Enterprise image access in a climate of change

P.1 - ENTERPRISE IMAGE ACCESS IN A CLIMATE OF CHANGE

© 2014 Carestream Health

ENTERPRISE IMAGE ACCESS IN A CLIMATE

OF CHANGE


Anticipate Change

Booz & Company predicts that 1,000 of the nation’s roughly 5,000 hospitals could seek out mergers in the next !ve to

seven years.


“Will I Be Next?”

In 2013 the number of hospitals and hospital beds involved in transactions hit a !ve-year high.


Affordable Care Drives Change

•  New payment models

•  Population health management •  Patient engagement

“How will I manage the change?”


New Climate Creates New Needs for Radiology

•  Read across sites with common interface/tools •  Index images from multiple sites and vendors •  Leverage investment in legacy systems •  Use technology that is scalable


The Major Question for Radiology

How can I read images from multiple sites and vendors

with one interface and one set of tools

while maintaining local control

without a painful data migration?


Questions You Might Ask

Where do I start?

What change will have the most impact?

What does my funding allow?

Do I have to replace PACS systems?

How can I manage without a painful data migration?

How can I position my department for continued change?


What Do The Players Want?

RADIOLOGIST Single workstation that reads multi-site with priors as if reading locally



IT MANAGER Single sign on for all users

Clear tech roadmap for supporting growth



REFERRING PHYSICIAN

Access to all relevant images regardless of site and location


Mergers & Change Require Different Thinking

A NEW BRAIN!

You can start by federating multiple repositories into an intelligent worklist: You can enable enterprisewide reading,

but keep local autonomy

“Funding a new PACS is dif!cult.”

“Would rather not rip and replace.”

“Don’t want to wait for a VNA to

improve work"ow.”


3-Step Response to System Change

1.  Deploy a new image management “brain” - synchronize studies from disparate systems with an intelligent work"ow layer to provide a global worklist.

2.  Divorce your data from your PACS - provide one centralized, redundant, clinical information archiving solution and seamlessly sign sites up to a VNA without data migration.

3.  Switch or add technology as needs change – free from architecture limitations. Keep or replace PACS systems; roll out image viewers or patient image sharing portals in alignment with your system’s priorities.


Start With an Intelligent Worklist Layer Because It...

•  Leverages existing investment - no need to replace current PACS or Archive

•  Allows all people, at all locations, to work as if they were just down the hall from each other

•  Balances reading work"ow among on-site and off-site radiologists

•  Upgrades infrastructure without signi!cant operational interruption

•  Synchronizes patient data from multiple sites in real time, including metadata, with or without image data


Start With an Intelligent Worklist Layer Because It...

•  Handles DICOM and non-DICOM images, regardless of vendor platform, age, location or network speed

•  Manages multiple patient IDs via MPI systems; accommodates IHE pro!le compliance such as XDS repository

•  Permits retention of autonomous, single-site reporting while allowing the referring community to view all patient data, regardless of originating site

•  Allows expansion of the system organically as new sites are added to enterprise


How Do I Create A Global Worklist?

SMART SYNCHRONIZATION

Ability to view a multi-site environment as a single site through automatic metadata synchronization without physically copying the data One global worklist for an in!nite number of sites



TUNNELING AND STREAMING

True ad hoc access to data from any source through ef!cient routing & streaming capabilities. Standard prefetch & manual routing capabilities also available. On-the-"y retrieval of relevant exams and priors



INTELLIGENT WORKFLOW LAYER

Mediator between a local site and the datacenter, which indexes the local information and serves as data access point for the local Site Enabling disparate systems to participate



NATIVE REPORTING

Single interface to provide anywhere/anytime reporting, while maintaining local data integrity (report is tunneled back to local RIS/HIS) One global reporting work"ow for an in!nite number of sites



PIX, TAG MORPHING

Mechanisms to consolidate patient IDs from different sites and metadata discrepancies Patient data consolidation from an in!nite number of sites


How will my work"ow look with a consolidated worklist?


Site A

Site B

Site C

Site D

Data Center

Reading

How Your Work"ow Might Look

Reading from Disparate PACS systems Work!ow layer = Multi-Site Synchronization Tunneling and Streaming Reading & Native PACS Reporting PIX Support

Workflow Layer


Global Worklist For Radiologists Regardless Of Location Or System


Intelligent Work"ow Layer Gets You Ready For A VNA, Without Migrating Your Data.

With an intelligent work"ow layer in place, you can:

•  Keep local sites in control of their work"ow

• Maintain your organization’s work"ow during a VNA deployment

•  Replace your PACS without a “fork lift” data migration


Site C

Site A Site B

VNA

Metadata

On Demand Retrieval

Pixel data

Streaming

Referring Community

Patient Portfolio Access

A Work"ow Model For The Future

Streaming


What Is Carestream’s Work"ow Layer?

Federates multiple repositories into an intelligent worklist •  Cross-indexes multiple data bases at metadata level without

replacing existing infrastructure

•  Minimizes the need for time-consuming and costly data migration

•  Leverages industry standards, such as PIX or eMPI

•  Presents clinicians with full patient information regardless of the original system or site

Vue Connect


St. John Health System

A multidisciplinary healthcare system performing 4M exams/yr over 39 sites, spanning across 5 health systems.

THE CHALLENGE Aging GE PACS and archive could not meet the needs of multiple departments


St John Health System

THE SOLUTION Vue Connect’s work"ow layer took over existing archive mitigating the need for migration. Synchronizes patient metadata across multiple PACS to provide automatic access to prior exams. Though prior exams are on legacy archive, exams are available for viewing within three (3) seconds. GE PACS replaced with Vue PACS, with native Voice Recognition, Mammography Module and native 3D

“Carestream’s technology enabled St. John to bring images created under a previous digital imaging system into a single ‘global worklist,’ a searchable archive encompassing all systems.” - Rick Adams, PACS Administrator


Learn more at carestream.com/connect

Enterprise image access in a climate of change

Health & Medicine

climate of change new

image data

climate of change questions

continued change

image viewers

physician access

data access point

needs change free