Thursday, May 1, 2014

Integration: Next stop for enterprise imaging

Louis Lannum, director
enterprise imaging, Cleveland Clinic
Among the next biggest challenges facing imaging IT professionals is to integrate imaging across the enterprise into EMR systems, which is why PARCA launched its Certified Healthcare Enterprise Architect, or CHEA certification last year. The Cleveland Clinic successfully completed its enterprise imaging system, called MyPractice nearly two years ago. To find out how they did it, PARCA talked with The Cleveland Clinic’s Louis Lannum and Kimberley Garriott. Mr. Lannum heads the enterprise imaging team that systematically integrated nearly any image, regardless of its capture modality, into a Clinical Imaging Library and integrated it into the patient EMR. Ms. Garriott joined Cleveland Clinic’s MyPractice Imaging team in 2011 as program manager for design and implementation of the enterprise imaging strategy. Both will be speaking at SIIMS 2014,
Kimberley Garriott, program
manager, enterprise imaging,
Cleveland Clinic
May 15-17 in Long Beach, and the American Health Information Management Association (AHIMA) Convention in San Diego in September. The Cleveland Clinic now offers their expertise in a consulting service for other health systems through
MyPractice Imaging Solutions.

Q. How did the Cleveland Clinic’s enterprise imaging program get started?

A. Lou – Radiology purchased a system to replace their legacy PACS and also bought a VNA as part of that strategy. Our ITD, Information Technology Division, took advantage of that VNA and created an enterprise program where we went out and developed workflows and image management strategies for other imaging departments.

News Roundup

AHIMA demands 2015 start for ICD-10

Healthcare IT News – April, 16, 2014 – In the letter to Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, the Coalition for ICD-10, which represents organizations from across the healthcare community, makes the case that a new compliance date is needed quickly in order to maintain the momentum already made on the way to ICD-10.

FDA Approves ResolutionMD for Diagnosis on Mobile Devices

DiagnosticImaging – April 7, 2014 – The FDA has approved ResolutionMD as an enterprise image-viewing solution for diagnosis on mobile devices for most imaging modalities. The system allows doctors to securely view patient images and reports from a variety of computers and mobile devices. It also offers the ability to collaborate with other practitioners and diagnose from any location. The mobile medical diagnosis software of ResolutionMD can be integrated into any EMR and plugged into existing distributed storage systems. The FDA’s safety and effectiveness review found ResolutionMD to be substantially equivalent to PACS or dedicated diagnostic workstations. 

The time is now for deconstructed PACS

Brad Levin, Aunt Minnie
contributing writer
By Brad Levin 

A perspective on PACS evolution

Aunt Minnie – March 31, 2014 – Increasingly, many believe that the next PACS renaissance is here, but it's not PACS at all. The latest strategy for imaging informatics is actually "deconstructed PACS," where the core elements of PACS are best-of-breed or component-based solutions, integrated together using standards-based approaches.

What You Need to Know About Replacing Your PACS

By Whitney L.J. Howell

DiagnosticImaging – March 19, 2014 – At some point, your hospital or radiology practice will be faced with an out-of-date RIS/PACS that no longer meets your organization’s needs or those of your patients. With the drive toward integrating imaging systems across the enterprise with the EMR, deciding to replace your system, can be a challenge. Any RIS/PACS must be affordable, faster, and integrated.

History class: How to increase availability of clinical history during interpretation

By Evan Godt

HealthImaging – Apr 13, 2014 – Cincinnati Children’s Hospital Medical Center was able to increase the percentage of radiology exams accompanied by a complete clinical history from less than 40 percent to greater than 90 percent. The quality improvement initiative aimed to improve the consistency with which radiologists are provided a complete clinical history when interpreting radiography examinations performed in the outpatient and emergency department settings.

CT dose notification, alerts negligibly affect workflow

By Anna Steere

HealthImaging – Mar 20, 2014 – The use of CT dose notification and alert values in clinical practice has a negligible impact on workflow in clinical practice, according to a study published online Mar. 20 by the Journal of the American College of Radiology.