• 39th CSUN Assistive Technology Conference - March 18-22, 2024 at the Anaheim Marriott

    The Premier AT Conference

39th Annual CSUN Assistive Technology Conference Has Concluded

Establishing a PDF Accessibility Program in a Complex Org

Date & Time
Wednesday, March 20, 2024 - 1:20 PM PDT  
Grand GH  

Implementing a PDF accessibility program across a large, complex, integrated healthcare organization poses many challenges. Because of our decentralized distributed publishing model, 300K employees, including 24K physicians, can publish PDFs on our flagship website We started implementing a program two years ago to scale accessibility across all stakeholders to improve the accessibility of our documents for our members.

We’ll share how we began assessing our situation by employing a tool that scans our publicly facing web pages and tests each PDF against WCAG 2.1 AA. We discovered a very high rate of untagged PDFs and developed a strategy for improving them. We’ll discuss how we built a tool and training library that provides access to various testing and remediation tools, and courses available to all employees. After creating awareness and training authors, we began a phased enforcement program where all PDFs are screened before moving to production. We’ll examine how success depends on successfully partnering with stakeholders such as authors, document engineers, content strategists, and vendors. So far, our efforts have reduced untagged PDFs on by 93%.

We are excited to share our challenges and successes with others who are either beginning their PDF program or have pre-existing challenges with established programs.

This Presentation Link is provided by the Presenter(s) and not hosted by the Center on Disabilities at CSUN. The Center on Disabilities has confirmed, as of April 18, 2024, content linked is relevant to the presentation, but has not been reviewed for accessibility nor will the Center on Disabilities attempt to remediate any accessibility issues in the linked content. Please contact the Presenter(s) with any accessibility concerns.

  • Information & Communications Technology
  • Healthcare & Rehabilitation
  • Media & Publishing
  • Marketing
  • Administration & Business Support
Audience Level
Session Summary (Abstract)
This session will show how to create and evolve a PDF accessibility program in a complex organization. Topics include setting realistic goals, testing and remediation tools, education programs, enforcement measures, and measuring success.  
Primary Topic
Healthcare & Rehabilitation  
Secondary Topics
  • Blind/Low Vision
  • Captions & Transcription
  • Evaluation & Remediation
  • Information & Communications Technology (ICT)
Session Type
General Track  


  • Chris Nishioka
    Kaiser Permanente

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