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Lenny J. Reznik, director, enterprise image and information systems, Agfa HealthCare

With 40 to 60 percent [electronic health record] adoption in the market, we are quickly moving into a post-EHR era where the value of patient data is no longer locked into silos. However, there still seems to exist one signifi cant roadblock to ultimate clinical productivity: Most of the EHRs available today do not complement textual data with relevant clinical images in context. It is said that a picture is worth a thousand words, and in healthcare, medical imaging can save a life and enable the right diagnosis to be made. As a result, Agfa’s patient-centric, enterprise clinical IT platform ICIS (Imaging Clinical Information System) image- enables the EHR and helps healthcare organizations to develop healthcare information exchanges (HIEs) and engage patients. Many vendors propose solutions that are essentially an extended radiology PACS or a vendor-neutral archive (VNA). T is was a good fi rst step. However, these are really only stop- gap solutions and ultimately will not deliver a comprehensive multimedia EHR. PACS are very eff ective departmental solu- tions, but they are not enterprise systems able to handle the ever-increasing image data volume expected from diff erent departments and locations from multiple systems. Additionally, today’s VNAs are optimized for storage — not for enterprise imaging workfl ows, such as department-specifi c image acquisi- tion, electronic ordering, clinical metadata creation and billing automation. Some VNAs do not fully support DICOM and HIE, and most are not able to function independently of departmental RIS. ICIS provides integration of multimedia patient imaging

records and creates a single, comprehensive, longitudinal im- aging patient record by unifying the patient record across re- gions, facilities, departments and specialties. Its zero-footprint medical imaging viewer, ICIS View, provides secure access to images and data from existing workstations anywhere on the network, using most popular Web browsers — without requir- ing software application downloads or installations. Meanwhile, PACS are evolving into broad imaging and clinical information systems and expanding beyond their radiology and typical imaging roles as IT solutions that help clinicians improve patient outcomes, while also improving productivity and lowering costs. New systems, with expanded departmental and imaging capabilities, will allow a better ROI for the healthcare providers through better use of IT infrastruc- ture and less administrative overhead. T e expansion of these imaging information systems allows for better focus on productivity for imaging professionals. Pro- ductivity is being increased by a truly integrated and seamless user experience that encompasses all aspects of interpreting diagnostic images (HIS/RIS, PACS, 3-D, reporting, special-

ized clinical applications and more). Clinicians are no longer fumbling between diff ering applications, and have access to richer clinical data and diagnostic tools. At RSNA 2013, Agfa HealthCare will launch its next- generation of RIS/PACS, IMPAX Agility, a completely unifi ed imaging-management platform designed to achieve clinical productivity and optimize total cost of ownership. T is rep- resents a distinct new approach to IT solutions by delivering a completely unifi ed imaging platform that provides PACS, RIS, reporting advanced image processing and integration of clinical information, all in one sophisticated platform.

Cristine Kao, global marketing director, healthcare information solutions, Carestream Health

Carestream is debuting a new generation of its PACS plat- form as a work in progress that is designed to deliver access to key image data from links within the report, which merges imaging and reporting to create a more effi cient tool for radi- ologists and referring physicians. It also off ers a teleradiology module that gives remote radiologists access to prior exams and reading tools and automatically sends the reports to the requesting facility, all without requiring signifi cant investment by healthcare facilities or radiology/teleradiology groups. Radiology images and radiology reports have always been separate systems. Combining the radiologist’s diagnosis with embedded links to key imaging data, such as bookmarks that contain key images — including those with vessel analysis or measurement data — is intended to revolutionize the tradi- tional reporting process. T e new Carestream PACS will also off er an optional Vue

Telerad module as a work in progress that is designed to enable effi cient off -site reading and reporting by remote radiologists for multiple healthcare facilities. T e new module taps into Carestream’s Vue Connect platform, which will enable radiolo- gists to access worklists from unaffi liated healthcare providers, view prior imaging studies and reports, and automatically deliver reports back to each facility. Carestream’s Vue Motion zero-footprint image viewer will be used to transfer the imag- ing studies.

Jim Morgan, vice president, medical informatics, FUJIFILM Medical Systems U.S.A. Inc.

l Patient engagement in healthcare is a trend that is reaching

new heights. Portals and cloud-based imaging give patients control of all aspects of their healthcare record. Features include sharing of data with physicians outside their current network


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