Outlook: mHealth Apps, Advances in X-ray & Expanded Role for Radiology

Radiology journalist says new developments will support goals of improved accuracy and reduced risks

Miguel Ángel de la Cámara is one of the most active Spanish journalists in the field of radiology. With a goal of constantly increasing knowledge in radiology between professionals and patients, he combines his daily work as a radiology technician at Talarrubias Hospital (Extremadura Health Service) with his curiosity as a multi-skilled Illustration-of-mobile-phone-and-radiographyreporter. His work has distinguished him as one of the top influencers in healthcare in Spain . Everything Rad asked his opinion about the 33rd Congress of the Spanish Radiology Society held in Bilbao and the future of radiology.

What would you highlight at the Bilbao Congress from the viewpoint of professional radiology?

I think some important developments are emerging, such as the collaborative construction of knowledge. In radiology, everything is connected. Although radiology reports are the main value, we’re also creating value in many processes that were previously not so visible, such as the security culture or complex post-processing. I think we’re going far beyond radiology reports, although we’re forgetting, for example, about the enormous amount of radiology activity within primary care. Radiology is not only used in hospitals.

Continue reading

Diagnostic Reading #32: Five “Must Read” Articles on HIT and Radiology from the Past Week

In the news: medical devices might pose HIT risk; increase in radiology jobs

Articles include: medical devices offer risks for authorized access; ACR projects 16% job growth for radiologists in 2016; Stanford’s radiology department uses patient input to improve processes; FDA issued updated requirements Image of Healthcare Network Access

regarding 510(k) submissions for medical devices and software changes; and RSNA teams with The Sequoia Project to support the electronic exchange of medical images and related diagnostic reports.

Medical devices offer new risks for network access – Health Data Management

Hospitals typically have hundreds of medical devices, which represent an easy gateway for hackers. Newer medical devices might be more robust in the types and amounts of data they collect, and they might connect not only to the core network but also through Wi-Fi networks. A security consulting firm recommends healthcare facilities use “network segmentation,” so that devices are linked to a separate network.

ACR projects 16% job growth for radiologists in 2016 – Auntminnie

The number of new jobs available for radiologists in 2016 will be 16% higher than those available in 2015, according to the fifth annual workforce survey by the Commission on Human Resources at the American College of Radiology (ACR). The study was published online August 3 in the Journal of the American College of Radiology. Continue reading

Columbus Regional Health Gets Creative When 3 RAD Rooms are Eliminated

Reliability, redundancy and mobility help provider keep pace with imaging needs

Many radiology departments are feeling the pressure of “doing more with less”. For Columbus Regional Health in Indiana, the pressure was literal: the medical provider had to eliminate three RAD rooms yet maintain the same Bill-Algee-Columbus-Regional-Healththroughput. The hospital is meeting the challenge by transitioning to DR and adding mobility to the modality mix.

The provider started by converting its CR mobile X-ray equipment to DR with Carestream’s mobile retrofit kit. That retrofit was followed by the purchase of a Carestream mobile DRX-Revolution.

“Mobility is essential to bringing imaging to where we need it,” said Bill Algee, Radiology Manager at Columbus Regional Health. “Our staff drove it around for a little bit and fell in love with the product.”

Next, the hospital outfitted its imaging room in the emergency department with a DRX-Evolution Plus. The product’s high level of reliability is critical to meeting the needs of the busy ED, which was relocated a considerable distance away from the imaging department.

“It absolutely has to be reliable because it’s the only imaging solution in that area of the hospital,” said Algee. “The reliability factor was really important to us.”

Also, the product’s extended tube column and wall stand provide make it flexible enough to meet the varying imaging needs of patients coming in to the ED.

The hospital has an added level of support from Carestream’s DR Detectors. The wireless DR detector can be used with imaging systems throughout the facility.

“Having uniform detectors gives us an added layer of redundancy. If a cassette goes down in emergency, we can replace it with one from diagnostics,” explained Algee. “And the software is always the same no matter what room we go in to. The technologist doesn’t have to take the time to figure out what to do in different rooms.”

The combination of retrofitting existing equipment and purchasing new products helped Columbus Regional Health transition from CR to DR to meet the U.S. Consolidated Appropriations Act at their own pace.

“We kind of took it in baby steps and that worked well for us. Our staff didn’t feel overwhelmed,” said Algee. “Carestream was the right partner to help us through it; they had the right methodology.”

Watch the video interview with Bill Algee to learn more about Columbus Regional Health’s transition to DR. #radiology #AHRA2016

Erica Carnevale

 

Erica Carnevale is a marketing manager at Carestream Health in the United States and Canada Region.

Three Must-Dos for Health Imaging Providers to Remain Vital

Advisory Board Company’s Imaging Performance Partnership research offers insights for imaging leaders

Recent years have seen transformational change occur in the American health care market. Keegrowth-strategies-for-imagingping up with each development is daunting, but equally challenging is identifying the implications of these changes on the future of health care delivery and payment. Below are three major takeaways for imaging leaders, courtesy of the Advisory
Board Company’s Imaging Performance Partnership research team. This outlook can serve as a guide for forging a successful radiology strategy in 2016 and beyond.

  1. Explore screening and interventional radiology programs as growth opportunities

Recent years have seen low-dose CT (LDCT) lung cancer screening and CT colonography (CTC) receive approval from the United States Preventive Services Taskforce (USPSTF) as essential health benefits. These decisions open the door for radiology providers to provide these potentially life-saving services to patients in an affordable way, while also demonstrating radiology’s value proposition as a gateway to the health system. Many providers also are exploring mobile mammography and partnerships with employers as a way of growing their programs. In order to ensure the success of these new initiatives, it is vital to deploy marketing strategies to referring physicians about the benefits and potential harms of these services.

Similarly, interventional radiology (IR) has had new life breathed into the specialty as pioneers advance the list of procedures outside of vascular services. Additionally, IR is attractive to both patients and health systems due to its noninvasive nature, its low cost compared to surgical approaches and the great outcomes results. Institutions with existing IR programs should align their growth with non-procedural specialties like oncology, pediatrics and primary care. Several programs have also seen success marketing IR directly to patients who are seeking an alternative to invasive surgeries.

Continue reading

Diagnostic Reading #31: Five “Must Read” Articles on HIT and Radiology from the Past Week

Articles include: healthcare providers need multiple firewalls to protect patient data; radiologists need to establish a role on cancer treatment teams; a HIMSS/SIIM paper offers key features to consider when selecting an enterprise image viewer; 3D imaging helps diagnose 1.7-million-year-old cancer; and an Alzheimer’s vaccine could be available Image-illustrating-a-data-breachin five years.

Hack of Banner Health highlights the need for more firewalls – Health Data Management

A cyber attack at Banner Health that provided access to the information of 3.7 million individuals is a wake-up call to other provider organizations. Many hospitals only have a perimeter firewall used to provide protection for moving in and out of the core network. At Banner, the food and beverage system in the cafe that was used to ring up sales (often made with a credit or debit card) was attacked, and that opened the gate to the system’s network. This demonstrates the need for multiple firewalls across the organization. Continue reading

AHRA Update: Stressful Changes Looming for Radiology

Cuts in reimbursement and imaging, new Joint Commission standards and increasing patient expectations were top topics at AHRA2016.

A “sea change” in the environment of care, cuts in reimbursement and new standards from the Joint Commission were among the topics causing heartburn for radiology administrators at the AHRA2016 annual meeting.Image of person showing stress to AHRA updates

Sarah Hostetter of the Advisory Board Company opened her presentation by saying that “the changes in healthcare are enough to induce the need for an imaging stress test”. She then delivered an informative presentation on the “Key Forces Shaping Imaging Economics” that include volume, growth and regulatory outlooks for imaging, and the impacts of consumerism and value-based care.

Added stressors came in the form of updated standards from the Joint Commission that were presented by Judith Atkins, RN, MSN, McKenna Consulting. “For most providers, most of their reimbursement comes from Medicare. So Medicare has the power and they drove the Joint Commission to change its diagnostic standards,” Atkins said. “The new parameters will dramatically decrease imaging numbers.” Continue reading

Diagnostic Reading #30: Five “Must Read” Articles on HIT and Radiology from the Past Week

Patient portals and growth of the X-ray detector market are in the news

Articles include: the X-ray detector market is expected to reach $2.9 billion by 2021; experts call for a national medical device evaluation system in the U.S.; a court decision could potentially change the role radiologists play Image of an x-raywhen it comes to determining the medical necessity of a study ordered by a referring physician; patient portals offer access to imaging exam results quickly while also helping patients track their own care and communicate with their doctors; and the Department of Veterans Affairs’ Million Veteran Program now has the distinction of being the largest genomic database in the world.

X-ray detector market to reach $2.9B by 2021 – AuntMinnie

The global xray detector market will reach $2.9 billion by 2021, growing at a compound annual growth rate of 5.5%, according to a new report from MarketsandMarkets. The growth will be prompted by technological advances, an increasingly elderly population, government and venture capital funding, volume growth of orthopaedic and cardiovascular procedures and reimbursement cuts for analog systems, MarketsandMarkets said.

Continue reading

AHRA 2016 Keynote: The Campaign to Stop Global Whining

Image of Carestream’s Dan Monaghan

Dan Monaghan, Carestream Health, Introducing the AHRA Keynote Speaker

Before introducing the keynote speaker Monday at AHRA 2016, Carestream’s Dan Monaghan asked the radiology administrators in attendance three questions:

  1. Do you need more hours in the day?
  2. Do you wish you had more time and more energy?
  3. Could you use less stress and more fun in your life?

With hands raised and heads nodding, there was agreement that medical imaging directors are feeling the pressure of increased demands from hospital administrators, reimbursement changes and cost controls.

Speaker and author Christine Cashen took to the stage and used a mix of humor and relatable storytelling to compel AHRA attendees to change their perspectives and join her in the “Campaign to Stop Global Whining.”  Her message was simple: conflict is inevitable; different personalities require different approaches; only you can control your emotional state; and as a leader in your department, your positive energy will fuel your team’s success.

This shift in mindset can start with a few simple changes:

Continue reading

The Role of Infrastructures, Imaging and Data in Personalized Healthcare

Carestream product capabilities support precision medicine

Access to, and analyses of, large databases of patient medical records, associated information, and content-rich Graphic depicting personalized medicineimagery are core mechanisms for identifying precisely defined subpopulations – and the personalization of healthcare. Progress toward the personalization of healthcare is made possible by defining patient subpopulations that reflect minimized variability with respect to the effectiveness and prognostic outlook for specific courses of treatment. The data about an individual patient can then be correlated with the treatments that produced the best results (together with the associated prognosis) for the subpopulation of patients and pathologies having similar characteristics. Healthcare IT infrastructures, high resolution 3D capture, functional imaging and data analytics represent key elements for the advancement of this paradigm.

Significant capabilities that support precision medicine are already available from Carestream. For example, Carestream Vue Connect and Carestream Vue for Vendor Neutral Archive, and Vue for Cloud-Based Services provide powerful platforms that allow access to (and storage of) the vast amounts of patient imagery and information. Such access facilitates initiatives in the area of big data analytics. Continue reading

Guess the X-ray: August’s Image Challenge

It is a new month – and time for a new “Guess the X-ray” Image Challenge. The correct answer for the July 2016 Image challenge is — nuts!

The X-ray image for August 2016 is now available! August Image Challenge

We welcome radiologists, technicians, RAs, MDs, PAs – or anyone who thinks they’re up to the challenge – to guess the subject in this educational X-ray quiz. This month there is a hint – it isn’t a clinical image! Please leave your answer in the comment section below or on our Facebook page. Let the guessing begin!

Good luck!

Sorry… Carestream employees and their agencies are prohibited from answering.