Case

Myandat H

“For thmy pat

Operathigh-tewould empowinterpresubspeand maprocedteleradservicespatientStenoieHMI as market

“With tbasis, I differencompet

e Study |

yVue pd engaHoust

he first time in ients at a leve

-- DCEO

ing out of threch exams annseem the idea

wers patients aeted by 14 radcialty practiceammography. ures and painiology and tels, and their sets and referrinen, M.D., Radia fairly small

tplace.

the competitiodecided many

ntiating oursetitors could no

Houston

provideages pon im

my practice, el that really no

Dr. Randall SteO of Houston

ee locations tnually, Houstoal testing grouas it streamlinediologists reprs in neuro- anIn addition, t managementemedicine to

ervices are fineg physicians, aiologist and Cplayer in an e

on that we hay years ago thlves by providot,” Dr. Steno

Medical Im

es patpatienaging

I feel like I’m aone of my com

noien, M.D., RMedical Imag

hat together cn Medical Ima

und for a patiees workflow. resenting genend musculoskehey perform it. HMI leveragprovide these

ely tuned to thaccording to DEO at HMI. He

extremely com

ave to deal withat we neededing services th

oien said.

maging (H

tient ats wh cente

able to engagmpetition can

Radiologist aning

conduct 40,00aging (HMI) ent portal thatExams are eral and eletal radiolognterventional

ges e comprehensihe needs of Dr. Randall e characterize

mpetitive

th on a daily d to focus on hat our

HMI) in Ho

access ile it ser

ge .”

nd

00

t

gy,

ive

es

The goportal, referrinStenoiein choo

“We athink Msaid. “Tinteres

Pioneeits coma leade

Less thDr. Stesave teuntold

“At sopatientsaid Drtremenalreadyhadn’t

uston, Tex

to imaves m

oal underlying MyVue, at HM

ng physicians aen believes wiosing healthca

re definitely seMyVue enhancThey’re fairly sted in getting

ring the use ompetition todaer when patien

an a month aenoien realizedens of thousan

savings in the

me point, we’ts expect to ger. Stenoien. “Wndous cost savy begun to seeexpected or b

C.E.O

xas

ages amoney

the installatioMI, was, in facand particularll become an

are providers.

eeing patientsces our ability sophisticated the best imag

of a patient poy, just as it laynt portals are

fter introducind a financial bnds of dollars e years to com

’re going to het their imageWhen that havings. It’s just e some of thobudgeted for.

Randall StenoO., Houston M

and rey and

on of Carestrect, to provide rly to patients,increasingly im

s shopping forto attract thoconsumers anging for the m

ortal differentiys the foundatpart of the m

ng this portal,enefit as well,in the months

me.

it a critical maes and reports ppens, we’re surprised me

ose cost saving”

oien, M.D. edical Imaging

eports time

am’s patient better service, whom Dr. mportant facto

r imaging andose patients,” nd they are money.”

ates HMI fromtion for it to bainstream.

, however, , one that cous ahead and

ass, when using MyVuegoing to see that we’ve

gs, which I

g

e to

or

I he

m be

uld

e,”

Case

2

How M

MyVueallows their imvia a seand rep

Just as take thdays ofreportsalso sidcompat

With fucollabopossiblyas well to patieprocessminimaradiolo

MyVu

Before who neimagesbe burnnormalthem into the othe pat

e Study |

MyVue wor

is to medicinpatients to ac

mages and radecure accountports with any

online bankine place of CDf delay. It can on optical me

desteps the potible with outs

ull fidelity imagorating physiciy sparing patieas additional

ent satisfactios. Yet, as a zeral administrativgy practice. Th

e simplifies

MyVue beganeeded copies o had to call Hned onto a CD workflow of

n between theoffice to pick tients could no

Houston

rks

e what onlineccess their meddiological repo. From there tyone or any fa

ng replaces paDs, DVDs and f

eliminate the edia, and send

ossibility that Dside display te

ges and reporans, MyVue cents the additexpense to thn by engagingro-footprint teve support, sohose savings c

s tough case

n operating inof their diagnoMI to request D. These requethe office, as

eir other dutieup the finisheot return or tim

Medical Im

e banking is todical accounts

orts, and manathey can shareacility they cho

per statementfilms, saving hcost of puttin

ding them to DVDs or CDs mechnologies.

rts at the fingean reduce duptional exposurhe healthcare g patients in technology, it ro it adds little can add up qu

es

August of 20ostic reports othat the imag

ests would disstaff would h

es, then call thed CDs. Alternme was short,

maging (H

o finance. It s, specifically age them onlie these imagesoose.

ts, MyVue canhours or even ng images andrequestors. It might not be

ertips of plicate exams,re to radiationsystem. It addhe diagnostic requires cost to a

uickly.

012, patients or medical ges and reportsrupt the have to handlehe patients bacnatively, when , HMI would

HMI) in Ho

ne s

n

d

,

ds

ts

e ck

have todelivery

At Houhundrerequesonly dineededwhich delivery

MyVuerequesthe sof

In earlypatientdesk traccounminuteHMI ge

In an estaff fodata syvisit yoCATS edataba

MyVueahead.more timpreswho araccessitheir coamazin

Each pthem athen ththis accsubspereferrethen re

uston, Tex

o deliver the Cy services.

uston Medical eds of miles awts from these d CDs have tod. This requireHMI staff hady – a process t

e dramatically ts, as demonsftware was ins

y September, t who had retransferred the nt in MyVue; I es later, the paeneral manage

email several wor their quick rystem and it isour office, we executed in otase.”

e promises ma In just the firhan half of insive, said Dr. Sre already acting the applicaomputer or shng how interes

atient who sigaccess to the rhe final reportcess with “gu

ecialists, or insd. Guests sim

egister to view

xas

CDs to the pat

Imaging, somway, even frompatients pose

o be created, oed more time bd to arrange tothat could tak

reduces the tstrated by a castalled.

HMI fielded a urned to his hphone call toasked for the

atient had theer.

weeks later, thresponse. “I hs excellent,” hare planning tther locations

any more savinst three montcoming patienStenoien, “Weve in their accation, and dowharing them wsted patients a

gns up receiveresults of theirt days later by ests,” such astitutions to wply click the li

w the study or

tients by couri

me patients com other states

ed additional coften special dby staff and seo cover the higke days.

ime and cost fase that occur

request for imhome out of sto me; I looked e (patient’s) eme images,” said

he patient thanhave used youe wrote. “Thto bring someto add them t

ngs in the months since MyVunts signed up.e're seeing mocount – actualwnloading the

with other userare in this.”

es a unique logr exams and reHMI’s design

s consulting phhich the patienk provided tpatient portfo

er or other

me from s. In the past, challenges. Nodelivery was aeparate billinggh cost of

for such difficred soon afte

mages from a tate. “The froup the patien

mail, and 20 d Diego Rolda

nked the HMI r online MyVue next time w

e of the prior to your

nths and yearsue was installe. Even more ore than half lly logging oneir images to rs. It's been

gin. This allowelated images. They can shahysicians, ent is being hem by emailolio.

ot also gs,

cult r

nt nt

an,

ue we

s ed,

,

ws , are

,

Case

3

Cost s

GeneraHMI $1assumpnumbeeach retransfeestimatcourier front dmaintetransitioMyVue

Cost e

Staff c4 min

Media

Courie

Folder

Ink an

Eliminmaint

MINUimplemHR coand e

Total

“If we this serour ow

The coscombinthat dotrainingportal rcan be

e Study |

savings pile

al Manager Ro4,764 per yea

ption that just r – will reques

equest for a Crring the sameted CD costs wcosts required

esk staff or mnance for buroned from bu and educatin

element

cost to burn Cutes)

a cost

er (FedEx, Pos

r/envelopes

nd ribbon

nate CD/DVD benance

Total C

S cost of patiementation, wh

ost to support ducation, and

Savings per

can save arourvice to patien

wn operation, t

st of operatingnation of its zeoes not requireg. At HMI, Myrunning off thembedded in

Houston

up

oldan estimatear. This estima5% of HMI p

st images andD would save e data electrowere based ond for one out

medical recordsrning CDs. Nowurning CDs to ng them in its

CD (average of

tage etc)

burners,

Cost per Exam

ent portal hich includes: registration

d MyVue

Exam

und $15,000 ets, and we alsthose are goo

g MyVue is exero-footprint de downloads oyVue functionshe center’s Carto an existing

Medical Im

es that MyVueate is based onpatients – a co reports annu$7.69 per exanically using M

n media and oof five reques

s, and equipmw the front dehelping patienuse.

$ per Exaor DVD (years)

f $1.19

$0.21

$3.85

$0.05

$0.08

$4.00

m $9.38

($1.69)

$7.69

each year becaso save time fod benefits,” R

xtraordinarily ldesign and intor dedicated as as a stand-arestream Vue hospital infor

maging (H

e could save n the

onservative ally and that am by MyVue. The other materialssts, labor of th

ment plus esk at HMI hants register fo

am on CD (over 5

ause we offer or them and iRoldan said.

ow due to thetuitive interfacapplication lone patient PACS. But it rmation system

HMI) in Ho

s, he

as or

n

e ce

m

or elecprovidefederalrequiremedica

Possiblwhen Dtime or

“I was patient“It’s a after w

Engag

The usecollaboimaginexpertiprovideits servDr. Stethe nextechnoreally epopula

This secame aand mysaid. “

Dr. Stewhich

“Our pinformwithouhow lit

uston, Tex

tronic medicae the added bl funds by adde hospitals to oal data.

y qualifying foDr. Stenoien fr money.

more interestts and to our rpleasant surp

we began offe

ging patient

e of MyVue atoration with Cg practice hasse for its PACed referring pvers. With thatenoien, and wxt logical step

ology into the excited about ation in a way

rvice has beenas another sury IT people to But there’s be

enoien describhe attributes t

patients are abation by them

ut help from ottle extra work

xas

l record. Conbenefit of helpdressing “meaoffer a certain

or federal fundirst looked int

ted in increasireferring and rise that we’rering this servic

ts early

t HMI evolvedCarestream. Sins depended onS. Last year Hhysicians accet, HMI “saw aith the additio: “We are nowhomes of ourit. MyVue hasI never would

n integrated wrprise. “I expecbe complaini

een none of th

es the migratito the inheren

ble to log on amselves the vasour staff,” he sk it's caused o

nsequently, Myping facilities qaningful use” cn amount of p

ds was not a cto MyVue. Ne

ng what I hadconsulting doe seeing cost sce.”

d from nearly ance 2004, then Carestream MI added Vue

ess to exam da boost in busi

on of MyVue, w moving Carr patients…ans engaged my d have imagine

with exceptioncted the phonng and yellinghat.”

ion to MyVue nt simplicity of

and then accesst majority of said. “It's real

our IT departm

yVue may qualify for criteria that

patient access

consideration ither was savi

d to offer to octors,” he saisavings so soo

a decade of e Houston-bastechnology a

e Motion, whiata archived oness,” said is now takingrestream d patients arepatient ed.”

nal ease, whichnes to be ringig at me,” he

as seamless, f the software

ss their the time, ly surprised m

ment.”

to

ng

d. on

sed nd ich n

e

h ng

e.

me

Case

4

StatisticAugustand theOf thesDuring just 47 related

Patien

The drathe numplanninNeville

“We unwith thadvancwere cothat reathe pro

Startin

Makingadoptiowill maStephaother stdescribenrollin

e Study |

cs gathered byt 8 2012, whee end of Octose, more than that timeframphone calls ato password

nt Engagem

amatic differenmber of help cng that CarestSkudowitz, M

nderstood thehis type of proce to identify sovered,” Skudally helps to doduct simple a

ng on the ri

g a good first on of MyVue. ake their lives enie Perez, whtaff at HMI inting its functio

ng patients.

Houston

y HMI staff shen HMI introduber 2012, 2,6half (1,480) a

me, the IT depsking for helpreset or exter

ment Study R

nce between calls placed bytream put into

MyVue product

e challenges thduct, and we situations thatdowitz said. “Tevelop the rig

and easy for th

ight foot

impression is Patients musteasier – not mo works the frtroduce MyVu

on and use, as

Medical Im

how that betwuced MyVue t

662 patients hactively used tartment at HM

p, the majoritynal network is

Results for M

the IT industryy MyVue userso the product, t manager.

hat we would really did a lo

t could cause iThis is the kin

ght informatiohe patient com

critically impot know that a

more difficult, ront desk at Hue exactly thiss they begin th

maging (H

ween to patients, ad registered.heir accountsMI received y of them ssues. This is

MyVue:

y norm and s reflects the according to

be facing ot of work in issues so they d of process n to make

mmunity.”

ortant to the patient portasaid

HMI. She and s way, he process of

HMI) in Ho

.

substhe ITindumakeranghour

l

“Weexplawelclog osmar

Eachdeveof fremighCaredowthem

“Werathethey needexpla

Wheissuewith most

uston, Tex

tantially feweT research andstry norms shoes 1.2 calls pee from passwrs to diagnose

e've had patienaining to themcoming email aon,” Perez saidrt phone and t

h patient leaveeloped by Careequently askeht come up. Aestream, explanload images

m with others.

e didn’t try to er the main thleave the faci

d in order to uained.

en challenges des other than M

the user ID at recent versio

xas

r than might bd advisory comow that, on a

er month to a word resets to ce and solve.

nts standing inm that they’re and then an ed. “In a mattethey say, ‘Oh,

es HMI with a estream, whiced questions thA “quick referins what to doand reports t

include everythings patients ility after their

use the produc

did arise, theyMyVue itself, nd password,

on of Internet

be expected. Ampany, The Gverage, each sservice desk. complex issue

n front of us agoing to get

email that tellser of seconds, I've already g

patient educach includes vidhat cover any rence,” also deo next – how o their PCs, a

thing in these need to know

r exam, they hct effectively,”

y typically wersuch as findinpassword resExplorer.

According to artner Group,software userThese calls

es that require

and we'd be two emails – a

s them how toit's on their

got it.’”

ation kit, deos and a pag

issues that eveloped by to view and nd how to sha

materials, buw so that whehave what the” Skudowitz

e related to ng the email set and using t

,

e

a o

ge

are

t n y

the

Case

www.

CarestreCarestre

“MyVuHMI dirhow to

A surveshowedthey neportal w

The surcontinuexams wremain

A brig

With MStenoieempowconsum

e Study |

.carestream

eam Health, Inc.,eam Health. CAT

ue is very well-rector of IT. “W

o implement th

ey of the HMI d that 90.9% eeded minor awas difficult a

rvey also founue accessing imwith others – ing 7.8% stat

ght future

MyVue, HMI is en. “We're dowering patientmers.”

Houston

m.com

, 2014. CARESTRT 300 1020 04/

-suited to userWe just had tohe software o

patients who said MyVue w

assistance; 1.3nd not intuitiv

d that 88.3%mages throug3.9% said the

ted no prefere

breaking newoing somethings and making

Medical Im

REAM is a trade/14

rs,” said Zeljkoo inform somen their older s

activated thewas easy to us3% (1 person) ve enough.

said they woh the Web aney would not,

ence.

w ground, saidg innovative inthem better h

maging (H

mark of

o Lazarevic, e of them systems.”

ir accounts se; 7.8% said said the

ould like to nd to share , and the

d Dr. n terms of healthcare

HMI) in Ho

Whaincreassua linkcomregio

As ashe hweremucyou it's f

“Witthat’as anshare

uston, Tex

at patients expease, said Dr. Smes a larger rk in the chain prise a health onal hospitals,

n example, a yhad to return e requested byh easier,” sheknow technolinally happeni

th the advent ’s going to han important pae information

xas

pect from medStenoien, as Wrole in consumof medical ininformation e

, imaging cent

young patientto HMI to gety other doctore said. “I’ve grogy is growining in the med

of HIE, and thppen over theart of that serwith patients

dical practices Web-enabled imers’ everyday

formation thaexchange (HIEters and physi

t describes hot her CDs or firs. “With MyVown to expecg everywheredical field.”

he sharing of ie next few yearvice in terms os,” Dr. Stenoie

will continue information

y lives. MyVue at ultimately w) connecting cians.

w, in the pastlms when the

Vue, it's just soct it just becaue else, and now

information ars, I see MyVuof being ableen said.

to

is will

t, ey o use w

ue e to