SIIM 2013:

Mobile Imaging for Your Enterprise

Jeff Fleming VP Healthcare Information Solutions

June 6, 2013

Public

© 2012, Carestream

Health

80% Physicians Own Smart Devices

What type of device are you using?

59%

29%

20%

3%

14%

7%

0%

10%

20%

30%

40%

50%

60%

70%

iPhone iPad Android

Smartphone

Android Tablet Blackberry Other

% o

f R

es

po

nd

en

ts

N = 3143, multiple responses allow ed

*Source: The Nielsen Company, “Q1 2011 Mobile Connected Device Report”,

QuantiaMD® Research Report, “Tablets Set to Change Medical Practice”, June 15, 2011. See www.quantiamed.com/q-

qcp/QuantiaMD_Research_TabletSetToChangeMedicalPractice.pdf

**Source: Manhattan Research, Taking the Pulse U.S. 2012, http://www.informationweek.com/healthcare/mobile-wireless/doctors-tablet-use-almost-doubles-in-

201/240000469

***Source: Healthcare Data Solutions, July 2012, http://www.healthcaredatasolutions.com/assets/docs/HDS_Whitepaper_Mobile-Device-Usage-Patterns-Among-

Physicians.pdf

Tablet use has since doubled since 2011,

now reaching 62%**

How often do you use mobile devices in your practice

for patient care (smartphone, iPad, etc.)?

What are your patients looking for?

3

Harris Interactive Poll 2012

Considerations: “To App or Not to App”

Consideration: Radiologist Reviewing Imaging Results

EITHER: Key is access to priors and image manipulation tools

NO APP for Referring: Primary care physicians and specialists will

likely view images and reports ad-hoc from wherever the image was

taken; Access will likely come through EMR/EHR.

Viewer needs to be: system and device agnostic, no download, no

training required

Consideration: Referring physicians accessing EMR

DEDICATED APP: Primary care physicians and specialists will likely

only access dedicated patient records in one system

Consideration: Patients accessing the EMR results

No APP: Portal part of Meaningful Use Requirement

p.5

Simple to deploy and maintain

• Zero overhead for high speed performance

• Latest enterprise access technology without replacing a legacy PACS or archive

On-demand and Ad-hoc

• Radiologists and physicians able to access entire patient’s portfolio including images,

reports and other supporting, non-DICOM data

• Enable real-time collaboration between clinical users

Easy to Adapt

• Simplify workflow as independent viewer or embedded within

EMR or HIS eliminating multiple log-ins

• Intuitive User Design that doesn’t require dedicated training

Physical Conditions

• Device durability, ambient lighting, security….

Overall Design Considerations

Vue Motion is FDA cleared for iPad mobile use

Security utmost concern

But consider the alternatives:

Applications should be part of an enterprise security architecture that

considers confidentiality, data integrity, and availability.

• Personal device (BYOD) versus corporately issued

• Theft and data loss

• Compliance to government regulations (i.e. FDA)

• Data retained on device (ex. dedicated app) or centralized on server (ex. zero footprint)

• Physical security “screens”

• External network accessed by unpredictable user patterns or demands

p.6

Healthcare Reform:

Areas of focus for imaging leaders

Patient Satisfaction

• Reimbursement will be affected by patient satisfaction surveys. While none of the measures relate to imaging, a

bad experience in the imaging department could affect the overall patients’ survey rating

• More than 5 percent of all unique patient seen by the EP during the EHR reporting period (or their authorized

representatives) view, download, or transmit to a third party their health information

Referring Physician Satisfaction

• Referring physicians are key in the ACO model. Keeping them happy and engaged will reduce ‘referral leakage’

Cost Reduction

• Standardization of care practices, processes and infrastructure provide facilities with an opportunity to reduce

cost and impact the bottom line

Public

© 2012, Carestream Health

Apps that provide easy access to patient records for

both the patient and the referring physician while

eliminating the costs and risks associated with physical

media (paper, CD/DVD, etc.) will impact the 3 focus

areas described above

The Accountable Care Act (ACA) puts emphasis on

“Less paper work”

“Better care coordination among health care

providers

“Fewer unnecessary tests and procedures”

“Easy, electronic access to your medical

record and have greater control over

your health”

80% Americans who have access their

health information in electronic health

record use it

65% Americans who don’t’ have electronic

access to their health information say it’s

important to have it

2 out of 3 people would consider switching

to a physician who offers access to

medical records through a secure

internet connection

Patient Engagement has Operational Merits

8

Office of the National Coordinator for Health

Information Technology (ONC) is

generating the “demand”*

http://www.healthit.gov/patients-families/electronic-health-records-infographic

Example of an Imaging-Specific Portal

Secure access, simple management, quick access

Patient Reaction to Imaging Portal

10

Carestream conducted direct surveys to gauge patient

reaction (n=1000)

Preferred Access to Imaging Results

Likelihood of Using Online Portal

Questions

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