Centricity TM Solutions for Enterprise Imaging Roadmap Bill Stoval & Chris Burt (UPMC) May 2015.
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Transcript of Centricity TM Solutions for Enterprise Imaging Roadmap Bill Stoval & Chris Burt (UPMC) May 2015.
CentricityTM Solutions for Enterprise Imaging RoadmapBill Stoval & Chris Burt (UPMC)May 2015
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©2015 General Electric Company – All rights reserved.
The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE.
DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.
University of Pittsburgh Medical Center (UPMC) is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products.
Omnyx products are for in vitro diagnostic use for specific clinical applications, and are intended for research use only on other applications.
Omnyx is a 50/50 joint venture between GE Healthcare and UPMC.
GE, the GE Monogram, Centricity, Centricity 360 and imagination at work are trademarks of General Electric Company.Omnyx is a trademark or Omnyx, LLCAll other product names and logos are trademarks or registered trademarks of their respective companies.General Electric Company, by and through its GE Healthcare division.
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Agenda
1. Centricity Solutions for Enterprise Imaging Roadmap (20 min)
2. 2016 Innovation: Imaging Relevant Clinical Context (20 min)
3. Q&A (20 min)
CentricityTM Solutions for Enterprise ImagingCentricity Solutions for Enterprise Imaging
OmnyxTM
PathologySuite
OmnyxTM
PathologySuite
OmnyxTM
IDPOmnyxTM
IDP
Acute Imaging
Suite
Acute Imaging
Suite
Ambulatory Imaging
Suite
Ambulatory Imaging
Suite
Women’s Health
Imaging Suite
Women’s Health
Imaging Suite
OncologyImaging
Suite
OncologyImaging
Suite
CentricityCardio
Enterprise
CentricityCardio
Enterprise
Centricity Clinical ArchiveCentricity Clinical Archive
Centricity Universal ViewerAW – Advanced Visualization
Centricity Universal ViewerAW – Advanced Visualization
Centricity Radiology Workflow
Centricity Radiology Workflow
Centricity 360TMCentricity 360TM
Centricity Women’s
Health Workflow
Centricity Women’s
Health Workflow
Centricity OncologyWorkflow
Centricity OncologyWorkflow
Centricity Cardio
Workflow
Centricity Cardio
Workflow
Centricity Solutions for Enterprise Imaging
Centricity Cardio Enterprise is comprised of Centricity Cardio Imaging and Centricity Cardio Workflow. Centricity Clinical Archive includes the following product components: Centricity Enterprise Archive, Universal Viewer ZFP, Caradigm eHIE, Centricity Clinical Gateway, NextGate MatchMetrix EMPI, PACSGEAR PacsSCAN™ Omnyx™ products are for in vitro diagnostic use for specific clinical applications, and are intended for research use only on other applications. Omnyx is a trademark of Omnyx, LLC.
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Imaging is now an enterprise-level priority
SpecialistBest of breed tools
DepartmentIntegrated solution
EnterpriseCross enterprise tools
CommunityCollaboration
suite
Coordinated care demands moving from stand-alone silos of data to integrated, user friendly workflows
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The four key components for enterprise imaging
All of these elements are required to truly deliver collaborative care
Visualization
Archiving Collaboration
Workflow
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Enterprise Imaging Roadmap1
Outcomes That Matter
Help Improve EfficiencyHELIMED DIAGNOSTIC IMAGING1
SPEED
PREP TIME 50%
Roadmap Priorities3
TODAY Planned 2015 Planned 2016+
•Cross-enterprise reporting•Workflow controls •Mobile Modality (apps 3 & 4)•Breast ultrasound workflow•Relevant clinical context
• Imaging Desktop•Mobile Modality (+wound care)•UV Cardiology support•UV with AW 3.2 (6 more apps)•Admin console
•Diagnostic UV Web & ZFP•Cross-enterprise display•3D Breast imaging workflow•UV with AW3.0 (5 embedded apps)•Patient alerts
Enhance Quality CareWALDVIERTEL
SINGLE PATIENT JACKET
ALL PRIORS
LONDON HEALTH SCIENCES CENTRE2
SILOS OFIMAGING DATA
CONSOLIDATED ARCHIVE
$2M storage costs 3% duplicate exams
UNIVERSITY OF PITTSBURGH MEDICAL CENTER
SILOS OFPATIENT DATA
RELEVANT CLINICAL CONTEXT
CLINICAL INSIGHT
1- Case Study - Helimed Diagnostic Imaging Case study, March 2014. Results may vary and do not constitute a representation, warranty or performance guarantee. 2 - Case Study – Southwest Ontario Diagnostic Network, 2013. Results may vary and do not constitute a representation, warranty or performance guarantee. 3- Any descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability are subject to change and applicable regulatory approvals.
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Christopher Burt
Vice President, Product Development University of Pittsburgh Medical Center (UPMC) Technology Development Center
University of Pittsburgh Medical Center (UPMC) is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products.
University of Pittsburgh Medical Center (UPMC) & Centricity Solutions for Enterprise Imaging
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Next generation imaging redefines the Enterprise Imaging space by providing solutions that
enable physicians to provide patient centric care contextualized to the
patient’s specific clinical condition visualized in a way that is most relevant to the
providers clinical specialty and needs.
The EMR conundrum
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“We read a chest X-ray in 10-15 seconds, we don’t have time to dig in a
chart. We need boiled down information that we can find in 10 seconds. It needs to be fast, it needs to be filtered, and it needs to be
tailored to what we are doing. The chest radiologist cares about some
things that the bone radiologist does not.”
Source: Diagnostic Imaging.com, ‘Why the PACS workflow isn’t working’ by Liza Haar. January 2015. See more at: http://www.diagnosticimaging.com/rsna-2014/why-pacs-workflow-isnt-working#sthash.RpUaRK3K.dpuf
Cree M. Gaskin, MD, University of Virginia Health
Next generation contextualization
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Imaging Related Clinical Context (IRCC)
Identifies relevant aspects of the imaging exam in conjunction with the
clinical context extracted from data contained within the EMR to
provide the Radiologist with the set of information related to the patients
disease state, progression, and past medical history which is visualized in a way that suits the specific radiologist’s workflow needs.
The moving target of “Clinical Context”
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Orient ReportInterpretReason for Exam
We cannot simply provide radiologists with Imaging Related Clinical Context once at the start of their workflow and assume that the same content will suffice until the report is finalized.
We must be able to flexibly retrieve and display information as radiologists’ needs change, from exam to exam and within an exam.
The moving target of “Clinical Context”
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Orient ReportInterpret
What information can we retrieve to help CLARIFY the reason for the exam, and provide a hypothesis for a diagnosis?
Reason for Exam
The moving target of “Clinical Context”
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Orient ReportInterpret
What other information in the record supports the initial hypothesis? …
.. And if we discover that our first guess is wrong, can we COURSE CORRECT?
Reason for Exam
The moving target of “Clinical Context”
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Orient ReportInterpret
If there are CRITICAL or incidental findings, can we locate supporting facts quickly?
Reason for Exam
The moving target of “Clinical Context”
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Orient ReportInterpret
If we are interrupted, can we return to the original thought and CONCLUDE the diagnosis?
Reason for Exam
Context to Orient
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What clinical question is the ordering physician looking to answer by ordering this exam?
• Identify notes & other communication authored by the physician who ordered the exam
• Within these notes, identify sections where the physician:
• Documents the intent to order the current study
• Mentions the same modality / body region
• Mentions reason for exam & related history
• Identify prior radiology reports that mention the need for follow-up.
Context to Interpret
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What are the patient’s underlying conditions and the documentation that supports them? Answering this question requires knowing several things:
• Environmental context of exam (Inpatient vs. Outpatient vs. ED)
• The probable affected area of the diagnosis – How many different body regions might provide evidence to support the diagnosis?
• Disease category (Trauma, Vascular, Infection, Neoplasm, Metabolic…)
• The patient’s current phase of treatment at the point of the exam (Screening, Follow-Up, Pre/Post Surgery…)
Context to Report
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How do we structure reports so that we are generating information that comes full circle when the patient returns for another exam?
• Workflow driven reports for Lung Cancer Screening and other lesion tracking use cases
• Direct import to the report of key information (contrast, radiation dosage…) as well as summarized patient history using NLP.
• Capture and track follow-up recommendations to close the loop on the outcome of care.
Title or Job Number | XX Month 201X20
Source: Patient data not from actual patient.
Title or Job Number | XX Month 201X21
Vis
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ase
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vis
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Source: Patient data not from actual patient.
2015 Game Plan
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11 Solution Quality: Product & service excellence
22Collaboration: Share images and insights with providers in and outside of the care delivery network
33Innovation: Innovations across specialty areas to make enterprises more effective
Questions?
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