[INFOGRAPHIC] HIMSS 2013: The Need for Patient Access & Patient Portal Adoption

Cristine Kao

Cristine Kao, Global Marketing Manager, Healthcare IT, Carestream

Patient engagement and patient portals continue to be a hot discussion topic wherever you look in the healthcare IT field. With HIMSS13 starting next week, there’s no better time and place than here and now—to stick with the event’s theme—to discuss these trends and why attention must be turned toward the patients.

In addition to meeting meaningful use requirements, the access that patients have to their medical records and their healthcare providers continues to show two major positives:

  • Patients are receiving better care from healthcare providers
  • Patients are taking a more invested interest in their own health

Based on the research we collected for the infographic in the slides below, which are available for download, we’re seeing that patients are gaining more access to their medical records, but a majority of healthcare providers still have a long way to go. Those health facilities that implement patient engagement technologies are seeing benefits, both on the patient satisfaction and financial fronts.

With our own MyVue portal, we’ve seen positive results from two trials we’ve conducted with Houston Medical Imaging and Ferrara Hospital in Italy. Simply put, patients enjoy being kept in the loop about their health, whether that involves their medical records or medical images. It is now up the healthcare industry to heed the patients’ requests for better healthcare access through technologies.

ECR 2013: Q&A with Dr. Les Folio, Radiologist at the National Institutes of Health Clinical Center

Dr. Les Folio, Radiologist, NIH and Adjunct Clinical Professor, Radiology, George Washington University Hospital

Dr. Les Folio, Radiologist, NIH and Adjunct Clinical Professor, Radiology, George Washington University Hospital

Dr. Les Folio is a radiologist at the National Institutes of Health Clinical Center and an adjunct Clinical Professor, Radiology, George Washington University Hospital has recently completed research titled, “Automated Registration, Segmentation, and Measurement of Metastatic Melanoma Tumors in Serial CT Scans,” which will be published in Academic Radiology in the next few months. Dr Folio will be presenting at ECR2013 and we’ll be interviewing him at the show following this presentation – we caught up with him this week to gauge what he thinks he can expect at the show.

What will be the first reaction from radiologists when they see this research? How will you respond?

Judging from the US and local presentations I’ve already given, I’d expect them to be mixed.

General radiologists that do not do oncology regularly may be excited that the segmentation capabilities are now within PACS to save time assessing volumes across serial images. Some will wonder if there will be more expectations from radiologists with this capability, a genuine concern, at the same time; perhaps radiologists should be more quantitative in reports; beyond the scope of my presenting the current research.

Just to clarify this point: Are you suggesting that radiologists ought to be producing more quantitative reports, or that they might think they should be producing more quantitative reports?

Simply put, I believe radiology departments will be producing more quantitative reporting; in addition to the current qualitative reports we traditionally provide. Some radiologists, like myself, will include in the report; most will likely depend on radiologist extenders that many cancer centers now have. Of note, there has been initial success in providing an additional charge for the quantitative report; since it is often a separate event, but another radiologist (for example). Ability to obtain RVU’s should provide a funding source to provide these additional reports.

Radiologists that perform staging exams in metastatic cancer should be glad to see PACS providers are moving towards image post processing self-sufficiency. Specifically lesion measurements, which will now include volumes and volumetric density, exporting of bookmark annotations in organized tables associated with organs and tumor trajectory plots.

One common reaction I experience is the surprise that we will be assessing all lesions rather than a select few as all other criteria currently do. Especially in the disease we are currently studying: ASPS (Aveolar Soft Parts Sarcoma), where some patients have nearly 100 metastatic lesions. It is undoubtedly a monumental effort and I do not expect all lesions to be successfully segmented, at least in the initial years. But this could well be a trend – I believe this may be the direction the oncology community goes, Of course nobody can say that for sure, but what better tumor burden assessment than to look at all lesions volumes and densities, at least in targeted therapy cancers?

How will the automation of this process eventually work into the radiologist’s workflow? What benefits will this ultimately have?

I can only speak for those radiologists such as myself aiming toward providing more comprehensive tumor burden reporting. National surveys confirm most radiologists provide select tumor measurements, providing image-series number in reports. However, most in the US do not provide RECIST reports, and many for good reasons. Unless one knows the history, baseline, and to what exam to compare, tumor assessments are left to radiologist extenders, nurse managers or the oncology teams themselves. Also, there is a lack of agreed-upon standards as to how to report, tabulate, save annotations and what format to save in.

At NIH and many other cancer centers, we are providing more comprehensive reports by working with individual teams on the way they assess tumors since there are assessment modifications depending on cancer type (mesothelioma, GIST and ovarian cancer each have specific ways of assessing, for example). We provide the unique criteria, with teams providing specific histories and constant feedback through emails, calls and meetings. We have a radiologist dedicated to tumor assessment, with other radiologists working with individual teams through investigation associations (for example).

I can speak best for myself in that the registration and key image capability has saved me many hours over the last few years. With the one-button lesion-tracking tool we co-developed, the time savings will save at least half the time (as we showed in a study accepted for publication in AJR). I am looking forward to the next version where we have the ability to segment baseline and fully automatic serial exams. The survey I mentioned earlier said that 86% of radiologists would provide tumor measurements if it were possible to do it with one mouse click; that is what we created.

 What is a “steeper tumor trajectory” and what does this capability mean for patients and for cancer treatment as a whole?

The tumor trajectory is the direction and magnitude that metastatic lesions decrease or increase in size; and in our case how necrotic they get as they sometimes disappear now with targeted therapy. Of course we hope that the direction for steep trajectories is to disappear (indicating cancer therapy is working), however, it is just as important to demonstrate when tumors are growing, or not responding to therapy. This will save on patients getting unnecessary treatments (and side effects) and save money by discontinuing medications earlier.

Taking density into account may help make the trajectory steeper in that some tumors (like sarcomas) do not decrease in size as much as they do become necrotic (less density). Our TVVT is a product of density (throughout every lesion) and volumetric size (of all lesions). We cannot think of a more comprehensive way of assessing metastatic cancer.

How will this affect the relationship between the radiologist and  oncologist?

It could mean a stronger, more cooperative relationship. I believe that improved automatic segmentation within PACS that allows radiologists to instantly compare and import measurements and comparisons into reports will bring oncologists to radiology more often for guidance such as more complete histories and what exams to compare with. The ultimate result being improved patient care.

The views expressed here are of Dr. Folio and are not necessarily of the NIH or the U.S. government. Also, Dr. Folio is a member of Carestream’s advisory board.

UPDATE – March 14, 2013:

Below is an interview with Dr. Folio about his research that was conducted in Vienna at ECR 2013. You can click on the link to read more about Carestream’s lesion management assessment technology.

[youtube http://www.youtube.com/watch?v=-Jfx22sJXps?rel=0&w=560&h=315]

“Build it and they will come…” vs. “Build it the smart way…”

Helen Titus

Helen Titus, Marketing Director, Digital Capture Solutions, Carestream

We have been pretty vocal about the fact that we developed the newest addition to our DRX family of products—the DRX-Revolution Mobile X-ray System—based on the direct and early involvement of a broad range of radiology professionals. With the R&D experts we have on our diverse team; the slew of patents we have for advances in medical imaging hardware and software; and the proven track record we have with customers in 170 countries around the world—I’m pretty sure we could have just built this system in our lab on our own and done a pretty good job at it. But it probably would have been nowhere near the huge success it has been with customers if we built it just because we knew we could.

Our DRX family has been a hit because we really listened. We didn’t just say we listened—we listened long and hard to what the radiology profession wanted to improve in the way people worked while making a real difference in patient care. It is because we take our “voice of the customer” approach seriously that our DRX family has set new benchmarks for imaging techniques that provide better visualization of anatomy, rapid wireless communication, and improvements in staff productivity and physician satisfaction.

In fact, I had  a nice surprise that brought a smile to my face when I saw one of our DRX systems included in an episode of NBC’s “The Biggest Loser” just last week (click on the picture below to watch the episode, with the DRX-Revolution viewable at the 35:17 mark). It made me think how far we have come and it is our customers who got us there.

Biggest Loser

Top Healthcare Trends to Discuss at ECR 2013

Massimo Angileri, WW General Manager, Healthcare Information Solutions, Carestream

Massimo Angileri, WW General Manager, Healthcare Information Solutions, Carestream

We’re excited to meet with our European colleagues to discuss industry trends, and what their health IT and radiology needs are in 2013.  On account of the rapidly changing climate of the healthcare industry across Europe, we’re more inspired than ever to learn what people are seeing and experiencing in the field. These discussions are sure to bring up invigorating conversations at the event. Based on what has been seen after RSNA 2012 and early into 2013, over the next few weeks we’re going to feature the top five healthcare trends that we’ll be exploring at our booth—stand 211, Expo B.

First up: healthcare IT.

#1 Healthcare IT

According to Aunt Minnie Europe, the radiology PACS and RIS markets in Western Europe is maturing and inviting a new set of products in the form of cloud-based services and software-as-a-service offerings. It is these new technologies that are improving costs for organizations and allowing the easier transportation of data between facilities.

Mobile capabilities have never been more important or requested more often from patients. The ability to access medical records via mobile devices such as an iPad is changing the way that patients use healthcare information, as well as the patient-doctor relationship since these patient portals are able to provide better access to providers.

Carestream’s Healthcare IT Presence at ECR 2013:

The MyVue patient portal is our patient-empowering platform that enables electronic access and management of X-ray exams. Patients can then share that data with specialists and other healthcare professionals. Easy to use, it reduces the time and cost of outputting medical exams onto DVD/CDs or other physical storage formats for medical records.

Our new lesion management tools (see video demo) enhance accuracy in assessing changes in cancerous lesions as part of diagnosis and treatment for oncology patients.

You’ll see enhancements to Carestream’s RIS including the storage and tracking of radiation dose information and other capabilities that lay the groundwork to support cumulative dose tracking – an important global patient care initiative.

HIMSS 2013: Radiology IT Undergoing Radical Changes and Meaningful Use is Just the Beginning (Part II of II)

Doug Rufer

Doug Rufer, Director Technical Marketing and Clinical Sales Engineering, Carestream

The following post is part two of “Radiology IT Undergoing Radical Changes and Meaningful Use is Just the Beginning.” Part one provided a look at the shifting priorities of HealthIT to address Meaningful Use and how radiology IT will also need to adapt to these trends or risk being left behind.

The following paragraphs expand on the ideas presented in part one by diving into what Meaningful Use can mean for radiology IT and the changes that radiologists will have to make to appropriately address the ever-evolving trends.

Healthcare IT and Meaningful Use

This is where Meaningful Use sets the foundation to help address the issues radiology departments regularly face.  If you consider the past, radiation exposure (and dose) capture may have been tracked but it remained within the confines of radiology – and most likely not documented as part of the patient history since few RIS or PACS solutions of the past provided capabilities to track this information, let alone the modalities ability to provide the output automatically.  Today, radiology IT solutions may provide fields to track this information; but can they calculate patient dose based on individual modality output and site specified dose formulas?  Probably not yet.  Looking at the future, this must change.  Radiology IT solutions must provide the ability to capture exposure output information from a given modality and calculate patient dose based on the site’s specific formulas.  Once captured and calculated, a solution must be able to provide a cumulative view of a patient’s dose.  Finally, this information must be passed to a health information exchange which will become part of a patient’s longitudinal and lifetime record and shared between health systems when patients move around.  But first, as an industry, we must set standards for this to occur.  Hence, this is where Meaningful Use steps in.

Standards are being set today, although in a controlled fashion over time.  Dose standards need to be established.  Once they do, capture and sharing must occur.  Finally, decision support rules need to be established at both the local and national level to assist caregivers in determining the best outcomes for a patient regardless of where they are seeking treatment.

Meaningful Use is attempting to establish the framework for this to occur, hence the importance for the radiology community to embrace it and begin planning for its implementation.  Stage 1 sets the stage for data capture; Stage 2 sets the stage for data sharing and access to information; and stage 3 and beyond focuses on decision support and outcomes.  But to be truly effective, new technologies need to be developed to aid radiologists in this patient-centric shift as we move forward.

Better IT Equals Better Change

For radiology to succeed in this patient centric model a few things need to occur:

1)  Radiologists need better collaboration tools from their IT vendors to communicate with referring physicians and patients.  Report turn-around time is important but rapid communication will become of the stronger focus in the future.  Radiologists need methods of their IT solutions to provide these collaborative tools so they can effectively communicate with patients as well as their referring physicians as rapidly as possible.  Focus will shift to communication from today’s static diagnostic report – although, this will still be an important part of the overall record.

2)  Business intelligence tools are a necessity.  How can you manage a business going forward without real-time information?  Providers need to understand how and why things are happening within their practice immediately.  Compiling data and reviewing on a historical perspective causes business to operate in a reactive mode.  Better business intelligence tools of the future will allow radiology practices to anticipate problems and take corrective action before they occur.  Understanding your practice real-time allows you to ultimately provide better care, quicker – which ultimately improves outcomes and in this changing environment, your profitability.

3)  Access to information is key.  As a radiologist, one can no longer focus on patient symptoms but must focus on the patient.  To do this, radiology IT needs to be more connected to have access to more information.  More importantly, alerts from decision support tools can assist radiologists to consider conditions in a patient’s record that they may never have considered or had access to in the past.  Access to patient information and moving beyond patient symptoms may alter patient treatment protocols, which will ultimately affect patient outcomes.

As radiology moves to this patient centric model, practices must analyze their workflow, policies and procedures, and business operations (hence the need for the business intelligence tools) and make adjustments today to allow them to remain profitable and successful in the future, all the while improving overall patient care.

The Future Is Now

“Health IT: Right Time: Right Place: It’s On”.  HIMSS 2013 is just around the corner and the focus is clear.  We are experiencing an evolution in healthcare IT today and we must all embrace the changes.  As you consider your strategy moving forward, continue to challenge your vendors and their solutions to assure you they are keeping pace with the trends facing healthcare.  Meaningful Use is a catalyst driving this change and vendors like Carestream are uniquely positioned to offer organizations solutions that will embrace these changes; offering solutions to real problems you are facing today and will face in the future, not one-off departmentalized “products” that will limit your organization as you adapt your enterprise imaging strategy for the future.

HIMSS 2013: Radiology IT Undergoing Radical Changes and Meaningful Use is Just the Beginning (Part I of II)

Doug Rufer

Doug Rufer, Director Technical Marketing and Clinical Sales Engineering, Carestream

By now, many of you have most likely embarked on your journey to fulfilling Meaningful Use and are under way for attesting your results for 2012.  With most practicing radiologists being eligible for Meaningful Use incentives, this healthcare transition period provides an ideal time for practitioners to plan for the shift occurring within the healthcare IT space.

Shifting Priorities

For years, radiology has operated in a fee for procedure model.  This model focused on volume to maintain profitability but not necessarily on quality and patient outcomes.  The shift taking place today is to a patient-centric model, which places far more focus on quality and outcomes and will require radiologists to focus more on patients from a holistic perspective when considering diagnosis.  This is where Meaningful Use steps in.  Meaningful Use has taken the forefront in healthcare IT as a way for the government to encourage providers to shift their scope of practice toward quality of patient care and improving outcomes.  While this is a direct departure from the high volume, fast paced environment radiology practices have been used to in the past, it does offer an opportunity to reduce healthcare costs by focusing on quality and outcomes.

Immaturity of Radiology IT

The problem with this change is that traditionally, vendors offered solutions that were focused on addressing the needs of individual departments (think RIS and PACS) but ignored how these solutions would fit into the overall community of other IT solutions.  Sure, HL7, IHE, and DICOM have allowed these systems to communicate some data, but when you consider overall enterprise workflow and data sharing at the patient level, these solutions fall short for today’s shift to a patient-centric model of healthcare delivery.

Consider this: we are experiencing an evolution taking place whether we are prepared or not.  Looking at the past, our IT solutions would trade information with select systems within a small community but once outside that community, exams may need to be repeated or patient information and history must be recaptured.  In the model we live today, some IT solutions have moved ahead to provide more inter-operability and provide data exchange outside the narrow community from the past (i.e. health information exchanges). While this is a good start, it still offers only a narrow solution to providing patient-centric healthcare. Gaps still remain on passing information and providing a cumulative look at the patient’s complete record of care.

Wave of the Future

Healthcare IT has indeed lagged behind other industries in terms of data sharing.  This is about to change.  Now, vendors are being held to new standards when developing their solutions to open up better data exchange and interoperability.  Meaningful Use focuses on the quality and outcomes of patient data and is pushing for regional data warehouses and data exchange for maintaining key patient data.  This data will eventually be exchanged with other data repositories allowing for better access to patient data, reduced costs (from repeat exams), and requiring physicians to focus on overall outcomes and not individual symptoms.

Why is this important?  Consider radiation dose tracking, another hot topic facing radiology today:

  • How does one track true lifetime dose?
  • What limits should be imposed on yearly limits?
  • How can healthcare providers make important decisions without access to all patient information?

Part II of “Radiology IT Undergoing Radical Changes and Meaningful Use is Just the Beginning” will be posted on Monday, February 18. It will take a look at what Meaningful Use can mean for radiology IT and the changes that radiologists will have to make to appropriately answer the questions above.

RFID Technology = “Really fast” identification expedites log-in procedures

Helen Titus

Helen Titus, Marketing Director, Digital Capture Solutions, Carestream

Radio frequency identification (RFID) chips in employee ID badges are already used to restrict and monitor entry into areas of the hospital. The wireless technology is able to transfer data from the badge to the reader in order to automatically log employees onto medical imaging systems—eliminating the need for technologists and other users to remember a myriad of log-in numbers and/or passwords.

Currently each general radiology CR or DR imaging system typically requires a different log-in process and password. This process is frustrating, time consuming and inefficient. If techs forget their password, they may use another technologist’s password. Techs often forget to log out, so the imaging system shows the same user for an entire day when several shifts of technologists may have used the system. The result is inaccurate reporting that hampers management of employees and oversight of exam volume, repeat exam rates, repeat reasons and exposure settings.

The solution? Using RFID readers that are built into new generation imaging systems and adding external RFID readers to older CR and DR imaging systems. Ask your X-ray imaging supplier to assist you with this process.

The next step is to combine RFID readers with fully featured administrative analysis and reporting software. RFID technology delivers log-in procedures that expedite the imaging process and ensure accurate information is reported for each technologist and each exam. Fully featured administrative software equips radiology administrators to accurately and efficiently manage staff and workflow.

Boca Raton Regional Hospital (Boca Raton, Fla.) recently installed DRX-Revolution Mobile X-ray systems that enable technologists to log in by passing their badges containing RFID tags in front of the system’s built-in radio-frequency reader. “With RFID technology, our technologists are online instantly and can select a patient from the work list and begin imaging. This is much faster than the manual process of logging in with names and passwords—and it helps us meet HIPAA requirements for the privacy of patient records,” said Gail McNamara, Director of the hospital’s Imaging Services Department. “Now I have an accurate record of which technologist conducted each exam and what files each technologist viewed,” she added.

ECR 2013: The Conflicting Demands of Patient Needs and Business Efficiencies

Christian Marolt, Secretary General and Editor-in-Chief, European Association of Healthcare IT Managers

Christian Marolt, Secretary General and Editor-in-Chief, European Association of Healthcare IT Managers

With about a month to go before we congregate in Vienna for ECR 2013, we invited Christian Marolt, Secretary General and Editor-in-Chief of the European Association of Healthcare IT Managers, to write for us about healthcare in a changing world.

The European Association of Healthcare IT Managers is the largest interest representation for CIOs and IT Managers in Europe.

Is it always about the patient or is technology sometimes one step ahead? With the growth of patient choice and patient power on the one side, and huge advances in technology on the other, it is sometimes hard to know what are the key drivers in healthcare today.

What is clear is that many countries are facing cuts in healthcare budgets as governments tackle recession and low growth. How can technology enable the sometimes conflicting demands of more patient contact and higher visibility for the radiologist while coping with the demands of productivity and cost-effectiveness?

Management of Technologies within Healthcare Organisations

Excellent management would be an option. But as there are still key jobs filled not upon skill-set but political affiliation this might not always work. What else? Vendors in radiology have adapted to these times. Upgrades to existing installations are easily available, and interoperability is almost a given. At least “Integrating the Healthcare Enterprise” (IHE) is trying very hard to achieve this goal. Vendor-neutral applications are being further developed.  Along with a nod to economic hard times and increasing competition from Asia (in particular China), vendors are also acknowledging the focus on increasing user friendliness and lowering radiation doses. Dose measurement software is rapidly evolving, as both radiologists and patients want to minimise radiation exposure.

Empowering Patients with Access to Medical Information

Patient access to images and medical records is a great development for patient empowerment. However, many countries have a rapidly aging population. We cannot generalise about who uses what technology, however the over-50s are the fastest growing demographic for Facebook. It is necessary to respect what media the patient is comfortable with and that alternative formats are available to meet different needs.

Accessible options make things easier for all of us, but sometimes not. It’s often asked, “Why can’t we get the levels of service from imaging that we get from airlines?” Being able to book yourself the time you want for your imaging exam at the facility most convenient to you should be possible. Patients expect access from their smartphones and tablets, they want to go to punctual appointments, and they are right in making these demands. Here we could once again learn an important lesson from the airline industry, thus compensating patients waiting for an unacceptable time period. I am sure that this would speed up efficiency swiftly. Making money by going to the doctor? Fab!

Medical imaging advancements are vital but still have a long way to go.

Medical imaging was pronounced by the New England Journal of Medicine as one of the “eleven developments that has changed the face of clinical medicine” during the last millennium. A decade on, and the statement still holds true.  For example, PET/MR is an exciting new technology that is still evolving. While the technology offers advantages, adoption has been quite slow so far. Clinical studies are continuing to assess its benefit.  What is clear is its application for oncologic imaging, with the benefit of low levels of radiation.

What else? Intelligent image searching is another area that is evolving rapidly. Being able to match and retrieve images is vital for assisting in computer-aided diagnosis, and in education and training.  Linking radiology with pathology will be another mega trend; cross-departmental understanding and retuning from micro-medicine to a holistic view will help.

Often consumer adoption of a technology flows into the healthcare setting. Mobile, especially smartphones and tablets, is becoming increasingly popular, hence the devices will change along with the healthcare world. Health systems are now looking at their applications in radiology while keeping concerns about data privacy and protection in mind. Good old data privacy—too often misused as an excuse for people failing to deliver. Empowering patients has to go together with one’s own decision on how to treat personal health data.

Health and safety in healthcare settings tends to concentrate on infection control, and the risk of trips and falls. While this is important, with the many hours healthcare staff spend using computer technology, more thought should be given to the design and ergonomics of radiology equipment. To pile on, the future in hospital is wireless (during RSNA there was the world’s first wireless ultrasound scanner presented), and this is sure to bring even more issues to think about in the future.

The contribution is the personal opinion of the author and is not the opinion of HITM or Carestream.

HIMSS 2013: CIOs Gain More Incentives to Employ Patient Portals

Bruce Leidal, CIO, Carestream

Bruce Leidal, CIO, Carestream

For CIOs, patient engagement and satisfaction are more important than ever before. CIOs attending HIMSS will be looking for new technology and tools that equip patients to play a greater role in managing both their health records and their care. There has always been a desire to please patients and to encourage loyalty—but now there are both financial and regulatory incentives as well.

The first accountable care organizations (ACOs) are working in conjunction with the Centers for Medicare and Medicaid Services to provide high-quality care while reducing costs. Successful ACOs will share in the savings to Medicare. Success will be determined by performance on 33 quality measures, which include the patient’s view of his/her quality of care. This reflects an increasing focus on engaging patients and measuring their satisfaction.

Use of patient portals to allow access and sharing of medical records is also part of Stage 2 meaningful use requirements and imaging studies are expected to be added to future stages of meaningful use.

An easy way to enhance patient satisfaction is to implement a patient portal like Carestream’s MyVue, which enables patients to easily and securely view and share their medical images and radiology reports using Web-enabled devices such as the iPad. Empowering patients to share their medical data with specialists or healthcare providers increases satisfaction. It also reduces costs for providers by reducing the need to output imaging information to CDs or DVDs.

At a large public hospital system in Italy, 98 percent of patients embraced an outpatient portal, while an imaging center chain in Houston achieved 50 percent patient engagement without increasing the need for IT support. The portal requires no software downloads for patients or physicians and its viewer allows deployment on Web-enabled devices such as the iPad. The MyVue portal is currently available as an on-site option and will be available as a cloud service—in which Carestream manages remote access, networking requirements and security procedures—by March 2013.

CIOs that deploy patient portals can build loyalty and satisfaction while helping reduce costs and prepare for accountable care organizations and future regulations.

Are you evaluating patient portals at HIMSS? Do you plan to install a patient portal in the next 12 months?

Guess the X-Ray – February’s Image Challenge

Congratulations to those who correctly identified January’s Image Challenge, which was a tape measure.

That one was a bit too easy since people guessed it correctly in only a couple of minutes.

Below is the image for February 2013! Hopefully this month’s image will be a bit trickier to figure out. The challenge will run until February28. Please leave your answer in either the comment section below or on our Facebook page. Good luck!

February_electric razor

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