Desert West OB/GYN Taps 7 Medical to Integrate Ultrasound Report into EMR

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1 Desert West Obstetrics and Gynecology, Ltd. (DWO) provides women of all ages in the greater Phoenix metropolitan area with the most up-to-date gynecological and obstetric assessments and treatments, along with preventive and well-woman care. 15 providers offer superior care to patients for family planning, infertility, pregnancy and birth, menopause, and ultrasound services. Desert West OB/GYN Taps 7 Medical to Integrate Ultrasound Report into EMR PACS Solution Achieves Image-enabled EMR

2 Quick Facts Locations & Populations Served Glendale: 234,632 Phoenix: 1,513,000 Peoria: 162,592 Anthem: 22,777 Ultrasound Modalities 3 in Glendale 2 in Estrella (Phoenix) 1 in Peoria Imaging Volumes 1,750 studies monthly Migration of 5 years of studies from legacy PACS Number of Providers: 15

3 The Challenge Prior to 7 Medical, Desert West had a tedious, inefficient workflow for getting the structured ultrasound (US) report back into its EMR. During the exam, the technologist created the structured DICOM report on the modality and sent the study and report to the PACS. Then, another employee would perform the following manual process: 1. Log in to the PACS 2. Retrieve the structured report (single or multiple pages) 3. Stitch multiple pages into one report 4. Print the ultrasound report to PDF and save on the local computer 5. Log in to the EMR 6. Import the PDF report to the patient record (save to folder in patient record) With average imaging volumes of 80 studies daily, this workflow could take up to 15 minutes per study, resulting in a workload of 1-2 full time equivalents (FTEs) per month. If a report required an addendum, the tedious process had to be repeated, adding additional time.

4 The Solution 7 Medical enabled DWO to automate the process of getting the structured report back into its EMR. 1. DICOM structured reports are electronically routed from the modality to 7 Medical s X-Connect integration module. 2. X-Connect converts the DICOM structured reports to HL7 report messages and routes the HL7 report messages to the EMR. 3. Based on X-Connect s transformation, the HL7 report messages are converted to the desired format (PDF, TIFF, html or other format) and attached to the patient record in the EMR. Desert West implemented 7 Medical s Xi-Imaging (PACS) solution with X-Connect integration. As a result, they were able electronically route the ultrasound report to the patient record in the EMR. With this workflow automation and integration, sending the report from the modality to the EMR was cut from 15 minutes to less than a minute, said Brad Fox, EHR Systems Manager at Desert West. It s great because patient cycle times are so much shorter. Physicians can see patients and get their diagnostic reports and access to images right away.

5 Desert West OB/GYN Before & After Workflow

6 Value-added Benefits CHALLENGE (Before) Manual entry and reentry of patient and order information in EMR and modalities. End of life system problematic due to system failures and reaching storage capacity limits. Poor image quality with legacy PACS viewer. SOLUTION (After) DICOM Modality Worklist (DMWL) integration electronically sends patient and order information from the EMR, eliminating multiple entry points and reducing errors. Xi-Imaging delivers latest technology with unlimited cloud-based storage. 7 Medical migrated all prior studies to the Xi-Imaging (PACS) platform all studies in one image repository. Xi-View Pro provides latest thin-client streaming technology supporting advanced visualization at highest resolutions for better diagnostic results. No backup or disaster recovery in place. On-demand, cloud-based solution includes built in backup and disaster recovery protection from SSAE 16 and HIPAA compliant data center. On-premise PACS was not optimized for remote access. Cloud solution is accessible anytime, anywhere via browser and Internet connection.

7 7 Medical Solution Xi-Imaging (PACS) Xi-View Pro (Advanced Thin-client Viewer) Xi-View (Zero-client Web Viewer) DICOM Modality Worklist (DMWL) Integration X-Connect Integration Migration of 5 years of prior studies to new PACS CD/DVD image import and export

8 How It Works Cloud-based Solution Desert West OB/GYN operates four locations in Arizona, including its main office in Glendale, Phoenix, Peoria and Anthem. The clinic implemented 7 Medical s cloud-based Xi-Imaging PACS solution with X-Connect integration to achieve an image-enabled EMR. Desert West s Phoenix, Peoria and Anthem locations are connected to the main Glendale location via a local area network (LAN). Glendale is connected to 7 Medical s data center via a virtual private network (VPN) tunnel. Storage, Disaster Recovery & Redundancy Imaging studies are stored in 7 Medical s primary data center and backed up to a secondary data center, providing redundancy and disaster recovery protection. The data centers are equipped with state-of-the-art cooling, backup power generators, and redundant Internet connectivity. In the event of an outage, emergency or natural disaster, Desert West s data is protected and can be easily restored.

9 Integrating the Ultrasound Report into the EMR Figure 2. From the EMR, Desert West clicks on a URL link to launch Xi-View Pro, an advanced thin-client viewer, for viewing images and reports side by side. Figure 1. 7 Medical s X-Connect integration enabled Desert West to automate the process of getting the structured ultrasound report back into its EMR.

10 Call us to integrate ultrasound reports and images into your EMR