

PROFESSIONAL SPOTLIGHT Marty Davis: Work Life Balance; getting both right

A

ccording to a colleague, Marty Davis, imaging engineer II, “quickly advanced from a biomed to an imaging engineer. He takes care of several modalities within the organization. He has a good working relationship with the staff, vendors and his colleagues.”

That’s high praise for Davis, who works in the biomedical engineering department for Firsthealth of the Carolinas in Pinehurst, North Carolina.

Davis first learned about his future career position thanks to his wife.

“I have always enjoyed taking things apart to see how they work. I was late coming to this profession, but I seem to have found my place. My wife told me about the profession when she was a respiratory therapist. So, I looked into it and felt it was something I wanted to try. Every day brings new challenges to test my repair skills. If you enjoy a challenge, and something different daily, biomed/imaging gives it to you,” he says.

Davis’ initial education was meant to pursue a career in management. He earned a bachelor’s degree from Wingate University in management. In order to get trained for his chosen career, he then had to attend Stanley Community College.

“This was to learn electronics and about medical equipment. This is a base start, and once in the field, you attend modality 20

ICEMAGAZINE | FEBRUARY 2019

-MARTY DAVIS

up the biomed duties at his hospital.

“I never really had a set position, but for 12 years I worked as the only biomed at our 120-bed hospital before switching fully to imaging. So basically, I have always just been a regular guy that wants to stay under the radar and take care of my customers,” he says.

Imaging looked like the next step after getting a dozen years of experience with medical equipment.

“I had always done first look when I was the only biomed in our smaller hospital.

So, I had some hands-on experience. After 12 years of biomed, imaging offered a new challenge. Once a position opened, I jumped at the chance. It was a way to enhance my knowledge level,” Davis says.

specific schools. I have been to several for biomed and now in imaging,” Davis says.

Some of that manufacturer training included GE P500, XR220, vascular, bone density, Philips Digital Diagnost and Toshiba/Cannon Vascular.

“These are just some of the classes, but I am not limited to this equipment. I have also attended GE CT basic where we used the new interactive computer screen training. I have been to training on all GE ultrasounds,” Davis adds.

Before moving into imaging, Davis held

PMs to Installs; doing it right While maintenance is generally on the agenda, Davis has been called to assist with projects as well. His expertise also helps when new equipment is installed.

“I take care of the day-to-day repairs and PM of our imaging equipment. Projects would be helping to set up the new cath lab, rad/fluoro rooms; install and managing the install from a technician side. We have four hospitals in our system and multiple clinics,” Davis says.

He says that the installs take some planning and a lot of patience.

“Every day brings new challenges to test my repair skills. If you enjoy a challenge, and something different daily, biomed/imaging gives it to you”

ADVANCING THE IMAGING PROFESSIONAL

people Favorite part of being an imaging professional?

“Finishing a repair and being able to give it back to the techs. The relationships you build with your customers is priceless.”

“The first thing to be done is decide on a manufacturer. Then, we look at the existing room to determine if any changes to the overhead rails need to be done. I always enjoy the part of planning and reading the blueprints for the new room. It’s amazing at the detail put into the blueprints for a room,” Davis adds.

He says that if you work on these rooms it’s always a great idea to be involved in the new install.

“This way, I know where my cables are installed for future problems. Once the install starts, it’s like building a house. You need to be there every day for any questions the installers might have,” Davis says.

“The electricians will always have some questions about where to add conduit or outlets. The installs can take some time to complete and you need to always be on top of any decisions to be made. That’s the part I hate about installs, because my decisions can make or break the project,” Davis concedes.

He says that it makes sense that they ask the imaging guys since they work on the equipment.

“These people are experts in electrical, but we are supposed to be the experts on our equipment. Once the install is complete, the manufacturer will test and calibrate. Next comes the best part of the install; seeing the completed room up and working,” Davis says.

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When not helping with installs or conducting PMs, Davis enjoys riding bikes with my buddies.

“Road biking is a lot of fun, but you have to be vigilant of traffic and dogs. It’s great to get home from work and just climb on my bike for about 20 miles. Great way to relax and wind down,” he says.

He also enjoys golf, fishing; both fresh and saltwater. “Water skiing, which I grew up doing at my parent’s lake house,” he adds.

He even enjoys mowing the lawn. “Yes, I love to mow my grass; love the way it looks when mowed.”

Davis is a husband and father who enjoys his time away from work. He has been married for 21 years and has two daughters.

“Family comes first; work does not control my life. Life is too short; a job is a means to get what you need to live, and yes, you should always do your best at it.

But I will not let it consume me to the point I neglect my family. I am a Christian that enjoys my church family and someone who should do more volunteer work,” he says.

Davis has found the perfect balance, and on the job, he works hard to do his best.

That is how you keep customers happy; keep their equipment running and making certain it gets installed correctly.

Marty Davis has worked to support his employer’s staff, vendors and his colleagues for many years. ICE

GET TO KNOW THE PRO Favorite book Bible and “For One More Day”

by Mitch Albom Favorite movie Star Wars Favorite food Fried Chicken Hidden talent "Jewelry repair; I did this during college and I really enjoy the intricate work."

What’s on my bench?

"The book “Don’t Sweat the Small Stuff,” computer, I do usually have a candy bar hidden in my drawer just as a pick me up for late afternoons. I do have a special screwdriver that the other guys know is special. Not really anything special, just an old Dottie screwdriver. But they act like its gold and don’t touch that one. But my bench is usually covered with too many notes I make. Kind of a messy place to some, but for me, its organized chaos."

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people

By K. Richard Douglas

DEPARTMENT SPOTLIGHT Christiana Care Health System Imaging Service Team

I

n 1985, a new hospital opened its doors near Christiana, Delaware.

The hospital adopted the name of the nearby town. The facility grew and today the name represents an entire health system. Christiana Care Health System services the health care needs of the surrounding community.

“Headquartered in Delaware, Christiana Care’s clinical engineering team is comprised of 33 members. Our clinical engineers are tasked with managing all of the medical devices used at Christiana Care’s two hospitals – Christiana Hospital in Newark, Delaware and Wilmington Hospital in Wilmington, Delaware – as well as the freestanding Middletown Emergency Department,” says Mike Powers, clinical engineering supervisor at Christiana Care.

He says that the department also manages all the medical devices used at eight imaging clinics, two surgery centers and satellite locations.

Nine members of the team are dedicated to imaging service. The team supports equipment at 13 facilities. In addition, they support over 200 mobile systems.

“My team of imaging service technicians service every type of ultrasound, blood bank irradiator, cardiac cath/interventional lab, general X-ray, fluoroscopic table, mobile C-arm, mini mobile C-arm, portable X-ray, mammography unit, tomosynthesis unit, image guided breast biopsy unit, bone density (DEXA), nuclear camera, 22

ICEMAGAZINE | FEBRUARY 2019

SPECT camera, PET-CT, dentral CT, portable CT, and regular CT, MRI scanner and linear accelerator,” Powers says.

Powers says that the entire CE department is integrated.

“While my team is routinely busy repairing units throughout our health system, they will pitch in and help out the other teams when opportunities for collaboration arise,” he says.

The imaging equipment inventory includes 26 CT, six linacs, 15 MRI, 15 IR/ cardiac cath, two Pet CT, five DEXA, 12 mammo, 20 general rad rooms, six fluoro tables, as well as many mobile X-rays C-arms and ultrasounds.

The only equipment the imaging team does not service are the process chillers attached to the larger imaging units or one of the radiation therapy devices.

The imaging professionals stay current with training through the evaluation of continuing education based on how much value it yields to the organization.

“For some team members, we send them to the original equipment manufacturer (OEM) or third-party trainers, and fill in the blanks with on-the-job training,” Powers says.

“We also have a training moment – maybe five to 15 minutes – at monthly imaging service team meetings for the person who just returned from training to share what they’ve learned. In our journey to excellence, we subscribe to the maxim that ‘It

is best to see one, then do one, then teach one,’ to ensure that we fully maximize our trainings,” he adds.

The team also provides its input into the purchasing and planning process.

“Christiana Care evaluates the need for a device and then brings together a collection of stakeholders who collaborate on which unit best meets our health system’s needs,” Powers says.

“This approach enables us to create services that are cost effective and valued by our patients. We frequently consult with our design department on the feasibility of construction designs, and, in determining equipment needs, we act as a liaison for both the end user and the suite designer,” he says.

He says that the department partners with their colleagues in the finance department to ensure that the contracts for equipment service add value for Christiana Care.

With regards to sourcing parts, Powers says that “to an extent, my exceptional staff of imaging service team technicians are empowered to use their judgement to source parts to add value to Christiana Care.”

Handling Big Projects In addition to repairs and maintenance, the team also tackles special projects and has been involved in several.

Powers says that one involved collaborating with information technology and changing Internet Protocol (IP) addresses and migrating the entirety of the imaging ADVANCING THE IMAGING PROFESSIONAL

people

CAPTION units to their own subnet. They also handled the installation and testing of four linear accelerators in three years.

“The removal and replacement of six cardiac cath labs and the removal, replacement and upgrading of 12 two-dimensional mammography units, to 3D tomosynthesis units as well as the installation and integration of a new patient monitoring system with our labs within Christiana Care’s Center for Heart & Vascular Health,” Powers says, describing other projects.

Problem solving is another capability of the team. It has taken on some big assignments with colleagues.“We partnered with other caregivers at Christiana Care to transition the health system to a systemwide electrocardiogram (ECG) system,” Powers says.

“The changes made to the ECG workflow in the emergency departments, acute care setting and outpatient services removed unnecessary variations in the ordering, performance, interpretation and immediate access to ECGs. ECGs are immediately available in the patient electronic health record,” he explains.

Powers says that the order-based WWW.THEICECOMMUNITY.COM

system workflow has improved overall ECG volume capture by 6.6 percent, and achieved a 99 percent order-to-completion rate. The initial start-up ECG order to completion goal was 95 percent.

“Our clinical engineers are curious and continuously looking for ways to innovate.

To that end, we created an image quality assurance program so we could move beyond just inventorying all of our 500-plus ultrasound probes to also performing baseline testing and trend analysis on the image produced,” Powers says.

He says that this process identifies when a probe that has been sent out for repairs has come back and is in good working order.

“This process also identifies whether the probe was repaired correctly. By implementing this process, we ensure that our probes work properly over time. We carried out this process in conjunction with a Transesophageal Echocardiography (TEE) probe care program,” he adds.

The path to entering the imaging service specialization has been strategically developed by the department.

“We have developed a 10-month apprentice program to train employees in the biomed field who have the potential to become imaging service technicians. This apprenticeship has helped us address shortages in the workforce,” Powers explains.

Beyond the team’s work at its facilities, it is a member organization of IAMERS and is seeking ISO certification.

“We are on the CBET and CHTM and CRES testing committees with the Association for the Advancement of Medical Instrumentation (AAMI),” Powers says.

While Christiana Care is one of the country’s most dynamic health systems, centered on improving health outcomes, its imaging service technicians reflect that commitment every day they arrive on the job. ICE ICEMAGAZINE

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WE ARE DEDICATED TO

EMPOWERING THE ENGINEER At Tri-Imaging Solutions, we strive to live up to our name and be a Solution for our Customers and ultimately, helping to Empower the EngineerTM

WHAT WE DO

Tri-Imaging Solutions is a replacement parts, equipment, service support, and technical training company. We provide quality tested imaging parts, buy-sell-move equipment, and provide technical support. All replacement parts come with a 180-day warranty. Available 24/7/365

PARTS

Tri-Imaging’s goal is to carry the replacement parts inventory critical to supporting the imaging service engineer. We appreciate your business and support during this exciting time of strategic investment and growth.

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At Tri-Imaging, we have the equipment and connections to help you with all types of purchases, sales, installations and/or de-installations. We have experience with most all modalities, including CT, Digital Labs, R&F and Digital Mammography.

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products

PRODUCT SPOTLIGHT Bright Forecast for CT Market

A

recent report on the computed tomography market by ResearchAndMarkets.com predicts the global computed tomography (CT) market to grow with a CAGR of 5.2 percent over the forecast period of 2018-2024.

The study referenced in the report covers the analysis of the leading geographies such as North America, Europe, Asia-Pacific and RoW for the period of 2016 to 2024.

North America dominates the world market and is anticipated to grow at the highest CAGR over the forecast period.

In terms of revenue, the global CT scanners market is estimated to be at $6.4 billion by 2022, according to Transparency Market Research. The growth of the global CT scanners market is projected to increase at a CAGR of 5.9 percent during the forecast period of 2017 to 2022. This growth is attributable to gaining traction from a number of factors such as increasing preference of the patients for minimally invasive diagnostic procedures, recent product improvements including the advent of portable CT scanners, improve health care infrastructure in various emerging economies, and rising geriatric population.

“The health care industry has witnessing prosperous and substantially dependent on product innovation. The growth factor of CT scanners market is similar to the health care industry, which consist incredible potential for development and revenue generation for key players globally, especially for those WWW.THEICECOMMUNITY.COM

vendors who can stay in-sync with the latest technologies. These advancement are driving growth of the global CT scanners market,” according to a press release.

“CT scan is a mature imaging technique that has witnessed substantial modifications and improvements over the past few years. Technological advancements have reduced the dose of radiation without hampering the quality of image. Such technological advancements coupled with the procedural benefits of CT scan over other imaging modalities such as MRI and X-ray are boosting adoption of CT scanners across numerous applications, which in turn is driving growth of the global CT scanners market,” the press release adds.

The global computed tomography market is driven by factors including an increase in cardiovascular diseases, orthopedic disorders and cancer, according to Future Market Insights. An increasing global geriatric population, technological advances and growing public awareness regarding health care are also factors driving the market.

“The global computed tomography market is expected to register a double digit Compound Annual Growth Rate (CAGR) for the forecast period,” according to Future Market Insights.

ReportsnReports.com also predicts growth.

The computed tomography systems market had revenues of $4.3 billion in 2016 across 39 major markets, ReportsnReports.com states.

By the end of the forecast period in 2023, the global CT systems market will exceed $12 billion, with a CAGR of 18.2 percent, according to ReportsnReports.com.

Global Market Insights echoes the call for growth in the CT market.

“CT scanner market size was valued over $4.7 billion in 2016 and is expected to witness more than 5 percent CAGR from 2017 to 2024,” Global Market Insights reports.

“Increasing prevalence of chronic diseases across the globe will serve to be a high impact rendering factor for CT scanner market growth. Chronic diseases such as cardiovascular diseases and cancer are difficult to manage and cause a significant cost burden on the health care sector. Key to better management of these diseases is accurate diagnosis of conditions in early stages. As CT scanner allows the early and accurate diagnosis of several chronic diseases, its demand is forecasted to increase with the rising prevalence of chronic diseases,” according to Global Market Insights.

“CT scan is a long-established imaging technique that has witnessed ample modifications and improvements over the past few decades,” Global Market Insights adds.

“Technological advancements have reduced the dose of radiation without hampering the quality of image. Such technological advancements coupled with the procedural benefits of CT scan over other imaging modalities, such as MRI and X-ray, will stimulate its demand over forthcoming years.” ICE ICEMAGAZINE

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products

Canon Medical Systems USA Inc. Aquilion Precision Canon Medical Systems USA Inc.’s FDA-cleared Aquilion Precision is the world’s first Ultra-High Resolution CT system (UHR CT). The system can resolve anatomy as small as 150 microns and is designed to provide more than twice the resolution, typically seen only in cath labs. Containing an all-new detector as well as tube, gantry and reconstruction technologies, the system may make it possible to help expand visualization of disease thanks to new features that offer improved image detail. The system features the industry’s smallest Focal Spot Tube at 0.4 mm x 0.5 mm and the industry’s first routine 1024 x 1024 Reconstruction Matrix. •

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ADVANCING THE IMAGING PROFESSIONAL

products

FUJIFILM Medical Systems USA Inc. FCT Embrace The FCT Embrace, powered by Analogic, is the world’s first 85 cm wide bore computed tomography (CT) imaging unit with 64 or 128 slice configurations. Optimized for oncology and radiology applications, the FCT Embrace, combined with other market-leading oncology solutions, offers enhanced and efficient CT simulation with radiotherapy treatment planning capabilities. The FCT Embrace provides exceptional imaging capabilities on an easy-to-use, standardized platform for radiology and oncology. Designed to improve accuracy throughout the entire oncology care cycle, the 85 cm bore optimally matches the rotational arc of the linear accelerator – offering easy and precise positioning options for simulation and treatment planning. •

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ICEMAGAZINE

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products

GE Healthcare Revolution Apex Revolution Apex represents the next generation of intelligent CT scanners in the GE Revolution family. Offering a powerful new image chain, Revolution Apex introduces GE Healthcare’s new Quantix 160 X-ray tube and Deep Learning Imaging Reconstruction* Edison application to generate TrueFidelity images with outstanding spatial resolution, low contrast detectability and natural-looking texture to improve radiologists’ confidence in diagnosing a wide range of clinical cases. As a result, Revolution Apex delivers a powerful platform, whole organ coverage and breakthrough image quality to ensure the highest quality clinical solutions, even for patients with high heart rates, high BMI, compromised renal function and much more. • * 510(k) pending at FDA. Not available for sale in the United States. Not yet CE marked. Not available for sale in all regions.

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ICEMAGAZINE | FEBRUARY 2019

ADVANCING THE IMAGING PROFESSIONAL

products

Philips IQon Elite Spectral CT The latest configuration of the world’s first spectral detector-based CT scanner, Philips IQon Elite, advances the capabilities of its predecessor through a series of benefits that support the needs of emergency, trauma and oncology care. Improved visualization and faster reconstruction speeds help enhance diagnostic certainty while enabling health care facilities to expand patient volumes. An all-new radiation therapy planning couch and bariatric table top allow for greater positioning controls while scanning larger patients, providing greater clinical breadth. Available globally, IQon Elite is the first and only spectral solution providing layers of spectral data, without compromise, to deliver confident decision making. •

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products

Siemens Healthineers SOMATOM Edge Plus CT System The SOMATOM Edge Plus computed tomography (CT) system from Siemens Healthineers features the FAST (Fully Assisting Scanner Technologies) Integrated Workflow with the FAST 3D Camera – the first patient positioning system powered by artificial intelligence. Additionally, the new scanner allows for automated scan preparation, improved diagnostic confidence, and customized patient dose, making it ideal for high-volume practices and emergency imaging environments. • For more information, visit www.usa.siemens.com/somatom-edge-plus.

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ICEMAGAZINE | FEBRUARY 2019

ADVANCING THE IMAGING PROFESSIONAL

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products

TOOLS OF THE TRADE Rigel Medical SafeTest 99

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igel Medical offers one of its latest electrical safety analyzer in the USA, which is ideal for the testing of medical and laboratory equipment. The SafeTest 99 offers accurate, high-current, low-energy ground continuity testing to provide users with fast and precise readings, with tests carried out in accordance with NFPA 99 guidelines. Correct results are always achieved due to an automatic warning of secondary ground paths, eliminating the opportunity for invalid readings. The SafeTest 99 is compact, portable and easy to use, with an intuitive layout and a fast selection of test routines. Testing is simple and quick to do, while full manual control allows the user to select specific required tests. The device performs electrical safety tests including point-to-point testing, load current measurement, ground leakage, chassis (also known as touch) leakage, patient lead leakage and ground continuity. ICE

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ADVANCING THE IMAGING PROFESSIONAL

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Certification Is certification

right for you?

W R I T T E N B Y:

Matt Skoufalos

I

n the early 1980s, just a few years after David Weaver graduated from his Indiana high school, its electronics program was cut due to a lack of funding. A similar story has been told in many rural communities since, he said. Eventually, districts banded together to establish regional vocational schools for the provision of technical education, but by then, Weaver had already begun a career in logistics, followed by a stint in insurance. Nonetheless, he still held out hope of working in education (and electronics), and eventually returned to the field, joining the research and test development department at ETA International (the Electronics Technicians Association) of Greencastle, Indiana.

ETA was founded in 1978 as a nonprofit association of electronics technicians who gathered in the absence of more formally organized programs to troubleshoot one another’s technical concerns. Weaver describes them as “the radio guys, the TV guys; guys just getting out of the service, guys looking for jobs as college professors” who sought to advance their careers and those of their peers.

“Once we started getting together, we would answer one another’s problems,” he said. “We thought, ‘Why don’t we take our knowledge and try to put together a certification program?’ It’s been growing and growing ever since.”

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Today, the agency provides more than 80 accredited, vendor-neutral certification programs in tech fields like fiber optics, communications, electronics, biomedical engineering, smart homes, and renewable energy, but its mission remains the same: to represent and support the technical professional in his or her chosen field of specialization.

ETA International doesn’t provide any education itself; rather, it’s accredited by the International Certification Accreditation Council (ICAC) to certify the training that those technical professionals complete. Weaver sees his role as supporting technicians while they get their feet underneath them in a field

that often presents younger workers with a chicken-and-egg problem: how to get their first jobs in an resume-driven career.

“For a technician, there’s two sides of that coin: the education side, and the experience,” he said. “If you don’t have the experience, you can earn the certification. You get that training that you need.”

To Weaver, certificate programs are equally valuable to any professional looking to enter a technical field, regardless of their formal education status.

“If you’ve got a guy with a diploma and a guy with a diploma and a certification, you’re going to hire the second guy,” he said. “That’s ICEMAGAZINE

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Certification

Is certification right for you?

starting to become the norm: you see techs bypassing colleges, going straight to certification programs, jumping into the workforce.”

While a lot of companies want to train their new hires in their specific company’s practices, especially in the imaging service and biomedical space, certification programs offer a way for employers to know that their employees have had some hands-on experience, or at least some level of formal knowledge about the fundamental concepts in the field. He described biomedical technicians as working with “at least a journeyman’s level of experience” – a basic understanding of electronics and safety concerns, at minimum – principally because that’s required when working on patient safety equipment.

“We make sure you guys get hired, and can do the job and keep up,” Weaver said.

“We try to use subject-matter experts, guys in the field who’ve gone through that knowledge. We try to be vendor-neutral; we don’t use proprietary information. We want to get you a certification just to get you in the door so you can be certified by companies to work on their equipment.”

In the past, the only pathways for many individuals who showed promise in the early stages of their careers would be to proceed to a college degree program for electrical engineering. Others would hone their chops in branches of the U.S. Armed Services, particularly the Navy or the Air Force. Many biomeds still enter the field via those channels, Weaver said, but with alternative accredited certificate programs, there are a broader variety of ways for prospective technicians to gain relevant qualifications.

“Today, in New Jersey, Texas, Florida, North Carolina, you see a lot of high schools trying to get into the electronics game,” Weaver said. “A lot of the community colleges

can’t hold onto their students because the business community comes headhunting.

Then, a lot of times [technicians] are doing so well they don’t finish that college degree unless they really want to get after it.”

For Nate Smith, vice president of sales and co-owner of Elite Biomedical Solutions, the more training a biomed has, “the better they can get; the more they can grow.”

One area of growth for biomeds and HTM professionals includes making a move to specialize in imaging service.

Smith said the bare minimum requirements for technicians at his company include a CBET certificate; from there, depending on what devices employees will be assigned to service, Elite Biomedical will pay for them to receive supplemental training at original equipment manufacturer (OEM) schools.

“I think it’s worth the investment to continue to educate your employees through OEM schooling and training,” Smith said. “We put every resource behind that to make sure our techs are trained to OEM standard, outside of the cross-training that they’ll get with our other employees. We’d go into the highest accreditation that there is for the piece of equipment that we’re fixing.”

Back-end, third-party support provision is a secondary line of business for Elite Biomedical, but Smith said the company seeks to differentiate itself among its competitors by certifying that its service professionals possess certifications in their areas of expertise. Although he estimates that only half his clients ask whether the staff are educated to such a level, Smith believes it’s important to employ trained professionals.

“If you don’t have it, it will ultimately show up in your work if a customer gets equipment back that’s not working properly,” he said. “I wish more [clients] would ask for those certifications, because I think it would help differentiate us from our competitors.”

A degree certainly helps, but a certification Greg Johnson, co-owner of Southeastern Biomedis a way to make a biomedical person ical, said that without some stand out. If two individuals are applying proof of aptitude in the field – whether from a colfor the same job and they have similar lege, military school or cercredentials, and I’m sitting on a fencepost, tificate program – he won’t that would be the decision factor for me.” hire a service professional.

Without the benefit of a Greg Johnson

global licensing program, such as those physicians and nurses complete, “we need some type of method to determine whether people are qualified or not,” he said.

“A degree certainly helps, but a certification is a way to make a biomedical person stand out,” Johnson said. “If two individuals are applying for the same job and they have similar credentials, and I’m sitting on a fencepost, that would be the decision factor for me.”

Johnson himself has been a certified biomedical equipment technician (CBET) since 1986, which he earned through the North Carolina Biomedical Association. While many state biomedical associations help technicians to get their CBET certificates by offering study courses, coaching, and other forms of support, there are no requirements to become certified in the field other than those stipulated by your employer. In the absence of such a mandate, Southeastern Biomedical has obtained a pair of ISO certifications – ISO-9001 and ISO-17025 – for its equipment servicing processes. Johnson believes that upholding those standards reflects his company’s commitment to continuous improvement. Unlike Smith’s experience, Johnson said “a lot of our industry [and] our customers are requesting this.”

“We do a quality operation, and we want to adhere to those standards,” he said. “Quite honestly, it’s drilling down to the individuals now. I want my staff to be certified. It shows that you care about the industry, you care about the job you’re doing, and you’re taking that next step.”

“The ISO process has forced us and our company to be better and stronger,” Johnson said. “We’re still going to make mistakes, but it really forces you to have better processes. It’s something that, once you start doing it, you can’t stop.”

At some point in the not-too-distant future, however, such process improvement mechanisms may shift from being voluntary to being required by federal statute.

Stephen Grimes, principal consultant at the Swampscott, Massachusetts-based Strategic Healthcare Technology Associates, thinks that day will come sooner rather than later.

In 2018, OEMs lobbied the U.S. Food and Drug Administration(FDA) hard for reg-

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It’s going to require continuous education, continuous on the job training, and getting new skills.” stephen grimes ulatory action that would require all third-party medical equipment refurbishers, repairers, and servicers to adhere to standard guidelines defined by the manufacturers of that equipment. The FDA didn’t bite, indicating instead by its comments that it “would like very much to see the industry solve it itself,” Grimes said, adding that, regardless of the agency’s position, “the manufacturers are not going to stop” pushing for it.

“The bottom line is, for a variety of reasons, we do need to develop a quality management standard that’s appropriate for this industry,” he said.

“We do need to ensure that the people doing this work are able to demonstrate and document their credentials. I just want it to be a solution of our making, and not a solution of manufacturers or legislators who may have a different agenda.”

Grimes chairs the Healthcare Technology Certification Commission (HTCC) which certifies clinical engineers, and sits on the board of the AAMI Credentialing Institute (ACI), which offers certifications in biomedical, laboratory, and radiology equipment, sterilization, quality management, and healthcare technology management. He believes that the sooner imaging service and clinical engineering professionals and the companies that employ them progress toward credentialing, the better for the industry.

“Technology today is certainly not the technology of 40 years ago, of 20 years ago; not even that of 10 years ago,” he said. “What that means is that the people that have to support the technology similarly have to change. How do we ensure that these professionals – engineers, technicians, technology managers – are adequately prepared to support today’s technology and the equipment that’s coming up in the next few years?”

Grimes believes the industry must approach the problem from a systems standpoint, developing credentialing programs that create an appropriately skilled workforce, and support the evolution of their talents as the jobs they perform likewise evolve.

“It’s going to require continuous education, continuous on the job training, and getting new skills,” Grimes said. “It’s also likely that we will introduce WWW.THEICECOMMUNITY.COM

additional levels of certification that requires the person to demonstrate that additional competency,” such as the continuing education credits requirements of other health care professionals.

In the future, Grimes believes the evolution of that education could incorporate certifications in things like clinical systems engineering, cybersecurity, artificial intelligence, robotics or 3D imaging and printing. At some point, he said, credentialing agencies will make the determinations, based on industry surveys and other factors, as to which job classes and responsibilities will necessitate specialization.

“We need more appropriately qualified engineers and technicians to do the job,” Grimes said.

“Many are still being trained in an old mode of thinking. One of the challenges we have is to work with the institutions to ensure that they’re appropriately training both the technicians and the engineers for what the need is. Too often they’re training people for yesterday’s technology.”

Whether a hospital customer asks for workers’ credentials or not prior to service being performed on its equipment, Grimes points out that the Center for Medicare and Medicaid Services requires that equipment be maintained by qualified staff. It is therefore the responsibility of the hospital contracting for the work to make sure that it’s being handled by qualified personnel.

“I suspect more often than not no one’s bothering to do that, and technically, they’re not complying with the regs,” he said. “There’s some things that are going on that will probably be forcing a change.”

Grimes also believes that any approach to the standard begin with small steps. Generating buyin from the imaging service and biomed community and incorporating its feedback will help groups like HTCC and ACI to develop more robust certification guidelines over time.

“But don’t make it so onerous that only the largest organizations will sign up,” Grimes said.

“Give them a roadmap, a path that’s not impossible, and you can place additional demands in the future as necessary.”

He envisions a modestly priced certification exam that young imaging biomedical professionals could take after completing their schooling, and which increases incrementally in costs and work to advance, level by level.

“Get people to start in a modest way, and as time goes on, you can ask more of them,” Grimes said. “Get them on a road going in a particular direction. Once one is on the path, they’re more likely to stay there.” ICE

article contributers

Stephen Grimes Strategic Healthcare Technology Associates

David Weaver ETA International

Nate Smith Elite Biomedical Solutions

Greg Johnson Southeastern Biomedical

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insight

CAREER CENTER The Art of Networking

A

head of this month's ICE Conference in Florida, I wanted wanted to share some networking tips to empower you to make the most of your time and investment there.

Have concrete goals in mind.

You can’t talk to everyone at a conference, so it’s a good idea to go in knowing what you want to get out of it. So, it is a good idea to set some realistic goals.

Your goals will influence which sessions you attend and which people you seek to meet. Instead of just going with the flow, plan out your time so you’re working toward achieving your goals.

Remember that you’ll be more successful if you’re open to other people’s pitches instead of just trying to push your own agenda on people. Getting to know people is a good goal since it leads to long-term relationships that just don’t happen if you’re tossing out as many business cards as possible without taking time to have real conversations.

Research the attendees.

It’s important to know who your fellow attendees will be and their specializations, business or expertise. In particular, look up the people who will be presenting or exhibiting at the conference. They are the influencers who can help you get better connected to the industry, or who may even be able to share ideas with you or talk through projects you’re working on.

Take the time to visit their LinkedIn page to learn about them. If you’re aim38

ICEMAGAZINE | FEBRUARY 2019

ing to network with someone working for a company, research the company’s background, including its history, mission, achievements and principle staff.

Consider emailing people you want to meet.

Introduce yourself to key people and let them know that you look forward to hearing their talks or meeting them in person. They will, most likely, email you back and thank you. Now, you’ll have a bit of history to fall back on when you see them at the conference.

Dress for the occasion.

At conferences, business attire is the norm even if this industry tends to be more casual. In any case, aim to look polished and stylish so you make a good first impression on people.

Bring business cards.

Passing out business cards is an effective way to give out your contact information.

You should also plan to carry a business card binder so you can keep track of other people’s cards. There’s nothing worse than having a great conversation with someone only to realize you lost their card and don’t remember their name.

Create a schedule.

Figure out which presentations and other conference events you want to attend.

Set appointments with people you know you want to meet. Everyone will have a busy schedule, but you could coordinate

Written by Jenifer Brown Health Tech Talent Management

a coffee break or breakfast meeting with people you definitely want to have a conversation with.

Plan to take advantage of parties and cocktail hours instead of going back to your room.

This is when people relax and the conversation is less stiff.

Introduce yourself to people effectively.

No matter who you’re talking to, whether it’s the person sitting next to you at a seminar or someone with whom you’re riding the elevator, be friendly and introduce yourself. When first introducing yourself, limit your introduction to stating your name, who you work for and a bit about your background. Presenters and others associated with the conference may be time-limited at that particular moment.

Practice what you’re going to say at home to make sure to include all pertinent information. However, try not to sound rehearsed when you give your “spiel”.

Ask people meaningful questions and hear them out.

A good networker is a good listener.

When you’re talking to someone, focus on that person’s answers to your questions. Limit your own talking and encourage the other person to talk. Don’t jump to conclusions about what he or she will say next and try to fill it in.

Maintain eye contact, nod and unfold your arms.

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Enjoy talking to the other person. Remember that networking is a wonderful opportunity to get to know people, so make the most of it by enjoying it as well as trying to connect.

Be receptive to others. Plan to accept as many business cards as you give out.

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Talk to presenters.

Go to the talks of those presenters you want to meet (especially if you emailed them prior expressing interest in doing so). Arrive early and sit in the front row so that you’re in a good position to reach them after the talk. Listen attentively so that you can raise particular points with them afterward during your discussion.

When the presentation has concluded, introduce yourself, compliment them on the presentation and ask relevant questions.

Bear in mind that you might be able to arrange to see the person later during the conference if they’re not free after their talk. Give them your business card and make a time to catch up during conference.

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Instead of thinking ahead too much about what talking to this or that person will get you, be in the moment and try to truly enjoy the process of meeting CLIENT SIGN–OFF: new people. If you like the industry you’re in, it should be fun to talk to other experts in the field.

You’ll come across as FOLLOWING someone worth getting to know PLEASE CONFIRM THAT THE ARE CORRECT better if you seem like you’re genuinely enjoying yourself. You should have as ADDRESS much toLOGO offer others asPHONE they haveNUMBER to offer you. ICE WEBSITE

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insight

IMAGING MATTERS Using Technology

A

vast majority of every person turning a wrench on medical imaging equipment is using a laptop in some capacity of that repair. Even if it is only electronic documentation.

Often, however, there is need for a laptop, a computer, or a specialty piece of technology used in service of the diagnostic imaging equipment. This includes Oscilloscopes, mAs meter and non-invasive kVp meter. However, there is a common piece of equipment that is being used more and more in the complex process of troubleshooting and repairing equipment. The humble and all invasive smartphone.

" Anytime you use new or non-traditional technology in a hospital or medical setting be sure to consider the inadvertent consequences that are possible from its use."

There are a number of uses for the smartphone. Most of them center on the built-in camera. There are some free applications that allow the camera to be used as a magnifying glass. This helps in a number of situations. Often by taking a picture of something small with a magnification app, the picture can be manipulated by picture programs to get the best possible view of something small.

It may be as simple as changing the picture from color into black and white or adjusting contrast. It might be something as complex as changing the color from RGB to some other format. There are a WWW.THEICECOMMUNITY.COM

Written by John Garrett Director of a Clinical Engineering Department in CHI

number of techniques that can improve your ability to see things in a picture.

Another use of the camera is to take a picture of a complex setup or set of connections. This is an aid to memory to ensure that cables are run the same way during parts replacement. With many phones you can use a “pen� or even your finger to draw or make notes on the picture. This allows for notes and directions that may be important when you have been working long hours and are under a great strain to get equipment working.

There are a few considerations when using the phone's camera. First and foremost, remember HIPPA security. Ensure no patient data or information will be in the picture. This requires that before you snap a picture, you make sure there is nothing in the background that might have patient information displayed. Often this might be a monitor, but it might be notes or a printout that is in the background. Second, make sure there are no people in the background. Third, if you take the pictures, ensure that they are either deleted or held in a secure location. For most companies that may be a computer or stored in an internally shared cloud. This typically does not include your phone. Make sure you remove any pictures from your phone before leaving the site after a repair.

Anytime you use new or non-traditional technology in a hospital or medical setting be sure to consider the inadvertent consequences that are possible from its use. Be aware and courteous.

You may want to check local policy to ensure the use of the item, specifically a cellphone, as it may be limited or restricted. 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.

ICEMAGAZINE

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insight

THE POWER OF ADVISORS — AND ACCOUNTABILITY R

ecently, I posted an open question on Facebook: “What would you do if you won the lottery?” As you might guess, responses ran the gamut. “Donate to a charity.” “Get out of debt.” “Set up a college fund for the kids.” I chose a different route. I said I would find two accountants who didn’t like each other and hire them both. The result? I’d never have any accounting errors, there’d never be any embezzlement and each would do a wonderful job of identifying any flaws in the other’s recommendations.

It’s a similar concept to what Abraham Lincoln did after he was elected president.

As described in the book, “Team of Rivals: The Political Genius of Abraham Lincoln,” Lincoln brought together some rather resentful and disharmonious individuals and assembled one of the most unusual cabinets in presidential history. Although they rarely got along, they gave Lincoln their raw and straightforward opinions, which he could then sift and sort and make the decisions he needed to navigate one of our country’s most turbulent times.

Had Lincoln surrounded himself with nothing but yes-men, I doubt he would have received enough information to make wise choices.

By the way, in no way am I claiming to be on par with Lincoln. I just think it’s wise to do what wise people have done. After all, there’s a proverb that’s been floating around for a couple thousand years that says, “Plans fail for lack of counsel, but with many advisors they succeed.”

Years ago, I used to sit on the board of 42

ICEMAGAZINE | FEBRUARY 2019

“Plans fail for lack of counsel, but with many advisors they succeed.“ directors for a nonprofit organization. There were about 14 people on this board, and we met once a month or so. In short order, I noticed one individual was always negative.

No matter what was being discussed, this guy was a total naysayer. “That will never work. Here’s what’s wrong with that idea ...

That won’t work either, here’s why ... ” Every time the guy talked, he was negative.

After several months of observing this I went to the executive director of the nonprofit and said, “Why do you have this guy on the board? He is nothing but negative about anything that gets discussed.” The executive’s response was classic. “That’s exactly why I keep him around. He points out everything I need to do so that our plans can succeed.” Twenty years later I still remember that man’s response, and I value his wisdom. After all, plans fail for lack of counsel, but with many advisors they succeed.

Think about it. Companies hire consultants and have boards of directors. Athletes, actors and singers have coaches, and so do successful business people. Even in 1624, the English author John Donne penned the now-famous line, “No man is an island” as he highlighted the interconnectedness of humanity.

What about you? Aren’t you deserving of advisors? The answer, of course, is yes.

After all, no man is an island. Everybody needs a listening ear, and accountably is a powerful tool.

I was fortunate to have my first mentor nearly 30 years ago. The late Alex Goodman spoke much wisdom into my life, both by word and example. In fact, the principles Alex taught made such an impact on me that I decided to make a career out of coaching and training others in those same principles. And, over the years, I’ve tried to practice what I preach by asking other people to speak into my life. When I maintain that practice, things tend to go well. When I let it slip, my life tends to show it!

But it’s not just the principles that make a difference, it’s also the ongoing accountability. Regular accountability is essential for success.

Want some research to back that up?

The Association for Talent Development did a little study on the correlation of goal setting and accountability, and here’s what they found.

• If you consciously decide to achieve a goal, your chances for success are 25 percent.

• If you create a plan for achieving your goal, the likelihood of reaching the goal is 50 percent.

• If you add making a verbal commitment to someone, your likelihood of success ADVANCING THE IMAGING PROFESSIONAL

Setting the Gold Standard in Ultrasound Solutions

Written by Daniel Bobinski Workplace Consultant

goes up to 65 percent.

• If you set up regular accountability meetings with someone, your chances of successfully reaching your goal shoot up to 95 percent.

I’d say that makes having accountability partners a very wise choice. Currently, I have four people in my life who serve as mentors or accountability partners in varying capacities. The reason?

I want 2019 to be a very successful year for me. It doesn’t matter what kind of meeting structure you set up, so long as it works for you. And, it doesn’t even have to cost a lot.

Let me give you an example. About 20 years ago, I had just moved to the state in which I now live, and I wanted some insights on a few things. After asking around, I identified a reputable businessman and approached him with the following proposition. I said, “I’d like to buy you lunch every other week. You can name the restaurant, but the topic of conversation is going to be me. All you need to do is ask me questions.” The man agreed. The conversations were fruitful, and he kept me on my toes!

No man (or woman) is an island. If you want a mentor or coach there are organizations now that serve as brokerages for certified coaches.

Or, you may want a mentor from within your company. Or, just an accountability partner of some type. No matter what you’re looking for, my one recommendation is take your time and find the right person.

Of course, why stop at just one? There may be several areas of your life you want to work on.

By the way, if you’re looking for some motivation for this, I won’t ask what you would do if you won the lottery. I’ll ask you the same question someone once asked me, “What would you do if you weren’t afraid?” Also remember that proverb: Plans fail for lack of counsel, but with many advisers they succeed. ICE Daniel Bobinski, M.Ed. is a certified behavioral analyst, a best-selling author and a popular speaker at conferences and retreats. He loves teaching teams and individuals how to use Emotional Intelligence, and his videos and blogs on that topic appear regularly at www.eqfactor.net. Reach him at daniel@ eqfactor.net.

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index

ADVERTISER INDEX AceVision Ultrasound p. 15

Health Tech Technology Management p. 31

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Varex Imaging p. 3

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