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Transform Clinical Content Management & Collaboration
Using Interoperability to
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Clinical content growing rapidly
In the past, hospital imaging strategies focused on radiology departments using VNA
using PACS and
Clinical content growing rapidly
Providers have become one of the largest consumers of data, with imaging making up over
33%of all data generated within healthcare.
* SOURCE: The Enterprise Strategy Group, Research Report: North American Health Care Provider Information Market Size & Forecast
*
Clinical content growing rapidly
But it doesn’t just stop with DICOM content. While full of holes, electronic clinical content is made up of
80%unstructured data.
*
* SOURCE: The Institute of Health Technology Transformation (iHT2),, Research Report: Analytics, The Nervous System of IT-
Enabled Healthcare
INCREASING CLINICIAN DEMAND
Any FormatAny Source Any Location
Expecting IntegrationRequiring access to the complete patient record from the EHR
Regardless of where this content resides, providers now need it available, on-demand, at the point of care—
anywhere, anytime, on any device.
Fragmentation reality
Top Rated Hospital
EHR LOGIN
USERNAME
PASSWORD
LOGIN
johnreeves************
NO EHRINTEGRATION
NO SHARING
ENTERPRISE EHR
DEPARTMENTALPACS / VNA
CLINICAL SYSTEMS& REPOSITORIES
SHAREAGGREGATE & OPTIMIZE
EMC’s standards based approach
ENTERPRISE EHR
HL7
PIX
INACTIVE CLINICAL SYSTEMS
FRAGMENTEDCLINICAL SYSTEMS
XCA/I
CDA
XDS/I FHIR
MHD
PPIC
REST
BPPC
PDQ
IUA
VIEW ALL FORMSOF CLINICAL CONTENT
EMCSEARCH ARCHIVED CLINICAL CONTENTENTERPRISE-WIDE
ACCESSIBILITYHEALTHCARECOMMUNITY
The new reality
Top Rated Hospital
EHR LOGIN
USERNAME
PASSWORD
LOGIN
johnreeves************
ENTERPRISE VENDOR NEUTRAL ARCHIVE
XDS REPOSITORYXDS REGISTRY
ENTERPRISE EHR
CLINICAL SYSTEMS& REPOSITORIES
FULLYINTEGRATED
IMAGE-ENABLED EHRXCA-I XCA
XDS-I XDS
ENTERPRISE-WIDE ACCESSCOMMUNITY
ACCESS
DEPARTMENTALPACS / VNA
HL7
PIX
CCD
PPIC CDA
PDQ
Centralized Imaging ArchiveCase Study (Finland)
• Medical images were stored in data repositories that were vendor and/or system specific
• Made sharing of the information between hospitals and systems within the region difficult, or even impossible
• Created significant expense when migrating medical applications as medical data was proprietary formats
EMC was able to migrate multiple data repositories into a single, standard, shared format to build the world’s first cloud archiving service based on XDS technology:
• Provides services to store, publish, search and retrieve imaging related documents
• Stores 1 million medical images annually (over 100TB)
Considerablecost savings realized
Valuethrough access to patient information across modalities, hospitals and clinical disciplines
CHALLENGE SOLUTION
Centralized Imaging ArchiveCase Study (Finland)
VIEWERS
SERVICES
CONTENT MANAGEMENT
PACS and other imaging Portals Generic XDS consumers
DICOM and HL7 interfaces
EMC Documentum Healthcare Connector
XDS interfaces
EMC Documentum XDS connector
Repositories(imaging manager, XDS registry, XDS repository)
EMC Documentum Services(archiving, lifecycle management, retention policies, storage management, data transformation)
EMC Infrastructure Services(server virtualization, network power, compute power, tiered storage capacity, high availability, serviceability)
National Health ArchiveCase Study (Finland)
• A comprehensive view of patient information was unavailable to clinicians
• System hospitals, private clinics and pharmacies were unable to exchange patient information between facilities
• Needed a common way to share all patient information by leveraging healthcare standards (HL7 / XDS)
EMC was able to build one of the world’s first unified national patient record archives based on XDS technology to keep digital healthcare information protected, secure and continuously available for:
• 300,000 professionals within the Finnish public healthcare and pharmacies, as well as private medical clinics
• 5.3 million Finnish citizens
PioneeredIHE XDS profiles supporting medical information exchange
ROIExpected to generate major financial savings, among improvements in patient service, diagnostic excellence and other areas of delivery
CHALLENGE SOLUTION
Integrated PlatformCase Study (United Kingdom)
• Demand for services was growing as funding declined
• Older legacy clinical systems were proving inadequate and costly to maintain
• No single view of the medical record or facility to share information—affecting productivity and patient care
• Regulations mandated increased data security
EMC delivered an integrated solution for managing and sharing patient information and images using XDS technology to optimize care through:
• A single enterprise content management platform
• A regionally shared VNA
• Integration with their EHR to address clinical access and patient care needs
ROISignificantly reduced operational costs, while meeting the ever growing demand for immediate access to clinical information
CHALLENGE SOLUTION
Integrated Image SharingCase Study (Belgium)
• Mostly proprietary storage for electronic documents, scanned documents and for digital PACS images
• Inability to retrieve and share documents from these systems on-demand
• Difficult to manage upgrades to storage silos, in addition to long backup and restore times
EMC delivered a single, vendor-neutral clinical content repository leveraging open data standards for DICOM, HL7 and XDS to:
• Aggregate medical images and patient documents across multiple systems
• Provide seamless access to all forms of patient information
• Ensure compliance to defined retention policies and security
Increasedcare quality due to immediate access to information, with no record-access downtime
ROIFinancial return recognized through system consolidation, while improving operational efficiency
CHALLENGE SOLUTION
National Healthcare CloudCase Study (Georgia)
• Lacked complete platform to support government mandate for an electronic healthcare system (a national EMR)
• Inability to implement international standards to capture a minimum data set of electronic medical records
• No mechanisms to monitor, govern or audit the level of care being provided to citizens
EMC was able to centralize all forms of patient information and content enable the EHR to provide access to the national medical archive utilizing XDS and cloud technology, enabling:
• 360 degree view of the medical record, accessible across the continuum of care
• Management and sharing of documents and medical images
ROIIncreased efficiency and maintained a consistent level of care service by being able to seamlessly store and access medical data from a single source
CHALLENGE SOLUTION
National Healthcare CloudCase Study (Georgia)
NATIONAL HMIS
EMC VCE vBlock Infrastructure Services(server virtualization, network power, compute power, tiered storage capacity, high availability, simplified support)
EMC Documentum Services(archiving, metadata, content, lifecycle management, retention policies, storage management, high availability)
EMC Connector (non-XDS Systems)(using HL7, DICOM, CDA)
EMC XDS Registry
EMC XDS Repository
Web Application Portals(hospital, doctor, patient, government)
Healthcare Platform(central EHR, central HIS, messaging fabric)
Business Intelligence
and
Reports Design
PARTNER
PARTNER
PARTNER