mastering image management - healthsystemcio.com · “mastering image management” ......

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“Mastering Image Management”

A Complimentary Webinar From healthsystemCIO.comSponsored by Perceptive Software

Your Line Will Be Silent Until Our Event Begins at 12:00 ET

Thank You!


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Housekeeping

• Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com

• Ask A Question• We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the

lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

• Download the Deck • Go to http://healthsystemcio.com/presentation/image-mgt-webinar.pdf• Shortened URL at bottom of all slides

• View the Archive• You will receive an email when our archive recording is ready. • Separate registration is required.

http://healthsystemcio.com/presentation/image-mgt-webinar.pdf


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Agenda — Approximately 45 Minutes

• 25-30 minutes: Dan Kinsella, EVP/CIO, Cadence Health System

• 5 minutes: A Word From Our Sponsor: Troy Oliphant, Global Healthcare Solutions Manager, Perceptive Software

• 10-15 minutes: Q&A w/Dan Kinsella


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“Mastering Image Management”


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What is Image Management?

• Variety of formats and standards• Diagnostics by modality – DICOM, non-DICOM

• Pictures

• Business documents

• Managed for what purpose – “Triple Aim Context”• Better Outcomes

• Better Patient Experience

• Lower Cost


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Challenges

• Direct – related to the technology• Variety of image types by modality• Advances of powerful diagnostic equipment (mega, multi-slice CT, PET/CT, digital mammography)• Generational span of technologies and vendors- (2nd & 3rd generations)- swivel chair workflow• Image transfer• Bandwidth and storage• Thick client and high end work stations

• Indirect – related to the business• History of DI as a revenue generator (concession stand)

• Proliferation of specialty image capture & archive systems• Islands of information

• Growth and expansion of EMR adoption• Clinical integration (continuum of employed and affiliated providers)• Provider market consolidation – merger integration • Patient mobility in modern delivery system• Tele-radiology alternatives and subspecialty radiologists


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Image Life CyclePrepare the

patient

Capture the image

Professional read

Retrieve and compare

past images

Report impression

Consult with Care Team

Archive the image


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The Business Case for Image Management

• Future state vision is embodied in deconstructed PACS• Image capture & workflow• Image exchange• Flexible diagnostic viewer• Vendor neutral archive

• Benefit drivers• Merger integration/platform rationalization

• Consolidation for DR and Life Cycle Management• Minimizes data migration with technology evolution• Compliments structured data archiving solutions

• Clinical integration (triple aim)• Better outcomes, including safety, sharing among specialists, EMR enabled• Better patient experience, easy referrals• Lower cost (duplicates)


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Road Map to EIM

• Business strategy• Merger integration• Clinical integration• Value based care

• Technology strategy• Application portfolio• Deconstructed PACS

• Getting started• Enterprise EMR platform• Image Exchange• Data cleansing (MPI across legacy apps)• VNA


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High Impact Capabilitiesenabled by Image Management

• Value Based Care – avoid duplication, denials

• Support inbound referrals/service lines

• Instill confidence in patients

• Patient safety in transitions

• Clinical decision support with VNA

• Research & education

EnterprisePerformance

Revenue Expense

Contracting/ Alignment

Market Service Lines

Capture Referrals

eCommerce

CustomerExperience

Quality CareDelivery

Enterprise Shared Services

Non-Labor Cost Management

Labor CostManagement

Information Management

Biomedical, Facilities

Registration/ Scheduling

Care/Case Management

Clinical Decision Support

Care Transitions

MedicationManagement

Revenue Realization

Personal Health & Wellness

Clinical Integration

Vision & Strategy

Winning organizations will have mature capabilities in these key levers of the business (Blue boxes)


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Future State Technology Enablerscomponents of Image Management

• Diagnostic Image Capture • Storage~ precision

• Send in the clouds

• Image Exchange, HIE

• Vendor Neutral Archive

• Deconstructed PACS

• Universal DI viewer

• Impact of EMR in DI and Image Distribution

• Enterprise integration of DICOM, Non-DICOM


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PACS 3.0

PACS Version 1.0 Version 2.0 Version 3.0

Characterized by Transition from film to digital

Focus on workflow; throughput & efficiency of Radiologists

Enhance the value proposition (quality, safety, efficiency)

Locus of Control Radiology Centered, drop in and converse

Web-based, thin client, integrate with EMR

Federated; across organization boundaries

Customer Focus Referring doctors; PACS as a differentiator

+ IDNPACS not a differentiator

+ Payers+ Government

Reimbursement Fee for service Fee for service Blend with Fee for Value

Disruption Film to digital Web based distribution Deconstruction

Clinical Focus Radiologist Other Ologists Referring physicians, patients


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The Road Ahead

• Better, faster, if not cheaper equipment

• Power to the people (BYOD, pictures, personal phones, videos)

• Image Migration• MPI integration• Pace

• Consolidation• Providers• Vendors

• Storage growth and routine capital• Document retention• LMR

• Image Sharing• Chain of trust• Bandwidth


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Role of the CIO in Image Management

• Understand and anticipate the strategic direction of the enterprise

• Facilitate development of an IM Road Map (3 year horizon)• Ensure buy-in

• Framework for multi-year capital investments

• Maintain an enterprise view (vs. silos)

• Bring insight re: IM to Service Line development

• Keep up with the technology advances

• Consider opportunities for platform consolidation


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Enterprise Stakeholders

• CMIO

• Physician Champions

• Diagnostic Imaging

• Service Line Leaders

• PHO/ACO

• Privacy, Legal


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Where is IM on your list?

• Important, but not urgent

• Advantage of multi-year investment horizon

• Synergy with:• PACS upgrade/replacement

• Merger integration

• EMR implementation

• Service line growth and referral management


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IM & MU – RU2?

• Meaningful Use and IM• Stage 2 Final Rule

• Specificity around a technology enabler

• On what high impact capabilities are youfocused?

Imaging ResultsObjective:Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through certified EHR technology (CEHRT).Measure:More than 10 percent of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT.Clinical Importance:The availability of diagnostic imaging results, along with accompanying information, in the EHR allows providers ease of access when needed during a patient encounter. It also provides an increased ability to share information with patients and assists in improving efficiencies, as access to this information assists in avoiding repeat tests and reducing radiation exposure to patients.


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Suggestions

• Consider doing:• Put the patient in the middle, not the “___ologist”

• 3 year road map – good use of consulting dollars

• Embrace concepts of deconstructed PACS

• Engage in service line growth plans

• Look at your EMR as the shared documentation tool, PACS as the workbench

• Go to RSNA with your DI colleagues

• Avoid doing:• Underestimating time & cost of image migration

• Put too much weight on single vendor platform

Troy Oliphant, Global Healthcare Solutions Manager

October 15, 2014

Perceptive Acuo

Vendor Neutral Archive

© 2014 Lexmark International, Inc. All rights reserved.

Perceptive Software

Switzerland

Belgium

France

Spain

Netherlands

Germany

Sweden

United Arab Emirates

Australia

Brasil

• Founded in 1995 in Kansas City

• Process and content management software + solutions

• One of the 10 largest providers in the world

• Acquired by Lexmark International in 2010; operate as

a stand alone entity

• Acquired Acuo Technologies and PACSGEAR

Profile

• Industry expertise and specialized sector solutions

• Regional offices in London, Paris, Frankfurt, Amsterdam, Madrid, Budapest (support center),

Geneva, Dubai, Sao Paulo, Singapore, South Africa and Sydney

• 3,000+ customers

• Used by organizations in 30+ countries

Presence

United States

United Kingdom

South Africa

Singapore

India

Philippines

Hungary


VNA Era

PACS Era

Unprecedented Demand for Information

Terabytes

Petabytes

Exabytes

Zettabytes

Referring Physician

Pathologist

Neurologist

Oncologist

Patient

Radiology/Cardiology Imaging

Supporting Content

Digital Pathology

Genomics

Radiologist

21

Business Analyst


True VNA solutions logically centralize clinical and business

content into one standards-based location.

Vendor Neutral Archive

Before

Limited access for clinicians

Departmental silos

Access controlled by applications

Cardiology

Radiology

Pathology

Endoscopy

Ophthalmology

Dermatology

Access for clinicians

Enterprise storage focus

EMR integration for access control

Ophthalmology

Pathology

Cardiology

Dermatology

Endoscopy

RadiologyClinical Applications

After

22


Medical Content Management

23


Military healthcare

Connecting care for

active duty & veterans

Customers Across the Continuum

Integrated Delivery

Networks and

hospitals

North America,

EMEA, Asia-Pacific

Diagnostic imaging

centers and specialty

clinics

For revenue driven,

day-to-day operations

24

http://www.piedmont.org/main/home.aspx

http://www.piedmont.org/main/home.aspx


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Q&A

Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the

send to default as “All Panelists.”


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Thank You!

• Thanks to our featured speaker: Dan Kinsella

• Thanks to our sponsor: Troy Oliphant & Perceptive Software

• You will receive an email when our archive recording is ready. (Separate registration is required)

• CHIME CHCIO Credits – Attending our Webinars = 1 CEU

• Questions/Comments – Anthony Guerra [email protected]

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.

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mastering image management - healthsystemcio.com · “mastering image management” ......

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