High Performance Collaborative Care Centricity PACS-IW .../media/Downloads/us/Product... ·...
Transcript of High Performance Collaborative Care Centricity PACS-IW .../media/Downloads/us/Product... ·...
Legal Disclaimer
©2013 General Electric Company – All rights reserved. This does not constitute a representation or warranty or documentation regarding the product or service featured. All illustrations are provided as fictional examples only.
Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE. DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.
GE, the GE Monogram, Centricity and imagination at work are trademarks of General Electric Company. All other product names and logos are trademarks or registered trademarks of their respective companies. General Electric Company, by and through its GE Healthcare division.
3 Centricity Clinical Archive overview
3/14/2013
• PACS-IW 5.0 / Universal Viewer for Centricity PACS-IW
• GE Thought Leadership
• DIAMOND User Group
• Q&A
Agenda
4 Centricity Clinical Archive overview
3/14/2013
Presenters – GE Healthcare IT
Dennis Schiraldi Field Marketing Manager
Lawrence White Sr. Region Product Marketing Manager
Rob Holguin DIAMOND Chair
6 Centricity Clinical Archive overview
3/14/2013
Industry shift toward Integrated Care means new healthcare delivery ecosystems are required
Healthcare is evolving to a more patient-centric, outcomes-focused model
Evidence-based care
Patient engagement
Population health
Care coordination workflows
Outcome driven
Quality measurement
& improvement
Patient
Industry shift toward Integrated Care
• Hospital • Ambulatory • Payer • Consumer
Silos of data; Hospital-centric; Closed systems
Work flow & analytics focus; Support of distributed care; Open & interoperable
DOC 1238397
7 Centricity Clinical Archive overview
3/14/2013
Radiology revenue is under pressure
From fee-for-service, …to pay-for-performance, duplicate exams appropriate imaging
Inefficiencies absorb more than 30 minutes per day, per radiologist1
• Impacts turnaround time
• Increases costs
Reducing inefficiency and costs is a must
1- Source: ACR Metrix 2012 Health Economics Study sponsored by GE Healthcare
CT Scan
Exam
$$ x 2
$ x 2
$$$ x 1
= $$$$ = $$$$$$$$$
Exam
Exam Exam
+
+ Exam
Exam
$$$ $$ $$$$$ $ $$ $$ $
Information si los + disjointed workflows = higher costs
DOC 1238397
8 Centricity Clinical Archive overview
3/14/2013
It’s time to transform Imaging solutions
Specialized Connected Open Dynamic
Radiologist Best of breed
tools
Department Integrated solution
Enterprise Standards-based
platform
Community Collaboration
suite
…to integrated, user-friendly workflows that enable enterprise and community collaboration.
From complex information silos…
DOC 1238397
9 Centricity Clinical Archive overview
3/14/2013
Powered by new technologies and business models…
Vendor Neutral Platform
Diagnostic Advanced visualization
Mobile & Social Applications1
Regional Cloud & Managed services
Intelligent Analytics & Machine learning
Multidisciplinary Image & Workflow sharing
DOC 1238397
1 – FOR UNIVERSAL VIEWER SPECIFIC - DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A
COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S
DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY APPROVALS .
Centricity PACS-IW with Universal Viewer puts clinical insight within reach to help care teams and healthcare systems deliver patient results efficiently.
Unified, web-based PACS with:
• Advanced Visualizat ion Applications powered by AW
• Breast Imaging, including screening and diagnostic capabilities
• Intelligent Productivity Tools, including smart reading protocols
• Enhanced usability and anywhere access1 with an ergonomic user interface available as zero footprint and web clients
• High system performance with bandwidth-adjusting streaming technology
Centricity PACS-IW with Universal Viewer
Snapshot Key Workflow Capabil ities
1 Where internet access is available
DOC 1238397
12
Universal Viewer provides an enhanced imaging workflow
Using separate systems to
perform post-processing
Adjusting hanging protocols for each study with manual
configuration
Read and store breast images in a separate “mini-PACS”
Sending CDs to referring physicians
Many tools, limited utilization
Images displayed rapidly on the same system
Having the system learn your hanging protocols preferences
Consolidated record for radiologists
& referring physicians
Enabling direct access to all images
and data
Single solution, unified user interface, greater adoption
From To
DOC 1238397
13 Centricity Clinical Archive overview
3/14/2013
Developed with customer collaboration
Leveraging Agile development – a fundamental shift in how we develop our products!
• Customer collaboration in all phases of the Agile process
• Shorter development cycles
• Transparency to progress • Widely used/accepted • Rooted in customer feedback,
collaboration, engagement • High quality incremental releases • More predictable timelines
DOC 1238397
15 Centricity Clinical Archive overview
3/14/2013
Universal Viewer features Putting clinical insight within reach to help deliver patient results efficiently
• Evaluate data & suggest the most appropriate method for a study to be hung with smart reading protocols
• Automatically launch advanced application in the proper viewport with preprocessed images
• Automatically obtain data from outside PACS and VNA systems
Intelligent productivity tools
• PET/CT • Vessel analysis • Bone removal • Oncology work flow embedded in viewports • Preprocessing • Registrations
Advanced visualization apps • Screening and diagnostic workflows
• Mammo with tomo reading tools • CESM in reading protocols • Multi-modality reading
Breast imaging workflow
• Consistent UI and tools for all applications • Supports RIS-driven workflows and
interoperability • Full access to patient images through an EMR,
PACS or image archive • Web or zero footprint applications • Runs on commercially available PCs, Apple
Mac, tablets, etc.
Enhanced usability & access
DOC 1238397
16 Centricity Clinical Archive overview
3/14/2013
Advanced visualization applications
Integrated Registration
Auto Pre-processing
Volume Viewer
OncoQuant Autobone
Embedded clinical tools powered by Advantage Workstation (AW)
Native MIP/MPR, native PET-CT included with the system
DOC 1238397
17 Centricity Clinical Archive overview
3/14/2013
Advanced visualization applications
Native MIP/MPR, native PET-CT included with the system
MIP/MPR contextual
toolbar
1-click on- the-fly launch
No need to store
images in other
planes
On the fly CT-
PET fusion
4 SUV units calculation
On the fly PET 3D
reconstruction
DOC 1238397
• Same main toolbar in all applications
• Both launched in PACS hanging protocols
Advanced applications Native MIP/MPR
Same main
toolbar
MIP/MPR contextual
toolbar
1-click on- the-fly launch
PACS Hanging Protocols
launch MIP/MPR
No need to store images
in other planes
DOC 1238397
On the fly PET 3D
reconstruction
On the fly CT-PET fusion
4 SUV units calculation
Launched in PACS hanging protocols
DOC 1238397
Advanced applications Native PET/CT
20 Centricity Clinical Archive overview
3/14/2013
Advanced visualization applications Embedded clinical tools powered by Advantage Workstation (AW)
• Powerful analysis, segmentation, and measurement tools
• Automatic image loading and processing • Seamlessly embedded for reading productivity and user experience
Automatic Bone Removal
Multimodality Image Fusion
Vessel Tracking
DOC 1238397
21 Centricity Clinical Archive overview
3/14/2013
Advanced visualization applications Embedded clinical tools powered by Advantage Workstation (AW)
Oncology quantification package • Delivers a distinctive standard of automated workflow to facilitate lesion
comparisons over time and make follow-up exams more efficient
Contouring and volumetric measurement tools
Interactive summary table and report
Easy access to results by clinician
DOC 1238397
22 Centricity Clinical Archive overview
3/14/2013
Advanced visualization applications Embedded clinical tools powered by Advantage Workstation (AW)
PACS Hanging Protocols
launch images with 3D
preferences applied
Converged tools Same look & feel
and behavior
Seamless series selection from
navigator
Synchronized scroll and
W/L
Synchronized series scrolling
and W/L
DOC 1238397
23 Centricity Clinical Archive overview
3/14/2013
Universal Viewer Intelligent productivity tools, smart reading protocols
DOC 1238397
• Smart Reading Protocols (SRP) intelligently evaluate exam data & suggest the most appropriate method for a study to be hung
• Embedded in the viewer requiring less exam setup with
automatic launch of advanced applications and pre-processed
images in the proper viewport • System learns from a broader range of situations over time,
helping to improve productivity
• Helps to reduce mouse clicks
• Developed in GE’s Global Research Center
24 Centricity Clinical Archive overview
3/14/2013 DOC 1238397
Universal Viewer Intelligent tools, smart reading protocols
Before SRP SRP Use Case for Learn & Apply:
Step 1: MR Lumbar Spine w/o contrast launches with standard hanging protocol Hanging Protocol not satisfactory upon initial display
25 Centricity Clinical Archive overview
3/14/2013 DOC 1238397
Universal Viewer Intelligent tools, smart reading protocols
Adjust Hanging Protocol
Step 2: Radiologist adjusts hanging as per personal preferences Dedicated viewing regions for Series Navigator, Scanned Report , Localizer series, Axial and Sagittal series
SRP Use Case for Learn & Apply:
26 Centricity Clinical Archive overview
3/14/2013 DOC 1238397
Universal Viewer Intelligent tools, smart reading protocols
Learn
Step 3: Click Learn HP (Hanging Protocol) once Teaches the system your hanging preference for MR Lumbar Spine exams w/o contrast
SRP Use Case for Learn & Apply:
27 Centricity Clinical Archive overview
3/14/2013 DOC 1238397
Universal Viewer Intelligent tools, smart reading protocols
SRP applied – no adjustment needed!
Step 4: Open another MR Lumbar Spine w/o contrast
SRP Use Case for Learn & Apply:
Hangs exam as per user preference on the first attempt, based on previous learning for the MR Lumbar Spine case. Click Learn HP once
Despite series description and procedure name variations, SRP places the series in the right location
28 Centricity Clinical Archive overview
3/14/2013
Anywhere access1
Ergonomic, intuitive user interface
Diagnostic viewing using web-based client
1- Where there is an internet connection available.
• Referring physician access with security enabled options
• Image enable an EMR • Help to reduce IT staff time
with reduced deployment
DOC 1238397
29 Centricity Clinical Archive overview
3/14/2013
Dynamic usability Ergonomic, intuitive user interface
Lights On / Lights Off look and feel provides comfort in any light setting
DOC 1238397
30 Centricity Clinical Archive overview
3/14/2013
Smaller Title Bar
Smaller viewport borders
Overlays off the images and out to
the viewport corners
Title Bar Navigation
Dynamic usability Ergonomic, intuitive user interface
Same main tool bar
throughout
DOC 1238397
31 Centricity Clinical Archive overview
3/14/2013
Gaps in dates identified
Scaling features to show more or less information
Current
study noted in BOLD
Tiles display Modality and study date
Identifies how many total study tiles in Patient History
Date hyperlink
for report access
Date hyperlink for report access Agile
session customer recommendation!
Visual Timeline
DOC 1238397
Dynamic usability Ergonomic, intuitive user interface
Relevant studies identified by color and angled corner
Tool tips provide
additional information
32 Centricity Clinical Archive overview
3/14/2013
Bookmark drop down supports saving for Conference Display
Saving dialog appears to confirm
Right click to launch CDP
Dynamic usability Ergonomic, intuitive user interface
Conference Display Protocols
DOC 1238397
GE Healthcare
Unified, web-based PACS with advanced visualization
Advanced clinical applications for oncology and breast imaging
Exceptional usability and anywhere access
Comprehensive services for implementation, data migration, support, and training
High system performance with bandwidth-adjusting streaming technology
Putting clinical insight within reach to deliver patient results efficiently.
DOC 1238397
Universal Viewer summary
PACS-IW 5.0 with Universal Viewer Upgrade Path
3.6.x
3.7.3.9 5.0
3.7.3.x
PACS-IW 5.0 Server Requirements • HW to support 64 bit OS • SQL Upgrade
PACS-IW with Universal Viewer
Upgrades
36 Centricity Clinical Archive overview
3/14/2013
Powered by new technologies and business models…
Vendor Neutral Platform
Diagnostic Advanced visualization
Mobile & Social Applications1
Regional Cloud & Managed services
Intelligent Analytics & Machine learning
Multidisciplinary Image & Workflow sharing
DOC 1238397
1 – FOR UNIVERSAL VIEWER SPECIFIC - DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A
COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S
DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY APPROVALS .
Rad Workflow
ICU
ED
OR
Clinic
CT
MR
CR
Backbone
“Viewer”
Vendor Neutral
Archive (CCA)
GE Healthcare’s Vision of Enterprise IT Framework
EMR
Radiology Enterprise
US
XA
NM
Cardiology
Card Workflow
Path
Pathology
Path Workflow
“Viewer”
“Viewer”
“Viewer”
“Viewer”
“Viewer”
“Viewer”
Community Connectivity
(ACO)
GE Healthcare is in unique position with a comprehensive imaging IT portfolio to drive efficiency and lower total cost of ownership
38 Centricity Clinical Archive overview
3/14/2013
DIAMOND Background
What is DIAMOND? -SIIM affiliated user group, independently managed and run by its elected leadership
Who is DIAMOND intended for? – PACS Administrators, IT Leadership, Radiology Directors & Radiologists
What is the objective of DIAMOND? – To advance the effective utilization of the portfolio of Centricity* IW solutions by
promoting the free exchange of information amongst its users • Participate in user group meeting at SIIM
• Post on the DIAMOND Listserv • Read the archived presentations on the
DIAMOND website
*Trademark of General Electric Company
39 Centricity Clinical Archive overview
3/14/2013
DIAMOND Quick Facts
First kickoff meeting - SIIM 2007
Number of member institutions - 53
Number of meetings since founding - 11
DIAMOND Annual Dues?
• New member : Complimentary 1st year
• Diamond Membership: $100/year
DIAMOND Leadership
Chairperson
Robert Holguin
RIS/PACS Administrator
Gila Regional Medical Center
Chairperson Elect
Kirk Siddell
PACS Administrator
California Diagnostic Imaging Center
Secretary/Treasurer Cristy Klunk Director of Teleradiology Services, RIS/PACS Administrator, Quantum Imaging & Therapeutic Associates, Inc. [email protected]
Immediate Past Chair Kim Baldwin, CIIP, RT (R,MR,M,CT) PACS Administrator, South Jersey Radiology Associates [email protected]
Contact your elected leadership for additional information:
Universal Viewer Specifications
Category Version Information
Universal Viewer Web Client
Diagnostic Use
Universal Viewer Web Client
Clinician Use
CPACS backend
CPACS 3.2.6 Y Y
CPACS 4.0.1 Y Y
Server Operating System
- Standard, Enterprise and Data Center for
Windows 2008 Server
W2008R2 SP1 64-bit Y Y
SQL Server 2008 Y Y
VM Ware Vsphere for
Server environment ESXi 5
Y Y
Minimum Server Specs
CPU Dual 64-bit CPU (each Quad
Core) at 2GHz minimum
Dual 64-bit CPU (each Quad
Core) at 2GHz minimum
RAM 8 GB 8 GB
Hard Drive 300 GB RAID 1 minimum 300 GB RAID 1 minimum
GEHC Proprietary & Confidential
Universal Viewer Specifications
Category Version Information
Universal Viewer Web Client
Diagnostic Use
Universal Viewer Web Client
Clinician Use
Minimum Client
Specifications
CPU Dual CPU (each Quad Core)
at 2.0GHz minimum
Dual CPU (each Dual Core)
or Single Quad Core CPU at 2.0GHz minimum
RAM 8GB 4GB
Hard Drive 146 GB 146 GB
Client Operating System
Windows7 32-bit Y Y
Windows7 64-bit Y Y
Windows 8 N N
Mac OS X 10.7.5 or later N N
iOS6 or later N N
GEHC Proprietary & Confidential