Dr. Ellis' presentation entitled User Experiences - Digital Mammo Workflow Issues
Click here to download PDF (2.8 MB).
The Electronic Healthcare Enterprise 2006 offered the most diverse curriculum to date with Image Optimization, Pediatric, Cardiology Informatics and Radiology Informatics components as well as an extremely popular DICOM Monitor Calibration workshop. The diversity of the program as well as the high calibre of speakers attracted DI professionals from all across Canada.

CR & DR - Image Optimization was once again an excellent program of pragmatic knowledge and garnered rave reviews for the speaking team of Barry Burns, Kerry Krugh and Ellen Charkot.

DI Informatics - Integration into the EHR featured 2 tracks with the speaking talents of Dr. Robert Miller, President of CAR,
Dr. Steven Horii, Dr. Nogah Haramati, Dr. David Weiss, Peter Bak PhD., Dr. David Channin, David Berkowits, Dr. David Koff, Dr. Stuart Hutchison, Dr. John Edmonds, Dr. James Swan, Faisal Aziz and Dan Verbsky who delivered an educational program on DI Informatics that has not been equalled in Canada. This is a must see event for anyone who is learning about or wanting to enhance their knowledge base on DI Informatics.

“The Electronic Healthcare Enterprise: 2005” was expanded to a single national event held in Toronto resulting in the largest and most diverse educational event to date. The first course entitled “Computed Radiography & Digital Radiography – The Digital Generation” presented leading edge lectures on the use of and optimization of images and workflow for each of these technologies. The second course, “Regionalization of PACS – The Next Step Level 400” hosted two educational tracks. The first track focused on the developments in the Regionalization of PACS across the country and the second track was dedicated to the optimization of the existing PACS environment. Faculty for this educational event included such thought leaders as: Michael Flynn, PhD.; Tony Seibert, PhD.; Charles Burns, MS, (RT), DABR; Dr. Nogah Haramati; Dr. David Weiss; Dr. Steven Horii; Dr. Eliot Siegel; Thomas Hough, CMC; as well as numerous speakers from Canada Health Infoway.

In 2004, “The Electronic Healthcare Enterprise: What You Need to Know About Digital Radiography” and “Optimizing PACS and Expanding the Enterprise Level 300” were held in Vancouver and Toronto. The educational events drew numerous delegates again, who were interested in acquiring DR and Optimizing their PACS. Delegates reported course content as being highly relevant to issues they currently face. The Faculty included: Charles Willis, PhD, Director of Clinical Physics, University of Texas MD Anderson Cancer Centre; Anthony Seibert PhD, Professor of Radiology, UC Davis Health System; Dr. Steven Horii, Professor of Radiology at the University of Pennsylvania Medical Centre; Dr. Bradley Erickson, PhD, Associate Professor of Radiology, Mayo Medical School; Maria Hilts, MRT (R), Clinical Leader, Lakeridge Health Corp. and Thomas Hough, CMC founder of True North Consulting & Associates Inc. At the Vendor Exhibition Event over 20 different companies provided information and hands-on demonstrations of advanced DI technology.

In 2003, the educational format expanded to a two-part educational event: “The Electronic Healthcare Enterprise: Optimizing the Computed Radiography Image” and “PACS Integration and Implementation Level 200”. The two courses were offered back to back in Montreal and Vancouver with approximately 500 delegates in attendance between both sites. Faculty for the 2003 event included acknowledged DI authorities such as: Charles Burns, DABR, Professor of Radiologic Science, University of North Carolina at Chapel Hill, Charles Willis, PhD, then Associate Professor, PACS Coordinator, Houston Hospital for Sick Children; Dr. Eliot Siegel, Chief of Imaging Services at VA Maryland Health Care System; Paul Nagy, PhD, then Assistant Professor of Radiology at the Medical College of Wisconsin; Beth Goodhew, PACS Consultant, and Thomas Hough, founder of True North Consulting & Associates Inc.

In September of 2002, “The Electronic Healthcare Enterprise: A Primer on PACS and Integrated Workflow” launched the first in a four-part series of educational events. Over 90 delegates attended the 2-day events, held in Toronto and Vancouver. Many attendees indicated the content was very topical and served as an ideal introduction to PACS. Faculty included, Dr. Paul J. Chang, Section Head of the Division of Radiology Informatics at the University of Pittsburgh Medical Centre; Jane vanEssen, then Manager of the Diagnostic Imaging Centre at St. Joseph’s Healthcare in Hamilton, Ontario; Peter Bak, PhD, a renowned authority on PACS systems architecture; and Thomas Hough, founder of True North Consulting & Associates Inc.
12 Rules for Excellent Radiography

Checklist for Quality Projection Radiographs:

Check these items to ensure a quality image on Film, Computed Radiography or Digital Radiography every time. It is really very simple.


For every exam:
1. Confirm patient positioning is appropriate for the exam;
2. Confirm FOD (Focal Object Distance) is correct for the exam and room configuration;
3. Confirm the room is appropriate for the exam type and has the correct grid focus;
4. Confirm kVp is appropriate for exam and patient size; is there enough penetration?
5. Confirm mAs is appropriate for exam and patient size; is there appropriate density? and
6. Confirm columnization is correct for the exam and patient size.


Once a month:
1. Ensure Automatic Exposure Devices (AED’s) are appropriately calibrated;
2. Ensure the grid is not defocused;
3. Ensure Technique Charts “Patient Exposure Guidelines” are current and within regulatory exposure requirements;
4. Dialogue with the radiologists on image quality and positioning on exams for past month; and
5. Maintain a Q.C. Log for exam repeats and discuss the changes to correct the problems.

Once a Quarter:
1. Ensure the grid is the appropriate focal distance for the application and room configuration;
2. Ensure kVp is outputting as selected;
3. Ensure mAs is outputting as selected;
4. Ensure Time is cutting off as selected;
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