A Retrospective Look at SIIM 2013 Reveals Dramatic Changes on the Horizon

Robert Salmon, Carestream Health

Robert Salmon, Carestream Health

A retrospective look at SIIM 2013 reveals some interesting observations. First let’s acknowledge that this organization already tackles the challenge of marrying two functions: 1) the process of capturing images and 2) informatics, which is image management and storage conducted by IT systems.

At this year’s show, many presentations were focused on broad informatics-related topics—such as data analytics, enterprise archiving and interoperability among disparate systems.

These discussions are beginning to transcend the bounds of radiology and involve the key issues of sharing patient information and images with other healthcare providers or radiology groups. Vendor-neutral archiving is being addressed not just in terms of radiology exams, but as a technology that offers providers the ability to efficiently archive and access DICOM and non-DICOM data from radiology, cardiology and other departments.

Consolidated archiving is a hot topic because it can reduce infrastructure costs. But it also opens the door to greatly expedited access to many forms of patient information from a single archive.

I believe we can expect to see SIIM 2014 continue this evolution and embrace data management topics that demonstrate the ability to manage and store data that includes, but is not limited to, the radiology department.

But hey—take just a few minutes and listen to someone a lot smarter than I am on this stuff. Brian Casey, Editor in Chief from Auntminie.com and a trusted resource provides his perspective on SIIM, making me wonder what we will see next year…

What would you like to see covered at SIIM ’14?

[youtube http://www.youtube.com/watch?v=XVzgAWOomK4&w=560&h=315]

The 2013 SIIM Conference: Translating Today’s Innovations to Tomorrow’s Clinical Practice

Robert Salmon, Carestream Health

Robert Salmon, Carestream Health

The Society for Imaging Informatics in Medicine (SIIM) is a leading healthcare professional organization that represents the interests and goals of those who work in the rapidly changing world of information and imaging technologies. The opening session of SIIM ’13 featured the engaging Bradley Erickson, MD, PhD, who is an active practitioner and leader in the field of medicine and imaging informatics (as well as being a former world-class volleyball player!).

His presentation on “Translating Innovations to Clinical Practice” looked closely at translational research, which is the process of taking something proven to work in the lab and making it work in the real world. This is not the same as innovation, which is the disruption of current processes or technology and “breaking the rules” to create a new paradigm, and in fact, the two can often be at odds.

He believes that combining elements from both translational research and innovation in the right amounts and at the right time—along with having the right people in place who are given the freedom to make honest improvements and well-intended mistakes along the way— can generate improvements in the way clinical care is provided that are both profound and long-lasting.

Healthcare IT systems have improved patient care, reduced medical errors and helped providers reduce costs in many areas. Advances in healthcare IT have made the practice of radiology better than it has ever been. Innovations in healthcare IT systems have enabled facilities to more easily share patient information and images with other providers or radiology groups, and vendor-neutral archiving has helped satisfy meaningful use initiatives while achieving affordable, efficient information exchange.

SIIM is a catalyst in the advancement of healthcare informatics. Much has already been accomplished to the benefit the radiology profession and the patients it serves. And there is much more to come…

SIIM 2013

What is your organization doing to bring innovation into clinical practice?

SIIM 2013: PACS Behavior Changes & the HIE: What You Need to Know

Cristine Kao

Cristine Kao, Global Marketing Manager, Healthcare IT, Carestream

The Future Proofed Archiving – strategies to accept and store any image, anytime, anywhere track at SIIM 2013 is, according to the official website,  focused on “the challenges faced when scaling archives beyond the local radiology department to the medical center or perhaps even into the Health Information Exchange (HIE). Learn strategies that will include local and cloud-based Vendor Neutral Archives (VNAs) [link added by Carestream] and accepting images from disparate systems.”

On Thursday, June 6 at SIIM, we will be participating in a panel from this track titled, “Applied Learning Vendor Tie-in Session: Current Solutions to the Image Enabled HIE.” As stated on SIIM’s website, the three main objectives of this panel will be to:

  1. Describe PACS behavior changes required to cede archiving functions.
  2. Analyze federating an imaging archive across multiple hospitals in the same health care system using the same and different patient ID.
  3. Describe how to create and manage an image enabled health information exchange (HIE).

The major challenge that health facilities are facing in terms of archiving has to do with the volume of data that needs to be stored because of the growth in file size of medical images. Due to imaging enhancements such as 3D imaging, the file sizes are now so big that it has caused the storage of medical images to more than triple since 2005. On top of that, image storage volume is projected to double in the next five years. This exponential growth only further proves the necessity of using archiving systems, as well as embracing the idea that the cloud has the capability to store the necessary volume, no matter what level it may be.

Creating and managing a functional, reliable HIE is an extensive, ever-evolving project. Establishing consistency across numerous facilities requires technologies that are compatible across various systems. For example, a VNA is often used for storing large volumes of medical images, and many versions of the technology provide interoperability across disparate imaging systems. A feature such as this means that different PACS solutions can be used within an HIE, and the VNA will be able to store and transfer the images among facilities.

As PACS become more versatile, a responsibility emerges among organizations to look into the technologies that function seamlessly between those within the HIE. This not only involves the image archiving/storage solution being used, but also the security solutions depended on to keep these images and patient information secure and accessible.

Carestream will be in attendance at SIIM, showcasing and demoing a variety of our Vue products such as our Vue VNA solution, Vue PACS, and our patient portal, MyVue You can find us at booth #403 and we look forward to another great year at SIIM.

Rebooting Radiology at SIIM 2013 June 6-9: Five Things to Look for in Dallas

Eliot Siegel

Eliot Siegel, M.D., Professor and Vice Chair, Image Information Systems, University of Maryland. He is also a member of Carestream’s Advisory Group, a collective of medical professionals that advises the company on healthcare IT trends.

Diagnostic Radiology is anticipating major and fundamental changes in the next few years the likes of which our specialty hasn’t experienced in a very long time, which has been an anxiety provoking prospect.  This was acknowledged and highlighted at the recent American College of Radiology (ACR) Annual Meeting in D.C. where the concept of “Imaging 3.0” was introduced.  The ACR describes this “initiative” as including a “set of technology tools that equip 21st-century radiologists to ensure their key role in evolving health care delivery and payment models—and quality patient care.”

“Imaging 3.0” will require an agile and proactive response and plan to address the major shift from a fee for service payment model to one in which radiologists are on salary, where appropriateness becomes a matter of economic viability rather than just the right thing to do, and where quality will become less a subjective and more of a quantitative metric and will be associated with pay tied to performance.

As a SIIM board member, I’m excited about this year’s program, which addresses many of the issues and “technology tools” that will be required by “21st-century radiologists” and their colleagues.  This year’s themes, in a very timely way, focus on innovation and entrepreneurship, reinvention of the radiologist, defining and re-engineering workflow, integration with the electronic medical record and enterprise IT, legislative changes impacting radiology, and “Personalized Medicine”.

Specific sessions that I am particularly enthusiastic and excited about include:

  1. The opening session, Translating Innovations to Clinical Practice by a good friend and colleague, Dr. Bradley Erickson, M.D., Ph.D. who is a neuroradiologist at the Mayo Clinic.  He is that extraordinarily rare Medical Doctor and laboratory scientist who has a deep understanding of the full spectrum from the lab “bench” to the patient bedside and has a great sense of humor and perspective about the special challenges in doing this translational research in imaging informatics.
  2. Immediately after the opening session, Brad teams up with one of the founders of Stentor, Dr. Paul Chang now at the University of Chicago and Chris Meenan who has an earlier phase but very promising start-up in Analytical Informatics.  They will share their experiences with translating innovation into a viable business product.  The title of the session is “Got Innovation?  Where to go now…
  3. Sadly, I won’t be able to attend the “Got Innovation?” session personally because I will be presenting at a “Hot Topic” session on Personalized Medicine along with Drs. George Shih and Khan Siddiqui.  Personalized medicine is a particularly hot topic which heavily leverages our newfound ability to sequence the human genome as well as the use of “big data” to tailor diagnosis and treatment to an individual patient.  In this era of patients dishing out $99 to companies such as 23andme to get the lowdown on their genes, I believe that radiology will play a major complementary role, and in turn this will have a substantial impact on utilization, and the ways in which we order, analyze, and report our studies.  George Shih will present apps that he has created which provide personalized patient preparation and individualized protocoling of studies and Khan Siddiqui will discuss his experiences at Microsoft and as CEO of Higi in personalized optimization of wellness for consumer.
  4. Two other hot topic sessions Decision Support:  Improving Quality, Efficiency, and Safety through Innovative Use of IT and Quantitative Imaging: a Revolution in Evolution are highly relevant to the Imaging 3.0 initiative and will offer creative ideas including how SIIM might be able to help to play a significant role in the major sea change that radiology will undergo.
  5. The closing session of the meeting has always been a popular, thought-provoking one and this year’s, titled Quality, Quantity, or Both:  Can you Really Have it All? promises to be no exception. Drs. Andriole, Geis, Weiss, and Wendt lead what will be a lively discussion about whether we really do need to compromise on quality in our increasingly high volume practices.  The aviation industry has achieved an enviable record of safety despite dramatic increases in the number of passengers and we in medical imaging have many lessons to learn from their experience.

I’m really looking forward to SIIM this year and hopefully, hearing your thoughts  and ideas about how radiology might prepare for its ongoing metamorphosis

SIIM 2013: Mobile & Medical Imaging Create Quite the Couple

Jeff Fleming, Vice President, Healthcare IT Americas, Carestream

Jeff Fleming, Vice President, Healthcare IT Americas, Carestream

When it comes to medical imaging, mobile applications may not be the first technologies that come to mind. But in the midst of a healthcare environment dominated by X-ray systems, RIS, PACS, CT, etc., mobile apps are beginning to poke their heads out of the ground, becoming an important tool to provide enhanced features to physicians. Last year at the Society for Imaging Informatics in Medicine’s (SIIM) annual meeting, much of the discussion focused on mobile imaging for the radiologist and physician. While that is definitely important, it is time to include the patient in the conversation. We at Carestream brought that up in SIIM conversations last year and it is now up to vendors and medical professionals to get patients more involved in their own healthcare.

Recent studies have shown that 60% of patients want to connect with their physicians electronically, and mobile apps are becoming the most convenient and best way to provide this experience. In addition to communicating with their medical providers, patients are demanding online access to clinical data—a Harris Interactive poll claiming that 65% of patients consider this ability to be either “important” or “very important.” With this demand for digital capabilities so high, vendors must ensure that the design and user experience of these technologies is clean and simple to use so that patients get the most out of the use.

Much of the debate around how to create these apps centers on building them in a native operating system (OS), such as Apple iOS, or in a coding language like HTML5. Here at Carestream, we built our MyVue patient portal in HTML5 to ensure that users could access information via a Web browser on a desktop, laptop, or iPad.* The key capability for mobile applications must be accessibility—both for the patient and the medical professional. Limiting access and features to certain devices, while understandable from a development standpoint, is confusing from an access one. Versatility is the name of the game and it was an important focus of ours when building MyVue.

If there’s one trend that mobile devices have highlighted, it’s that people respond to richer content such as images and videos. Think of all of the photos and videos that have been downloaded, watched, and shared using mobile devices, and it becomes easy to see why access to medical images needs to head in this direction. Our culture has shifted to mobile. Healthcare is in the process of making the shift, and medical imaging needs to make sure it isn’t left behind.

At SIIM 2013, I’ll be participating in a session entitled “Medical Imaging? There’s an App for That!” The session will be held Thursday, June 6, from 2:45 pm–3:45 pm at the Longhorn Exhibit Hall Innovation Theater at the Gaylord Texan Resort and Convention Center in Grapevine (Dallas), Texas. The moderator is nationally recognized researcher and speaker Dr. David S. Hirschorn, Director of Radiology Informatics at Staten Island University Hospital.

You can go to the Carestream website for more information about our attendance at SIIM 2013 and the products we will be demoing.

* Among mobile devices, MyVue is based on Vue Motion technology, and the technology is FDA cleared for only the iPad

UPDATE – June 12, 2013: Below is an embedded version of the presentation I gave at SIIM on June 6, 2013.