From Trust to Use and Beyond: A Healthcare IT Journey in 7 Chapters

CIO eBook chronicles healthIT migration from paper to electronic record keeping

Three years ago, when we embarked on our CIO eBook, the healthcare IT world was in a different place. EHR adoption was starting to rise, enabling more complete information access electronically within the enterprise.  Images were not typically available via a patient portal. They were hand-carried by the patient or sent by messenger to the referring physician. 3D studies were less prevalent, and study file size was smaller. Storage was a threat, but not a major obstacle. Cloud storage was commonplace for other industries, but not healthcare. Now look at how far we’ve come.

To understand the journey, read the eBook, “From Trust to Use and Beyond,” for a look at the major factors that have been driving clinical collaboration and change in healthcare IT. The interactive eBook takes a case study approach to the critical issues that are at the root of healthcare IT: trust, access, data, mobility, interoperability, integration and VNAs. Here’s a summary of what you’ll learn:

The issue of trust is at the heart of Chapter 1 in our CIO eBook. Clinicians are coping with change by placing trust in the things that have worked for them in the past. They know that when they spend time with patients, outcomes improve. Yet there is never enough time available. Meanwhile, adopting new procedures and a new workflow, no matter how promising the results might sound, is perceived as taking time away from patient care. So clinicians are skeptical. Chapter 1, “Building Trust”, is the story of Maureen Gaffney from Winthrop-University Hospital on Long Island, NY.  She is a clinician—physician’s assistant (PA-C) and RN who has ascended to Senior Vice President Clinical Operations and Chief Medical Information Officer (CMIO). image of Carestream CIOebook

Ms. Gaffney’s approach to transforming her hospital was clear from the start. She began by enlisting the buy-in of senior management at the hospital, ensuring resources and transparency. Most of the actions taken on behalf of her project were guided by multidisciplinary committees which always included a clinician and an informatics specialist as members. The starting place was to ensure data integrity, coupled with an understanding of how the data would be used, and how the electronic version would fit into the clinical workflow. Continue reading

Diagnostic Reading #28: Five “Must Read” Articles on HIT and Radiology from the Past Week

Articles include an imaging technique that helps with cancer research; and survey shows large practices are increasingly more satisfied with their EHR vendors

A study reduces fears that use of clinical decision support systems could result in imaging exams being referred to other locations; an article reports telemedicine has the potential to dramatically transform the delivery of healthcare for millions of Americans; researchers report that observing eye-movement patterns in radiologists interpreting scans indicates each radiologist’s expertise and level of experience; new research through imaging shows a specific calcium molecule (TRPV6) is linked to aggressive cancers when it stops regulating itself properly; and a new survey shows large practices are increasingly more satisfied with their EHR vendors.

How to evaluate, use imaging clinical decision support 

A study conducted by physicians at Massachusetts General Hospital reduces fears that using clinical decision support (CDS) systems for imaging exams could lead to referring physicians sending their imaging orders to other locations. After reviewing 4,866 studies that had been initially flagged as low value by CDS software and were subsequently canceled by the referring provider, the team found that 111 were ultimately performed within 60 days.Doctor workplace with digital tablet and stethoscope Continue reading

Diagnostic Reading #27: Five “Must Read” Articles on HealthIT and Radiology from the Past Week

Top news includes clinical decision making, EHRs and personalized recommendations in healthcare


This week’s articles include: radiologists playing a more active role in clinical decision making; use of EHR and CPOE systems create added clerical work for doctors; new systems can deliver a doctor’s personalized recommendations to patients to enhance compliance; a color-coded, user-friendly dashboard that tracks ER exams allows medical staff to better monitor patients; and companies are experimenting with ways to reach lower-income patients through apps, text messaging and video conferencing.

Radiologists Take On Bigger Role in Diagnosis – Wall Street Journal

At one of the top radiology departments in the country radiologists are now playing an active role in helping clinicians make medical decisions for their patients. Radiologists at NYU Langone Medical Center provide their analysis of imaging studies (via computer screen) as medical staff make their rounds in pediatrApplications in healthcare photoic intensive care units, where frail patients are imaged daily to monitor their progress. The initiative to involve radiologists in making treatment decisions is led by Michael Recht, chairman of the radiology department, who oversees more than 200 physicians
and researchers.

EHRs are making things harder for physicians – DotMed Healthcare Business News

Physicians who used an EHR and CPOE were 30 percent less likely to be satisfied with clerical burden, according to a Mayo Clinic physician who was the lead author of a study. Doctors spend hours placing orders for patient procedures such as imaging exams and lab tests and are also spending more than 10 hours a week using the EHR on nights and weekends, according to the study. Continue reading

Diagnostic Reading #26: Five “Must Read” Articles on HIT and Radiology from the Past Week

Top news includes impact of collaboration with radiologists and telemedicine


This week’s articles include: radiologists who collaborate with referring physicians can achieve better utilization of imaging exams; mobile devices can give patients control of their health data; VP Biden announces new data sharing initiatives to boost effectiveness in the fight against cancer; Americans are more concerned with healthcare costs than terrorist attacks; and the AMA embraces telemedicine after previously questioning its viability. telemedicine

Utilization management program points out positives of radiologist involvement

When radiologists collaborate with referring physicians to proactively manage imaging utilization, their participation has more weight tipping the scale toward success than does the specialty of the referrer. And the rad’s input has the greatest impact on primary care physicians who are heavy users of imaging exams.

‘Medicalized’ smartphones to put health data in hands of patients

The world is on the verge of a fourth industrial revolution, characterized by artificial intelligence, robots, big data and deep learning and analytics. But medicine is still stuck at the beginning of the third industrial revolution, which has already brought digital capabilities to billions of people worldwide. A Scripps Health cardiologist sees mobile devices as the technological enabler for the “democratization” of medicine by giving patients control of their own health data, which has historically been the exclusive domain of doctors. Continue reading

Guess the X-ray: July’s Image Challenge

July is upon us so that means it is time to put on your thinking caps and“Guess the X-ray” Image Challenge! Congratulations to those who correctly guessed the June image challenge!  The correct answer was — a necklace!

We welcome radiologists, technicians, RAs, MDs, PAs – or anyone who thinks they’re up to the challenge – to guess the subject in this X-ray. Please leave your answer in the comment section below or on our Facebook page. The challenge will stop at the end of the month.

Good luck!


July Image Challenge

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

Diagnostic Reading #25: Five “Must Read” Articles on HIT and Radiology from the Past Week

HealthIT spending and MRIs in collegiate sports are in the news

This week’s articles include: a study that reports 67 percent of 157 healthcare leaders plan to increase health IT budgets; MRI exams show knee damage in collegiate basketball players before they experience pain; a recent survey detailed some disturbing trends regarding the state of information exchange in healthcare; handheld microscopes  can be attached to mobile phones to help diagnose intestinal parasites; and IBM Watson has formed a new coalition to improve the way physicians use medical imaging data in their daily practices.

How HIT executives can meet rising ROI demand – Health Data Management

Thanks to widespread product innovation and federal drivers like the HITECH Act, IT is viewed as a key component in the overall strategy of a healthcare organization. A new study reports 67 percent of 157 healthcare leaders plan to increase health IT budgets. And as more money is dedicated to technology, a greater return is expected. illustration of the word ROI

MRI study uncovers commonality of knee problems in pain-free basketball players – Health Imaging

Most collegiate hoopsters pounding the court day after day show no signs of serious knee injury. However, an MRI-based study published in the Clinical Journal of Sport Medicine shows that no pain is no assurance of no damage. Continue reading

Diagnostic Reading #24: Five “Must Read” Articles on HIT and Radiology from the Past Week

This week’s articles include: patients’ desire to read their radiology reports; new telehealth ethical guidance from the AMA; a survey reports both payers and managed care organizations are interested in adopting telemedicine

Public HealthIT Cloud

technology; a research study reports more than 75 percent of healthcare organizations plan to move IT systems to a public cloud within the year; and a joint HIMSS/SIIM white paper identifies seven key elements to a successful enterprise imaging program.

Do patients want to read their radiology reports? – Auntminnie

Radiology reports aren’t just for referring physicians anymore. In fact, more than 50% of patients who have online access to their reports read them — and want to discuss the results with their radiologist, according to a new study published online in Academic Radiology.

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Diagnostic Reading #23: Five “Must Read” Articles on HIT and Radiology from the Past Week

EMRs for healthIT and a new imaging modality are in the news

This week’s articles include: the VA has joined a program that makes it easier for patients to access their electronic medical records; a study examines whether hospitals hesitate to adopt order-entry clinical decision support tools CT Brain Scansthat could drive imaging referrals outside the system; researchers in Portugal are developing an endoscopic scanner that will provide advanced imaging within the body and aid in early detection of cancers that are often found too late; a couple in West Virginia filed a lawsuit against a radiology practice and an individual radiologist for overlooking a brain tumor in CT scans; and Facebook advertising can help speed patients with inflammatory back pain toward appropriate diagnostic procedures.

VA joins NATE, as record sharing movement gains momentum – Health Data Management

The National Association for Trusted Exchange (NATE) has taken another step forward in building momentum for enabling consumers to access and control their healthcare information. The U.S. Department of Veterans Affairs has become the newest member of NATE, a private-public program that aims to make it easier for patients to securely access their records electronically and improve the HIE between data holders and healthcare consumers.

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Diagnostic Reading #22: Five “Must Read” Articles about HIT and Diagnostic Imaging from the Past Week

Alzheimer’s detection and the NFL are in the news

This week’s articles include: Almost every U.S. hospital is using EHRs to manage care at the point of delivery; U.S. cancer survivors will reach 20 million by 2026; contrast-enhanced MR images revealed that people with early Image of Electronic Health RecordsAlzheimer’s disease have leakages in their blood-brain barrier; researcher says head CT radiation can be reduced by 90 percent; and stolen laptop could mean compromised health records for NFL.

ONC and CMS: We’re at a critical inflection point for EHRs, interoperability – Healthcare IT News

Now that almost all U.S. hospitals are using electronic health records, the industry is ready for the next phase of information sharing, improved outcomes and collecting the digital dividend. Patrick Conway, MD, chief medical officer at the Centers for Medicare and Medicaid Services, said the nation is moving into the next stage where patients consistently and reliably have access to their own data that drives better outcomes.

U.S. cancer survivors will number 20 million by 2026 –

A study by the American Cancer Society found that there will be 20 million cancer survivors in the U.S. by 2026, an increase of almost 5 million compared with the number of survivors alive today. The group found that more than 15.5 million Americans with a history of cancer were alive on Jan. 1, 2016, and this number is projected to reach more than 20 million by Jan. 1, 2026.

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Diagnostic Reading #21: Five “Must Read” Articles for HIT and Radiology from the Past Week

Imaging volumes and analytics make the news

This week’s articles include: providers need to leverage social media to target women; most physicians don’t know the costs of tests and procedures; many EHRs are missing data for inpatient and outpatient events; continued Image of Big Dataincreases in patient visits to the ED has boosted imaging volumes; and a University of Texas professor contends that it might be a long time before healthcare analytics change the way providers deliver care.

Providers need to embrace social media for patient engagement – Health Data Management

If physicians want to reach today’s consumers, they need to leverage social media to target women who are making the healthcare decisions for their families and households. “Fifty-nine percent of women are making healthcare decisions for others in the United States, and that number shoots up to 94 percent among working moms with kids under 18,” said Dr. Geeta Nayyar, a practicing physician and mother who was one of the keynote speakers at a recent conference. Mothers who are 25 to 45 years old are the ones who are hiring and firing doctors, and using social networking to post online testimonials—both positive and negative.

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