Tuesday, July 23, 2019

In the Enterprise Imaging era where are we with PACS?

Michael J. Cannavo is known industry-wide as the PACSman. After several decades as an independent PACS consultant, he worked as both a strategic accounts manager and solutions architect with two major PACS vendors. He has now made it back safely from the dark side and regularly shares his observations on AuntMinnie.com.

PARCA eNews spoke to Mr. Cannavo by phone to get his perspective on the status of PACS systems and PACS administrators as medical imaging has evolved and moves into Enterprise Imaging.

His healthcare consulting services for end users include PACS optimization services, system upgrade and proposal reviews, contract reviews, and other areas. The PACSman is also working with imaging and IT vendors developing market-focused messaging as well as sales training programs. He can be reached at pacsman@ix.netcom.com or by phone at 407-359-0191.

SIIM 2019 wraps up with continuing upbeat atmosphere

Photo courtesy Aunt Minnie
PARCA eNews – July 1, 2019 – The SIIM 2019 Annual Meeting held June 26-28 at the Gaylord Rockies Resort in Aurora, Colorado continued the success of last year’s meeting based on the number of attendees and vendors. 

It also continued the upbeat atmosphere of the Society for Imaging Informatics in Medicine (SIIM) that had been severely depressed in the dark days of the 2008 recession, according to PARCA founder Herman Oosterwijk, who attends the meeting every year.

Who owns patient data?

PARCA eNews – June 27, 2019 – That was the topic of a panel discussion on the ethical issues of Artificial Intelligence in radiology at the recent SIIM 2019 conference, held June 26-28.

At the heart of the discussion is the need for patient data for development of algorithms for artificial intelligence. AI requires data, a lot of it, consequently vendors developing proprietary AI solutions for healthcare are beginning to pay for it and hospitals are more than willing to sell de-identified patient data. The problem with imaging data is whether it can truly be de-identified.

Another imaging source on the way?

PARCA eNews – July 1, 2019 – Engineers have demonstrated feasibility to guide a tiny robotic capsule inside the colon to take micro-ultrasound images.

The pill-sized device, called the Sonopill, being developed in a collaboration of researchers at the University of Leeds in London and the University of Glasgow in Scotland uses magnetic forces and artificial intelligence to maneuver the device through the gut.

Making endoscopes obsolete

PARCA eNews – July 17, 2019 – Researchers at Carnegie Mellon University have demonstrated a new technique for using ultrasound to non invasively take optical images inside the body. The researchers say the method has the potential to eliminate the need for endoscopic examinations.

The researchers describe the method in a paper published in the journal Light: Science and Applications. Led by Maysam Chamanzar and Matteo Giuseppe Scopelliti, the team demonstrated using ultrasound to create a virtual "lens" within the body, rather than implanting a physical lens. 

Reports and complaints about data protection nearly double in one year

PARCA eNews – July 9, 2019 – Helpline and written advice services topped 471,224 contacts in 2018-19 according to the Information Commissioner’s Office (ICO), that compared to 283,272 contacts the year before, a 66 percent increase. Data protection complaints filed with the ICO more than doubled up from 21,019 in 2017-18 to 41,661 in the current reporting period.

Europe is serious about enforcing the GDPR

PARCA eNews – July 9, 2019 – The UK’s Information Comissioner’s Office (ICO) the UKs independent policing arm for the EU’s General Data Protection Regulation or GDPR regulation that rolled out many revisions to the privacy regulations launched last year has already levied a fine totaling $230 million on British Airways.

Now the ICO is proposing a fine of $123 million for Marriott’s breach involving 339 million customer records.

Thursday, May 23, 2019

Healthcare needs to adopt zero trust strategy and software-defined perimeters

Brigadier General Gregory Touhill (ret.)
Brigadier General Gregory J. Touhill (ret.), CISSP, CISM, serves as President of Cyxtera Federal Group, which offers data center services and cybersecurity capabilities to federal agencies and departments. Prior to retiring, Brigadier General Touhill served as a U.S. Air Force officer and combat veteran in several commands around the world including U.S. Transportation, Central, and Strategic Commands, and led the creation of the Air Force’s cyberspace operations training programs. He was appointed by President Barack Obama as the nation’s first ever Federal Chief Information Security Officer in 2016, where he was responsible for ensuring that the proper set of digital security policies, strategies and practices were adopted across all government agencies. He is a sought-after speaker and author within the information technology industry, where he is best-known for his “Cybersecurity for Executives: A Practical Guide,” which is used widely at colleges and universities across the country. He is also a faculty member at Carnegie Mellon University’s Heinz College, where he teaches Cyber Risk Management. PARCA eNews spoke with him about cyberthreats to healthcare.

Forescout report finds healthcare IT cybersecurity lacking

PARCA eNews – May 15, 2019 – In a survey of more than 430,000 devices on 1500 medical virtual local area networks (VLANs), Forescout Technologies found that healthcare IT continues to increase in diversity while too many networks continue to rely on legacy Windows operating systems and lack sufficient segmentation strategies.

Forescout Technologies, a provider of device visibility and control services for large enterprises and government agencies, issued its report of healthcare cybersecurity May 15, 2019.

Top cybersecurity challenges in healthcare

PARCA eNews – May 17, 2019 – A survey commissioned by Infoblox to see what has changed in the two years since WannaCry, shows healthcare IT organizations are very confident in their ability to respond to cyber attacks.

Infoblox is a network security company specializing in DDI with its Secure Cloud-Managed Network Services. The company commissioned the survey to follow up on its survey last year to look into how healthcare organizations are adapting to protect themselves from cyber threats.

The new survey found that healthcare industry leaders have taken notice of major events such as WannaCry and have gone as far as to make cybersecurity a leading priority.  

The research revealed: 

April sets record for healthcare breaches

PARCA eNews – May 22, 2019 – Nearly 700,000 healthcare records may have been compromised in 44 data breaches reported to the Office for Civil Rights in April 2019, making the highest total number breaches ever reported in a month since OCR began issuing its breach report in 2014.

HHS revises penalty table for HIPAA violations

PARCA eNews – April 30, 2019 – The Department of Health and Human Services (HHS) issued a change regarding civil penalties for HIPAA violations as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act.

Under the current regulation penalties for HIPAA violations are levied on four tiers based on the level of knowledge of the breach by the covered entity ranging from 1-4:

OCR issues warning for ATP and zero-day exploits

PARCA eNews – April 9, 2019 – The Office of Civil Rights (OCR) warned HIPAA covered entities about advanced persistent threat (ATP) attacks and zero-day exploits in its Spring 2019 Cybersecurity Newsletter.

The newsletter points to the dangerous combination of ATP and zero day attacks that can threaten data all over the world.

Patch Tuesday: Microsoft, Adobe and Apple release security patches

PARCA eNews – May 14, 2019 – Microsoft released patches for 79 security flaws in its May 2019 Patch Tuesday update.

Two of the most significant patients involved a zero-day vulnerability and a security advisor for dealing with the latest wave of Intel CPU flaws that came to light only a few hours before the patch release.

DHS identifies vulnerability for Phillips Tase EMR, issues advisory

PARCA eNews – April 30, 2019 – The Department of Homeland Security issued an advisory to users of the Phillip Tasy electronic medical records on April 30, 2019. The advisory noted that the EMR system was vulnerable to low-skill-level exploitation and outlined steps users can take to mitigate the problem.

Philips Tasy EMR is a comprehensive healthcare informatics solution that integrates all areas of the healthcare environment, connecting clinical and non-clinical domains within a hospital system.

HiMSS redefines interoperability

PARCA eNews – April 28, 2019 – One of the major changes that came out of the HiMSS19 annual meeting last February was an effort to redefine what interoperability really means.

The organization produced a proposed definition and invited comment from industry professionals.

Tuesday, March 26, 2019

Image system monitoring that tells you what you really want to know

Kyle Henson, CEO of Intelligent
Kyle Henson’s career spans than evolution of radiology from PACS to VNAs and enterprise imaging. He started as an IT project manager at Humana, and AGFA, before becoming a consultant for a number of IDNs (Integrated Delivery Networks) including installing the first virtual McKesson servers at a site in Boise, ID. He has been a partner at Secant Healthcare managing data migrations and more recently served as director of enterprise imaging for Tenet Healthcare, a Dallas-based healthcare system operating more than 500 healthcare facilities nationwide. Last July, he and his partner Mike Dolan recently left institutional imaging to form a new company, Intelligent Imaging. Together they have developed an end-to-end proactive DICOM diagnostic and monitoring tool they call Heartbeat. It is an advanced web-based platform designed to support the imaging ecosystem; from imaging center, to hospital department, to healthcare enterprise. The beta-version was well received at RSNA last fall the company launched the product at HiMSS 2019 to much acclaim. The company will exhibit at SIIM 2019 at booth 607.

SIIM 2019 Annual Meeting set for Jun 26-28

What: SIIM 2019 Annual Meeting
When: Wednesday, June 26, 2019 to Friday, June 28, 2019
Where: Gaylord Rockies Resort & Convention Center Denver, CO
Register: www.siim.org

The Society for Imaging Informatics in Medicine (SIIM) is the leading healthcare professional organization for those interested in the current and future use of informatics in medical imaging. The society's mission is to advance medical imaging informatics across the enterprise through education, research, and innovation in a multi-disciplinary community. 

A major topic of the conference will focus on blockchain technology and what radiologists need to know about it.

Phillips acquires Carestream’s healthcare IT business

Philips will feature Carestream’s cloud-based 
enterprise imaging platform as part of its 
expanded portfolio – Photo courtesy Phillips
PARCA eNews – Mar. 7, 2019 – Royal Philips, parent of Phillips Healthcare, today announced that it has signed an agreement to acquire the Healthcare Information Systems business of Carestream Health Inc., a US-based provider of medical imaging and healthcare IT solutions for hospitals, imaging centers and specialty medical clinics.

“This acquisition will enhance our ability to provide flexible solutions to hospitals and health systems,” said Robert Cascella,

HSS agencies propose open access rules for patient health information

CMS and ONC rules align to advance interoperability

PARCA eNews – Mar. 21, 2019 – The U.S. Department of Health and Human Services (HHS) recently proposed new rules issued by ONC and CMS aimed at providing seamless and secure access, exchange, and use of electronic health information (EHI).

The ONC proposed rule is designed to increase innovation and competition by giving patients and their healthcare providers secure access to health information and new tools, allowing for more choice in care and treatment.

HiMSS19: Focus on unblocking patient information

PARCA eNews – Mar. 1, 2019 – The mammoth HiMSS19 annual meeting wrapped up Feb. 15, 2019 in Orlando, Fl with more than 43,000 attendees, 1200 vendors and a wide array of panel discussions and educational meetings. 

Key themes of the meeting continued from years past with unblocking patient information, interoperability, workflow, and technology to improve healthcare vying for the spotlight.

Shifting legal landscape for personal data privacy

Image courtesy NCSL
PARCA eNews – Feb. 8, 2019 – By an unanimous vote the New Jersey Assembly passed bill that expands the types of personal information that require notifications to be sent to consumers following a data breach.

The new law requires businesses and public entities to send notifications to consumers if there has been a breach of their Social Security numbers, driver’s licenses or a bank account number if they are accompanied with a password that would allow the account to be accessed.

A group of international radiology societies take aim at AI ethics

PARCA eNews – Mar. 1, 2019 – The American College of Radiology, European Society of Radiology, Radiology Society of North America, Society for Imaging Informatics in Medicine, European Society of Medical Imaging Informatics, Canadian Association of Radiologists, and American Association of Physicists in Medicine collaborated on a 34-page draft statement concerning ethical issues surrounding the use of AI in radiology.

The preliminary draft has not been endorsed by any of the sponsoring societies, rather the draft was published to spur debate and discussion among all interested parties, who are encouraged to submit comments by April 7, 2019.

Mobile devices and laptops continue to pose major cybersecurity risks for healthcare

PARCA eNews – Mar. 1, 2019 – A survey of company IT executives reveals that 33% of companies have suffered security breaches involving mobile devices, according to Verizon’s Mobile Sec Index 2019.

Overall, the report on all types of businesses show that security risks continue to rise while company defense implementations are failing to keep up. Focusing on mobile device security, 85 percent of organizations said they need to take mobile device security more seriously. 

FDA issues cybersecurity warning on Medtronnic ICDs

Image courtesy Medtronic Public

Warning highlights need for greater attention to medical device security

PARCA eNews – Mar. 21, 2019 – The FDA issued an alert Mar. 21, 2019 regarding cybersecurity vulnerabilities of a list of Medtronic implantable cardiac devices. Both implantable cardioverter defibrillators (ICDs and cardiac resynchronization therapy defibrillators (CRT-Ds) were identified in the alert.

Friday, February 1, 2019

Interoperability heavy weights join forces

 Updated 2/5/19
Last November Life Image and DICOM Systems announced a strategic partnership aimed at streamlining clinical content access within and across provider organizations and health systems. Life Image is the world’s largest global network for sharing clinical and imaging data. DICOM Systems is the leader in enterprise imaging interoperability and workflows. PARCA eNews spoke with Life Image CEO Matt Michela to learn more about the partnership and what it means to PACS administrators and healthcare IT professionals, and how it advances interoperability, and ultimately patient care.

Wednesday, January 30, 2019

HiMSS19 set to get underway Feb. 11-15

PARCA eNews – Jan. 21, 2019 – The annual conference of healthcare IT professionals is set for a four-day run at the Orlando-Orange County Convention Center in Orlando, Florida. 

The annual meeting brings together more than 45,000 professionals from healthcare IT, imaging, health information and technology to share and exchange information about how information technologies are transforming healthcare.

This year’s theme is Champions of Health Unite. The theme is intended to spur information professionals to think about the role they play in innovating and advancing healthcare safety, efficiency and quality of care.

Chain Reaction: How Blockchain Technology Brings Value to Healthcare

HiMSS symposium

PARCA eNews – Jan. 24, 2019 – What is blockchain and how might it be used in healthcare? 

If you are intrigued by the blockchain movement in healthcare, HiMSS is sponsoring a daylong symposium on the value blockchain may bring to healthcare.

The preconference symposium will be held, Feb. 11, 2019 at the Orlando-Orange County Convention Center.

Survey shows high cost of cyberattacks

PARCA eNews – Jan. 15, 2019 – The average cost of cyberattacks over the past two years topped $1.1 million, according to Radware, a cybersecurity provider.

The company issued its 2018-2019 Global Application and Network Security Report that shows for organizations that calculate (versus estimate) the cost of an attack, the average cost was $1.67 million. Most of that cost (54%) were in operational and productivity losses. The report also estimated the cost of negative customer experience.

HIPAA fines don’t stop with OCR

PARCA eNews – Jan. 15, 2019 While most of the new about fines levied against healthcare organizations focus on those imposed by the federal government’s Office of Civil Rights (OCR), the enforcement arm of the Department Health and Human Services, the fines don’t stop there.

First iPad Pro-based system for diagnostic reading of radiology images

PARCA eNews – Jan. 10, 2019 – EBM Technologies today announced that its vendor neutral, remote reading system Rad@ has been granted Class II FDA clearance for diagnostic reading of radiological images. 

This clearance has the potential to change the way radiologists work, freeing them from traditional fixed workstations and paving the way for greater work flexibility and financial efficiencies.

US Hospital increasing PACS installation with 3D image technology

PARCA eNews – Jan. 6, 2019 – More than 40 percent of US hospitals have installed radiology 3D image/display technology, a new survey by HiMSS Analytics has found.

In addition, adoption of 3D image/display technology nearly doubled between 2012 and 2017 and that number is expected to increase over the next few years, with nearly 50 US hospitals responding that they are very likely to purchase a radiology 3D image/display solution. The survey found that vendors Terarecon, GE Healthcare, and Toshiba dominate the market.

PACS still largest image management systems in global medical imaging market

PARCA eNews – Jan. 5, 2019 –The global medical image management market is expected to grow at a compound annual growth rate of 7.7% over the next six years, according to a report by ResearchAndMarkets.com

The review of medical imaging management systems found that PACS are widely adopted in radiology departments where the majority of imaging studies are handled, managed and stored. In addition there is an increasing incorporation of PACS into other specialties such as cardiology, ophthalmology, oncology, endoscopy, tele radiology, dermatology, pathology, neurology and dentistry

Pacific Northwest VA hospital selects Carestream for enterprise PACS

PARCA eNews – Jan. 8, 2019 – Veterans Affairs hospitals in the Pacific Northwest region, which includes Washington, Oregon, Idaho, Alaska and parts of Montana announced Jan. 8, 2019 that it had selected Carestream to install its Clinical Collaboration Platform throughout the system’s 20 facilities.

Veterans Affairs representatives evaluated multiple PACS suppliers based on their understanding of customer needs, technical specifications, functionality, project governance, implementation plan and timeline, as well as pricing. 

All aboard the Digital Imaging Adoption Model

DIAM Scale indicates where an organization is in terms
of digital imaging 
Get your DIAM score

PARCA eNews – Jan. 25, 2019 – HiMSS is extending the Digital Imaging Adoption Model (DIAM) into the area of Enterprise Imaging (EI). 

In collaboration with professional societies including the Society of Imaging Informatics in Medicine (SIIM), the European Society of Radiology (ESR) and the European Society of Medical Imaging Informatics (EUSOMII), in addition to highly regarded subject matter experts, the organization is expanding its DIAM initiative.