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Deborah Kohn

Richard P. Mansour, M.D. Paul Bleicher, M.D.

John Santmann, M.D.

W. Ed Hammond

Lori Wright SIX FINALISTS selected for Pioneers of Healthcare IT 2010

After a yearlong contest culminating with this 30th anniversary issue, HMT has selected six finalists from a plethora of talented nominees. To vote for one of the six finalists for Pioneer of Healthcare IT 2010, go to The winner will be revealed next month.

Deborah Kohn

Principal, Dak Systems Consulting Deborah Kohn has more than 30 years of healthcare provider organization management and information technology experience. Since founding Dak in 1985, Kohn has earned a national reputation for her ex- pertise in strategically architecting component tech- nologies of electronic health record and electronic fi nancial record systems for healthcare provider organizations. Kohn is a registered health informa- tion administrator (RHIA) with undergraduate degrees from Ohio State University and a graduate degree from UCLA in health services and hospital administration. She is board certifi ed in healthcare management and a fellow of the American College of Healthcare Executives (ACHE). She is certifi ed in healthcare information systems (CPHIMS) and a fel- low of the Healthcare Information and Management Systems Society (HIMSS). She is an active member of the American Health Information Management Association (AHIMA) and the Association for In- formation and Image Management (AIIM). What is the most diffi cult PACS strategy challenge for acute-care hospitals? Acute-care hospitals should manage all diagnostic images into the existing radiology image-management solution to deliver clinical, operational and economi- cal advantages. However, shifting the balance of power in the PACS process – from siloed, depart- ment-based decisions to a true, enterprise-wide team approach anchored by IT and telecommunications

6 September 2010

– is diffi cult. Getting locked into one proprietary solution, especially for archiving, often does not translate well across all the image-generating dis- ciplines, leading back to silos of department-based PACS. Integrating department-based information systems – that optimize image management’s elec- tronic order entry, patient scheduling, reporting and charge capture, such as radiology information systems (RIS) or cardio-vascular information sys- tems (CVIS) – requires expertise that is [often] not readily available. The key is vendor-neutral, centralized archives, which allow for shared fi nancing and centralized hosting opportunities. Each image-generating dis- cipline takes ownership of the specifi c application hardware, software or modality provided by their specifi c vendor. Each discipline shares ownership of the enterprise-wide PACS by paying only for those infrastructure technologies and services that are re- quired. For the archive, this means that the images from all the disciplines are archived from multiple locations, stored in separate locations in the same archive and retrieved by the disciplines’ applications (e.g., RIS, CVIS). Through the use of the digital imaging and communications in medicine (DICOM) query/result function and a Web application, the images are viewed virtually anytime, anywhere. The processing required for a specifi c application’s work-fl ow application for a particular study, such as digital mammogram or a cath-lab study, is accessed by a thin or thick client or even a smartphone.


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