NAPHIT VisualDx: Standardizing Public Health Preparedness at ...

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  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • Only decision support for visual recognition
  • Image collection is best in the world
    NYU, University of Rochester, UCLA, physician experts’ lifetime collections
    Editorial Board of over 60 physician experts
  • NEW CLIENTS
    Proposals: GA, CT, Nassau County NY and soon other
    Deliver to DHS nationwide ED rollout plan
    EXPAND CURRENT CLIENTS
    Example: Pennsylvania currently licensing for 45 hospitals, will move statewide in 2006
    Contract 6.7 million over 3 years
    NYC, NYS, Delaware, Mississippi, expand in 2006
  • NEW CLIENTS
    Proposals: GA, CT, Nassau County NY and soon other
    Deliver to DHS nationwide ED rollout plan
    EXPAND CURRENT CLIENTS
    Example: Pennsylvania currently licensing for 45 hospitals, will move statewide in 2006
    Contract 6.7 million over 3 years
    NYC, NYS, Delaware, Mississippi, expand in 2006
  • NAPHIT VisualDx: Standardizing Public Health Preparedness at ...

    1. 1. NAPHIT VisualDx: Standardizing Public Health Preparedness at the Point of Care Art Papier MD, Chief Scientific Officer, Logical Images
    2. 2. Logical Images • Rochester NY, founded 1999 • Decision support for clinicians • Public health informatics • Image and Case databases supporting research and education
    3. 3. Logical Images Logical Images developed the CDC/HHS training program for smallpox vaccination adverse events.
    4. 4. Logical Images: Clients • Department of Defense • Hospitals (450+) • Clinics (multiple) • Public Health – State (MS,DE,PA,NY,SC) – Metro (NYC,DC,LA, San Antonio) – County (numerous)
    5. 5. VisualDx addresses a fundamental need: • Assists MD’s to recognize diseases and patterns they have never seen before
    6. 6. VisualDx addresses a fundamental need:
    7. 7. Implications of VisualDx for Care • Patient Safety • Accuracy • Quality • Reduce Error • Patient Education
    8. 8. VisualDx is comprehensive • Over 10 years of development • 70+ physician editors • Peer reviewed • Standards based • Surveillance • Alerting • Reporting
    9. 9. VisualDx is “All Hazards” • Category A, B, and C agents • SARS • Avian influenza • Infectious disease • Address the worried well
    10. 10. VisualDx is “Dual Use” • Addresses common and rare diseases • STD’s • HIV/AIDS • Dark Skin • Pediatrics • Oral Medicine • 700+ diseases
    11. 11. VisualDx Helps clinicians recognize horses and zebras • Classic presentations • Unusual or severe variations due to: -Disease timeline -Immune status -Skin color -Severity -Inherent variation
    12. 12. • 4 cases presented as unknowns • Archives of dermatology “Off-Center Fold” • Chose difficult cases: Physicians seek reference for rare presentations • Increased diagnostic accuracy 124% – After only 5 minutes of training Text-Based Image Reference - Vs - Software Decision Support VisualDx Is Scientifically Validated Study Was Performed
    13. 13. Total Number of Correct Diagnoses by Intervention (1st, 2nd, and 3rd Choices Combined) 19 16 21 56 21 9 7 9 25 12 0 10 20 30 40 50 60 Family Medicine Internal Medicine Emergency Medicine All Non-Dermatology Dermatology Specialty Correct Diagnosis Books Software Results: Doubling Diagnostic Accuracy
    14. 14. Chi-Square Pr>Chi- Square Dermatology 2.8772 <.0898 Non-Dermatology 20.1888 <.0001 Emergency Medicine 3.2267 <.0724 Internal Medicine 7.8204 <.0052 Family Medicine 9.1572 <.0025 Significant doubling of accuracy: Non-dermatologists
    15. 15. VisualDx is “Real World” Validated Impact of Academic Detailing NYC Usage by Month Based on Unique ASP Sessions 0 200 400 600 800 1000 1200 Jun-05 Jul-05 Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 Total Sessions by Usage Groups 0 50 100 150 200 Average Per Site Usage Usage Group 1 Usage Group 2 Average Per Site Usage (NYC) Average Per Site Usage (Other Major State Level Installation) NYC DOH Academic Detailing •Busy NYC Emergency physicians persistently use VisualDx
    16. 16. Current VisualDx U.S. Installations
    17. 17. Standardizing US Preparedness • 13% of US Emergency Rooms are currently using VisualDx
    18. 18. VisualDx and Public Health • Meets federal CDC/HRSA bioterrorism preparedness guidelines • Meets Pandemic Flu guidelines • Includes Chemical Preparedness • Includes Smallpox Vaccination • Includes Sexually Transmitted Disease • Includes Communicable Respiratory Disease
    19. 19. VisualDx: Accurate Diagnosis while Minimizing False Positives • Addresses critical node for early response: prepared clinicians – Increases physician awareness of CBRN, and emerging and re-emerging diseases through day to day use for common problems – Problem-oriented visual approach uniquely addresses false positives inherent in detecting low probability disease
    20. 20. VisualDx: Customize 24x7x365 • Health alerts • Communicable disease reporting • Local customization by health departments • Bring public health to the point of care
    21. 21. Contact Information Art Papier MD Chief Scientific Officer 585-427-2790 x230 apapier@logicalimages.com Steve Cutrona Vice President of Sales & Marketing 585-427-2790 x110 apapier@logicalimages.com Logical Images, Inc. 3445 Winton Place Rochester, NY 14623 www.logicalimages.com

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