Forecasting the Enterprise Imaging Platform of the Future

NYU Winthrop Hospital reviews four drivers that will impact your  imaging strategy

Reflect in crystal ball

From presidential elections to wearable devices, there are multiple forces shaping healthcare. As administrative director at NYU Winthrop Hospital, it’s my job to make sure that our enterprise imaging platform can evolve with the changes.

MACRA, of course, will bring considerable change.  That topic alone is worthy of its own blog. For now, I will focus on four other key drivers that are shaping our enterprise imaging strategy for the future:

  • Impact of switching from fee-for-service to value-based care
  • Increased clinical collaboration
  • Patient engagement
  • Increased interactivity and interoperability

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Diagnostic Reading #14: Five “Must Read” Articles on HIT and Radiology

In the news: imaging providers need to improve services for disabled adults; and rads might need to update their CVs

This week’s articles include: HHS is on track to transfer 41% of its data to the cloud; imaging providers need to improve services for disabled adults; Italians report 30% drop in breast cancer due to screening; MRI might help determine treatment for patients with depression; and radiologists might want to update their CVs.

HHS goes from reluctant to eager cloud adopter – Health Management Technology

In 2015 the Department of Health and Human Services (HHS) reported just 1% of all systems in the cloud. If all goes as planned, the agency will have almost 41% of all investments moving “in some way” to the cloud. One of the key turning points came when IT staff and mission owners tested tools and software. Moving the HHS financial management system to a shared service provider’s cloud also helped.

image of a cloud

cloud computing

Imaging providers need to do a better job of reaching disabled adults – Radiology Business

Adults with disabilities undergo colon cancer screening at a lower rate when compared to the general population. Studies have found adults with disabilities utilize less preventative care in general, but colorectal cancer screening is especially troublesome. It’s an easily treatable disease with an intensive exam—which can create additional barriers to care. The recent uptick in colon cancer in young Americans underscores the need for widespread screening. Continue reading

Cloud hosted PACS Solutions Help Address Medical Staffing Shortages

Access to radiology reports can help eliminate barriers and enable collaboration

Close-up of surgeons hands holding surgical scissors

The number of new innovations in health IT can be overwhelming. Hospital CIOs and administrators must help evaluate new software for referral management, applications for improved transparency, and analytics software. How can HIT directors and hospital administrators decide which technologies are worth investing in? Answer: start with the ones – like cloud hosted PACS solutions – that solve a real problem – like radiology staffing shortages.

Nicola Strickland, head of the Royal College of Radiologists, made a convincing case to The Observer in 2016 for “how the crisis in radiology recruitment will break the entire NHS system in Britain”. And in January 2017, AuntMinnie Europe painted a dire picture of how a hard Brexit would further strain the lack of radiology resources.

Other parts of Europe, especially rural areas, face a similar problem. The shortage of radiologists and other health professionals is driving medical providers with no formal or previous affiliations to find ways to pool their resources and collaborate among their sites.

Fortunately, cloud based services and teleradiology are toppling the geographic barriers. An increasing number of medical health providers in Europe are installing PACS – Picture Archiving and Communication Systems – and hosting them in the cloud. For example, Spire Healthcare, one of the largest private healthcare groups in the UK, enabled cross site reporting using the Carestream cloud. Using different cloud services from Carestream, Spire Healthcare can store and archive data to enable cross site reporting and then distribution of the reports and associated images. Continue reading

Heathcare IT, Your Cloud has Arrived Courtesy of Intel (and Carestream)

Preparing for the next-generation of medical imaging data and analytics

Today, the cloud is a grownup with a seat at the IT table. The major issues around the cloud (security, access and speed) have been satisfactorily resolved by industries outside of healthcare: technology, software, financial services, Cloud_imageand retail have been using the cloud for years.

Of course, healthcare does have its own unique issues of privacy, security and access that make it slow to adopt any new technology, and the cloud has been no exception. But progress has been made. In a recent annual study of 125 large and small cloud users, for the first time in 2016, security was not the first concern mentioned. Technology has jumped ahead to meet the challenges of healthcare’s journey to value.

The cloud is an essential part of the healthcare industry’s IT structure/restructure to reduce costs, increase clinical collaboration and speed up clinicians’ access to information. As larger study files boost storage requirements, Intel and Carestream have partnered in Intel’s Storage Builder Program. The purpose of the collaboration is to blend Carestream’s expertise in healthcare information systems with Intel’s technological prowess to increase the performance of Carestream’s PACS and RIS systems and to make them more useful to clinicians.  For example, Carestream recently deployed the new Intel® Solid-State Drive (SSD) Data Center (DC) Family for PCle® P3700 featuring Non-Volatile Memory Express™ (NVMe™) and observed a threefold increase in throughput in that portion of the Carestream Vue workflow.

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Forrester Predictions for Healthcare CIOs in 2016

CIOs Need to Embrace Changing Technologies, Expectations

Smart wristwatch

The New Year is upon us, which means it’s time to predict what’s to come for the world of healthcare information technology (IT) in 2016. The latest research from Forrester confirms what we already know to be true: healthcare CIOs will need to embrace changing expectations and technologies in 2016.

The predicted changes on the horizon bring both opportunities and challenges for healthcare CIOs. One thing is certain: CIOs will face increased demands for improved business technology (BT) plans in 2016.

In our recent blog series, “Whirlwinds of Change,” we dove into specific healthcare trends for 2016, including everything from sophisticated imaging in the NFL to the value in refurbished IT equipment. In this blog, we look at 2016 predictions in a new light. Forrester research has done a great job in predicting key changes on the horizon for healthcare IT leaders and how those leaders will need to adapt. From that, we’ve pulled out what we believe to be the top challenges CIOs can expect to face this year. Continue reading

Cyber security, IoT and Cloud Dominate Future Predictions

IDC Shares its Latest HealthIT Predictions for 2016

Man checking his laptop with a stethoscope

A new year brings many changes—green grass turns to white snow, people announce their New Year’s resolutions, and in 2016, cyberattacks are expected to increase in intensity and volume. In fact, it’s likely that cyberattacks will compromise 1-in-3 healthcare records in the coming calendar year, according to research from IDC.

Change is inevitable, but it’s a huge advantage to be able to see what’s coming and prepare for it. International Data Corporation (IDC) released its latest healthcare IT predictions for 2016, including startling statistics about the growth of IT spending and increased emphasis on cyber security due to breaches. IDC identified its “Top 10” predictions for the year; the question now is what they mean to the average healthcare CIO.

These are our key takeaways from IDC’s 2016 predictions:

  • Attacks are on the rise. In fact, IDC research predicts that one out of three individuals will have his or her healthcare records compromised by cyberattacks in 2016. Coming off the heels of the Continue reading

Diagnostic Reading #50: Five Must-Read Articles From the Past Week

Carestream LogoA new week means a new Diagnostic Reading. This week we’re looking at digital breast tomosynthesis, patient portals, how hospitals use cloud services, hospital safety, and the future of healthcare.

1. DBT Finds 54% More Cancers than Mammography – AuntMinnie

Digital breast tomosynthesis (DBT) finds 54% more cancers than 2D mammography and reduces recall rates by almost 20%, according to a new study published in Radiology. Even better, the technology identifies lesions in dense breast tissue, which mammography tends to miss.

2. Do Patient Portals Exacerbate Healthcare Disparities? – Healthcare IT News

Portals and personal health records have been touted as ways to spur better patient engagement and set the stage for improved outcomes. But a new study shows they often aren’t used at all by the very people who may need them most. The report, Disparities in Electronic Health Record Patient Portal Use in Nephrology Clinics, was published this month in the Clinical Journal of the American Society of Nephrology. Of 2,803 patients, 1,098 (39 percent) accessed the portal. Of those, more than 87 percent of users reviewed their laboratory results, 85 percent reviewed their medical information, 85 percent reviewed or altered appointments, 77 percent reviewed medications, 65 percent requested medication refills and 31 percent requested medical advice from their renal provider, according to the CJASN study.

3. Hospitals to Triple Use of Cloud Services – Healthcare IT News

Globally, the healthcare organization cloud market could triple in within five years. That would mean skyrocketing from $3.73 billion in 2015 to nearly $9.5 billion by 2020, according to research firm MarketsandMarkets. Adoption of cloud computing in healthcare is likely to increase owing to the rising need to curtail costs and enhance the quality of care, reforms benefiting healthcare IT, proliferation of new payment models, the cost-efficiency of cloud technology, and the implementation of the Patient Protection and Affordable Care Act (PPACA).

4. New Hospital Safety Scores Report Shows Modest Patient Safety Improvements – Healthcare Informatics

The Leapfrog Group released its Fall 2015 Hospital Safety Score report showing consistent top safety performance by 133 “straight A” hospitals, while patient safety improvements across the board were more modest. Of the 2,530 hospitals issued a Hospital Safety Score, 773 earned an A (down from the 782 in spring 2015), 724 earned a B (up from 719), 866 earned a C (up from 859), and 133 earned a D (down from 143). And the latest scores indicate that 34 hospitals earned an F grade, which is up from 20 hospitals from the Spring 2015 Scores.

5. New Survey Forecasts the Future of Healthcare in 2025 – Imaging Technology News

Critical advancements in modern technology will play an integral role in progressing the Future of Healthcare, according to a new survey sponsored by Polycom, Inc.  The study, which polled more than 1,000 healthcare industry professionals from around the world, anticipated that over the next decade, a growing and aging population globally will lead to challenges in quality healthcare, including funding, easy access and a strain on current healthcare infrastructure. However, according to the research, technology developments, such as mobile, the Internet of Things (IoT) and big data, offer a promising opportunity for overcoming healthcare bottlenecks by 2025.

What is ISO 27001 Certification and Why is it Important?

Carestream Vue CloudCarestream recently received ISO 27001 Certification in Europe. We are happy to share that this is an important accomplishment for our Healthcare Information Solutions team, as it is a vital benefit to the customers we serve.

Even if ISO Certification is something you may not hear about often in the IT space, it plays a crucial role in assuring cloud customers that their data are safe, secure, and accessible. In the following paragraphs, I will explain what ISO 27001 certification is, why it is important for cloud vendors to obtain it, and most importantly, what it means for customers to work with ISO certified vendors:

What are the benefits of ISO 27001 certification?

  • Security risks are appropriately prioritized and cost effectively managed
  • It increases confidence in our Organization as it shows we care for our customer business, and we are committed to protect patient data they entrust to us
  • It demonstrates commitment to Information Security Management to third parties and stakeholders and will give them greater confidence to interact with us
  • It provides a framework to ensure fulfillment of our commercial, contractual and legal responsibilities

What are the important business value considerations facilities should be aware of?

  • This is our commitment to information security management for interested parties verified by BSI, a founding member of the International Organization for Standardization (ISO).
  • It protects our business against information security threats and vulnerabilities
  • ISO 27001 is becoming a customer requirement in many European countries
  • It therefore provides added value to the enterprise and its interested parties

What actions were needed for Carestream to obtain ISO certification?

We had to enhance our ISMS (Information Security Management System), which is a set of procedures, working instructions, dashboards files, reports, and documents that all together define our way to manage information security for the Vue Cloud business in Europe. The ISMS preserves the confidentiality, integrity and availability of information by applying a risk management process and gives confidence to interested parties that risks are adequately managed.

Why is Carestream given a certificate?

This is the assurance/confidence that the ISMS (Information Security Management System) is:

  • Compliant with ISO 27001 requirements
  • Capable to achieve the security policy and objectives declared by enterprise, according to its Information Security Policy and the associated Statement of Applicability.
  • Efficient, and designed as continuous improvement
  • Delivered by BSI, an independent body based on his audit of the ISMS

Who was involved in these actions?

All HCIS functions were involved in the Vue Cloud business for the selected countries, and more specifically European HCIS managers, cloud operation managers, local HCIS service teams and, the EAMER Vue Cloud Security Officer.

What exactly does certification cover?

It covers our ability to manage information security in our Vue Cloud business, according to our Vue Cloud Information Security Policy document.

This document states the commitment of the top management to the strategic importance of the information security management system (ISMS) and lists the main security objectives for HCIS.

What areas does it cover?

It covers the management of information security for the countries in which Carestream has Vue Cloud business,

Note that it is much more than just technical activities; it also concerns all service activities (implementation and support) as well as support functions, like HR, regulatory, purchasing, and IT infrastructure. It also lists who are the internal and external interested parties.

How will it improve Vue Cloud?

It improves our information technology and security techniques, by implementing recommendations of ISO 27002, Code of Practice for Information Security Controls.

What are the benefits to Carestream?

Implementing the security controls defined as good practice in the ISO 27001 and ISO 27002 standards, allows to better detecting weaknesses or vulnerabilities and fix them. It also helps to answer many security questions asked by customers.

What are the benefits to customers?

It proves to our customers that our ISMS has been controlled by an external auditor (here BSI), making them confident in our ability to manage the service and to handle patient data in a secured way. We are then already prepared when this certification becomes a prerequisite for some tenders.

Jean-Jacques GrondinJean-Jacques (JJ) Grondin is Carestream’s Vue Cloud Security Officer for Europe


10 Sessions We Are Excited to See at SIIM 2015

SIIM 2015 LogoSIIM 2015 takes place this week, and as usual, there is a wide selection of presentations to sift through.  This year’s theme “Creating the Image Enabled Enterprise” speaks to the challenges many SIIM attendees are facing, and how imaging IT can really make an impact across the enterprise.   The meeting will kick off with Donald K Dennison discussing the technical and market forces that are driving change in medical imaging, as well as how facilities can prepare for these changes and take advantage of them.

Listed below are five sessions we identified as “Can’t Miss” at SIIM. Of course there’s many more sessions beyond these, so please be sure to look at the entire program and pick the sessions you find to be the most valuable.

  1. Enabling Capture, Storage, and Enterprise Access of Images from Handheld Devices, Thursday, May 28, 9:45 am – 10:45 am, Annapolis 1 & 2

This session will focus on 1) Understanding today’s pain-points in providing access to images captured from handheld devices; 2) Chart out workflows in various care settings; and, 3) Explore potential solutions through discussion and brainstorming.

  1. Building High-Performance Support Teams, Thursday, May 28, 9:45 am – 10:45 am, Baltimore 3

This roundtable includes Christopher D. Meenan, CIIP, University of Maryland Medical System, Daniel O’Malley, MS, University of Virginia Health System, Charlene M. Tomaselli, RT(R)(M),MBA, CIIP, Johns Hopkins University, and Robert C. Webb, University of Virginia, and will seek to 1) Describe characteristics that make up high-performance imaging support teams; 2) Review organizational structures that foster increased efficiency and collaboration within imaging departments; 3) Discuss the types of software tools that aid in imaging support; and 4) Gain an understanding of common metrics to manage efficiency.

  1. Understanding Enterprise Imaging Use Cases, Friday, May 29, 9:45 am – 10:45 am, Woodrow Wilson A

The objectives for this session will 1) Identify the primary use cases supported by an enterprise imaging strategy; 2) Discuss why enterprise imaging use cases should be incorporated into the planning of an enterprise strategy; and, 3) Explain the importance of enterprise imaging standards and the potential challenges that will be faced by organizations that choose to pursue a vendor neutral archive only solution.

  1. Evolution and Lifecycle of Imaging Clinical Decision Support, Friday May 29, 1:15 pm – 2:45 pm, Woodrow Wilson A

This session will look to help attendees 1) Understand the interplay of imaging CDS with the HER end user; 2) Appreciate the various avenues that CDS can be implemented and displayed; and 3) Identify CDS shortcomings and proposed solutions for decreasing inappropriate and over-utilized examinations

  1. Big Data in Healthcare: Myth, Hype, and Hope – A Point/Counterpoint, Friday, May 29, 4:15 pm – 5:15 pm, Woodrow Wilson D

Objectives for this session include 1) Learning about Big Data, Dumb Data, and Smart Data; 2) Discuss myths, hypes, and hopes that surround Big Data in healthcare; and 3) Learn about the importance of analytics in gaining insight from data and about descriptive, predictive, and prescriptive analytics.

  1. How Are Academic Institutions & Private Practices Integrating Clinical EMRs Into Imaging Workflows, Thursday, May 28, 4:15 pm – 5:15 pm, Annapolis 1 & 2

The White Boarding session, with Cree M. Gaskin, MD, University of Virginia Health System, J. Raymond Geis, MD, Advanced Medical Imaging Consultants, Steven C. Horii, MD, FSIIM, University of Pennsylvania Medical Center, Kevin W. McEnery, MD, UT MD Anderson Cancer Center, Peter B. Sachs, MD, University of Colorado Anschutz Medical Center, and Alexander J. Towbin, MD, Cincinnati Children’s Hospital Medical Center will seek to 1) Explain the types of data available in an EMR, and how to access those data; 2) Discuss the differences among PACS, RIS, and EMR-driven workflow; and 3) Discover ways to maintain or even improve productivity while using the EMR.

  1. Use Cases for Medical Images in Clinical Informatics: A Whole New World of Imaging Informatics, Saturday, May 30, 8:00 am – 9:30 am, Woodrow Wilson BC

The objective of this educational session held by J. Raymond Geis, MD, Advanced Medical Imaging Consultants, PC Kenneth R. Persons, MSEE, Mayo Clinic, and Christopher J. Roth, MD, Duke University Health System, will be to help attendees 1) Become familiar with the wide diversity of image use cases and file types now being used in health care; 2) Understand the issues associated with archiving, viewing, and sharing these images; and 3) Discover different workflows associated with acquiring, archiving, and viewing these images.

  1. Analytics In Imaging – How Can You Use Data Effectively to Run Your Department?, Saturday, May 30, 9:45 am – 10:45 am, Annapolis 1 & 2

Gorkem Sevinc, MSE, CIIP, Johns Hopkins University, will show attendees how to 1) Gain a robust understanding of analytics needs of a department (business-level to operational); and, 2) Develop the knowledge to gather requirements of analytical reports for various levels of business owners.

  1. Digital Breast Tomosynthesis: Ready for PACS Prime Time?, Saturday, May 30, 12:00 pm – 1:00 pm, Exhibit Hall CD

We may a little bias about this session as one of our own thought leaders, Ron Muscosky, MSEE, will be participating, but regardless, it is still a session not to be missed as DBT continues to gain more traction in women’s health imaging. The session will 1) Discuss infrastructure, integration, and standardization challenges posed by DBT; 2) Learn about the requirement and solutions that are defined in the IHE DBT Profile; and 3) Discover commercial options that are currently available from vendors to meet the challenges.

  1. The 2015 Dwyer Lecture – An IT Blueprint for the Value Based Imaging Era, Saturday May 30, 3:00 pm – 4:30 pm, Woodrow Wilson A

Paul G. Nagy, PhD, CIIP, FSIIM, Johns Hopkins University, will give the closing lecture that will 1) Discuss Michael Porter’s model for transforming healthcare delivery; 2) Identify new IT requirements needed to enable this delivery model; and, 3) Illustrate current demonstration projects.

SIIM 2015 is sure to be an excellent and educational event, as these 10 sessions already prove. Also be sure to check out the SIIM 2015 Hackathon that seeks to build upon what was started in 2014.

See you at the Gaylord National in Washington, DC/National Harbor. Stop by the Carestream booth, #425 and tell us how SIIM is going for you. Have a great time at SIIM 2015!

Julia, Weidman, Marketing Manager,  Healthcare Information Solutions, CarestreamJulia Weidman is the Healthcare Information Solutions Marketing Manager for the US and Canada at Carestream. She will be attending SIIM, and will be in the Carestream booth, #425.


The Top Medical Imaging Trends of 2015

VNA storing and sharing information

Technologies such as a VNA can provide telemedicine advantages by bringing data together under a single location.

A new year brings much in tow—new ideas to share, new trends to address, new technologies to install. While it is difficult to say exactly what will affect us the most as we begin 2015, there are certain trends that seem to leap out ahead of others. Here are five trends we expect to have a vital impact on medical imaging in 2015:

  1. 3D mammography. Digital breast tomosynthesis (DBT) has been a frequent topic in trade publications for a few years. As more studies are released touting the success of this technology in finding lesions and reducing recall rates, its popularity is only going to increase. Especially when top-tier media such as TIME names DBT one as one of the most important health advances made in 2014. Add to the equation the increase in states passing dense breast tissue notification laws, and DBT will only grow further as it has proven to be a technology that provides a more thorough exam for those with dense tissue. In Jan 2015, the Centers for Medicare & Medicaid Services (CMS) established two new add-on codes that extend additional payment when DBT is performed along with 2D digital mammography.
  2. Multimedia enhanced radiology reporting (MERR). Text-only reports are fading away. A study from Emory University and the Harvey L. Neiman Health Policy Institute found that 80% of respondents said MERRs “improved understanding of radiology findings by correlating images to text reports.” The study also found that the multimedia reports  provided easier access to images while monitoring progression of a condition, and saved time understanding findings without supporting images. While improving the radiology report, the multimedia-enhanced version also provides more financial value to radiologists. A recent study showed that 80% of respondents indicated an increased likelihood of preferentially referring patients to facilities that offer MERR, and 79% indicated an increased likelihood of recommending peers use facilities offering MERR.
  3. Wider adoption of cloud technologies. Radiology, along with the rest of the healthcare sector, is moving to the cloud, and it is happening fast. According to an article in Applied Radiology, the global cloud computing marketing in healthcare was valued at $1.8 billion in 2011, and is expected to grow at 21% at compounded annual growth rate (CAGR) of 21% to $6.8 billion by 2018. While initial upfront costs can vary between the intensity of building an organization’s own private cloud, or the ease and flexibility of using public cloud architecture, the process efficiency, financial predictability of paying for only what the organization needs, and long-term cost savings are making the cloud a worthwhile investment.
  4. Centralization of clinical data. Collaboration is a must for health facilities. No department can be left out of the patient experience equation. This means that department silos will have to be broken down—enabling personnel collaboration and the unification of clinical data. Vendor neutral archives (VNAs) are evolving beyond being a repository for radiology. The evolution is allowing the capability to store and exchange clinical content in DICOM and/or non-DICOM formats. This goes beyond the traditional capabilities offered by a VNA by embedding intelligent lifecycle management and meta-data management to optimize the efficiency of multiple archives. With this evolution, all clinical data is available, easily accessible and useable to provide enhanced patient care.
  5. Telemedicine. The global telemedicine market in 2016 is predicted to be $27 billion, with virtual health services accounting for nearly 60% of the total. Additionally, it is expected that by 2018, two-thirds of interactions with healthcare organizations will be conducted via mobile devices. Last year was an important year for telemedicine, as wearable technology became prominent. 2015 will be the year where we see significant growth in the telemedicine, as it is projected to grow at CAGR of 18% to $3.8 billion by 2019, according to Transparency Market Research. With virtual reading, diagnoses, and reporting now a possibility, expect telemedicine to bring together health facilities like never before—from large systems to those located in rural areas.

Today’s changing healthcare landscape places an urgent emphasis on improving the quality of patient care and reducing overall costs in health facilities.   Adoption of new technologies such as 3D mammography, cloud computing, and telemedicine will play a major role.  So will our ability to become smarter in how we utilize health information through centralization of clinical data and multimedia enhanced radiology reporting (MERR).   As the benefits from these five key trends in medical imaging become more widespread, we will see further adoption and improve care for a larger population of patients around the world.

Carestream CMONorman C.W. Yung is the Chief Marketing Officer at Carestream.