PACS and Enterprise Imaging Challenge: A Modern Approach to VNA Integration

June 13-15, 2019, Hyatt Regency - Los Angeles International Airport Los Angeles, CA, USA

Training Objectives

Learning Objectives

  • This program will cover the knowledge areas required to architect an advanced enterprise imaging system
  • Lectures and whiteboard discussions will cover VNA, system architecture, current generation and next generation technologies required to meet the evolving needs of the physician community
  • Focused on enterprise imaging needs to prepare managers and administrators to transition from facility based to enterprise systems
  • Students will leave the course with actionable information that can be immediately used to design and implement VNA, multidepartmental PACS, encounters-based workflows and non-DICOM integration
  • Discussion will be done on Operational aspects of Diagnostic Imaging as it relates to Imaging Informatics as they are becoming more involved data driven management
  • Students will see the Procurement process and vendor selection methods that are commonly used with IT Systems including PACS, VNA, and integrated Informatics
  • Students will gain an understanding of theProject Management process and the use of tools and monitoring techniques for successful projects.
  • Students will get an intensive review of course material from the certification perspective and useful knowledge needed in daily work
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Instructor(s) of this course

Kyle M. Henson

Founder VNA Heartbeat
Director of Operations, DataFirst Corp
Instructor: PACS, VNA and Enterprise
Imaging Architecture and Design
MBA in Healthcare Administration
Working on Doctorate of Management

More Detail
Ronald W. Gilbert

Manager, Enterprise Imaging & Informatics, WellStar Health System, Atlanta, GA
Instructor: PACS and Imaging Informatics
MS IS Mgmt, Health Informatics
B.S. Radiologic Sciences,
R.T. (R), (ARRT), CIIP (ABII)

More Detail

Prepare for CIIP Exam

Get Prepared for CIIP Exam with ASRT Approved 31 Category A CE Credits

A day long BOOT CAMP REVIEW Included


As health systems continue to consolidate and solutions become more complex, the demand for highly skilled PACS and Informatics Professional staff is ever more critical and rewarding.  Imaging professionals are expected to provide access to any images anywhere at any time in order to optimize patient care.  The term enterprise imaging has come about to reflect the shift from diagnostic radiology procedures to diverse medical imaging as dermatology, pathology and surgery so all can be viewed together.  Presented by experienced professionals, this program will cover the inner workings of Imaging Informatics from the traditional local PACS, to the eventual transition to an advanced Enterprise Imaging system. Emerging trends such as Artificial Intelligence (AI), FHIR and blockchain based applications will be discussed and interactive discussion is encouraged throughout entire course.

You will leave this course with an advanced understanding of: 

  • PACS/EMR/Viewers/VNA/Enterprise Worklist and the other components required to architect an enterprise imaging system
  • Understand the differences and uses of enterprise PACS and enterprise imaging systems
  • Preparations required to successfully transition to enterprise imaging and VNA
  • Design and architecture considerations when building a system to hold billions of images
  • When and how to use image routers or to put VNA before PACS
  • All components required to implement a fully functional deconstructed or PACS-less environment
  • Full comprehension of compression and where it should be applied in the environment
  • How AI and blockchain impact imaging
  • Monetization of image sets for AI training
  • Enterprise worklist layer implementation and considerations
  • How to manage and troubleshoot an advanced imaging program 
  • Composition and skills required of an imaging team 
  • Effective utilization of network and storage resources as systems scale 
  • PACS Operations and management with communications and training skills 
  • Participation in the Procurement and Project Management process and the jargon used
  • IT Managers / Directors 
  • IT Systems Analysts
  • IT Systems Architects
  • Integration Specialists
  • PACS / VNA Administrators
  • Imaging Architects
  • Imaging Managers / Directors
  • Biomedical Engineers
  • Clinical Automation Managers
  • Clinical Informaticists
  • Health Information Management specialists
  • Radiologic Technologists (RTs)
  • Presentations & lectures
  • Group discussions
  • Exercises & use cases
  • Certificate with Activity Approved by of ASRT
  • Course material
  • USB with all material
  • International buffet lunch with coffee/tea breaks

Standard laptop will be needed for the exercises, better with Windows OS.

We have tried to provide answers to some of the most commonly asked questions. Please check below.  Should you need further assistance, please email us at Kevin.mckinney@acsazp.com

How would training on VNA and Enterprise Imaging help me?
PACS Technology in a hospital has been available for 10 -20 years. However, with more hospitals getting bought or entering mergers, the number of “health systems” is growing and new technology is available to manage imaging at the “enterprise level”. All users are either experiencing a change to VNA and Enterprise Imaging or soon will and this course will prepares you for the change.

Why to invest in this training?

  • It carries 31 ASRT Approved Category A Credits.
  • A day long BOOT CAMP REVIEW included
  • Preparation for CIIP Exam.
  • It’s a great certification recognized world over. A certification, from the American Board of Imag ing Informatics (ABII), demonstrates that an individual has mastered the necessary technical, clinical, and business skill sets to invest in quality improvement, be at the forefront of the profession, and innovate within the field of imaging informatics.
  • Develop your value as a CIIP and transition into a new role as a leader in the Enterprise Imaging
  • Intense Training by Experts who Currently Practice
  • Discussion and Troubleshooting of Real World Issues - Yours!
  • Longer Schedule + Fewer Days = Better Value

I have an IT background. How about taking career more toward the IT side of it with PACS?

  • The CIIP would be a preferred credential when seeking a position with healthcare IT systems. It is not only for PACS, but all informatics associated as well and how to implement and support them.
  • Also, Informatics is becoming a larger part of all Imaging Technologists duties, and if they have this training they will be more proficient. They will also be able to be creative with workarounds in case there is a problem and they will be a hero.
  • Technologist input is helpful for any system changes or upgrades, and the more they understand, the more good ideas they can contribute. Course equally good for Radiologic Technologists (RTs) and will help them in their line of work

I'm Radiologic Technologists (RTs). Will this course help me in my line of work?

  • This PACS course is intended as an overview and review of most of the key skills used with PACS and informatics. Although there is emphasis on Certification, it also serves well as a comprehensive overview of PACS without many “deep dives” into specific subjects like DICOM and HL7 that other courses offer for experienced PACS Administrators. If you have an interest in expanding the knowledge or future career move into PACS, this will be a good course for you.
  • Since the course has ASRT Category A credits, it would count for all ARRT CE requirements. There are plans to have content specific requirements at some point, but Imaging Informatics is part of all of the ARRT credentials.

Is this course useful for those vendors who sell in this industry and don’t want to be “in over their head”?
The good thing about this course is that it’s a little bit about everything and being on the commercial side it would help you understand the perspective your customers hold of their vendors.

Does this course makes you eligible to take the exam?
You need 7 points total under the ABII qualification requirements, but the PACS Course will give you 2 points for CE on Imaging Informatics, which count towards CIIP exam qualification ( see https://abii.org and look at tab Seeking Certification)

Do we need laptop or equipment?
Yes, laptop will be needed for the exercises, better with Windows OS.

What is CIIP?
Certified Imaging Informatics Professional (CIIP), a certification from the American Board of Imaging Informatics (ABII), demonstrates that an individual has mastered the necessary technical, clinical, and business skill sets to invest in quality improvement, be at the forefront of the profession, and innovate within the field of imaging informatics.

How to Become a CIIP?
Check here: HTTP://SIIM.ORG/PAGE/BECOME_CIIP

How do I register to take CIIP exam?

All the information to sign up for exam is on the ABII - The American Board of Imaging Informatics website under Certification Guidelines.  OR check this: https://siim.org/PAGE/BECOME_CIIP

It includes how to select a location to take the computer based exam under Pearson VUE Testing centers. 

Will this seminar give me all information I need to pass this exam?

The PACS and Enterprise Imaging Challenge: A Modern Approach VNA Integration course includes instruction and exercises on all of the items in the current content guidelines from the ABII website https://www.abii.org/docs/Test-Content-Outline-2017.pdf . Doing a comparison of the ABII Test Content to the course schedule and objectives in the brochure should show how ACS will accomplish this.  A student in this course will gain education in what ABII, ACS, and others feel are essential skills needed to be a professional in Imaging Informatics whether the goal is taking the certification test or expanding their knowledge to advance their career. 

Is there any discount offer?

Early Bird Discount​

  • 5% discount till March 29, 2019: $ 2,090/participant 

After Mar. 29, 2019, price will be full as $ 2,200

Note:
On top of early bird discount, there is 5% additional discount
on group of minimum 3 participants

I am already CIIP certified, so how this course will benefit me?
You’ll have chance to update your knowledge and earn ASRT Approved CE Credits.

I am already CIIP certified; will these credits be applicable to ABIIs continuing education requirements?
These are ASRT approved, so are applicable to ABII. Also recognized by ARRT.CIIP Credits have to be related to one of the content categories in certification. And this course has them all.

Is it important to attend the complete course for getting CE credits?
Yes, it is.

What is ASRT?
American Society of Radiologic Technologist (ASRT) is the premier professional association of people working in medical imaging and radiation therapy

What is the benefit of getting ASRT membership?
ASRT membership helps you advance your career, keep up with continuing education, advocate for your patients, network with colleagues and much more.

I live outside USA. Can I become ASRT member? If Yes, why and how?
Yes, members who are not registered with the ARRT and live outside the United States can become ASRT members. For more details, i.e. why and how to become International ASRT member, check here: HTTPS://WWW.ASRT.ORG/MEMBERSHIP/JOIN-ASRT/MEMBERSHIP-CATEGORIES/INTERNATIONAL

I am not a member of ASRT, so how this course or CE credits will benefit me?
If you’re not ASRT member, the ASRT approved Category A CE credits will still have lot of value to your career growth. However, the requirement of CE credits will depend upon the policy guidelines of your country and may also be of your organization.

Why continuing education (CE)?
In today's health care environment, being a professional means more than just doing your job well. Technological advances and shifts in our nation's system of health care delivery demand that the professional radiologic technologist pursue continuing education just to keep current. Continuing education gives radiologic technologists a way to maintain competency and prevent professional obsolescence. It benefits technologists, the patients they serve and the profession as a whole.
Since 1995, continuing education has been mandatory for radiologic technologists registered by the ARRT. The Registry defines a continuing education activity as one that is "planned, organized and administered to enhance the knowledge and skills underlying the professional performance that the technologist uses to provide services to patients, the public or the medical profession. To qualify as a CE activity, it must provide sufficient depth and scope of a subject area."

What is Category A credit?
Category A activities are those evaluated and approved by a Recognized Continuing Education Evaluation Mechanism (RCEEM). Because the ASRT is a RCEEM, any activity approved by the ASRT is awarded Category A or A+ credit. When choosing your CE activities, look for Category A or A+ approval.

What is the relation between ARRT and ASRT, SIIM and ABII?

  • The American Registry of Radiologic Technologists (ARRT) is a credentialing organization, not a professional society. ARRT is the world’s largest organization offering credentials in medical imaging, interventional procedures, and radiation therapy. It certifies and registers technologists in a range of disciplines by overseeing and administering education, ethics, and examination requirements. Although they support the professional growth and development of our registrants, their main purpose is to assess and recognize qualified individuals in medical imaging, interventional procedures, and radiation therapy.
  • ASRT is an organization for professionals in radiologic science. Members enjoy access to CE, peer-reviewed journals, a member magazine, and discounts on products and services. ASRT is an ARRT-approved RCEEM+ for CE credits.
  • Society for Imaging Informatics in Medicine (SIIM) is professional organization at the nexus of medical imaging and information technologies. It seeks to spearhead research, education, and the discovery of solutions to advance imaging informatics and patient care. The interdisciplinary organization allows physicians, administrators, health information professionals, technologists, scientists, and engineers to learn from one another.
  • American Board of Imaging Informatics (ABII) is a non-profit organization that sponsor the Imaging Informatics Professional Certification program and awards the Imaging Informatics Professional designation to the qualified candidates. Funded by SIIM and ARR, ABII offers national certification program that defines the standards for demonstrated knowledge and competence in the medical imaging informatics.

How long this CIIP certification will be valid?
The CIIP is good for 10 years, where there are requirements, including taking the exam again to be recertified.  Here is the web link HTTPS://WWW.ABII.ORG/DOCS/10-YEAR-CERTIFICATION-REQUIREMENTS.PDF HTTPS://WWW.ABII.ORG/MAINTAINING-CERTIFICATION.ASPX. The four options for the 10-Year Requirements include: Practice, Education, Research, and Examination. Only one of the four options must be completed during the compliance period and pre-approval by ABII of the activity selected by the diplomat is not required. CIIP started in 2007, so this year is the first group who will need to re-certify.

Is there any preparation that I need to do before attending this course?
Yes, you need to have good understanding of basics of imaging informatics, standards, etc.

How do I request a brochure?
Go click on download brochure or click here

How to Register?
Please visit registration page on our website at: http://acsmb.com/training/upcoming_training?cid=44 or you may contact us at kevin.mckinney@acsazp.com

What is the last date to register?
We encourage the participants to register at the earliest and reserve the discounted seats. Late registration will be encouraged to join next available course.

How to process the payment?
Payment can be processed via bank wire or online.

Course Fee $2,200/Participant

Early Bird Discount
5% discount till March 29, 2019: $ 2,090/participant
5% additional discount on group of minimum 3 participants


PACS and Enterprise Imaging Challenge: A Modern Approach to VNA Integration - Course Schedule

Day 1 - Thursday 13 June, 2019
Session One
  • Overview of basic technology
    • DICOM transactions
    • SOP Class, Transfer syntax
    • ADT, ORM ORU
    • IAN integration with the EMR
    • Compression and impacts on systems, network and storage
    • Common workflows and issues
 Break
Session Two
  • Facility based PACS and  Archives 
    • End to end data flow and storage implications
    • Non-standard data flows and impacts
    • VNA as PACS archive
    • CPACS and specialty imaging
Session Three
  • Enterprise Imaging basics
    • Composition and required skillsets of EI team
    • Reconciliation, synchronization and data quality
    • Multiple PACS considerations and issues
    • Offsite – multi site archival considerations
    • Image Routers and advanced workflows
       
  Lunch
Session Four
  • Data Management
    • Data migrations to VNA, from VNA and data sharing between systems
    • Data cleansing (images – reports)
    • Normalizationof DICOM data and tag management
    • Private tags, non-standard data and support of SOP Classes
    • Migration planning and execution 
    • Storage planning and management
       
Session Five
  • EMR integration and zero footprint viewers
    • Pros and cons of zero footprint viewers
    • Who are the users of zero footprint and what are the requirements
    • Image workflow and impacts
    • URL integration methods and populating EMR
       
 Break
Session Six
  • Group Discussions, Question and Answers, Diagram and Troubleshooting
    • Application of concepts from the course to solve local challenges
    • Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
    • Professional discussion and group responses to real world home facility needs and situations
    • Opportunity to present real life issues for troubleshooting

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practices]
 

Day 2 - Friday 14 June, 2019
Session One
  • Non-DICOM imaging workflows
    • Dermatology, pathology, surgery, Emergency
    • Encounters based workflow considerations and tools
    • Use cases and integration points
    • Pros and cons of DICOM encapsulation
       
Break
Session Two
  • Advanced VNA Architecture and design
    • Data segmentation and segregation considerations
    • Queue management processing rules
    • Multiple AE titles and many to one relationships
    • Disaster recovery and failover
    • Storage of report data
    • Patient ID management (PIX / PDQ)
       
Session Three
  • Enterprise Imaging Architecture
    • PACS first or VNA first
    • Local, regional or national level VNA
    • Integration with EMR, other applications 
    • XDS, XDS-I integration
    • Specialty viewers and department workflows
       
Lunch
Session Four
  • Trouble shooting EI applications and Integrations
    • Integration points
    • Chain of events
    • When to call vendor(S)
    • Proactive monitoring tools
       
Session Five
  • Emerging technologies and their impact to imaging
    • Fast Healthcare Interoperability Resources (FHIR)
    • Artificial Intelligence (AI)
    • Blockchain
    • Monetization and selling of imaging data
    • Image Exchanges
    • Wearable devices
       
Break
Session Six
  • Group Discussions, Question and Answers, Diagram and Troubleshooting
    • Application of concepts from the course to solve local challenges
    • Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
    • Professional discussion and group responses to real world home facility needs and situations
    • Opportunity to present real life issues for troubleshooting

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practice]

Day 3 - Saturday 15 June, 2019
Session One

Content Review I

  • Imaging Informatics Procurement ƒ
    • Needs Assessment – PACS vs. Enterprise ƒ
    • Cost Benefit Analysis and ROI ƒ
    • Vendor Selection (RFI, RFA, RFP) ƒ
    • Total Cost of Ownership (TCO) and Value ƒ
    • Contract Management
  • Implementation and Project Management ƒ
    • Project Feasibility Analysis ƒ
    • Goals, Scope, and Risk ƒ
    • Project Management Process and Tools ƒ
    • Closing Strategy and Completion
Break
Session Two

Content Review II

  • PACS / Enterprise Imaging Operations ƒ
    • Quality Improvement – QA/QC ƒ
    • Regulatory Compliance ƒ
    • Policies, Staffing and Budgeting
  • Communications in Healthcare ƒ
    • Healthcare Organization and Relationships ƒ
    • Medical Terminology in Imaging ƒ
    • System Availability and Change Management ƒ
    • Planning and Reporting
  • Training, Support, and Help Desk ƒ
    • Learning Types (Visual, Auditory, Kinesthetic) ƒ
    • Training Programs – Computer Based vs Live Instruction
Session Three

Content Review III

  • Review of Image Management ƒ
    • Workflow ƒ
    • Reading Room ƒ
    • Import /Export/ Image Exchange
  • Review of Information Technology ƒ
    • Storage and Archiving ƒ
    • Networking
    • ƒHardware and Software ƒ
    • IT Standards
  • Review of Systems Management ƒ
    • Data Management ƒ
    • Problem Solving ƒ
    • Security and HIPAA
Lunch
Session Four

Content Review IV

  • Review of Clinical Engineering ƒ
    • Modality Support ƒ
    • Modality Integration/ DICOM ƒ
    • Display QC ƒ
    • Clinical Hazards
  • Review of Medical Imaging Informatics ƒ
    • Imaging Workflow ƒ
    • Systems Integration – HIS, RIS, EHR, VNA ƒ
    • Imaging Standards – DICOM, HL7, etc. ƒ
    • IHE Profiles and Connectivity ƒ
    • Image Architecture – Enterprise vs PACS
  • Review of Systems Management ƒ
    • Data Management ƒ
    • Problem Solving ƒ
    • Security and HIPAA
       
Session Five
  • Imaging Informatics Interactive Review
    • Review of Acronyms in Imaging Informatics
    • Review of Testing Process
    • Review of Sample Testing Elements
Break
Session Six
  • Simulated Certification Exam and Review
    • Simulation of certification examination under expected test conditions
    • Evaluation of Simulated Responses and scoring
    • Discuss Exam element rationale in Group Review
Course Program
Time Topic
07:30 to 09:00Session One
09:00 to 09:10 Break
09:10 to 10:40Session Two
10:40 to 12:10Session Three
12:10 to 12:50  Lunch
12:50 to 14:20Session Four
14:20 to 15:50Session Five
15:50 to 16:00 Break
16:00 to 17:30Session Six