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Integrating the Healthcare Enterprise What Does IHE Offer? Kevin ODonnell, Toshiba Corp. Co-chair, IHE Radiology Planning Cmte.

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Presentation on theme: "Integrating the Healthcare Enterprise What Does IHE Offer? Kevin ODonnell, Toshiba Corp. Co-chair, IHE Radiology Planning Cmte."— Presentation transcript:

1 Integrating the Healthcare Enterprise What Does IHE Offer? Kevin ODonnell, Toshiba Corp. Co-chair, IHE Radiology Planning Cmte

2 HIMSS/RSNASCAR 2003 What Does IHE Offer? Systems Integration To achieve clinical goals Using non-proprietary methods Improve the efficiency and effectiveness of clinical practice by: Improved Information Flow Advanced Multi-System Functions

3 HIMSS/RSNASCAR 2003 Scheduled Workflow Profile Registration Orders Placed Orders Filled Film Folder Image Manager & Archive Film Lightbox report Report Repository Diagnostic Workstation Modality acquisition in-progress acquisition completed images printed Acquisition Modality

4 HIMSS/RSNASCAR 2003 Scheduled Workflow Benefits Reduced Manual Data Entry – Increased efficiency, decreased error rates Digital Scheduling, Tracking & Data – Managed workflow – Order loop closure, better billing – Paperless Up to the minute status, distributed access – Filmless Rapid distribution, rapid access

5 HIMSS/RSNASCAR 2003 Patient Information Reconciliation Profile Extends Scheduled Workflow – Handle unidentified/emergency patient – Handle demographic information updates – Changes propagated to all affected systems, affected data updated

6 HIMSS/RSNASCAR 2003 Patient Information Reconciliation Benefits Reduction of errors – Reduces incorrectly identified or lost studies More complete medical record – Supports maintenance of demographics to maintain database correspondence Flexible Trauma Workflow

7 HIMSS/RSNASCAR 2003 Charge Posting Profile ChargePoster *Billing System CAD *Workstation Report Repository … Report Generated / Signed CAD Performed Post Charges Acquisition Modality ADT Terminal 3-D *Workstation Account Management 3-D Performed Study Performed / Materials Used

8 HIMSS/RSNASCAR 2003 Charge Posting Benefits Reduces Billing Errors – less manpower required in billing cycle More timely billing, shorter billing cycle Detailed performed procedure information – Billing more accurately reflects what was actually done: more details, fewer errors

9 HIMSS/RSNASCAR 2003 What the Radiologist Displays: What the Reviewing Physician Sees: The Radiologists Transformations Are Saved Original Image & Presentation State Original Image Window Level Flip Zoom Area Of Interest Annotate The Radiologists Transformations Are Lost Original Image Area Of Interest Prepared Image Original Image Consistent Presentation of Images Profile

10 HIMSS/RSNASCAR 2003 Consistent Presentation of Images Benefits More Consistent Views – Referring sees same thing as Radiologist – Softcopy matches Hardcopy Less Work – dont have to repeat manipulations – dont have to calibrate every imaging device to every display device

11 HIMSS/RSNASCAR 2003 MODALITY Presentation of Grouped Procedures Profile Requested Procedure: CHEST Report: CHEST Report: AB/PELVIS Performs a single exam Operator groups 2 procedures Chest View RIS / PACS Requested Procedure: AB/PELVIS Chest View Ab/Pelvis View

12 HIMSS/RSNASCAR 2003 Presentation of Grouped Procedures Benefits Improved patient experience (time/comfort) Improved acquisition throughput Improved reporting process – images are grouped & sorted correctly and ready for display Improved billing – multiple order/accession chains are preserved Reduced load on Network and PACS

13 HIMSS/RSNASCAR 2003 Radiologist Flags Images: Referring Physician Sees Key Images First: for refering physician This image shows the renal rupture. Note1 for refering physician This image has the hematoma. Note2 For referring physician: This image shows the renal rupture. Note1 For referring physician: This image has the hematoma. Note2 for refering physician This image shows the renal rupture. Note1 for refering physician This image has the hematoma. Note2 Study & Key Image Notes Key Image Notes Profile

14 HIMSS/RSNASCAR 2003 Key Image Note Benefits Improved communication – key image display reduces clutter – note contents provide clarifications Improved workflow – enables automatic display & routing Improved Study & Image Handling – Key Images for Referring – Teaching Files – QA Issues – etc

15 HIMSS/RSNASCAR 2003 Simple Image & Numeric Reports Profile Images Retrieved Preliminary Report Verified Report Report & Images Retrieved Image Manager & Archive Report Verification Images and Exam data presented for diagnosis Reports stored for Network Access Report & Image Review for Patient Care

16 HIMSS/RSNASCAR 2003 Simple Image and Numeric Reports Benefits Coded Values – enables data mining, decision support Flexible Report Presentation – rich text with embed images and measurements DICOM Management – Query/retrieve/archiving – Distribute reports through DICOM infrastructure

17 HIMSS/RSNASCAR 2003 Post-Processing Workflow Profile Post-Proc.WorkflowManager PACS System CAD *Workstation Report Repository Acquisition Modality 3-D *Workstation Work Status Worklist … Source Data Results Workstation Results Work Status

18 HIMSS/RSNASCAR 2003 Post-Processing Workflow Benefits Worklist Management – Provides todo list – Direct references to input data Reduced Manual Data Entry – Increased efficiency, decreased error rates Electronic Status – Status available quickly, Distributed access, Trigger interpretation, better workflow Electronic Results – Post-processed images / objects get associated with the correct study

19 HIMSS/RSNASCAR 2003 Access to Radiology Information Profile Radiology Department – Images and Reports Emergency Department Referring Physician Other Departments: - Oncology - Surgery - Neurology - Pediatrics - etc. Remote Clinics Electronic Medical Record

20 HIMSS/RSNASCAR 2003 Access to Radiology Information Benefits Improved Access to Images, Reports, etc – More complete, timely patient views – Fewer requests to radiology staff

21 HIMSS/RSNASCAR 2003 Basic Security Profile AuditRecordRepository … Image Manager & Archive Images Queried / Retrieved Diagnostic Workstation Report Repository … Report & Image Review Reports Queried / Retrieved Images Printed Reports Stored Reports Retrieved Reports Printed

22 HIMSS/RSNASCAR 2003 Basic Security Benefits Centralized Activity Auditing – Monitor/Audit HIPAA policy conformance – Measure Departmental performance Improved Security

23 HIMSS/RSNASCAR 2003 What Do You Get for All This? Fewer errors, improved data accuracy Greater access to information Reduced study loss, retakes Fewer tedious tasks Better scheduling and tracking Increased modality throughput Freedom to acquire components from multiple manufacturers


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