A Merge System Overview. Advanced Ophthalmic Image Management Merge Eye Care PACS

Transcription

1 A Merge System Overview Advanced Ophthalmic Image Management Merge Eye Care PACS

2 Merge Eye Care PACS is the most advanced ophthalmic image management system available, combining features and technologies not available elsewhere that produce workflow efficiencies unimaginable only a few short years ago. Introduction As a standalone application or integrated with an Electronic Health Record (EHR) system, Merge Eye Care PACS integrates all of the diagnostic devices and clinical applications in the practice into one cohesive system, giving physicians the ability to review all of their patient s images and diagnostic reports side-by-side from anywhere, at anytime via Internet Explorer. With Merge Eye Care PACS, Merge Healthcare combines the user experience benefits of a traditional application with the infrastructure benefits of a web-based application to produce the only full-featured web-based image management solution available. For the first time ever, users are able to do advanced image enhancements, use advanced review tools like AutoMontage and PerfectView, leverage new industry standards like OCT, and record subjective data. These unprecedented, clinically relevant innovations have led to more than 2,000 ophthalmology sites adopting Merge Eye Care Solutions for their digital imaging and image management needs. within the practice often with no user interaction. When compared to traditional importing technologies that require manual time and effort, AutoImport frees up staff to focus more on the patients coming through the practice, and eliminates the possibility of human error resulting in lost records. Even older legacy devices can enjoy full demographic validation by integrating with patient management systems via HL7. EHR Integration Merge Eye Care PACS easily integrates with leading EHR systems, delivering single click access from a patient s progress note within the EHR to that patient s images and diagnostic reports within Merge Eye Care PACS. This fully integrated configuration provides for instant access and the ability to review images and diagnostic reports with all of the needed image enhancement and advanced review tools. Automatic Image and Report Acquisition The cornerstone of the Merge Eye Care PACS image management system is AutoImport technology, which automatically acquires a copy of every image and diagnostic report captured ADvanced Ophthalmic Image Management A MERGE System overview 2

3 Multiple Location Support Merge Eye Care PACS thrives in multiple location practices, using a combination of exclusive technologies that result in instant access to images and diagnostic reports captured at all of a practice s locations. With the Merge Eye Care PACS distributed data model, Merge Healthcare delivers a combination of system speed and image quality that is unprecedented within eye care. With this model, images no longer need to reside at a single physical location. Instead, the system is able to manage image locations so images can be reviewed as soon as they are captured rather than waiting for them to be transferred to a single central host location. During periods of light system use, like the middle of the night, the images can be transferred to a main hosting location if desired. The user experience in this workflow is seamless. During the normal use of Merge Eye Care PACS, users will not be aware if the image they are reviewing resides on the host or in a satellite location. In addition to adding flexibility and system speed by eliminating the need to transfer an image before it can be reviewed, Merge includes groundbreaking Dynamic Image Scaling technology with the distributed database model to continue to deliver unmatched speed and image quality. Digital Reporter The Digital Reporter is a customizable tool that allows practices to store clinical interpretations of testing data within the Merge Eye Care PACS application. With Digital Reporter, the data fields can be customized to match a practice s needs and all of the data will be stored within the database. Once data is entered into Digital Reporter, messages are automatically sent via or HL7 to individual recipients or other clinical information systems within the practice. With the ability to automatically distribute data to the people and systems that need it, Digital Reporter provides the dual benefit of providing efficient data entry at the time of image review, as well as eliminating the time consuming and mistakeprone task of moving data from one system or one individual to another. Integrated Diagnostic Devices and Clinical Systems The Merge Eye Care PACS image management system integrates with numerous diagnostic devices and clinical systems within their practice. CERTIFIED DEVICES Certified devices quickly and reliably integrate with all Merge Eye Care solution implementations. Diamond All Diamond Level Certified Devices employ a link to integrate with the Merge Eye Care PACS image management system. This unmatched level of integration produces dramatic gains in practice efficiencies and eliminates data entry errors. heidelberg Spectralis SD-OCT haag-streit Octopus Optos Optomap haag-streit Lenstar Oculus Pentacam Scheimpflug Device Optovue RT-Vue SD-OCT Platinum All Platinum Level Devices employ an AutoImport enabling practices to automatically import their diagnostic images and reports for review within Merge Eye Care PACS or Merge Eye Station. ADvanced Ophthalmic Image Management A MERGE System overview 3

4 Accutone Advent Pachymeter Ultrasound nidek OPD-Scan II Corneal Topographer topcon 3D OCT-1000 SD-OCT Bausch & Lomb Orbscan Corneal Topographer notal Vision Forsee PHP topcon 3D OCT-2000 SD-OCT clarity Medical Retcam OPKO Instrumentation Spectral OCT/SLO SD- OCT topcon KR800DA Phoropter Diagnosys Espion EVP OPKO Instrumentation/OTI Ultrasound topcon SP 3 Specular Microscope Dicon Visual Field Analyzer paradigm UBM 45 Ultrasound topcon SP 4 Specular Microscope edi ERG paradigm UBM 60 Ultrasound topcon SP3000 Specular Microscope electrophysiology -LKG ERG Quantel Aviso Ultrasound visx Wavescan Corneal Topographer eyesys Corneal Topographer Quantel Cinescan Ultrasound vumax UBM Ultrasound haag-streit CTK 922 Keratograph Reichert AutoRefractor Zeiss Atlas Corneal Topographer i-cubed Ultrasound Reichert Ocular Response Analyzer Zeiss Cirrus SD-OCT Keratron Optikon 2000 Topographer Sonomed AB5500 Ultrasound Konan Noncon Robo Specular Microscope talia RTA Zeiss GDx ladar Wavefront Scanner tomey EM-3000 Specular Microscope Zeiss Humphrey Visual Field Analyzer massie Labs RetCam RetCam tomey RT700 Zeiss IOL Master nidek Confoscan 3 Specular Microscope tomey TMS-3 Corneal Topographer Zeiss Stratus OCT nidek MP-1 Microperimeter tomey TMS-4 Corneal Topographer Zeiss Visante OCT Gold All Gold devices produce images and diagnostic reports that can be imported into the Merge Eye Care PACS image management system. DigVid 2000 Helioasis DigVid nicolet Gansfield Stimulator Electrophysiology edi - Electrophysiology CERTIFIED CAMERAS Certified cameras offer the ability to integrate with a variety of Merge Eye Station digital imaging systems as well as the Merge Eye Care PACS image management solution. Diamond All Diamond Level certified cameras integrate directly with Merge Eye Station and Merge Eye Care PACS without the need for any additional hardware - delivering unmatched value and integration. canon CF-1 Merge Eye Station Edition haag-streit BX900 topcon NW6S canon CR-1 Merge Eye Station Edition haag-streit IM900 SL Zeiss Visucam canon CX-1 Merge Eye Station Edition Platinum All Platinum Level certified cameras integrate with the Merge Eye Station digital imaging systems acquiring digital images, laterality, and other procedure information from the camera. Some devices are also capable of bidirectional communication with Merge Eye Station delivering the ability to control camera functions from the Merge Eye Station software. topcon 50EX topcon 50DX Zeiss FF450Plus IR topcon 50IX Zeiss FF450Plus ADvanced Ophthalmic Image Management A MERGE System overview 4

5 Gold All Gold Level certified cameras integrate with the Merge Eye Station digital imaging systems for digital image capture. nidek AFC-230 haag-streit BQ900 topcon 50X, 50IA topcon SL7E, SLD7 Zeiss FF3, FF4 CERTIFIED EHR Merge Eye Care PACS has been designed to integrate with a variety of third-party EHR systems. With this integration users will have single click access from a patient s medical records to their images and diagnostic reports within Merge Eye Care PACS. Gold Each of the Certified EHR solutions below will reliably integrate with the Merge Eye Care PACS image management solution for an efficient paperless solution. centricity compulink epic EMR First Insight medflow nextgen Advanced Review Tools The Merge Eye Care PACS Advanced Review Tools take the images, reports and videos that have been captured by the Merge Eye Care PACS image management system and either combine them or enhance them to make it easier for the clinician to identify and track pathologies. With these tools, users can focus their time and effort on diagnosing and treating disease - rather than wading through the volumes of data captured by different diagnostic devices within the clinic. AutoHistory With AutoHistory, practices can review their diagnostic reports side by side in a virtual stack; allowing them to page through visits by simply using the scroll wheel on their mouse. AutoHistory is compatible with the following types of ophthalmic diagnostic devices: OCTs Optic Nerve Head Analyzers ergs SLOs (Including HRA and RTA) Autorefractors visual Field Analyzers pachymeters corneal Topographers AutoMontage AutoHistory PerfectView ADvanced Ophthalmic Image Management A MERGE System overview 5

6 Dynamic Image Scaling LEFT: Merge: Full Quality RIGHT: Competitive Products: Destructive Compression AutoMontage & AutoMontage On-The-Fly These features automatically and seamlessly combine multiple fundus images together into a single color corrected view of the retina. PerfectView Enables the combination of multiple retinal image types for a single interactive view. Images are automatically registered and the user is presented with an interactive view for viewing pathologies across multiple image types and tracking change over time. Compatible Image Types: FA Optic Nerve Head Images Red-Free Images color Retinal FAF icg OCT Image Viewing OCT is a major increasingly used modality at nearly every eye care facility to obtain highresolution images. Merge is one of the first vendors to support OCT standards, displaying the fundus image along with the associated B-scan images. By supporting the OCT standard, Merge Eye Care PACS can be used as a single viewer, eliminating the need for practices to buy multiple review licenses from individual OCT modality vendors. Like other advanced review tools in Merge Eye Care PACS, the controls for viewing and manipulating OCT images enable users to view images side-by-side, scan through frames, perform detailed measurements and more. And as the industry OCT standard continues to develop, Merge Eye Care PACS will become more advanced as well. Dynamic Image Scaling Merge Eye Care PACS is the only image management system with Dynamic Image Scaling - eliminating the need to compromise between system speed and image quality. For the first time ever, users can evaluate pathology at fullresolution without needing to choose between transferring massive files or applying damaging compression. Modern ophthalmic digital imaging systems are capable of capturing images that are 25MB or larger resulting in clarity and detail never before seen. Unfortunately, even 24 monitors have only enough pixels and screen real estate to display about 1MB of the image at a time. Until now, all image management systems have been forced to choose between sending large images very slowly, or using damaging compression to send images quickly. Merge Eye Care PACS is the only ophthalmic imaging management system with dynamic image scaling. The system automatically and instantly scales the full size image and sends a high quality version of only what will fit into the ADvanced Ophthalmic Image Management A MERGE System overview 6

7 window. When the user zooms in or navigates within the image, the system will instantly send an optimized image. In this example, a high resolution retinal image is being reviewed using both Dynamic Image Scaling and the method used by a competitive system. By using Dynamic Image Scaling, Merge is able to transmit a much higher quality image with a file size that is about half the size of competitive systems. About Merge Eye Care Solutions Merge Eye Care Solutions provide a suite of products specifically for ophthalmic imaging and informatics, including a digital imaging management system and a modular imaging device that can capture images of both anterior and posterior segments. About Merge Merge is a leading provider of clinical systems and innovations that seek to transform healthcare. Merge delivers enterprise and cloud-based solutions for image intensive specialties including radiology, cardiology, orthopedics, and ophthalmology. Merge also provides health stations, clinical trials software and other health data and analytics solutions that engage consumers in their personal health. With solutions that are used by providers and consumers and include more than 20 years of innovation, Merge is helping to reduce costs and improve the quality of healthcare worldwide. Merge Eye Care Solutions provide an opportunity for practices to meet the growing need for increased patient visits, early detection and accurate tracking of disease progression x3 merge.com