Dave Fornell, DAIC Editor

Dave Fornell, Editor DAIC

Blog | Dave Fornell, DAIC Editor | March 07, 2014

The Transformation to Enterprise Imaging at HIMSS 2014

By Dave Fornell, editor 

With healthcare reform’s focus on information technology as the primary vehicle for change, there has been a massive increased interest in this area. Health IT software has taken center stage as healthcare facilities look to implement new Stage 2 Meaningful Use requirements. This year the Healthcare Information and Management Systems Society (HIMSS) annual meeting, held Feb. 23-27 in Orlando, Fla., drew a record crowd of 38,828 attendees and a record number of 1,233 exhibiting vendors.

While the focus of the show is for hospital IT departments, chief information officers and the overall healthcare IT enterprise, there were clear messages for what the future holds for radiology and cardiology. The biggest message, however, was the challenge to the traditional concept of each department and specialty having its own, isolated data silo for reporting, and image storage. So too is the idea that radiology will remain the gatekeeper to imaging under the expanding notion of enterprise imaging, where all patient images from every department will one day be available via the patient’s electronic medical record (EMR).

Radiology has traditionally been the keeper of imaging. With the expanded use of EMRs, Stage 2 Meaningful Use calls for radiology to enable some sort of remote viewing system to allow referring physicians or others accessing the EMR to view images and reports. This can be accomplished via remote image viewing or sharing systems that connect data in the radiology PACS to a patient’s EMR. However, this effort has been complicated at larger enterprises where nearly every department creates and stores patient images.

With the introduction of vendor neutral archives (VNAs), enterprise imaging will increasingly be taken out of the hands of radiology and move to the responsibility of hospital IT directors. The VNA enables true enterprise imaging, where all departments can contribute content, and IT operates an image management system to allow easy access and security. In this form, radiology will become just another department contributing images to the VNA.

This form of VNA enterprise was discussed in several sessions at HIMSS, with Cleveland Clinic being the poster child of how a large enterprise VNA can operate. The clinic now manages images and reports from more than 60 departments using its VNA.

Other trends at HIMSS included the integration of patient access to health information and images via patient portals to increase patient engagement, the rising use of clinical decision support and computerized physician order entry (CPOE), remote viewing systems for patient data and images, and the continued rapid expansion of software to enable use of mobile devices by physicians.

To see an example of how a VNA works for imaging and the trend of mobile patient monitoring technology, watch the video.

Related Content

IBM Watson Health, medical imaging collaborative
News | Clinical Decision Support| June 27, 2016
IBM announced it has formed a Watson Health medical imaging collaborative, a global initiative comprised of more than...
SNMMI, appropriate use criteria, AUC, PAMA, qualified provider-led entity, PLE
News | Clinical Decision Support| June 27, 2016
The Society of Nuclear Medicine and Molecular Imaging (SNMMI) has been named a qualified provider-led entity (PLE)...
ACR Select, Appropriateness Criteria, federal AUC requirements, qPLEs
News | Clinical Decision Support| June 23, 2016
The Centers for Medicare & Medicaid Services (CMS) has named the American College of Radiology (ACR) a “qualified...
Agfa Healthcare, Enterprise Imaging, KLAS report 2015, Xero universal viewer, VNA
News | Enterprise Imaging| June 17, 2016
In a recent report on satisfaction among healthcare information technology (IT) customers, Agfa HealthCare customers...
Philips, SNMMI 2016, Vereos digital PET/CT, time-of-flight, IntelliSpace 8.0, nuclear imaging
News | Nuclear Imaging| June 14, 2016
Philips announced it would be showcasing a variety of nuclear imaging solutions at the Society of Nuclear Medicine and...
Inventory management, cath lab inventory management, automated inventory management
Sponsored Content | Webinar | Inventory Management| June 10, 2016
Do you find products are stocked based on intuition rather than actual utilization based on clinical demand?
Siemens Healthineers, SNMMI '16, molecular imaging, syngo.via, Biograph Horizon PET/CT, mobile configuration
Technology | Nuclear Imaging| June 09, 2016
At the 2016 Annual Meeting of the Society of Nuclear Medicine and Molecular Imaging (SNMMI), Siemens Healthineers will...
McKesson, iPad, CVIS, ECG mobile viewer

Dynamic ECG waveforms displayed on an iPad using McKesson's mobile ECG viewer, which directly connects to the hospital's cardiovascular information system or ECG management system. This technology can help speed triage of STEMI patients, allowing diagnosis anywhere, rather than requiring cardiologists to walk down to an emergency department or drive into the hospital to view the ECG.

Feature | Mobile Devices| June 09, 2016 | Dave Fornell
The ubiquitous smartphone has found its way into the pockets of nearly every clinician and patient in recent years an
Logicalis, telehealth, user experience, recommendations
News | Telecardiology| June 07, 2016
June 7, 2016 — A new report from Logicalis Healthcare Solutions discusses six ways...
Technology | Clinical Decision Support| June 07, 2016
Healthy Interactions and MedCurrent recently introduced a first-of-its-kind clinical decision support platform that...
Overlay Init