Managing Images Across the Enterprise. Kim Garriott & Louis Lannum July 30, 2015

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1 Managing Images Across the Enterprise Kim Garriott & Louis Lannum July 30, 2015

2 Objectives Summarize what an enterprise imaging strategy is and address key components Discuss the role of Clinical Engineering within an enterprise imaging program Aside from Radiology, identify areas where point of care ultrasound and other imaging devices may exist within the healthcare enterprise.

3 What is Enterprise Imaging?

4 What is Enterprise Imaging?

5 Imaging is No Longer Contained Within Traditional Boundaries Anesthesiology Gastroenterology Nursing Pulmonology Breast Center General Surgery Oncology/Hematology Radiation Oncology Burn Unit Gynecology Ophthalmology Radiology Cardiology Geriatrics Orthopedics Rheumatology Dermatology ICU/Intensivist Otolaryngology Rehabilitation Dentistry Laboratory/Pathology Pain Management Sleep Lab Emergency Medicine Nephrology Pathology Speech Pathology Endocrinology Internal Medicine Plastic Surgery Urology EP Lab Maternal Fetal Medicine Podiatry Vascular Med/Surg Family Medicine Neurology Psychology Wound Care Many Areas Perform Some Type of Point of Care Imaging

6 Challenge: Disparate Data

7 Clinical Workflow Challenges Images Absent from or Scattered throughout EHR Images Not Available to Care Team Images Placed in Paper Record or Scanned into EHR Limited Access to Images within EHR Context Limited Data Sharing w/ Acquired & Affiliated Hospitals

8 Operational Challenges Need to Enhance the Value of the EHR Pressures to Reduce Cost Disparate Storage & Escalating Costs Support for Departmental Systems & Workflows Regulatory Compliance (HIPAA, CMS )

9 Single Imaging Archive aka Vendor Neutral Archive (VNA)

10 Image Enabled EHR

11 Text + Images = Comprehensive Longitudinal Health Record EM R Textual Content Encounter Data Image Integration Encounter Data Encounter Data Encounter Data Data Data Data Data

12

13 Supports information sharing along care continuum An Image Optimized EHR Enhances collaboration among caregivers Reduces subjective interpretation

14 Along the continuum of specialties

15 During patient encounters

16 and at the patient s home

17 The Strategy

18 Imaging Activity in a Health System Overall, providers are planning to expand the use of their VNA to more departments. -KLAS Image Archive 2013: Finding Out What is in Store for VNA, September KLAS Enterprises, LLC. All rights reserved.

19 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

20 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

21 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

22 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

23 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

24 Enterprise Imaging Strategy Business Analytics Exchange Governance Access &Visualization Service Line Image Integration Enterprise Storage Strategy

25 Enterprise Imaging Strategy Goals Enhance Continuity of Care and Coordination Enrich Patient Engagement Enable Physician Mobility Strengthen Regulatory Compliance Standardizing Image Acquisition Data and Work Flows Streamlining Image Management Unifying Image Storage Assets Providing a Single Image Viewer for All Types of Imaging

26 What Does this Mean to CE? Increased modality support outside of Radiology Ultrasound primarily Anesthesiology, Intensive Care Units, Emergency Medicine, Ambulatory Clinics, etc. Additional considerations when modalities are purchased WiFi capability DICOM Modality Worklist Licensing

27 Open Discussion What changes are you experiencing? What role do you believe CE should play?

28 Louis M. Lannum Director of Enterprise Imaging MyPractice Imaging Solutions, Cleveland Clinic Kim Garriott Healthcare Strategies Principal Consultant Logicalis, Inc.

29 Visit us:

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