Cardiac Imaging in 2020: Building a Complete CVIS for the Future


CVIS, Cardiac imaging futureWhat makes a modern, future-ready cardiovascular information system (CVIS)? Imagine the ability to connect all of your cardiology imaging data into to a single point of access that is available across the entire cardiac enterprise. No longer would you be forced to scour multiple systems for the right information, wasting valuable resource time.

This game of departmental hide-and-seek is fading away in the cardiac imaging world. Providers are beginning to project toward what cardiac imaging should look like by 2020 – and how they can streamline their CVIS.

Dave Fornell, Editor for the Diagnostic and Interventional Cardiology magazine (DAIC), sought to identify the key trends and goals that foster a more efficient CVIS. In a November/December 2015 McKesson-sponsored DAIC magazine supplement entitled “What Will Cardiac Departments Look Like in 2020?” Fornell shared his thoughts on what the future of cardiac imaging will look like.


1. Centralized storage architecture

Fornell notes that disparate, siloed storage systems are being phased out across the healthcare spectrum. Centralized, enterprise-wide imaging and IT is becoming the new normal, and a modern CVIS needs to follow suit.

“A CVIS should integrate the department’s entire workflow into a single system,” Fornell said.

“Department solutions do need to fully integrate with the IT infrastructure at the enterprise level to enable the smooth flow of data (regardless if it is text, images, video or waveforms) between the EMR and clinicians throughout the enterprise, not just those logged into the CVIS.”

A complete, future-ready CVIS would thus be integrated into the centralized storage architecture and able to streamline data flow into a unified EMR. Providers can utilize a vendor neutral archive to centrally house that data.


2. Structured reporting

In today’s Big Data-fueled world, there is no shortage of data available for analysis, regardless of the departmental origin. Fornell argues that new or updated CVIS should include robust, structured reporting.

“Structured templates and choosing dropdown menu terminology will help streamline searches, data mining, dashboarding functions and data transfers to registries,” Fornell said.

“The guidelines from the various cardiology specialty societies also need to be integrated into structured reporting to ensure clinicians are following guidelines and appropriate use criteria (AUC).”

A modern CVIS offers the ability to customize these reporting tools, offering unique insights for cath and electrophysiology labs, echo and vascular departments, nuclear cardiology department and ECG departments. When everything is housed in the centralized database, it makes it easier for users to document and analyze care practices.


3. Multi-device access

Fornell notes that a centralized, vendor-neutral CVIS need not be contained to desktop-only access. Proliferation of enterprise-capable mobile devices has made it necessary for providers to integrate their use into the hospital’s device management system.

“As society increasingly transitions to Web-based, mobile computing using tablets and smartphones, cardiology departments need to consider bi-directional mobile device access to the CVIS,” Fornell said.

“New technology investments should eliminate the need for separate workstations to access disparate silos of data, including cath reporting systems and various cardiac imaging picture archiving and communication systems (PACS).

Granting this access has an additional benefit beyond the ease of access. Remote, device-enabled access allows physicians to increase work/life balance by allowing them to see and act on images in a timely manner.


With a future-ready CVIS, providers can centralize their imaging database, improve data analysis through structured reports, and reduce access barriers through bi-directional mobile device access. End the hide-and-seek data game, and learn more about modern cardiac imaging by visiting our web site and by subscribing to the Medical Imaging Talk blog.

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