SIIM 2013: Mobile Imaging for Your Enterprise
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SIIM 2013: Mobile Imaging for Your Enterprise

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I. 80% of Physicians own Smart Devices ...

I. 80% of Physicians own Smart Devices

II. Patient Needs

III. Apps

IV. Design Consideration

V. Security

VI. Areas of Focus for Imaging Leaders

VII. Patient Engagement

VIII. Imaging-Specific Portal

For more information visit http://www.carestream.com/myvue and http://www.carestream.com/vuemotion

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  • 1. SIIM 2013:Mobile Imaging for Your EnterpriseJeff FlemingVP Healthcare Information SolutionsJune 6, 2013
  • 2. Public© 2012, CarestreamHealth80% Physicians Own Smart DevicesWhat type of device are you using?59%29%20%3%14%7%0%10%20%30%40%50%60%70%iPhone iPad AndroidSmartphoneAndroid Tablet Blackberry Other%ofRespondentsN = 3143, multiple responses allow ed*Source: The Nielsen Company, “Q1 2011 Mobile Connected Device Report”,QuantiaMD® Research Report, “Tablets Set to Change Medical Practice”, June 15, 2011. See www.quantiamed.com/q-qcp/QuantiaMD_Research_TabletSetToChangeMedicalPractice.pdf**Source: Manhattan Research, Taking the Pulse U.S. 2012, http://www.informationweek.com/healthcare/mobile-wireless/doctors-tablet-use-almost-doubles-in-201/240000469***Source: Healthcare Data Solutions, July 2012, http://www.healthcaredatasolutions.com/assets/docs/HDS_Whitepaper_Mobile-Device-Usage-Patterns-Among-Physicians.pdfTablet use has sincedoubled since 2011,now reaching62%**How often do you use mobile devices in your practicefor patient care (smartphone, iPad, etc.)?
  • 3. What are your patients looking for?3Harris Interactive Poll 2012
  • 4. Considerations: “To App or Not to App”Consideration: Radiologist Reviewing Imaging ResultsEITHER: Key is access to priors and image manipulation toolsNO APP for Referring: Primary care physicians and specialists willlikely view images and reports ad-hoc from wherever the image wastaken; Access will likely come through EMR/EHR.Viewer needs to be: system and device agnostic, no download, notraining requiredConsideration: Referring physicians accessing EMRDEDICATED APP: Primary care physicians and specialists will likelyonly access dedicated patient records in one systemConsideration: Patients accessing the EMR resultsNo APP: Portal part of Meaningful Use Requirement
  • 5. p.5Simple to deploy and maintain• Zero overhead for high speed performance• Latest enterprise access technology without replacing a legacy PACS or archiveOn-demand and Ad-hoc• Radiologists and physicians able to access entire patient’s portfolio including images,reports and other supporting, non-DICOM data• Enable real-time collaboration between clinical usersEasy to Adapt• Simplify workflow as independent viewer or embedded withinEMR or HIS eliminating multiple log-ins• Intuitive User Design that doesn’t require dedicated trainingPhysical Conditions• Device durability, ambient lighting, security….Overall Design ConsiderationsVue Motion is FDA cleared for iPad mobile use
  • 6. Security utmost concernBut consider the alternatives:Applications should be part of an enterprise security architecture thatconsiders confidentiality, data integrity, and availability.• Personal device (BYOD) versus corporately issued• Theft and data loss• Compliance to government regulations (i.e. FDA)• Data retained on device (ex. dedicated app) or centralized on server (ex. zero footprint)• Physical security “screens”• External network accessed by unpredictable user patterns or demandsp.6
  • 7. Healthcare Reform:Areas of focus for imaging leadersPatient Satisfaction• Reimbursement will be affected by patient satisfaction surveys. While none of the measures relate to imaging, abad experience in the imaging department could affect the overall patients’ survey rating• More than 5 percent of all unique patient seen by the EP during the EHR reporting period (or their authorizedrepresentatives) view, download, or transmit to a third party their health informationReferring Physician Satisfaction• Referring physicians are key in the ACO model. Keeping them happy and engaged will reduce ‘referral leakage’Cost Reduction• Standardization of care practices, processes and infrastructure provide facilities with an opportunity to reducecost and impact the bottom linePublic© 2012, Carestream HealthApps that provide easy access to patient records forboth the patient and the referring physician whileeliminating the costs and risks associated with physicalmedia (paper, CD/DVD, etc.) will impact the 3 focusareas described aboveThe Accountable Care Act (ACA) puts emphasis on
  • 8. “Less paper work”“Better care coordination among health careproviders“Fewer unnecessary tests and procedures”“Easy, electronic access to your medicalrecord and have greater control overyour health”80% Americans who have access theirhealth information in electronic healthrecord use it65% Americans who don’t’ have electronicaccess to their health information say it’simportant to have it2 out of 3 people would consider switchingto a physician who offers access tomedical records through a secureinternet connectionPatient Engagement has Operational Merits8Office of the National Coordinator for HealthInformation Technology (ONC) isgenerating the “demand”*http://www.healthit.gov/patients-families/electronic-health-records-infographic
  • 9. Example of an Imaging-Specific PortalSecure access, simple management, quick access
  • 10. Patient Reaction to Imaging Portal10Carestream conducted direct surveys to gauge patientreaction (n=1000)Preferred Access to Imaging ResultsLikelihood of Using Online Portal
  • 11. QuestionsInsert Organization Logo Here orRemove