34
Program Update September 2016 Emergency Neuro Image Transfer System (ENITS) ENITS Training Presentation September 2016 v11
Program Update
September 2016
Emergency Neuro Image
Transfer System (ENITS)
ENITS Training Presentation
September 2016 v11
ENITS Program Update
During this update , you will learn about the following:
• ENITS program update • New-ENITS Mobile
• ENITS Account Creation
• ENITS Account Authentication
• Role of CritiCall Ontario
• The ENITS on-line process
• Help desk contact details
• On-line resources
ENITS Training Presentation
September 2016 v11
ENITS Program Update
• ENITS is currently used by Ontario’s neurosurgery, neuroradiology, neurosurgery
residents, spinal specialists, pediatric intensivists, Telestroke neurologists, vascular
and cardiac surgery, interventional radiology and cardiology.
• ENITS can be accessed at : https://www.enits.ca • ENITS account holders have access to the ENITS application 7 days a week - 24 hours a day.
• ENITS provides access to emergent CT head and spine exams, “on-demand” MR
images, emergent CTA abdominal, thoracic and lower extremity exams and emergent
pediatric ultrasound studies from 80 + referring sites across Ontario. Over 350
modalities are now connected to ENITS
• The ENITS Help Desk can be reached as follows:
• Phone (24 x 7): 1-877-465-7167
• eMail: [email protected]
ENITS Training Presentation
September 2016 v11
ENITS Program Update- Mobile In keeping with the vision for ENITS, "anytime, anywhere" for clinical end users,
the ENITS program team has responded to requests for user access through a
mobile device. These applications are now available to our clinical users.
Your existing ENITS credentials can be used to access either application.
Reference materials have been developed for our ENITS end users to download
the respective ENITS app from the Google Play Store or Apple App store:
ENITS Mobile
Note: Instructions can found under the resources tab A mobile application for
BlackBerry devices has not been developed.
For support issues, you will continue to contact the ENITS help desk. You'll note
that the ENITS privacy statement has been modified to reflect updates from our
privacy department. As a reminder, you remain accountable for managing your
ENITS access and resultant access of PHI.
• The ENITS Help Desk will continue to service for all consulting physicians
(including OTN neurologists). The ENITS Help Desk can be reached as follows:
• Phone (24 X 7): 1-877-465-7167
• eMail: [email protected]
ENITS Training Presentation
September 2016 v11
ENITS Account Creation
• An account management process has been developed that allows physicians to
create a request to access ENITS. A Registration Authority at each ENITS consulting
hospital or organization has been identified to review a fully completed account
management form. Once approved by the Registration Authority, account credentials
will be sent directly to the approved end user by the ENITS help desk.
• The account management process and related documentation can be found on the
SWODIN web site:
ENITS Account Management
New physician additions to the Telestroke program will be authorized by Dr. Frank Silver
ENITS Training Presentation
September 2016 v11
ENITS Account Authentication
ENITS Training Presentation
September 2016 v11
ENITS physicians must complete the following steps to authenticate to ENITS:
1. Logon with an the user name and temporary password provided by the ENITS Help
Desk via the following link : https://www.enits.ca
2. Update their temporary password to a permanent password based on the approved
criteria.
1. Your password must be a minimum of 8 characters.
2. Your password must include 3 of the 4 criteria – an upper or lower case alphabetic
character, a numeric character and symbolic character
3. Create responses to five (5) challenge and response questions
After authenticating, each subsequent logon requires account holders to use their:
Assigned user name
Updated password
Respond to one pre-answered challenge and response question.
Role of CritiCall Ontario in ENITS
• Advising ENITS consulting physicians that CT and MR studies
are available for review, consultation for treatment, and/or
patient transfer.
• Facilitate the consultation process between the referring ED
physician and ENITS consulting physician.
• In the event that technical difficulties are encountered, CritiCall
Ontario will direct the consulting physician to connect with the
ENITS Help Desk.
ENITS Training Presentation
September 2016 v11
The ENITS On-line Process
ENITS Training Presentation
September 2016 v11
1a Acquire Images
NON-NEUROSURGICAL CENTRE
CT Modality
3b Tele-consultation
1b Image Transfer
2a Consultation request
CRITICALL
CONSULTING PHYSICIAN *
2b
Telephone Confirmation
Emergency Neuro Image Transfer System
Consult Workflow with MRI Process
ENITS Shared PACS
6a Specialist reviews
additional MRI Imaging
MR Modality
4 Updated “on-demand “ Image Transfer to ENITS
Shared PACS
6c Tele-consultation
Page to On-call
Consulting Physician *
3a
Request for additional imaging with MRI
3b/6b
3c
5
Follow Up Consultation
MRI Workflow * Includes NEUROSURGEON, ORTHOPEDIC SPINAL SPECIALIST , PEDIATRIC INTENSIVIST, TELESTROKE NEUROLOGIST ENITS Training Presentation
September 2016 v11
Temporary logon
credentials are provided to
new ENITS account
holders by
the ENITS Help Desk.
The ENITS process
ENITS Training Presentation
September 2016 v11
Updated Personal Health
Information disclaimer
The ENITS Authentication process
Your updated ENITS credentials will be required to complete the ENITS Q &A.
You are required to complete this once as part of the account creation process.
ENITS Training Presentation
September 2016 v11
The ENITS Authentication process
Your password will require updating every 180 days.
ENITS Training Presentation
September 2016 v11
Password: You will be prompted to create a new password based on the
following criteria: 1. Your password must be a minimum of 8 characters.
2. Your password must include 3 of the 4 criteria – an upper or lower case alphabetic
character, a numeric character and symbolic character
The ENITS Authentication process
You are required to answer five
questions. This will be the only time
you are required to complete this
portion of the account creation
process.
These responses will be used to
authenticate your access to the ENITS
application. At logon, you will be
asked to respond to one of the five
questions.
ENITS Training Presentation
September 2016 v11
In the event you provide an incorrect response to your authentication
question, your account will be locked after three attempts. A new question
will not be presented. Contact the ENITS Help desk for assistance.
The ENITS Authentication process
ENITS Training Presentation
September 2016 v11
The ENITS Authentication process
After successfully logging on to ENITS with your
username, password and authentication question– the
consulting physician will be directed to the eUnity search
screen and study repository.
ENITS Training Presentation
September 2016 v11
eUnity Search Options–Date
ENITS Training Presentation
September 2016 v11
eUnity Search Options–Patient Work List
ENITS Training Presentation
September 2016 v11
Search Options-Work list access
ENITS Training Presentation
September 2016 v11
Search criteria are available based on
information from CritiCall Ontario:
1. Patient name
2. Patient ID
3. Accession Nos.
ENITS end users after a successful logon
are directed immediately to the eUnity
search screen.
Search Options-Work list Options
ENITS Training Presentation
September 2016 v11
Toggle Search Screen-allows end users to hide the seacrh screen.
Once toggled- the complete work list without the search screen
is presented.
Search Options-Toggle Theme
ENITS Training Presentation
September 2016 v11
Toggle Theme – allows end users to hide the search screen.
Once toggled- the complete work screen will switch to a white background.
Search Options-Work list Enhancement
ENITS Training Presentation
September 2016 v11
Study Chevron -allows end users to display the sending institution.
Main work screen – Launching Studies
ENITS Training Presentation
September 2016 v11
Highlight the study and single or double click to launch the study
eUnity Navigation- Posting all Studies
Once the study has been
launched, the consulting
physician will be required
to “Show available
Series”
Once launched, the consulting
physician is presented with
the complete study.
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Posting all Studies
Individual exams in eUnity must be dragged and dropped into the main viewing area. The study of interest is flagged and the border is highlighted. To remove all of the available studies from view- select
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Standard Features
Navigation
Window Leveling
and Preset
Inverting Brightness
Toggle Demographics
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Other features
Angle measurement
Freeform ROI
Expanding this heading presents
additional image reference tools
Eraser
Revert to original
Export Image to JPEG/ PNG
ENITS Training Presentation
September 2016 v11
The Revert to Original Tool allows
user to reset a series of images to
its original state. (Note: Navigation is
not reset)
eUnity Navigation- Triangulation
Triangulation-Using your mouse over the study of interest, allows you to position within a reference location in the same study.
ENITS Training Presentation September
2016 v11
eUnity Navigation- Toggle Reference Lines
Toggle reference lines allows the specialist to observe the reference cut line in a related Sagittal, Coronal or Axial study(s).
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Linking Images
Links features (navigation, window leveling, zoom and pan) between exams in the same study.
Lead Image Reference Image
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Cine
Cine - Preset cine rates, start and stop available. During Linked mode, users can toggle cine between reference exams.
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Image comparison
Allows image comparison in the same series
Allows image comparison in a different series
Maximum comparison is 2 x 2
ENITS Training Presentation
September 2016 v11
eUnity Navigation- Log Out
ENITS Training Presentation
September 2016 v11
Helpdesk for ENITS
On-line help for eUnity
Contact the 24 hour ENITS Helpdesk Toll free at 1-877-465-7167
Email: [email protected]
ENITS Training Presentation
September 2016 v11
ENITS On-line Resources
On-line resources can be found on the SWODIN web-site:
http://swodin.ca
• Within this link, you will find details on the following: • Training material
• Account Management Form
• Poster
• FAQ
Thank your continued participation in the ENITS program
“Anytime ,Anywhere”
ENITS Training Presentation
September 2016 v11
