Image Exchange. Overview & Demo for

Transcription

1 Image Exchange Overview & Demo for

2 A comprehensive and proven solution for image enabling HIEs and EHRs with diagnostic quality medical images Image Exchange

3 Enhanced Care Coordination: Imaging s Final Mile Referral Image Delivery Referring Physicians Wet Reads, Consultations & Procedures Health Information Exchange Image Intensive Specialists & Remote Care Providers Hospitals & Imaging Centers Inbound Patient Referrals Patient Transfers Outlying Hospitals & Clinics ED Visit & Consultation

4 ehealth Connect Image Exchange Hospitals Primary Care Remote Facilities Specialists Imaging Centers Emergency Physicians Emergency Departments Consulting Physicians Seamless Integration of all PACS Imaging Sources One-Click Image Access From the Context of the HIE UI

5 5 Image Exchange Architecture Results Reporting HIE Web Services ehealth Technologies Workflow & Image Transfer ehealth Gateway EHR or RIS PACS DICOM Imaging Provider(s) User Authentication Patient ID & Consent Workflow tools Community-image worklist Zero-client Image viewing HIE User Community

6 One Platform for Comprehensive Image Access & Sharing Baseline Services Options View Imaging Studies with Results Reports Real-time Collaboration HIE-wide Imaging Worklist Pre-cache images for Faster Access Transfer Studies between Locations Publish Emergent Imaging Studies Flexible, cost-effective architecture Easily connect any imaging provider View any imaging study any time, anywhere Zero footprint diagnostic quality universal viewing platform Simple & Secure: Single point of access through the HIE, leveraging HIE security mechanisms

7 7 Image Exchange Workflow Report Sent to HIE Imaging Exam Performed, Report Dictated & Signed Health Information Exchange Cache notification: (Location, Local MRN, Acc#) Image Access Request: (Patient, exam, user type) ehealth Technologies Images located & registered in ehealth Connect ehealth Gateway EHR or RIS PACS Images cached either on the ehealth Gateway or in the data center (opt) Images retrieved from PACS (opt) Imaging Provider HIE User Authenticated, Locates Patient Record & Obtains Consent ehealthviewer launched and/or Community-wide worklist available HIE User Community

8 Image Access from a Patient Health Record Smith, John A Patient Health Record All Results Result Ordering Physician Exam Date Location Notes Vitals CT Thorax W/O Rogers, Barbara, MD 4-Sep-2010 Central Radiology Normal Lab Results Chest X-RAY Jones, Thomas MD 12-Nov-2009 St Mary's Hospital Annual Recheck Outpatient Chest X-Ray Jones, Thomas MD 12-Nov-2008 St Mary's Hospital Annual Recheck Radiology Results MRI - Elbow Hallstadt, Philip MD 5-May-2008 Radiology Associates ADT Patient: Smith, John A DOB: 15 Jan 1950 MRN: Ordering Physician: Rogers Barbara, MD Exam Date: 4 Sept 2010 Report Date: 4 Sept 2010 Read by: Johnson, Robert C CT Thorax W/O Impression: 1. No unusual observations 2. etc Report: The patient is a 60 year-old male..etc. Jones, William R White, Elizabeth M Smith, John A Patient: Smith, John A Diagnostic Radiology Report Ordering Physician: Rogers Barbara, MD Exam Date: 4 Sept 2010 CT Thorax W/O Impression: 1. No unusual observations

9 If the Imaging Study is Not Already in Cache 9

10 ehealth Viewer ZF A unified viewing platform for HIE that provides: Full Diagnostic Quality: FDA 510(k) Class II Medical Device Secure: No PHI is cached on the local client High Performance: Fast, smooth user experience even over slow, HTTPS connections Scalable: Support for unlimited users and concurrency Built-in Collaboration: Real-time Session sharing for consultations, 2 nd opinions & grand rounds Context-sensitive measurement tools: Automatically detect the most relevant measurements to apply based on the region on the image It just works: On any browser, in any environment with no local application to install

11 Real-Time Image Collaboration Immediate consultations with any caregiver in the HIE community One-click to initiate a collaboration session Full access to real-time image manipulation for all collaborators Standard feature is accessible for all ehealthviewer ZF users HIE User HIE User

12 ehealthviewer ZF

13 Smith, John A Patient Health Record All Patient Images View All Results Result Ordering Physician Exam Date Location Notes Vitals CT Thorax W/O Rogers, Barbara, MD 4-Sep-2010 Central Radiology Normal Lab Results Chest X-RAY Jones, Thomas MD 12-Nov-2009 St Mary's Hospital Annual Recheck Outpatient Chest X-Ray Jones, Thomas MD 12-Nov-2008 St Mary's Hospital Annual Recheck Radiology Results MRI - Elbow Hallstadt, Philip MD 5-May-2008 Radiology Associates ADT Images Patient: Smith, John A DOB: 15 Jan 1950 MRN: Ordering Physician: Rogers Barbara, MD Exam Date: 4 Sept 2010 Report Date: 4 Sept 2010 Read by: Johnson, Robert C CT Thorax W/O Impression: 1. No unusual observations 2. etc Report: The patient is a 60 year-old male..etc. Diagnostic Radiology Report

14 All Patient Images Worklist

15 Optional Capabilities Pre-caching of imaging studies for faster viewing performance Transfer-to-PACS Emergent Imaging Workflow 15

16 Results Reporting Imaging studies automatically cached for 30 days when reports are received by the HIE ehealth Gateway CV EHR or RIS PACS HIE Web Services ehealth Technologies ehealth Gateway CE DICOM EHR or RIS PACS DICOM EHR or RIS User Authentication Patient ID & Consent Workflow Tools HIE User Community Image Access ehealth Gateway SE DICOM PACS Imaging Provider(s)

17 All Patient Images View with Transfer-to-PACS (Opt) Smith, John A Patient Health Record All Results Result Ordering Physician Exam Date Location Notes Vitals CT Thorax W/O Rogers, Barbara, MD 4-Sep-2010 Central Radiology Normal Lab Results Chest X-RAY Jones, Thomas MD 12-Nov-2009 St Mary's Hospital Annual Recheck Outpatient Chest X-Ray Jones, Thomas MD 12-Nov-2008 St Mary's Hospital Annual Recheck Radiology Results MRI - Elbow Hallstadt, Philip MD 5-May-2008 Radiology Associates ADT Images Patient: Smith, John A DOB: 15 Jan 1950 MRN: Ordering Physician: Rogers Barbara, MD Exam Date: 4 Sept 2010 Report Date: 4 Sept 2010 Read by: Johnson, Robert C CT Thorax W/O Impression: 1. No unusual observations 2. etc Report: The patient is a 60 year-old male..etc. Diagnostic Radiology Report

18 Emergent Image Access from a Patient s Health Record (Opt) Emergent studies will appear directly on a radiology results worklist Selecting a study will immediately launch an image viewing session

19 Deployment Plan ehealth Connect services are integrated with NDHIN s Orion HIE platform Provide seamless integrated workflow Leverages existing Security, Access Controls, EMPI, & Patient Consent infrastructure ehealth Image Gateway is installed on the Image Provider s PACS network Software-only ehealth Gateway software installed on customer-provided platform Server appliance required for automated pre-caching at larger sites Largely a turnkey implementation approach Fully managed remotely by ehealth Technologies 24/7/365 Unlimited image viewing available for all authorized HIE users Universal zero-footprint diagnostic quality image viewing using all common browsers No need to deploy local client applications Designed for rapid deployment to large numbers of users

20 Typical Image Gateway Implementation (weeks) Software-only Connections Live Hardware-based Connections Live

21 Thank you