Feature | March 02, 2008 | Cristen C. Bolan

Web Exclusive: Radiologists Gain Equality at HIMSS ‘08

EMR comes in third on top IT priorities list over the next 12 months. Source: 2008 HIMSS Leadership Survey

Talk about data mining – the Healthcare Information and Management Systems Society conference - HIMSS 2008 - was a great place to unearth some of the leading trends in the healthcare industry and in radiology, which was the target audience for about 25 percent of the offerings on the show floor.

Here are some of the discoveries radiologists could have dug up at this year's HIMSS:

Radiologists Gain Equality: After some notable disappointments with the first and in some cases second generations of PACS, word on the trade show floor was that radiologists are now much more, if not equally, involved in selecting the next generation of PACS. According to Mike Cannavo, known in the industry as ‘The PACSman’ and a member of the ITN Advisory Board, the decision-making pie divides up nicely for radiologists with IT representing 36 percent, hospital administrators 15 percent and radiology 49 percent.

Anywhere PACS: Because healthcare wants 24/7 access to radiology reads, web-enabled and web-based PACS that provide robust tools are key features for replacement PACS.

Single is Sensible: There may soon be a meeting of the minds between radiology and cardiology as hospitals reconfigure their storage into a single repository into which radiology PACS and cardiology PACS, as well as data from other departments, will filter in and store clinical data. Cannavo added, “SAN players…will be the biggest area of growth in the healthcare field medical imaging, incorporating off-site archives with disaster recovery and data migration.”

VMware Everywhere: ‘Storage virtualization’ is said to ‘turn hardware into software.’ Sounds like alchemy. Well, VMware is the reason SAN players are getting more action. Virtualization-ware pools physical storage from multiple network storage devices into what appears to be a single storage device that is managed from a central console. Commonly used in a SAN, it helps administer backup, archiving and recovery more easily, and in less time, by disguising the actual complexity of the SAN. Users can implement virtualization with software applications or by using hardware and software hybrid appliances.

Dreams of Interoperability: The IHE’s dream that one day all of the disparate systems will be connected – via DICOM and HL7 - is several steps closer to becoming reality. The IHE was busy monitoring the successful interfacing of best-of-breed systems on the HIMSS show floor. But Cannavo cautions us to curb our enthusiasm, with a reminder that we won't "see this until 2010 at the soonest. 2012 or 2013 is more reasonable.”

Analytics Alerts: Monitoring trends and extracting them from a vast repository of common data will unveil new meaning from existing data. As data mining shapes up into the form of ‘decision support’ or ‘evidence-based data’ at the point-of-care, this mechanism will help and, albeit useful, annoy radiologists. I wonder if you can convert that the decision support alert into a mini-Einstein.

DRA is a PACS Pusher: The DRA is pushing the industry toward greater efficiencies in practice management and workflow management systems. Analytics and digital dashboards promise to improve data management by tracking performance and are stirring up the competition amongst PACS and storage providers. Hopefully this will drive the desired end result of better systems at lower prices. In fact, Cannavo pointed out, the DRA is said to have actually helped PACS sales because of efficiency improvements.

Personalized Medicine: Mike Leavitt, Secretary of Health and Human Services, described it as ‘an exciting outgrowth of our better understanding of the human genome.' Molecular diagnostics and imaging will initiate a new era of personalized medicine where molecular biology and clinical history is used to design treatment.

Oodles of Ologies: It’s not just because it's fun to say ‘ologies,’ but ologies have become a buzzword for connecting disparate systems 'enterprise wide' – the other term of the moment. Watch as radiology, cardiology, orthopedics, pathology and other departments connect their systems within a hospital. “Hospitology is next - sure beats CHINS and RHIO,” commented Cannavo.

EMR Explosion: In the spirit of the industry’s battle cry ‘enterprise wide’ the tool that will make it happen is the electronic medical record (EMR). Healthcare providers hope the EMRs will improve efficiency, cut costs and result in better patient outcomes.

Who’s in the Driver’s Seat?: While many may argue that it’s the other way around, according to Vijay Tanjore, senior marketing manager, GE Healthcare IT, you can expect “in the next five years, 15-20 percent of PACS will be driven by an EMR.” If imaging is no longer a departmental solution but used enterprise wide, then, like RIS data, EMR will feed into PACS. Sounds like PACS blasphemy to those who argue that because hospitals have invested so much in PACS, they want to get their full return on investment out of the system and will drive the enterprise from the PACS.
This begs the question: Does it matter who’s driving? “Each system feeds off the other. HIS feeds RIS, RIS feeds PACS, EMR feeds HIS and RIS and the CPR (Clinical Patient record),” Cannavo noted. “IT makes the decision on the CPR solution, so technically IT is the driver and we’re just Miss Daisy.”

PHR: Google, Microsoft and the Revolution Health web site (the latest project by AOL Founder Steve Case) have bet big bucks on Personal Healthcare Records (PHR) because they realize that patients are consumers. So why not shop for the best healthcare? It does not mean healthcare will become commoditized – for most, survival trumps monetary cost. And with their medical records compiled neatly in their own digital vault, patients will leverage that data to get the best care and, hopefully, the best coverage too. This may finally help to put some checks and balances on payers. Some PACS developers are already using SOA (service oriented architecture) to prepare for this transformation.

Related Content

Technology | PACS Accessories | January 03, 2018
January 3, 2018 — medQ Inc. recently announced the launch of its Q/ris MIPS Reporting module.
Philips Expands Population Health Management Business With Acquisition of VitalHealth
News | Population Health | December 28, 2017
Philips recently announced that it acquired VitalHealth, a provider of cloud-based population health management...
News | Enterprise Imaging | December 21, 2017
Vital Images showcased enhancements to its enterprise imaging solutions at the Radiological Society of North America (...
Videos | Artificial Intelligence | December 21, 2017
ITN and DAIC Editor Dave Fornell shows several examples of how vendors are incorporating AI, deep learning algorithms
Philips IntelliSpace Portal 10 Highlighted by New 3-D Modeling Application
Technology | Advanced Visualization | December 13, 2017
Philips announced the debut of IntelliSpace Portal 10, the latest edition of its comprehensive, advanced visualization...
Medexprim's Radiomics Enabler Goes Open Source
Technology | PACS Accessories | December 06, 2017
December 6, 2017 — Medexprim announced its Radiomics Enabler, meant to enhance medical images archives for research,
How to allow legacy PACS systems to use a global worklist even with older, disparate PACS systems. Carestream.
Sponsored Content | Whitepapers | PACS | December 06, 2017
Myth: Legacy PACS systems in an M&A environment can not support a global worklist.
Ikonopedia and Konica Minolta Showcase Integrated Breast Imaging Workflow and Reporting at RSNA
News | Breast Imaging | December 05, 2017
Ikonopedia and Konica Minolta Healthcare Americas Inc. showcased integrated breast imaging workflow and reporting at...
Ambra Health Joins Google Cloud Technology Partner Program
News | PACS Accessories | December 05, 2017
December 4, 2017 — Ambra Health recently announced a new relationship with Google Cloud.
Fujifilm Introduces Artificial Intelligence Initiative for U.S. Market at RSNA 2017
News | Artificial Intelligence | December 04, 2017
December 4, 2017 — Fujifilm Medical Systems U.S.A. Inc.
Overlay Init