P.1 - PRIORITIZING ACCESS IN YOUR VNA STRATEGY

© 2014 Carestream Health

PRIORITIZING ACCESS IN YOUR

VNA STRATEGY

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ISSUE:

The growth of medical data is explosive. It will soon exceed our ability to archive it effectively.

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BIG DATA

Image and exam information from the 600,000,000 medical

imaging procedures performed annually in the U.S.

alone must be managed, stored and accessed.

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Why Implement a VNA?

1. Long-Term Storage Format: A Vendor Neutral Archive is based on the DICOM industry standard !le format and protocol and XDS-I protocol.

2. Reduces Risk of Data Migrations: Data migrations will be a thing of the past since a proper VNA will mitigate the need for a site to perform one in the future due to the standards-based approach of this solution.

3. Prevents Vendor Lock-In for PACS Vendors: No more proprietary data formats. You are free to choose which vendor/viewer/etc., best meets your organization’s needs.

4. Long-Term Redundancy: Data replication, redundancy, life-cycle management, and business continuity. All offered when coupled with a cloud-based solution. The bene!t to you: Renting the long-term storage, instead of investing in storage that may not be used for years, thereby requiring upgrades downstream.

5. Integration: A good VNA will allow for easy integration to virtually any system you have, be it HIS, RIS or PACS solutions plus utilize open standards such as HL-7, DICOM, etc.

Source: DeepWellArchive. "Vendor Neutral Archive: Top 5 Reasons Why to Implement a VNA." DeepWell Archival Services Electronic Medical Record Storage Powered By ClvrTv. DeepWell Archival Services, 04 May 2011. Web. 28 Mar. 2014.

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“Clearly de!ning the archive’s purpose goes a long way toward ensuring that the chosen solution meets an organization’s needs.” - “Skip” Kennedy, MSc, CIIP, technical director of imaging informatics for Kaiser Permanente medical centers in northern California, interview in Radiology Today By David Yeager http://www.radiologytoday.net/archive/rt0312p6.shtml R.L.

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Is There a Greater Purpose than Access?

Healthcare providers that

purchase VNA merely to simplify

IT hardware or consolidate

radiology images, however, are

not realizing VNA’s full potential.

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“Lives are lost every day because the data needed sits in storage, untouched.” - Harvard School of Public Health, 2012

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Early VNA Adopters Cite Image Sharing Most Important Bene!t

Peer 60 Study of 33 U.S. hospitals who have adopted VNA about most important capability.

Most Important Capabilities

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Image Access Matters to Everyone

SPECIALISTS

Clinical intelligence enables ef!cient and collaborative decision making.

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Image Access Matters to Everyone

REFERRING PHYSICIANS

Timely, accurate reports with image access, consolidated single-patient records, keeps referring physicians happy and engaged.

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Image Access Matters to Everyone

PATIENTS Love their images, and become more engaged.

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Healthcare Reform—ACA and MU

New emphasis on

• Patient satisfaction and patient engagement

• Referring physician satisfaction

– Referring physicians are key in the ACO model. Keeping them happy and engaged is critical.

• Information transfer and access is a big part of MU

• Cost Reduction

– Standardization of care practices, processes and infrastructure provides facilities with an opportunity to reduce cost and impact the bottom line.

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Healthcare Reform—ACA and MU

IT can look to provide easy access to imaging data for both referring physician and patients while eliminating the cost and risk associated

with physical media.

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VNA Liberates Data Across the Enterprise

It’s your foundation for patient-centric image sharing.

CONSOLIDATES MULTIPLE SILOS OF

ARCHIVES

FEDERATES MULTIPLE REPOSITORIES

DISTRIBUTES DATA TO REFERRING PHYSICIANS

On-Site or Cloud VNA

ENABLES RAPID AND SECURE PATIENT ACCESS

PRESENTS CLINICIANS WITH FULL PATIENT INFORMATION

REGARDLESS OF SYSTEM OR SITE

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ONC: Stage 2 Meaningful Use

Stage 2 Requirements

• Provides patients the ability to view online, download and transmit their health info

• 5+% of all unique patients to view, download or transmit their health info

• EHR Module certi!ed to track who has viewed, downloaded or transmitted the info and that patients have access

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Image-Enabled EHRs for Patient Engagement

Access to imaging data could be an enabler to drive engagement as an embedded work"ow in the EHR portal.

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What Referrings Need

•  Simple interface •  Single access point from anywhere •  Ad hoc access any time, up-to-date data •  Embedded viewing in EMR for full patient information •  Ability to view images and reports on mobile devices

REFERRINGS

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What Referrings Need

59%

29%

20%

3%

14%7%

0%

10%

20%

30%

40%

50%

60%

70%

iPhone iPad AndroidSmartphone

Android Tablet Blackberry Other

% o

f Res

pond

ents

N = 3143, multiple responses allow ed

80% Physicians Own Smart Devices

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Image Viewer Embeddable in EMR •  Cleared for

diagnostics

•  Zero footprint No installation

•  Device-agnostic

(pure web HTML 5)

•  Zero Training

Intuitive User Interface

•  Enable Remote

Collaboration

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What Specialists Need

SPECIALISTS

•  Consolidated single-patient record •  Read multi-site as if reading locally •  One workstation for both reading and reporting •  Ad hoc access any time, up-to-date data •  Embedded viewing in EMR for full patient information •  Diagnostic review accessible on mobile devices •  Priors automatically available •  Second opinion from any location

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Global Worklist for Radiologists Regardless of Location or System

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What Patients Want

•  Access to their images •  Simple interface •  Integrated with other patient services •  Device-neutral solution •  No required downloads or installation •  Custom sharing, consent settings

PATIENTS

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What Patients Want

The majority of patients welcome their physician’s electronic image transfer to the practice, and would refer family and colleagues.

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Sample Access Permission Letter

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Sample Report with Embedded Images

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Sample Access Sharing

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•  Empowers patients to access, manage and share their own data online

•  Independently deployed or embedded with EMR Patient Portal

•  Reduces operational costs associated with CD/DVD/!lm management

Patients Love Their Image Access

Improve patient satisfaction VALUE

CONSOLIDATES MULTIPLE SILOS OF

ARCHIVES

FEDERATES MULTIPLE REPOSITORIES

DISTRIBUTES DATA TO REFERRING PHYSICIANS

On-Site or Cloud VNA

ENABLES RAPID AND SECURE PATIENT ACCESS

PRESENTS CLINICIANS WITH FULL PATIENT INFORMATION

REGARDLESS OF SYSTEM OR SITE

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Forward-thinking healthcare providers around the world are already successfully collecting big data and solving enterprise

image-sharing challenges with VNA.

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© 2014 Carestream Health

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© 2014 Carestream Health

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LIKE A BRAIN, Your VNA Is The Organizing Force For Your Data.

CONSOLIDATES MULTIPLE SILOS OF

ARCHIVES

FEDERATES MULTIPLE REPOSITORIES

DISTRIBUTES DATA TO REFERRING PHYSICIANS

On-Site or Cloud VNA

ENABLES RAPID AND SECURE PATIENT ACCESS

PRESENTS CLINICIANS WITH FULL PATIENT INFORMATION

REGARDLESS OF SYSTEM OR SITE

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At Carestream We Believe In…

A COMPLETE PORTFOLIO WITH VNA AS THE BRAIN OF YOUR IMAGE STRATEGY

•  Vue Archive – VNA

•  Consolidated clinical archive: interoperable, standards based for longevity

REPOSITORY

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At Carestream We Believe In…

A COMPLETE PORTFOLIO WITH VNA AS THE BRAIN OF YOUR IMAGE STRATEGY

•  Enterprise management

•  Patient data aggregation

•  Data sharing

ENTERPRISE MANAGEMENT

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At Carestream We Believe In…

A COMPLETE PORTFOLIO WITH VNA AS THE BRAIN OF YOUR IMAGE STRATEGY

•  Clinical Departmental Solutions

•  Advanced clinical toolsets: single workspace for productivity from image review to report

RIS / PACS / CARDIO

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At Carestream We Believe In…

A COMPLETE PORTFOLIO WITH VNA AS THE BRAIN OF YOUR IMAGE STRATEGY

•  Universal viewers

•  Access to Patient Medical records regardless of clinical system: secure, device neutral, mobile

PHYSICIAN COLLABORATION

& PATIENT ACCESS

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At Carestream We Believe…

A COMPLETE PORTFOLIO WITH VNA AS THE BRAIN OF YOUR IMAGE STRATEGY

•  Must understand image and data work"ow •  Must know how physicians work •  Must support patient engagement needs

YOUR VNA VENDOR

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Learn more at carestream.com/vna