Enterprise medical imaging solutions are the only way out for healthcare organizations confronted with an older PACS system. As reported by HealthIT Executive Forum, Methodist Le Bonheur Healthcare (MLH), a Memphis, Tennessee-based healthcare system of eight hospitals, faced just such a dilemma. They were concerned about being able to gear up for an enterprise medical imaging platform and vendor-neutral archive (VNA).
“I wanted our selection committee to consider that since both our cardiology and general PACS were put in place eight years ago, had the marketplace moved on to a higher level of maturity and integration with general and cardiology PACS?” recalls Alastair MacGregor, MB ChB, chief health information officer at MLH.
With its ability to enhance the management of medical imaging studies from imported CD/DVD images, a new digital medical imaging sharing system is improving workflow at the University of Maryland’s R. Adams Cowley Shock Trauma Center, said PACS team manager Michael Toland, during a scientific session at SIIM 2013.
The trauma center received more than 2,400 patient transfers from area hospitals in fiscal year 2012. With many of these transferred patients, the sending facility had performed medical imaging exams and included a CD/DVD of the exams as part of the transfer process.
Too Many Repeated Medical Imaging Exams
Recognizing the importance of collaboration, locally and worldwide, RSNA 2013 focuses on the Power of Partnership, emphasizing that radiology speaks with a unified voice in the ever-evolving world of healthcare. At RSNA 2013, you have the opportunity to contribute your voice and ideas in critical industry discussions, explore sophisticated technology breakthroughs and discover top-notch educational resources.
From December 1-6, medical imaging professionals will be checking out advanced medical imaging systems, like the McKesson Enterprise Image Repository™.
Radiology quality assurance is a hot topic in Canada. Numerous scandals have hit Canada that involve mammograms, CT scans and other medical imaging being misinterpreted by radiologists. Prompted by the crisis, two provinces are developing quality assurance systems that automatically send out test results to be reviewed for errors.
With an eye towards combating errors, radiology quality assurance programs are being initiated by British Columbia and Alberta. Quality assurance systems of this type would be a first in Canada, representing an extraordinary attempt to have the work of a doctor evaluated in a systematic manner.
“Is there a doctor on board?”
This panicked phrase was heard by cardiologist Dr. Eric Topol as he was flying from Washington, D.C. to San Diego.
Responding to the pilot’s call quickly, Dr. Topol, chief academic officer of Scripps Health and a leading figure in wireless medicine, connected an ECG monitoring device onto his iPhone and performed a cardiogram on a fellow passenger experiencing severe chest pains. 30,000 feet in the air.
Using mobile ECG technology, the doctor determined that the passenger was experiencing a heart attack and recommended an emergency landing. The passenger was rushed to the hospital and survived.
PACS are getting old. Both general PACS and cardiology PACS are aging throughout the healthcare system. Amid the rapidly changing provider landscape, state-of-the-art PACS solutions are needed to keep one step ahead. Upgrading to the right PACS solution to improve workflow while enhancing storage capacity is critical.
Yet, how does a medical imaging department address all of their diverse needs along with the requirements of other clinicians and patients for automated, reliable information at the point of care, together with the hospital’s business needs to achieve meaningful use for their EHR?
PACS Neutral Archive
Medical imaging will be shaped by two major developments, according to Professor Audrey Paterson, The Society and College of Radiolographers’ Director of Professional Policy, who spoke at the United Kingdom Radiology Conference (UKRC 2013). She believes that the future of medical imaging is in molecular imaging and “theranostics” (the fusion of therapeutics and diagnostics).
Paterson, who is retiring after almost 40 years in medical imaging, warned delegates that amazing possibilities were ahead but, unless they were grasped enthusiastically, there was a danger that other health and medical practitioners will grab the opportunities that they represent.
ICD-10 implementation is one of the top challenges facing HIM professionals today. Lynne Henderson, Corporate Director of Health Informatics from Spartanburg Regional, says their plan is not to miss a beat. She will share the secrets of ICD-10 training and implementation on Tuesday, October 29th at the McKesson Customer Appreciation Event at AHIMA.
Check out a sneak preview of her presentation below, and then register for the event for best practices from a healthcare organization successfully navigating ICD-10 transition.
ICD-10 Transition: Setting Up for Success
The enterprise medical imaging field is in need of “coopitition.” In need of what? Coopitition (or coopetition) - a mixture of cooperation and competition. This word was used by Bradley J. Erickson, MD, PhD, department of radiology at Mayo Clinic in Rochester, Minn., who charted out a course for moving enterprise medical imaging innovation into clinical practice during the opening general session of the Society for Imaging Informatics in Medicine’s (SIIM) annual meeting, as reported in HealthImaging.
Though PACS innovation and translational research are fundamentally competitive, organizations can create an atmosphere that supports “coopitition,” Erickson maintains. Supporting synergy starts with understanding the nature of innovation and translational research and creating an enterprise medical imaging environment conducive to both.
Well-designed radiology workflow solutions eliminate inaccuracies preceding data reporting, leading to a reduction in claim denial follow-up. Claim denial has come to the forefront as health insurance plans have implemented broad-based utilization management systems whose process includes denial provisions. In an effort to control medical imaging costs, health plans may (and have) refused to pay for requested studies that have been performed.
Radiology workflow solutions automatically alert radiologists of all new exams that require custom protocoling based on a health plan’s denial provisions. Yet, according to a study recently published in the Journal of the American College of Radiology, the removal of these denial provisions in utilization management for advanced diagnostic imaging won’t result in increased imaging.