CIO eBook: A Healthcare IT Journey in 8 Chapters

CIO eBook chronicles healthIT migration from paper to electronic record keeping

Julia Weidman, Carestream Health

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

Planning an Enterprise Archive (VNA) to Accommodate Collaboration in Precision Medicine

Impact on healthcare information systems for CIOs

Jeff Fleming, Carestream Health

The National Institutes of Health (NIH) defines precision medicine as an emerging approach for disease treatment and prevention that takes into acCarestream Clinical Collaboration Platformcount individual variability in genes, environment and lifestyle for each person.

Like many of the broad healthcare initiatives supported with major funding from the U.S. government, this one will have an impact
on how the healthcare enterprise provides access to information to the clinicians who collaborate to make precision medicine work in practice as well as in theory.

Genomic information is stored and shared in a number of formats – PDF, Variant Call Format (VCF) and DICOM images – developed by bioinformatics specialists. Planning to store and provide enterprise distribution to this body of documents, images and reports is a key part of planning for today’s Enterprise Archive (VNA). Because it is often the repository of choice for images requiring distribution across an enterprise, the VNA is a logical system for facilitating the distribution of genomic material to the stakeholders in precision medicine.

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Libro Blanco : Estrategias de Empresa de Imagenologia para Fusiones y Adquisiciones

Enterprise Imaging Strategies for M&AsTres estrategias para minimizar la interrupción de servicio después de una fusión

Don Dennison, consultor

Como consultor de las TI en el Cuidado de la Salud, tengo la oportunidad de reunirme con altos ejecutivos en hospitales a lo largo del país. Debido a la tendencia de adquisiciones por la fuerte afiliación al cuidado de la salud hoy en día, no me sorprende que este sea un tema principal para altos ejecutivos y líderes de los departamentos que se verán afectados. Una preocupación particular es asegurarse de que los servicios de imagenologia no se vean interrumpidos durante o después de la adquisición. Esto requiere que la protección y accesibilidad a través de ajustes de cuidados. Para poder hacer frente a este desafío se requiere una estrategia de imagenologia robusta a lo largo de la empresa posterior a la fusión. Recientemente, El Instituto para la Transformación de Tecnología para la Salud (iHT2) llevo a cabo un proyecto de investigación, del cual fui participe. De esta investigación resultaron un detallado libro blanco y un seminario que exploró tres estrategias clave de integración:

  • Estrategia Centrada en el Departamento de PACS
  • Estrategia Centrada en la Empresa de Almacenaje
  • Estrategia a lo Largo de la Empresa

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