View Workflow Intelligence: The importance of orchestrating the workflow, a presentation given at HIMSS 2016 by Dr. Evan Kaminer, M.D.

1. Dr. Evan Kaminer, M.D.
CEO, Hudson Valley
Radiology Associates
Workflow Intelligence:
The importance of orchestrating the workflow

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5%
Of patients
experience
Diagnostic Error
6%-17%
Of Adverse events are
caused by Diagnostic
Errors
Of patient deaths are rooted in
Diagnostic Error
10%
Cost of Diagnostic Errors
#1Paid medical
malpractice claim
Source: http://www.nap.edu/read/21794/chapter/2

3. Use Case
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 375-bed community
hospital in NE United
States
 Performing more than
50,000 ER cases per
year
Dr. Evan Kaminer,
M.D.
CEO, Hudson Valley
Radiological
Associates

4. Challenge:
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“Our greatest challenge was flagging
the emergent and urgent cases. Like
many hospitals, we are flooded with
Cases marked STAT. For example,
every study done in the
emergency room is marked STAT
-Dr. Evan Kaminer
-reprinted from Imaging Technology News | itnonline.com | November/December 2015

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“Advanced imaging may
increase the amount of time that
a patient spends in the ED”
“However, advanced
imaging may help a
physician to rule out
conditions, thereby
avoiding further unnecessary or
risky diagnosis and therapy.”
Source: NCHS (CDC) Data Brief No. 43, September 2010
ER shows increased reliance on imaging
Source: NCHS (CDC) Data Brief No. 43, September 2010
367 %
increase in
ER use of
CT/MRI
between
1999-2008

6. Radiology’s evolving role
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How do we increase efficiency?
More studies are ordered
throughout the hospital.
Radiology isn’t just the
department in the basement
anymore.
Imaging is integrated into more
disease conditions.

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How can we leverage the scale of the
entire enterprise?

8. How can Conserus Workflow Intelligence™ help?
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Flexible Rules-
Based Workflow
Orchestration
Intelligent Task
Assignment and
Prioritization
Unified
Enterprise
Worklist
Quality
Workflows
Communication
Tools
Analytics

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What does workflow orchestration mean?
Apply
Intelligence:
Configure the
system with our
own rules
Proactive
Management:
Change the rules
if and when we
need to
Leverage Scale: Send studies to the most
qualified radiologists in our organization

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 Site-specific rules
govern types of
notifications
– Pop-up
– SMS text message
– E-mail
 Ensures that high
priority cases read first
 More people get
notified as benchmark
approaches
 Define your priorities:
– Type of study
– Patient location
– Time since exam
We used our own rules to put the intelligence in
our workflow
 What are our challenges?
 Do we have Service
Level Agreements to
meet?
 Who should read this
type of study?

11. New Workflow Model
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Chief Tech
File RoomTechs
Radiologist

12. User Interface Emphasizes priority
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Unique site-specific rules were used to assign and prioritize
Assignment & color
coded prioritization
based on customizable
rules
Source from one or
more distributed clinical
systems
All tasks in a single
workspace

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After
 Administrators
configured the
system according
to hospital
policies
 Measurable
results
Before
 Individualized
worklists
 Manual process
to prioritize cases
 Not all important
cases read in
timely manner
Conserus Workflow
Intelligence™
Moving to an intelligent workflow

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-50%
52:37
-35% -26%
23:39
What were the results?
*Average turnaround times were evaluated based on data collected by the customer at the Conserus Workflow Intelligence™ beta site during the
periods of Sept. – Dec. 2014 and Sept. – Dec 2015. The time stamps used as parameters were time of tech completion to preliminary/final read.
ER
Labor and
Delivery ICU
20:13
13:03 17:33
Drop in average report turnaround times :
26:08

15. This is our story. What’s yours?
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Find out more about
Conserus Workflow
Intelligence™ at
www.conserus.com