Education Sessions Schedule
7:15 a.m. - 7:45 a.m.
Breaking into HTM: Key Lessons for Early Career Development, Nathan Lynch, Trimedx
This session will help HTM professionals get a leg up in their early career development. The presenters will share lessons on what to expect when transitioning into early management (associate manager/manager level). A discussion of personal triumphs and pitfalls will highlight broader management strategies and solutions. The session will be peppered with key trends in effective management to help you prepare for growth in the field.
Flexible Endoscope Reprocessing per ST91 and Moving Toward Sterilization, Mary Ann Drosnock, Healthmark Industries
This discussion will outline current requirements in ST91 for processing flexible endoscopes, with a particular focus on strategies to move endoscopes from high-level disinfection to sterilization. An overview of the current draft of ST91 will be provided, focusing specifically on requirements for biomedical engineer involvement in the process. This session also will describe the updating process for ST91 and when a new version of the standard may be available. Finally, strategies for moving endoscopes from high-level disinfection to a sterilization process, including inventory management, turnaround time, current IFU requirements, and other considerations, will be provided.
Margin Crunch: Opportunities for HTM to Grow Revenue and Cut Expenses, Dr. Samantha Jacques, Penn State Health System
Declining reimbursement have affected budgets and available capital. Nonetheless, revenue generation opportunities existing for CE, including resale of retired equipment, developing services that can be sold to outside entities, and rebate opportunities through vendor partnerships. Cost cutting also can be achieved through equipment standardization (leading to reduced parts cost, training cost, and better leverage negotiating contracts) and software standardization (CMMS/IT system/facilities system). This session also will cover centralized maintenance contracting, leveraging entire hospital/health system or vendor partnerships, insourcing equipment maintenance contracts, and shared staffing models.
Passive RFID Technology in the HTM/Clinical Setting: Driving Productivity and Savings, KellyAnn Yates, GE Healthcare
This session will describe how passive technology can positively influence the day-to-day operations of biomeds by, for example, increasing productivity, improving visibility of equipment status, enhancing real-time inventory management, and speeding up turnaround time for broken equipment. Ultimately, passive technology and related processes will lead to overall customer savings as their use extends to the clinical space and reporting becomes a necessary tool in planning for equipment and supplies.
Quality Reporting for Sterile Processing Departments, Rhonda Brateng, Sky Ridge Medical Centere
The practice of quality reporting includes tracking of errors for the sterile processing department (SPD) and case carts from the operating room (OR). Job roles in SPD are tied to AAMI regulations, immediate-use steam sterilization, overall quality incidents, critical errors, and incidents per case, per tray, and by staff member. This system described during this session has greatly reduced errors and improved the working relationship among OR and SPD staff.
Ranking Equipment Requests Using Multicriteria Decision Analysis, Joseph Gucciardi, VHAe
Multicriteria decision analysis (MCDA) is a valuable decision support tool that HTM professionals can apply to many complex decisions. As the amount of equipment and technology that HTM professionals manage increases, decision making on the priority of strategic purchasing becomes increasingly more difficult. Using MCDA, HTM professionals can easily develop and automate ranking methodologies that simplify the decision-making process for key stakeholders. Explore the basics of the framework, how it can be applied in ranking capital purchases, and review a model that can be built into the request process and output automated scores customized to your facility's strategic goals.
Artificial Intelligence in Ultrasound Imaging: Yesterday, Today, and Tomorrow, Wayne Moore, Acertara Acoustic Laboratoriese
In the mid-1980s, healthcare saw the emergence in use of artificial intelligence (AI) algorithms in diagnostic ultrasound to autocalculate cardiac performance indices, such as ejection fraction. Today, ultrasound AI algorithms have evolved through use of the Cloud and transducer placement on patients for given clinical applications. After looking at the past and present, this session will peer into the future of where AI algorithms are headed related to a variety imaging modalities, as well as what this new user paradigm will mean for clinical engineering professionals.
8:00 a.m. - 9:00 a.m.
Big Data Insights on Capital Equipment from 500 Million Work Orders, Michael Garel, Accruent
Wisely allocating available capital dollars to improve patient outcomes is everyone’s responsibility. With connected devices and modern maintenance tracking software, the amount of data related to valuable asset data is increasing rapidly. Healthcare is at an inflection point with big data and the development of analysis and intelligence software to clean and rapidly analyze those data. This session will help professionals with purchasing power make better decisions on capital equipment. Tools available to HTM professionals will be examined, helping attendees to choose the best equipment and maintenance programs and to make critical replace-or-repair decisions with confidence.
Developing a Health and Operational Technology Device Cybersecurity Program, Keith Whitby, Mayo Clinic
Cybersecurity at one large HTM organization was once in "firefighting mode" but has since evolved through the implementation of a standardized and strategic NIST-based framework. This presentation will convey key lessons learned and takeaways, as well as provide other organizations with insights into achieving the same goals.
Equipment Disposition: Huge Headache or Strategic Opportunity?, Scott Campbell, reLink Medical, LLC; Nick Everson, Mayo Clinic; Andy Rauworth, Indiana University Health; Glenn Schneider, Cincinnati Children’s Hospital Medical Center
During this interactive session, attendees will learn how three health systems have turned their equipment disposition process from a necessary burden into a strategic advantage—and why management is taking notice. Specific takeaways will include creating transparency on assets, benefiting from redeployments within the health system, realizing opportunities to improve OEM trade-ins and reduce environmental and PHI compliance risks, why R2-certified recycling matters, and how meaningful budget can be generated from the secondary marketplace. In addition, attendees will hear about future innovations and process improvements planned by these health systems.
Mixed Reality (AR/VR): Leveraging Technology to Increase Understanding, Rick Sidlo, GE Healthcare
We all have had the experience of learning from static two-dimensional diagrams, but have you wondered if there is a more dynamic way to learn? Have you wished there was a safe way to see the internal operation of a system to better understand how it works? Mixed reality (MR) tools, including AR (augmented reality) and VR (virtual reality) can make this possible. HTM departments will share their virtual learning experience and how it enhanced their understanding of operation and service for MR tables and anesthesia machines. This session will encourage attendees to share additional thoughts on how HTM professionals can continue to grow their understanding for more confident service of medical devices.
Navigating the Complexities of Government, Accreditation, and Standards in HTM Departments, Dustin Telford, Children's Hospital & Medical Center Omaha
This session will compare AHJ (authority having jurisdiction) standards and provide interpretations on conditions of participation in Medicaid/Medicare provision, as well as federal, state, and local regulations regarding the management of what is commonly known as the medical equipment management plan. Session leaders will attempt to cut to the heart of long-held debates on complying with standards and regulations affecting most HTM departments today.
Nontraditional HTM Career Tracks, Heather Johnson, Mayo Clinic; Julie Moenck, Mayo Clinic; Rodney Severson, Mayo Clinic
Looking beyond traditional technician and manager positions, this session will explore "nontraditional" job opportunities for HTM professionals, with examples including HTM project coordinator, project manager, asset manager, data administrator, network engineer, and cybersecurity engineer.
Overcoming the Primary Causes of Sterilization Failure, Susan Klacik, International Association of Healthcare Central Service Material Management
Sterilization is a complex process with life-threatening consequences if failures occur. This session will explore and offer ways to overcome the three primary causes of sterilization failure (sterilizer, utilities, or operator). By using a multidisciplinary team, including personnel from central service and HTM, the most important resolution (i.e., placing the sterilizer back into service and mitigating associated risks) can be achieved quickly.
Private Patient Rooms: Device Integration for Centralized Alarms, Josh Koop, Houston Methodist; Jicelle Ochoa, Houston Methodist; Christian Pesantes, Medical Informatics Corp.
This session will describe how software can be used to combine separate systems into a common alarm workflow for private patient rooms. The experience from a newly constructed building with private ICU rooms will be described, as well as how cardiac monitors and ventilator alarms are being handled. The presenters will describe how software and medical device integration solutions were used to aggregate data streams and display them on a single screen. Attendees will learn how the group organized its alarms by criticality across devices and visualized them across beds.
9:15 a.m. - 10:15 a.m.
Best Practices of Multihospital System-Based HTM Programs, David Dickey, McLaren Health Care; Douglas Dreps, Healthcare Technology Management; Heidi Horn, SSM Health; Christopher Nowak, Healthcare Technology Management at UHS
Key leaders of multihospital HTM programs will share best practices on key operational components of their programs. By focusing on areas related to cost control, vendor relations, regulatory compliance, CMMS database accuracy, data analytics, effects on patient safety and clinical outcomes, benchmarking, and future initiatives, the experts in this session will help you take your HTM program to the next level.
Data Analytics for More Effective Alarm Management in Telemetry Monitoring, Mary Jahrsdoerfer, Bernoulli Health; John Zaleski, Bernoulli Health
Telemetry monitoring, which involves identifying aberrant and clinically actionable cardiac issues through signal surveillance, is a valuable tool in the treatment of hospitalized patients. Unfortunately, most multilead ECG signals reflect false-positive results that require no clinical intervention. This session will highlight smart alarm techniques that can reduce false alarms considerably, increase the specificity and sensitivity of telemetry alarms, and enable clinicians to understand a patient’s changing condition over time. Attendees will learn the differences between interventional and noninterventional events, appropriate strategies for multilead management; and how trended data can be used to comprehensively monitor patients.
From Maintaining to Managing: Preparing for a Leadership Role in HTM, Eric Massey, Crothall HTS; Chuck Morris, Crothall HTS; Ryan Sanders, Crothall HTS
This session will help you prepare to become a leader in the HTM field. Topics covered include financial management, creating value and cost savings, diversity and inclusion efforts, and developing and motivating teams.
Increasing Role of Automation in Quality Assurance Workflow, Gerald Zion, Fluke Biomedical; Gregory Perry, Fluke Digital Systems; Richard Pisano, Academy of Healthcare Technology Management; Michael Phelps, Technical Life Care
This panel session is intended to cover the role of workflow automation in streamlining and standardizing medical device testing, as well as improving hospital quality assurance programs.
Securing Healthcare Networks: Mitigating Risk for Medical Imaging Devices, Andrea Arbelaez, National Institute of Standards and Technology; Sue Wang, MITRE Corp.
This presentation will demonstrate how picture archiving and communications systems (PACSs), which can be vulnerable to cyberattacks, can be secured in healthcare delivery organizations. Securing PACs can limit exposure to a threat vector that could act as a point where an attack can occur or serve as a pivot point into an integrated healthcare information system. The solutions presented during this session will apply to a range of connected medical devices.
Sustainability of Medical Devices: Applying AAMI TIR65:2015, Ivan Idso, Mayo Clinic; Joanna Schneider, 3M Healthcare
The healthcare industry has been investing in sustainability—not only for the benefit of the planet and its dwindling resources but also in an effort to reduce expenses. The majority of success in this area has been in optimizing building efficiencies, but HTM can contribute in reducing the "plug loads" that our facilities managers typically don't have the knowledge or tools to manage. This presentation will share how AAMI TIR65:2015 and other resources can be used to enhance sustainability.
Utilizing Data in Replacement Planning and Utilization Decision Making, Lynette Jasuta, Strata Decision Technology; Dustin Smith, Intermountain Healthcare; Steve Vanderzee, Advocate Aurora Health; Pat VanHolt, Advocate Aurora Health
This session will demonstrate how data metrics can be used in decision making. Attendees will learn how understanding the total cost of ownership for your healthcare organization’s equipment can assist in making more informed decisions. Volume Utilization for Decision Making The presenters also will describe how volume can be used to assist leaders in making replacement decisions. In addition, this session will teach attendees how a tool and data visualization can help support cross-organizational conversations with clinical, supply chain, and financial leadership and promote advanced planning.
Wet Packs in the Operating Room: Be Afraid … Be Very Afraid!, Richard Blasko, University Hospitals Health System
Few events can cause such turmoil as finding a wet pack in the operating room (OR). Prevention and early detection of wet packs is key to establishing and maintaining trust with OR staff. This session will describe how central sterile processing professionals can enact a proactive plan for averting serious and costly consequences resulting from wet packs.
10:45 a.m.-12:00 p.m. - Main Stage Presentation
Futurist, Technology CEO, Award-Winning Inventor, Number One Bestselling Author
IoT Theater in Expo Hall
1:00 pm - 1:30 pm
Building IoMT Defense: Best Practices for Connected Medical Device Security, Safi Oranski, CyberMDX
While medical devices are among the most critical assets in clinical networks, they also are among the weakest links. Healthcare providers rely on connected medical devices for clinic workflows and life-saving treatments. However, unlike other IT assets, connected medical devices are poorly protected. In addition, IT teams often are not able to determine how many medical devices are connected and they lack critical insight related to the cybersecurity risk status, threats, and vulnerabilities of these devices. This session will demonstrate how to put an IoMT (Internet of Medical Things) defense strategy to work.
1:45 pm - 2:15 pm
Connected Medical Devices: Mitigating Security Risks, Eric Miller, Extreme Networks, Ascension Technologies; Bob Zemke, Extreme Networks
The WannaCry ransomware attack affected hospitals around the world and, for many, brought the realization that any device connected on the network is at risk. Unlike previous cybersecurity threats, WannaCry had direct and indirect influences on connected medical devices. The international standard ISO/IEC 80001 presents a unified approach to the safety of medical devices connected to IT networks. This session will review best practices for a securing and supporting connected medical devices on hospital networks
2:30 pm-3:00 pm
Securing Connected Medical Devices: Real-World Study, John Yun, Zingbox, Inc.
Despite industry focus on security of connected medical devices, real-world case studies on the subject are lacking. Learning from the challenges and success of fellow healthcare providers is the ideal way to understand the effectiveness of a solution and, in many cases, identify what is and is not a critical need for a particular organization. This session will cover two healthcare providers’ journeys into securing connected medical devices, including the need for detailed visibility into their networks, identifying specific security threats, and finally integrating the solution with other existing processes.
Spotlight Theater in Expo Hall
12:30 pm - 1:00 pm
Considerations When Hiring Technicians Without Formal HTM Training, Donna Dyer, GE Healthcare
Given the lack of qualified job candidates in the HTM space, hiring someone without formal training may be necessary. Employer can take specific steps to properly train and deploy these workers in the HTM space while safeguarding patient safety, quality, and compliance. During this informational session, a framework for onboarding, training, and monitoring these individuals will be provided.
1:15 pm - 1:45 pm
Device Integration Fundamentals and Troubleshooting Skills, Mark Blanchard, Duke University Health System
This session will provide the basic fundamentals of device integration and describe how data flows from medical devices into the patient's electronic health record (EHR). An explanation of different methods of integration and use of middleware software will be provided. The presentation also will detail how middleware software or monitoring gateways use HL7 messages to get data from the medical device to the EHR, as well as flow data to the correct patient.
2:00 pm - 2:30 pm
Building an HTM In-House Laboratory Program, Joshua Gorman, Mayo Clinic
This session will share lessons learned from one medical center's experience with implementing an-in house laboratory support/service program. Attendees will be given strategies they can apply in their organizations for servicing laboratory equipment and building a lab program.
2:45 pm - 3:15 pm
Is it Time to Consider In-House Component-Level Repair for Imaging Modalities?, Bruce Smith, Medical Systems Technologies, LLC
With up-time becoming more critical and field-replaceable unit (FRU) parts becoming harder to find, skills and resources are needed to perform in-house component-level repair on imaging electronics more effectively. This session will provide suggestions for course content to close skills gaps, as well as offer an open discussion on the modalities and FRUs that lend themselves to in-house repairs.
3:30 pm - 4:00 pm
Accreditation Step One: Having an Accurate Equipment Inventory!, Tim Michener, Asset Services, Inc.
This session will describe the vital importance of ensuring that the equipment inventory in an organization's CMMS is an accurate representation of its "on-hand" equipment. In recent years, The Joint Commission has stressed that the first step toward accreditation is to have an accurate equipment inventory. The session will identify reasons for performing a wall-to-wall inventory, as well as best practices for completing an inventory in an accurate and timely fashion.
4:15 pm - 4:45 pm
Virtual Reality: A Tool for HTM Education, Alberto Vasquez, Alamo Colleges District-St. Philip's College
This session will contain a demonstration/synced discussion of how HTM educators and learners (students) are using virtual reality (VR) in and out of the classroom. VR and mobile computing are replacing textbooks and other traditional means of studying and completing homework and lab work.
8:00 a.m. - 9:00 a.m.
An Implementation Recipe for Better Management of IoT in Health Systems, Phil Englert, Deloitte & Touché LLP; Shankar Somasundaram, Asimily; Priyanka Upendra, Banner Health; Axel Wirth, Symantec Corp.
With representatives from HTM, information security, compliance and privacy, and other specialties, the experts at this session will present a recipe for successfully implementing Internet of Things (IoT) solutions in healthcare. The key focus points during this panel presentation will be education/awareness, contract language, gaps in asset management, gaps in workforce, and use of software tools to manage healthcare IoT throughout its life cycle. The guidance provided will be scalable and sustainable at health systems of all sizes.
Data Analytics, Artificial Intelligence, Predictive Modeling, and HTM, Rita D'Angelo, Villanova University & D’Angelo ADVANTAGE; Eliezer Kotapuri, Mass Technologies; Elma Kotapuri, Wright State University
Data analytics, artificial intelligence (AI), big data, machine learning, and predictive modeling are major buzzwords in healthcare. Adapting AI within mammography screening is allowing clinicians to predict, with greater accuracy, malignant and benign tumors without putting patients through painful biopsy procedures. Early-warning predictive modeling systems used within hospitals are able to alert clinicians about possible decline in patients’ condition well before their condition deteriorates, allowing proactive intervention. This session will explore uses for predictive modeling, including how HTM/CE departments can predict device breakdown and intervene before patient care is disrupted.
Identifying and Preventing Mid-Career Burnout, Angela Mulinix, Department of Veterans Affairs; Ashley O'Mara, Department of Veterans Affairs; Alicia Smith-Freshwater, Department of Veterans Affairs; Ann Walliyakalayil, Department of Veterans Affairs
A panel of biomedical and clinical engineers from the Department of Veterans Affairs and other organizations—all of whom have been in the industry for 10 to 15 years—will share their personal experiences with overcoming mid-career burnout. The session will be moderated by an early-career professional. The discussion will help attendees identify the signs of burnout and share strategies for overcoming it.
Implementing Effective Cybersecurity Solutions for Medical Devices, Anura Fernando, UL LLC
This session will describe cyber risks for medical devices and the vital role played by cybersecurity in addressing those risks. Attendees will learn effective methods for analyzing their systems or processes for cybersecurity issues. The presenters will address how manufacturers can tackle cybersecurity from execution and regulatory standpoints.
Implementing the 2018 FDA Duodenoscope Sampling and Culturing Protocol, Sandra Myers, Baptist Health Corbin
This session will describe the quality improvement project used to implement the 2018 FDA duodenoscope sampling and culturing protocols at one hospital. Tools developed by the DNP (Doctor of Nursing Practice) leader included step-by-step standard work tools with pictures depicting the 53 steps of required sampling technique, competency and validation tool, didactic and skills training, pre- and post-test for sampling staff, and monitoring tools to ensure sustainment of practice.
Infusion Delivery at the Point of Care: Know Before You Flow, Robert Butterfield, RDB Consulting; Benjamin Powers, Ivenix
Clinicians rely on infusion pumps more than any other therapeutic device to deliver live-saving medications. However, under real-world conditions, the actual performance of pumps often is far from the needs and expectations of their users. Imperfections in both the average (mean) flow accuracy and short-term stability of flow can result in uncertain and unwanted clinical effects. This education session will expose the factors causing unexpected pump behavior and offer a vision for potential technology solutions.
Reduce Costs and Downtime with AI-Enabled Predictive Maintenance, Puneet Pandit, Glassbeam; Binseng Wang, BSI
Medical equipment maintenance has been mostly either reactive or scheduled based on assumed wear-and-tear. Both are costly and cause significant downtime, negatively affecting patient safety and throughput, as well as providers’ revenue and efficiency. Most equipment now has embedded sensors that continuously monitor the performance of its critical parts; however, it has been challenging to leverage the machine data due to the amount, unstructured nature, and unclear predictive value. Recent progress in artificial intelligence and machine learning has reduced this challenge, thus ushering in predictive maintenance already used in other industries. Successful application cases will be presented to validate this new approach.
Understanding Cyber Risk and the Mindset of Compliance Assessors, Michelle Caswell, Coalfire; Ian Walters, Coalfire
Medical device and health technology companies struggle to deliver and maintain secure, compliant products and services, while healthcare providers risk compromising patient privacy and safety due to unknown vulnerabilities in their IT and medical device infrastructure. This session will help attendees understand how the risk analysis and compliance assessment process works by taking you into the mindset of compliance assessors. By understanding the risk analysis process and the threats and vulnerabilities that need to be identified and mitigated, device manufacturers and health technology companies can become integral parts of the solution.
9:15 a.m. - 10:15 a.m.
A Biomed's Guide to Network Virtualization, Sergio Casca, North Texas VA Healthcare System; David Miller, VA North Texas Health Care System
Have you ever considered "virtualizing" some of your information technology infrastructure? This session will provide an overview of the process and value of virtualization. The presentation will include a general discussion of virtualization, including its physical- and software-based components. The advantages and considerations of converting to a virtual environment for certain medical devices also will be described. Finally, a case study will be presented showing how the North Texas Veterans Healthcare System deployed its virtual environment. We will provide a detailed description of our network architecture and how we use our virtual environment.
Developing Best Practices for Implementing a Converged Network, Eric Aring, Standford Children's Hospital; Robert Hong, Stanford Children's Hospital
Integrating medical systems onto a converged network requires precise and frequent communication among facility network engineers, clinical engineers, and system subject matter experts beyond what can typically be expected in a deployment, as well as all parties being able to troubleshoot and understand the system down to a packet-specific level. Poorly planned architecture of clinical systems may lead to years of workarounds, continuous adjustments, or poor disaster recovery. The best practices revealed in this session will send you on a path toward success.
Enhancing HTM Programs with Data and Analytics, Aaron Goryl, GE Healthcare; Joe Haduch, UPMC Biotronics; Makidah Mahdi, Henry Ford Health System; Anthony McCabe, The Ohio State University
The data and analytics revolution has arrived. How are you leveraging data—and avoiding pitfalls—to optimize the effectiveness of your HTM program? How do you communicate program health to leadership? How do you decide where to invest in internal training versus seeking outside labor? Data such as CMMS information, cost to serve, machine log, and mean time to resolve can help measure and track improvements of service programs. This session will teach attendees how data can be leveraged to drive HTM operational and financial outcomes.
Ensuring Compliance with The Joint Commission's Anesthesia Apparatus Element of Performance, Svetlana Montarroyos, Massachusetts General Hospital; Brian McLaughlin, Massachusetts General Hospital; Jose Miranda-Rivas, Massachusetts General Hospital
In 2018, The Joint Commission introduced a new Element of Performance (EP) for the inspection, testing, and maintenance of anesthesia machines. This EP in turn references the chapter on gas equipment in NFPA 99-2012. This session will break down these standards in easy-to-follow steps and provide specific examples from one hospital's experience in achieving compliance with requirements for anesthesia machines.
Healthcare AI: Not as Scary as You'd Think, Pat Baird, Philips
As tools to help in clinical decision making, managing the healthcare enterprise, and improving manufacturing, artificial intelligence (AI) and machine learning have the potential to bring fantastic benefits to all aspects of healthcare. This presentation will explore several different use cases for AI in healthcare, then will demystify the "magic" behind these analytical techniques by drawing comparisons with known techniques and processes. The presentation will conclude with a description of the evolving regulatory and standards landscape around AI in healthcare.
Managing Remote Patient Monitoring on a Large Scale, Marc Petre, Cleveland Clinic
Increasing connectivity of medical devices has opened doors for improvements in patient care, medical operations, and device service. Connectivity also brings new challenges for medical device management. This session will explore the effects on care and unique support challenges faced by the presenters during their journey toward medical device connectivity.
HTM Professional Career Development, Clarice Holden, VA North Texas Healthcare System; Frank Painter, University of Connecticut; Arif Subhan, VA Greater Los Angles Healthcare System
You have discovered and joined one of the best kept secrets in the hospital—the biomed shop! Now, what do you do to enrich your career and keep up with healthcare's ever-evolving technological landscape? You develop your professional skills in HTM. The three highly motivated biomedical engineers at this session will share insights on making the best use of certification courses, on-the-job training opportunities, and mentoring—all of which are essential tools for the growing engineer and technician.
Increasing Awareness of Improper Equipment Cleaning, Michael Heusser, Middlesex Hospital; Bianca Wyman, Middlesex Hospital
This session will review the hazards of incorrect cleaning methods in relation to patient safety and cost implications. Improper and appropriate cleaning methods will be compared, and the role of effective interdisciplinary collaboration in appropriate cleaning will be described. An equipment labeling system will be demonstrated as an aid in communication to improve cleaning practices. Attendees will be encouraged to interact during the presentation with an opportunity to ask questions at the end.
10:45 a.m. - 12:00 p.m. - Main Stage Presentation
4:15 p.m. - 5:15 p.m.
Balancing Requirements for Infection Control and Reduction of Equipment Damage, Tobey Clark, Technical Services Partnership, University of Vermont; Leah Francoeur, Technical Services Partnership, University of Vermont; Paige Hamilton, Technical Services Partnership, University of Vermont; Erin Sparnon, ECRI Institute
This session will provide guidance on balancing the needs of stakeholders (e.g., cleaning/disinfection professionals, HTM staff, manufacturers) involved in infection control. Frequently reported types of device damage will be covered, and recommendations for reducing damage will be provided. Research related to infection control will be presented, including a review of guidelines for disinfectants. Information from case studies showing innovative approaches to reducing the problem also will be given.
Creating a Consolidated Enterprise Risk Analysis of Networked Medical Systems, Stratton Brown, U.S. Department of Veterans Affairs; Zachary Collins, U.S. Department of Veterans Affairs; Meaghen Krebsbach, U.S. Department of Veterans Affairs; Jane Lacson, U.S. Department of Veterans Affairs
Risk analysis in the Department of Veterans Affairs (VA) historically has been an individual assessment—a process that is repetitive, inefficient, and doesn't allow for objective enterprise review of risk. The team of presenters for this session recognized two opportunities to improve the process of analyzing risk for networked medical equipment. One was for biomedical engineering to cooperate with the enterprise information security and IT teams during risk analysis reviews. Second, the teams recognized that risk is an intrinsic property of the equipment make and model. These process improvements were pivotal in driving improved workflow and risk mitigation strategies across 23 healthcare systems.
Defining 'Manufacturer’s Validated IFU' and Exploring Updates to Reprocessing Standards, Ralph Basile, Healthmark Industries Company, Inc.; Damien Berg, St. Anthony Hospital; Nupur Jain, Intuitive Surgical; Steven Turtil, FDA/CDRH/ODE
The phrase, “follow the manufacturer’s validated instructions for use (IFU),” is a frequently heard mantra for effectively processing new and clinically used medical devices. This session will provide background information on the term “validated,” then focus on recent updates to national and international reprocessing standards (e.g., FDA’s 2017 guidance document, ASTM F3208, AAMI TIR12, AAMI TIR30, ISO 17664). These updates drive harmonization in validation activities and reprocessing IFUs. Understanding these updates will help prepare device manufacturers and healthcare facilities for upcoming requirements in reprocessing validations and instructions.
Exploring the Differences between Joint Commission and DNV GL Accreditation, Heather Cote, GE Healthcare; Justin Hershey, GE Healthcare
The session will explore the major focal points for Joint Commission and DNV GL accreditation surveys. Attendees will learn how to be navigate the survey processes for both accreditation agencies.
Preparing for the Future of HTM: An Educational Perspective, Joie Marhefka, Penn State New Kensington; Justin Pooley, Penn State; Nicholas Shook, Penn State
Considering the complexity of equipment, networking and associated security issues, and shortage of qualified candidates for job openings, the landscape of HTM is rapidly changing. The educator presenting at this session will share lessons on preparing biomedical engineering students for successful in careers in HTM, as well as insights on important skills for biomeds—both for today and looking toward the future. This session also will explore how educators and HTM professionals can work together to ensure that the needs of the HTM field are being met.
Transforming Medical Equipment Graveyards Globally to Improve Access to Healthcare, Benjin Joshua, Assist International
Attendees will be presented with a fictional case scenario centered on issues facing a biomedical equipment technician (BMET) in a developing country. The participants will break into groups and discuss ways for the BMET to solve the issues at hand. The scenario will continue to increase in complexity as time progresses, giving attendees perspective into the challenges facing the BMET at hospital, regional, and country levels. Participants will be encouraged to take actions toward improving healthcare in low-resource countries.
Use Data to Optimize Technician Performance and Create Greater Efficiency, Alan Gresch, Accruent; Richard Netwal, Advocate Aurora Health
This session will outline specific data to collect and analyze to achieve structure improvements that will increase annual device hours per technician, increase technician engagement, and decrease labor spend. The presenters will demonstrate how to build a business case for facility leadership, with consideration of financial and human resource implications. Real-life examples will be provided.
Using AI with CMMS for Capital Equipment Planning, Hussain Ali, MAHTECS LLC
In some instances, capital equipment planning is merely a wish list of equipment that is decided by virtue of organizational politics. In other cases, it is an afterthought that lacks structure and substance. In this age of artificial intelligence (AI), we have financial, operational, and maintenance data that are being generated by various organizational systems. Funneling these data points into an AI algorithm can provide a reliable framework that can drive organizations' capital equipment planning programs. The pivotal role of CMMSs in this endeavor also will be explored.
Using Data Modeling for Tracking Technician Workload, Arleen Thukral, VHA
Managers have a slew of reports and items to track, including preventive maintenance (PM), corrective maintenance, incoming inspection, hazard alerts, and projects. Often times, these reports are independent of one another and do not provide a comprehensive understanding of the time demands on each technician. This session will describe how to usefully transform the number of work orders into required daily time per technician. The session will describe a homegrown tool that takes a mathematical approach to factor in backlog and future incoming work for the month using predictive analytics (i.e., data modeling techniques) to keep track of overall workload for each technician.
IoT Theater in Expo Hall
1:00 pm - 1:30 pm
Secure Software Update for Medical Devices: The Why and How, Sagar Patel, Battelle Memorial Institute
The increasing number of medical devices getting connected to the Internet to provide better services to patients also brings cyber risks from other domains to medical devices. The difference is that most medical devices have longer life cycles (>10 years), essentially making them vulnerable to security flaws as they get discovered. The ability to patch software/firmware to be able to fix a newly discovered vulnerability will become essential in situations like this. However, the larger issue is that small, low-power medical devices cannot directly adopt security controls used in traditional IT security. This session delves deeper on these issues and how some modified security mechanisms could help in securely delivering software updates to medical devices with minimal design changes.
1:45 pm - 2:15 pm
Real-World Process for Improving EHR Usability, Rebecca Meehan, Kent State University
Effective use of electronic health records (EHRs) is critical to achieving intended clinical results and preventing patient harm due to error. When a usability problem in an implemented EHR is identified, a streamlined process is needed for achieving improvements. Changes requiring customization need to be designed, programmed, and tested before they can be rolled out. Alternatively, other features may require hard coding in the system—a scenario in which the vendor is essential. This session will outline current issues in EHR usability and organizational processes for making necessary modifications to systems.
Spotlight Theater in Expo Hall
12:30 pm - 1:00 pm
Aligning an Interdisciplinary Team Around One Vision, Kristina Hendel, University of Virginia Health System
The presenter of this session will share her experiences working on complex, multiyear projects and with interdisciplinary teams that have included clinicians, construction teams, architects, engineers, and others. Although every project may not begin with a vision statement, a common goal should be agreed upon so that all team members can stay on track and remain accountable. Understanding the perspective, motivations, and goals of each of your team members is essential to this common vision. Taking the time to understand and realign project goals can make the team more effective and the project successful.
1:15 pm - 1:45 pm
Interdisciplinary Approach to Mass Simulation, Alberto Vasquez, Alamo Colleges District-St. Philip's College
Communication is key in the healthcare team's ability to carry out its function. In healthcare education, students learn about their individual profession as it relates to patient care but, prior to clinical rotations, rarely practice together as a team. In this session, attendees will learn about a well-researched, team practice–based learning method to train health professionals to safely use an interdisciplinary mass simulation.
2:45 pm - 3:15 pm
Building a Sustainable Sterile Processing Workforce through Educational Partnerships, Betty McGee, Prosser Career Education Center
Currently, sterile processing or materials management technicians have a limited number of options for receiving training locally or regionally—most of the training for these positions is on-the-job training. For one health system, the inability to identify qualified applicants meant hiring individuals with little to no healthcare background and a lack of education regarding sterile processing. This session will describe a successful partnership that allowed a school system with a robust certified nursing assistant and pharmacy technician program to partner with a healthcare system to offer students another career pathway. Attendees will learn creative ways to establish a better qualified and trained pool of applicants for sterile processing careers.
7:15 a.m. - 7:45 a.m.
An AI-Enabled Image System to Detect and Track Patients with Fever, Richard So, The Hong Kong University of Science & Technology
This session will explore the design, development, and deployment of an artificial intelligence (AI)-enabled thermal imaging system to detect and track patients with fever. The technical experience from the perspective of the R&D engineer, as well as users' experiences with the system, will be featured. Lessons will be shared on potential applications, balancing between rule-based feature extraction algorithms and deep-learning networks, and overcoming challenges during deployment. Videos of the working system will be shown for illustrative purposes.
Large-Scale Patient Simulation for Improved Science on Patient Safety, Daniel McFarlane, Philips Healthcare
A clinical trial can generate evidence to support claims of benefits for a new healthcare product after its design and development are completed. In contrast, new prototype systems in other industries (e.g., national security) often undergo formative simulation-based evaluations before going to live tests. Simulation can reveal safety problems and result in improved solutions. Evidence from a clinical experiment in patient simulation supports this claim. A prototype wearable attention aid for nurse triage of alarms was evaluated in a full-scale 20-bed hospital acute care unit patient simulation. Sixteen nurses participated in a repeated-measures analysis, and the results highlight the value of simulation.
Leveraging a Multigenerational Team for Business Advantage, Beth Schaul, GE Healthcare
As an HTM team becomes more age diverse, business leaders can face challenges in managing a multigenerational workforce that differs in work styles. However, this diversity can be a powerful way to improve team productivity and business results. Attendees will learn how to best leverage a generationally diverse team for business advantage.
Longitudinal Analysis of Cost, Quality, and Efficiency in Clinical Engineering, Philip Settimi, PartsSource
Based on a recently completed analysis of more than 50 U.S. health systems—representing $240 million in spending and over 400,000 purchase transactions—the presenters of this session have benchmarked variance and average cost savings available to the supply chain. This presentation will provide industry findings on spending anomalies at healthcare facilities (e.g., paying different totals for same products), identifying areas of tremendous cost savings, and revealing opportunities for process efficiencies.
Quick Start Guide to Quality Management System Implementation, Lena Cordie, Qualitas Professional Services
This session will provide attendees with a framework for developing a quality management system (QMS) and a plan for implementation that they can apply to their organization's timeline and requirements. Consider it the speed-dating version of QMS planning! This session is a continuation of last year's presentation on ""QMS in the SPD"" and is directed to attendees who have already been assigned the QMS project or those looking for the final bit of information to convince management to move in this direction.
Riding the Waves of the Perfect Sterile Processing Storm, Patricia McMeen, Erlanger Health System
The departments at one healthcare facility were caught in the perfect storm: year-over-year increase in surgical volume, expansion of operating room theaters, lack of expansion of the central sterile processing department, increased complexity of instrumentation, updates to recommended processing guidelines, and an increase in instrument intensive procedures. Together, these factors put a strain on an aging central sterile department, leading to delayed and canceled cases, as well as an average immediate-use steam sterilization (IUSS) rate of 24%. The Lean principles used to successfully reduce and maintain an average IUSS rate of less than 5% for the health system will be reviewed.
8:00 a.m. - 9:00 a.m.
Applying Project and IT Service Management Approaches to HTM, Rebecca Arthur, Inova Health System
From infrastructure to operating systems, the medical systems supported by HTM incorporate many standard IT components. The presenters at this session will describe how project and IT service management approaches were used to standardize activities, processes, tools, and controls for managing systems under the support of HTM.
Automating Medical Device Cybersecurity Risk Assessments and Remediations, Alan Gresch, Accruent, LLC; Tommy Lee, Accruent, LLC
A medical device cybersecurity breach becomes more costly the longer it takes to identify and remediate. Automating the collection of medical device network information and MDS2 (Manufacturer Disclosure Statement for Medical Device Security) data eases the burden on HTM staff and continually maintains and validates inventory of all connected devices. Proactive identification, automated isolation, and alerts of breaches minimizes risk and associated costs. Device utilization information improves preventive maintenance scheduling, equipment capital planning, procurement, and inventory levels. Real-world examples and results from one healthcare system will be provided.
Doing Steam Sterilization Right: What Does Steam Quality Mean to You?, Jonathan Wilder, Quality Processing Resource Group, LLC
Steam quality finally has taken center stage in AAMI ST79:2017. Not meeting the requirements of the standard can lead to wet loads, recalls, and facility shutdown. The focus of this session will be discussing these ""hidden variables"" in steam sterilization, why they matter, and how proper steam quality can make your sterile processing department more productive.
Leadership in HTM: Improving Quality, Cost, and Staff Productivity, Doug Kirsop, OhioHealth
In the current healthcare environment, health systems are consolidating through mergers, thereby increasing the number of acute and nonacute systems in system portfolios. This session will describe how one health system integrated new facilities, merged and onboarded HTM groups at those facilities, and created an in-house operating model across the entire continuum of care. The system's ongoing goals of improving quality, lowering cost, maximizing staff productivity, and enhancing cybersecurity will be shared. An operational plan for creating a cohesive HTM team throughout an entire system also will be detailed.
Leveraging Immersive Technologies in the Department of Defense Training Environment, Christian Bond, METC BMET Program; William Mitchell, METC BMET Program; Wesley Reid, METC BMET Program; Matthew Shaffer, METC BMET Program
The panel of presenters at this session will describe how immersive technologies, including MR (mixed reality), AR (augmented reality), VR (virtual reality), 3D printing, and smart device applications, can be used to creatively address conventional limitations in the training environment. Attendees also will learn how the efficiency and reliability of device maintenance can be enhanced through the use of immersive technologies.
Using Agile (TIR45) to Comply with ISO/IEC 62304, Lillie Thomas, AirStrip Technology Inc.
Although AAMI TIR45 (Guidance on the use of AGILE practices in the development of medical device software) was introduced by 2012, it has not received sufficient attention internationally. The gold standard remains ISO/IEC 62304. Agile provides the iterative process to continually improve, which is the goal of all quality systems. The time has come to match up the vocabulary for compliance with software development so that the Agile tool is more accepted and development of software can proceed more efficiently. This session will discuss vocabulary and process, giving participants the tools needed to assess supplier compliance, meet requirements, and increase the acceptance and use of Agile principles.
Using Data to Decrease Corrective Maintenance Turnaround Time, David Miller, VA North Texas Health Care System; Devang Patel, Michael E. DeBakey VA Medical Center; Nicole Patterson, VHA
What does your corrective maintenance turnaround time really say about your department? In this session, staff from Department of Veterans hospitals will share what they discovered when they dove into the data behind their corrective maintenance work orders, as well as the critical steps they took to lower their overall corrective maintenance turnaround time. This session will explore the equipment categories that take the longest to repair, the types of reports used for tracking, and establishing policies that facilitate the rapid return of medical equipment to end users.
9:15 a.m. - 10:15 a.m.
Cybersecurity for HTM Professionals: Overview of Resources and Leading Practices, Stephen Grimes, Strategic Healthcare Technology Associates, LLC; Axel Wirth, Symantec Corp.
This presentation will offer practical steps to addressing the unique challenges of medical device cybersecurity and describe the roles that HTM professionals can—and should—play in helping to overcome those challenges. The session will include a review of cybersecurity fundamentals a provide insights into the regulatory and standards environment, inventory and configuration management, risk assessment and mitigation, and incident response. It also will identify available resources and cite examples of important tools, policies, purchase agreements, and vendor contracts.
FDA Third-Party Device Servicing Report Follow-Up, Katelyn Bittleman, FDA/CDRH; Robert Kerwin, IAMERS; Robert Phillips, Siemens Healthineers; Binseng Wang, BSI
In 2016, the FDA issued a request for comments on the quality, safety, and effectiveness of medical devices serviced by third parties, including healthcare provider staff. After reviewing comments received from the docket and material presented at a workshop convened in 2017, the FDA issued a report in 2018 in accordance with the Reauthorization Act of 2017. Although the agency did not believe additional, formal regulatory action was warranted based on the available information and findings, it decided to pursue some additional activities. The progress made on those activities will be reported during this session.
Leveraging IT Resources for Inventory Management and Cycle Logging of Reprocessed Flexible Endoscopes, Brian McLaughlin, Massachusetts General Hospital; Karen Taborda-Marin, Massachusetts General Hospital
Proper flexible endoscope reprocessing continues to be a major infection control concern. Advances in automatic endoscope reprocessors (AERs) provide the ability and necessity of tailoring cycle parameters to the specific scopes being reprocessed. No longer does one cycle fit all scopes, and with this variety comes increased risk of incorrect reprocessing. The presenters will share how they network their AERs and maintain their inventory of scopes, scope cycle parameters, and cycle logs on a central server to reduce risk. They will share their experiences in implementing the system, as well as address challenges encountered with vendors and IT colleagues.
New Career Opportunities for HTM Related to IoT and Cybersecurity, Ben Patel, Cone Health; Pranav Patel, MediTechSafe, Inc
Healthcare is being transformed by many digital innovations, including telehealth and personalized medicine. At the core of these innovations lies connectivity that we have come to refer to as the Internet of Things (IoT). When it comes to IoT, many implementations are undertaken by the hospitals themselves. In other words, these hospitals are becoming the designers and developers of systems of systems. They are also having to implement appropriate cybersecurity measures to protect these complex systems. HTM professionals have a unique opportunity to undertake this new scope and lead this area by developing and institutionalizing new practices in their organizations. This session help them understand and lead the new wave of digital innovations.
Protecting Your Investment: A New Strategy for Medical Equipment Procurement, Mike Friesen, University of Virginia Health System; Patrick Headley, University of Virginia Health System
Following a catastrophic failure of a newly implemented medical equipment platform, one healthy system resolved to never allow an event like this to happen again. The resolution was found in much more aggressive and extensive protections for new equipment investments than are included in standard purchasing terms and conditions. Attendees of this session will learn how a clinical engineering department successfully negotiated strategic terms and conditions, including equipment acceptance and uptime guarantees and protections against technological obsolescence and systemic failures with most major medical equipment manufacturers.
Securing Medical Devices in a Hospital Environment, Phil Englert, Deloitte & Touche LLP; Nick Sikorski, Deloitte & Touche LLP; Keith Whitby, Mayo Clinic
The past decade has seen an intertwined evolution of medical device security threats, regulatory and customer requirements, and the emergence of industry-leading practices. Given the impact of these evolving factors, the future of healthcare will continue to be driven by technological advancements, customer demands for functionality and ease of use, and regulatory oversight. This session will explore key positive and negative industry trends and a programmatic approach that healthcare delivery organizations can take to secure connected medical devices and reduce risk to patient safety and information security.
10:45 a.m. - 12:00 p.m. - Main Stage Presentation