Dave Fornell, ITN Editor
Dave Fornell, ITN Editor

Dave Fornell is the editor of Diagnostic & Interventional Cardiology magazine and assistant editor for Imaging Technology News magazine.

Blog | Dave Fornell, ITN Editor | March 07, 2015

The Transformation to Enterprise Imaging at HIMSS 2014

By Dave Fornell, editor 

With healthcare reform’s focus on information technology as the primary vehicle for change, there has been a massive increased interest in this area. Health IT software has taken center stage as healthcare facilities look to implement new Stage 2 Meaningful Use requirements. This year the Healthcare Information and Management Systems Society (HIMSS) annual meeting, held Feb. 23-27 in Orlando, Fla., drew a record crowd of 38,828 attendees and a record number of 1,233 exhibiting vendors.

While the focus of the show is for hospital IT departments, chief information officers and the overall healthcare IT enterprise, there were clear messages for what the future holds for radiology and cardiology. The biggest message, however, was the challenge to the traditional concept of each department and specialty having its own, isolated data silo for reporting, and image storage. So too is the idea that radiology will remain the gatekeeper to imaging under the expanding notion of enterprise imaging, where all patient images from every department will one day be available via the patient’s electronic medical record (EMR).

Radiology has traditionally been the keeper of imaging. With the expanded use of EMRs, Stage 2 Meaningful Use calls for radiology to enable some sort of remote viewing system to allow referring physicians or others accessing the EMR to view images and reports. This can be accomplished via remote image viewing or sharing systems that connect data in the radiology PACS to a patient’s EMR. However, this effort has been complicated at larger enterprises where nearly every department creates and stores patient images.

With the introduction of vendor neutral archives (VNAs), enterprise imaging will increasingly be taken out of the hands of radiology and move to the responsibility of hospital IT directors. The VNA enables true enterprise imaging, where all departments can contribute content, and IT operates an image management system to allow easy access and security. In this form, radiology will become just another department contributing images to the VNA.

This form of VNA enterprise was discussed in several sessions at HIMSS, with Cleveland Clinic being the poster child of how a large enterprise VNA can operate. The clinic now manages images and reports from more than 60 departments using its VNA.

Other trends at HIMSS included the integration of patient access to health information and images via patient portals to increase patient engagement, the rising use of clinical decision support and computerized physician order entry (CPOE), remote viewing systems for patient data and images, and the continued rapid expansion of software to enable use of mobile devices by physicians.

To see an example of how a VNA works for imaging and the trend of mobile patient monitoring technology, watch the video.

Related Content

Developed by medical AI company Lunit, Software detects breast cancer with 97% accuracy; Study in Lancet Digital Health shows that Lunit INSIGHT MMG-aided radiologists showed an increase in sensitivity

Lunit INSIGHT MMG

News | Artificial Intelligence | June 02, 2020
June 2, 2020 — Lunit announced that its artificia...
AIR Recon DL delivers shorter scans and better image quality (Photo: Business Wire)

AIR Recon DL delivers shorter scans and better image quality (Photo: Business Wire).

News | Artificial Intelligence | May 29, 2020
May 29, 2020 — GE Healthcare announced U.S.
The paradox is that COVID-19 has manifested the critical need for exactly what the rules require: advancement of interoperability and digital online access to clinical data and imaging, at scale, for care coordination and infection control.

The paradox is that COVID-19 has manifested the critical need for exactly what the rules require: advancement of interoperability and digital online access to clinical data and imaging, at scale, for care coordination and infection control. Getty Images

Feature | Coronavirus (COVID-19) | May 28, 2020 | By Matthew A. Michela
One year after being proposed, federal rules to advance interoperability in healthcare and create easier access for p
The opportunity to converge the silos of data into a cross-functional analysis can provide immense value during the COVID-19 outbreak and in the future

Getty Images

Feature | Coronavirus (COVID-19) | May 28, 2020 | By Jeff Vachon
In the midst of the coronavirus pandemic normal
In April, the U.S. Food and Drug Administration (FDA) cleared Intelerad’s InteleConnect EV solution for diagnostic image review on a range of mobile devices.
Feature | PACS | May 27, 2020 | By Melinda Taschetta-Millane
Fast, easily accessible patient images are crucial in this day and age, as imaging and medical records take on a new
 Recently the versatility of mixed and augmented reality products has come to the forefront of the news, with an Imperial led project at the Imperial College Healthcare NHS Trust. Doctors have been wearing the Microsoft Hololens headsets whilst working on the front lines of the COVID pandemic, to aid them in their care for their patients. IDTechEx have previously researched this market area in its report “Augmented, Mixed and Virtual Reality 2020-2030: Forecasts, Markets and Technologies”, which predicts th

Doctors wearing the Hololens Device. Source: Imperial.ac.uk

News | Artificial Intelligence | May 22, 2020
May 22, 2020 — Recently the versatility of
Remote reading of imaging studies on home picture archiving and communication systems (PACS) workstations can contribute to social distancing, protect vulnerable radiologists and others in the hospital, and ensure seamless interpretation capabilities in emergency scenarios, according to an open-access article published ahead-of-print by the American Journal of Roentgenology (AJR).

Srini Tridandapani, M.D., Ph.D.

News | PACS | May 21, 2020
May 21, 2020 —