Mark O’HerlihyDirector of Healthcare
Europe, Middle East & Africa
Perceptive Software
'Using Information to Drive Integrated Care'
"Healthcare Content in Context"
© 2012 Perceptive Software. All rights reserved.
Presentation Focus
© 2012 Perceptive Software, LLC. All rights reserved.
ECM Enterprise Content Management
VNA Vendor Neutral Archive, Enterprise Clinical Content Management
Interoperability The ability to share information between systems, internally or externally
Data Liquidity Delivering useful, relevant data to each stakeholder, users or
applications
VNA + ECM: Build a Foundation for Data Liquidity
Healthcare Today
Content ChallengesManage, Store, Access
Archived, existing and new
Store Efficiently, Access on Demand
Terabytes
Zettabytes
Petabytes
Exabytes
Radiology/Cardiology
Imaging
Non-DICOMContent
DigitalPathology
Genomics
Healthcare Today
Content ChallengesManage, Store, Access
Archived, existing and new
Store Efficiently, Access on Demand
Process ChallengesManual Unmanaged Processes
Business and clinical inefficiencies
Discover, Design, Execute, Improve
Healthcare Today
Content ChallengesManage, Store, Access
Archived, existing and new
Store Efficiently, Access on Demand
Application ChallengesProprietary, inflexible systems
Access and functionality limitations
Eliminate Silos, Deliver in EMR context
Process ChallengesManual Unmanaged Processes
Business and clinical inefficiencies
Discover, Design, Execute, Improve
Your Enterprise Environment
© 2012 Perceptive Software, LLC. All rights reserved.
+ EMR Process Strengths• Clinical Pathways, CPOE, Clinical
Messaging
+ EMR Content Strengths• Physician/nurse populated data,
Nursing assessments, MD Documentation
EMR
- Processes outside of EMR• Chemo Treatment Plan Management• Provider Credentialing
- Content outside of EMR• Photos, paper documents,
Correspondence, Faxes, Radiology Dictation and Imaging, Pathology
Other Clinical Systems• Radiology, Cardiology, Lab, HIM
Unified Content Platform;• Eliminate content silos• Optimize your EMR• Complete the patient recordEnterprise non-clinical Systems
• ERP, HR, Revenue Cycle, Registration / Admissions
ERPREG
HR
LAB
RIS
HIM
All contentAny sourceAny purpose In context
ECM + VNABuild a Foundation for Data Liquidity
© 2012 Perceptive Software, LLC. All rights reserved.
VNA: Definitions
VNA, PNA, PEA, ANP, UCA, CCF, UCP – WHAT!
So what is it?
VNA & ECM Combined Market Response
What is a Vendor Neutral Archive
Acronyms
VNA – Vendor Neutral Archive (Industry) PNA – PACS Neutral Archive (Mike Gray) PEA – PACS Enterprise Archive (Industry) ANP – Archive Neutral PACS (Paul Chang) UCA – Universal Clinical Archive (Dell) CCF – Clinical Content Foundation (Dr.
Rasu Shrestha - UPMC) UCP – Universal Clinical Platform (Acuo)
What is a VNA?
“Platform” that provides long-term, disaster recovery, lifecycle management
Ability to easily share medical (data) by communicating with different PACS
Central repository for medical imaging data and other patient data based on open architecture for multiple departments of multiple hospitals.
Accepts data irrespective of the originating PACS or other viewing, acquisition and workflow management system
Makes originating sources changeable without having to change the data formats or interface of the archive.1
1 InMedica Research – Data Storage – Vendor Neutral Architecture – 2012 Edition
Platform – much more than an archive, a platform “enables”
Open architecture – based on standards or standards based interfaces
Accept data irrespective – source and format should blur and become unimportant
Sharing – data becomes liquid
Originating source(s) changeable – customer has choice and control to change data sources and consumers
VNA – Key Points
VNA – Key Point
Interoperability Delivers Data Liquidity – Useful, Relevant Data to Each Stakeholder, User or Application
Market Research
VNA and ECM
Combine – Market
Response
IMS Research – Lexmark Acquires Acuo Technologies – InMedica’s View -http://www.imsresearch.com/blog/Healthcare_Data_Management_Intelligence_Service_Monthly_Analysis_Feb_2013/33
ImagingBiz - The VNA Revealed: Understanding Its Role in a Health-delivery system -http://www.imagingbiz.com/articles/radinformatics/the-vna-revealed-understanding-its-role-in-a-health-delivery-system
Applied Radiology - Enterprise vendor neutral archive: Guide to riding the bandwagon -http://www.appliedradiology.com/Issues/2013/02/Articles/Enterprise-vendor-neutral-archive--Guide-to-riding-the-bandwagon.aspx
Gartner – Lexmark’s Acquisition of Acuo Technologies Heralds a new ECM Focus for HDOs -http://www.gartner.com/technology/reprints.do?id=1-1E1KL8D&ct=130211&st=sg
IMS Research – Rise of the Middleware
© 2012 Perceptive Software. All rights reserved.
It highlights the potential for VNAs to help drive hospitals towards cross-enterprise data integration. However, it also shows the potential limitations of VNAs to do so on their own.
It signals a trend towards integration of third-party systems to bring together major hospital IT systems – something we are calling “The Rise of the Middleware” (see third section).
It begs the question – what is next for VNAs?
Radinformatics – Need for Interoperability
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Hospitals aren’t the only ones consolidating, as evidenced by Lexmark International’s recent acquisition of Acuo Technologies—a trend that Shoemaker also views as a natural progression. “…especially as VNAs begin to move out of the radiology/cardiology space. There is a large need for interoperability between enterprise content-management systems and clinical systems to provide a complete record of structured and unstructured content to the EMR systems.”
Applied Radiology – Not all VNA’s are created equal
© 2012 Perceptive Software. All rights reserved.
Not all VNA solutions are created equal, however, and as each of these categories continues to evolve, the story keeps on getting better for all of us. Enterprise content management (ECM) firms bridging with VNAs seems to be the next logical evolution, and this makes for perfect sense in terms of a broader strategy to manage all content across the healthcare enterprise. Across the board, there is a push for greater degrees of maturity around content management in healthcare, and my prediction is for continued innovation in this area.
Gartner – New ECM Focus for HCOs
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View ECM as an enterprise wide information infrastructure that will support multiple business and clinical applications and workflows.
Create a content ecosystem that puts the user (the patient, clinician or employee) at the center.
Resist installing stand-alone ECM components such as document management and imaging (DMI), Web content management, and digital asset management applications.
Consolidate content repositories and develop exit strategies for departmental content applications that are not considered critical and can be addressed by an ECM solution.
Creating a New Reality in Healthcare
Completing The Patient Record
© 2012 Perceptive Software, LLC. All rights reserved.
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Challenges of EMR/EHR Integration
TypicalEMR/EHR Installation
Missing health content = incomplete picture of patient healthcare experience
Disparate departmental systems and clinical data silos
Cardiology PACS
Other clinical content
RIS/HIS/eMPI
Radiology PACS
Unstructured content in digital and paper formats, in standalone servers, physical file cabinets and desk drawers,
sent by courier and carried by patients
Unified Content Platform
ECM Cardiology PACS Radiology PACS Specialty PACS
CloudSAN NAS
Enterprise Content Strategy
Liberated data – to capture, manage and access in context
Universal Access
ILM
Storage
EMR
Semantic searching of multiple data elements from a single view Pretrieve patient clinical content Analytics of unstructured content Eliminate information silos
Scanned Content
Electronic Forms
Deliver in Context
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Digital Photos
Enterprise Imaging
Content-based medical record
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Healthcare Vision
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EMR
NHS #: 200803768
Core System (EMR)Device Output DICOM External Content Traditional Content
A powerful healthcare solution that drives both cost efficiencies and better patient care through a single, enterprise-wide and content-based medical record that is accessible via any electronic medical record (EMR) system
Integration with patient data from EMR
Clinical content intermingled with ECM in results grid
Unified Healthcare Content Platform
VNAvendor neutral archive ECMenterprise content
management
Content-BasedMedical Record
all content, any source, any purpose, in context of the patient record
Radiology PACS, Cardiology PACS, RIS/HIS/eMPI, other clinical content
Scanned documents, reports, notes, photos,
videos, wave forms, other content
SAN SAN
CAS/Cloud NAS CAS/Cloud NAS
Questions?
Mark O’Herlihy
Director of Healthcare
Europe, Middle East & Africa
Perceptive Software
© 2012 Perceptive Software. All rights reserved.