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Published in: Journal of Digital Imaging 1/2020

01-02-2020 | Care

The Enterprise Imaging Value Proposition

Author: Cheryl A. Petersilge

Published in: Journal of Imaging Informatics in Medicine | Issue 1/2020

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Abstract

As resources in the healthcare environment continue to wane, leaders are seeking ways to continue to provide quality care bounded by the constraints of a reduced budget. This manuscript synthesizes the experience from a number of institutions to provide the healthcare leadership with an understanding of the value of an enterprise imaging program. The value of such a program extends across the entire health system. It leads to operational efficiencies through infrastructure and application consolidation and the creation of focused support capabilities with increased depth of skill. An enterprise imaging program provides a centralized foundation for all phases of image management from every image-producing specialty. Through centralization, standardized image exchange functions can be provided to all image producers. Telehealth services can be more tightly integrated into the electronic medical record. Mobile platforms can be utilized for image viewing and sharing by patients and providers. Mobile tools can also be utilized for image upload directly into the centralized image repository. Governance and data standards are more easily distributed, setting the stage for artificial intelligence and data analytics. Increased exposure to all image producers provides opportunities for cybersecurity optimization and increased awareness.
Literature
4.
go back to reference Hartman DJ, Pantanowitz L, McHugh JS, Piccoli AL, OLeary MJ, Lauro GR: Enterprise Implementation of Digital Pathology: Feasibility, Challenges, and Opportunities. J Digit Imaging 30:555–560, 2016CrossRef Hartman DJ, Pantanowitz L, McHugh JS, Piccoli AL, OLeary MJ, Lauro GR: Enterprise Implementation of Digital Pathology: Feasibility, Challenges, and Opportunities. J Digit Imaging 30:555–560, 2016CrossRef
5.
go back to reference Baidoshvili A, Bucur A, van Leeuwen J, van der Laak J, Kluin P, van Diest PJ: Evaluating the benefits of digital pathology implementation: time savings in laboratory logistics. Histopathology 73:784–794, 2018CrossRefPubMed Baidoshvili A, Bucur A, van Leeuwen J, van der Laak J, Kluin P, van Diest PJ: Evaluating the benefits of digital pathology implementation: time savings in laboratory logistics. Histopathology 73:784–794, 2018CrossRefPubMed
6.
go back to reference Ho J, Ahlers SM, Stratman C, Aridor O, Pantanowitz L, Fine JL, Kuzmishin JA, Montalto MC, Parwani AV: Can Digital Pathology Result In Cost Savings? A Financial Projection For Digital Pathology Implementation At A Large Integrated Health Care Organization. J Pathol Inform 5:33, 2014CrossRefPubMedPubMedCentral Ho J, Ahlers SM, Stratman C, Aridor O, Pantanowitz L, Fine JL, Kuzmishin JA, Montalto MC, Parwani AV: Can Digital Pathology Result In Cost Savings? A Financial Projection For Digital Pathology Implementation At A Large Integrated Health Care Organization. J Pathol Inform 5:33, 2014CrossRefPubMedPubMedCentral
12.
go back to reference Jung HY, Gichoya JW, Vest JR: Providers’ Access of Imaging versus Only Reports: A System Log File Analysis. J Am Coll Radiol 14:217–223, 2017CrossRefPubMed Jung HY, Gichoya JW, Vest JR: Providers’ Access of Imaging versus Only Reports: A System Log File Analysis. J Am Coll Radiol 14:217–223, 2017CrossRefPubMed
13.
go back to reference Lundstrom CF, Gilmore HL, Ros PR: Cross-disciplinary practices in radiology, pathology and genomics. Radiology 285:12–15, 2017CrossRefPubMed Lundstrom CF, Gilmore HL, Ros PR: Cross-disciplinary practices in radiology, pathology and genomics. Radiology 285:12–15, 2017CrossRefPubMed
14.
go back to reference Roth CJ, Lannum LM, Dennison DK, Towbin AJ: The Current State and Path Forward for Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:567–573, 2016CrossRefPubMedPubMedCentral Roth CJ, Lannum LM, Dennison DK, Towbin AJ: The Current State and Path Forward for Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:567–573, 2016CrossRefPubMedPubMedCentral
15.
go back to reference Rajbhandari SM, Harris ND, Sutton M, Lockett C, Eaton S, Gadour M, Tesfaye S, Ward JD: Digital Imaging: An Accurate and Easy Method of Measuring Foot Ulcers. Diabet Med 16:339–342, 1999CrossRefPubMed Rajbhandari SM, Harris ND, Sutton M, Lockett C, Eaton S, Gadour M, Tesfaye S, Ward JD: Digital Imaging: An Accurate and Easy Method of Measuring Foot Ulcers. Diabet Med 16:339–342, 1999CrossRefPubMed
16.
go back to reference Wang SC, Anderson JA, Jones DV, Evans R: Patient perception of wound photography. Int Wound J 13:326–330, 2016CrossRefPubMed Wang SC, Anderson JA, Jones DV, Evans R: Patient perception of wound photography. Int Wound J 13:326–330, 2016CrossRefPubMed
19.
go back to reference Carlin LE, Smith HE, Henwood F: To see or not to see: a qualitative interview study of patients’ views on their own diagnostic images. BMJ Open 4:e004999, 2014CrossRefPubMedPubMedCentral Carlin LE, Smith HE, Henwood F: To see or not to see: a qualitative interview study of patients’ views on their own diagnostic images. BMJ Open 4:e004999, 2014CrossRefPubMedPubMedCentral
20.
go back to reference Hiremath A, Awan O, Mendelson D, Siegel EL: Patient perceptions of participating in the RSNA image share project: a preliminary study. J Digit Imaging 29:189–194, 2016CrossRefPubMed Hiremath A, Awan O, Mendelson D, Siegel EL: Patient perceptions of participating in the RSNA image share project: a preliminary study. J Digit Imaging 29:189–194, 2016CrossRefPubMed
25.
go back to reference Sirota-Cohen C, Rosipko B, Forsberg D, Sunshine JL: Implementation and Benefits of a Vendor-Neutral Archive and Enterprise-Imaging Management System in an Integrated Delivery Network. J Digit Imaging 32:211–220, 2019CrossRefPubMed Sirota-Cohen C, Rosipko B, Forsberg D, Sunshine JL: Implementation and Benefits of a Vendor-Neutral Archive and Enterprise-Imaging Management System in an Integrated Delivery Network. J Digit Imaging 32:211–220, 2019CrossRefPubMed
26.
go back to reference Kayhart D: Using an Existing DICOM Infrastructure to Enhance the Availability, Quality, and Efficiency of Imaging Throughout the Healthcare Enterprise. J Digit Imaging 32:75–80, 2019CrossRefPubMed Kayhart D: Using an Existing DICOM Infrastructure to Enhance the Availability, Quality, and Efficiency of Imaging Throughout the Healthcare Enterprise. J Digit Imaging 32:75–80, 2019CrossRefPubMed
31.
go back to reference Towbin AJ, Roth CJ, Bronkalla M, Cram D: Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:574–582, 2016CrossRefPubMedPubMedCentral Towbin AJ, Roth CJ, Bronkalla M, Cram D: Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:574–582, 2016CrossRefPubMedPubMedCentral
32.
go back to reference Clunie DA, Dennison DK, Cram D, Persons KR, Bronkalla MD, Primo HR: Technical Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:583–614, 2016CrossRefPubMedPubMedCentral Clunie DA, Dennison DK, Cram D, Persons KR, Bronkalla MD, Primo HR: Technical Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:583–614, 2016CrossRefPubMedPubMedCentral
33.
go back to reference Cram D, Roth CJ, Towbin AJ: Orders- Versus Encounters- Based Image Capture: Implications Pre- and Post-Procedure Workflow, Technical and Build Capabilities, Resulting, Analytics and Revenue Capture: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:559–566, 2016CrossRefPubMedPubMedCentral Cram D, Roth CJ, Towbin AJ: Orders- Versus Encounters- Based Image Capture: Implications Pre- and Post-Procedure Workflow, Technical and Build Capabilities, Resulting, Analytics and Revenue Capture: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:559–566, 2016CrossRefPubMedPubMedCentral
37.
go back to reference Liew C: The future of radiology augmented with artificial intelligence: a strategy for success. Eur J Radiol 102:152–156, 2018CrossRefPubMed Liew C: The future of radiology augmented with artificial intelligence: a strategy for success. Eur J Radiol 102:152–156, 2018CrossRefPubMed
38.
go back to reference Brink JA: Providing Higher Value Care Through Population Health Management: What Is the Radiologist's Role? J Am Coll Radiol 13:759–760, 2016CrossRefPubMed Brink JA: Providing Higher Value Care Through Population Health Management: What Is the Radiologist's Role? J Am Coll Radiol 13:759–760, 2016CrossRefPubMed
39.
go back to reference Mazzanti M, Shirka E, Gjergo H, Hasimi E: Imaging, Health Record, and Artificial Intelligence: Hype or Hope? Curr Cardiol Rep 20:48, 2018CrossRefPubMed Mazzanti M, Shirka E, Gjergo H, Hasimi E: Imaging, Health Record, and Artificial Intelligence: Hype or Hope? Curr Cardiol Rep 20:48, 2018CrossRefPubMed
42.
go back to reference Langlotz CP, Allen B, Erickson BJ, Kalpathy-Cramer J, Bigelow K, Cook TS, Flanders AE, Lungren MP, Mendelson DS, Rudie JD, Wang G, Kandarps K: A Roadmap for Foundational Research on Artificial Intelligence in Medical Imaging: From the 2018 NIH/RSNA/ACR/The Academy Workshop. Radiology 291:781–791, 2019CrossRefPubMed Langlotz CP, Allen B, Erickson BJ, Kalpathy-Cramer J, Bigelow K, Cook TS, Flanders AE, Lungren MP, Mendelson DS, Rudie JD, Wang G, Kandarps K: A Roadmap for Foundational Research on Artificial Intelligence in Medical Imaging: From the 2018 NIH/RSNA/ACR/The Academy Workshop. Radiology 291:781–791, 2019CrossRefPubMed
43.
go back to reference Brinker TJ, Hekler A, Enk AH, Klode J, Hauschild A, Berking C, Schilling B, Haferkamp S, Schadendorf D, Fröhling S, Utikal JS, von Kalle C, Collaborators: A convolutional neural network trained with dermoscopic images performed on par with 145 dermatologists in a clinical melanoma image classification task. Eur J Cancer:148–154, 2019 Brinker TJ, Hekler A, Enk AH, Klode J, Hauschild A, Berking C, Schilling B, Haferkamp S, Schadendorf D, Fröhling S, Utikal JS, von Kalle C, Collaborators: A convolutional neural network trained with dermoscopic images performed on par with 145 dermatologists in a clinical melanoma image classification task. Eur J Cancer:148–154, 2019
44.
go back to reference Lu W, Tong Y, Yu Y, Xing Y, Chen C, Shen Y: Applications of Artificial Intelligence in Ophthalmology: General Overview. J Opt 19(2018):5278196, 2018 Lu W, Tong Y, Yu Y, Xing Y, Chen C, Shen Y: Applications of Artificial Intelligence in Ophthalmology: General Overview. J Opt 19(2018):5278196, 2018
45.
go back to reference Olsen TG, Jackson HB, Feeser TA, Kent MN, Moad JC, Krishnamurthy S, Lunsford DD, Soans RE: Diagnostic Performance of Deep Learning Algorithms Applied to Three Common Diagnoses in Dermatopathology. J Pathol Inform 9:32, 2018CrossRefPubMedPubMedCentral Olsen TG, Jackson HB, Feeser TA, Kent MN, Moad JC, Krishnamurthy S, Lunsford DD, Soans RE: Diagnostic Performance of Deep Learning Algorithms Applied to Three Common Diagnoses in Dermatopathology. J Pathol Inform 9:32, 2018CrossRefPubMedPubMedCentral
46.
go back to reference Liu Z, Wang S, Dong D, Wei J, Fang C, Zhou X, Sun K, Li L, Li B, Wang M, Tian J: The Applications of Radiomics in Precision Diagnosis and Treatment of Oncology: Opportunities and Challenges. Theranostics 9:1303–1322, 2019CrossRefPubMedPubMedCentral Liu Z, Wang S, Dong D, Wei J, Fang C, Zhou X, Sun K, Li L, Li B, Wang M, Tian J: The Applications of Radiomics in Precision Diagnosis and Treatment of Oncology: Opportunities and Challenges. Theranostics 9:1303–1322, 2019CrossRefPubMedPubMedCentral
49.
go back to reference Rodriguez-Palmoares JF, Fernandez MAG, Cosials JB: Integrating Multimodal Imaging in Clinical Practice: The Importance of a Multidisciplinary Approach. Rev Esp Cardiol 69:477–479, 2016CrossRef Rodriguez-Palmoares JF, Fernandez MAG, Cosials JB: Integrating Multimodal Imaging in Clinical Practice: The Importance of a Multidisciplinary Approach. Rev Esp Cardiol 69:477–479, 2016CrossRef
50.
go back to reference Jones S, Cournane S, Sheehy N, Hederman L: A business analytics software tool for monitoring and predicting radiology throughput performance. J Digit Imaging 29:645–653, 2016CrossRefPubMedPubMedCentral Jones S, Cournane S, Sheehy N, Hederman L: A business analytics software tool for monitoring and predicting radiology throughput performance. J Digit Imaging 29:645–653, 2016CrossRefPubMedPubMedCentral
51.
go back to reference Rubin DL: Informatics in Radiology: Measuring and Improving Quality in Radiology: Meeting the Challenge with Informatics. Radiographics 31:1511–1527, 2011CrossRefPubMed Rubin DL: Informatics in Radiology: Measuring and Improving Quality in Radiology: Meeting the Challenge with Informatics. Radiographics 31:1511–1527, 2011CrossRefPubMed
52.
go back to reference Zwank MD, Gordon BD, Truman SM: Refining the Wild Wild West of Point-of-Care Ultrasound at an Academic Community Hospital. J Am Coll Radiol 14:1574–1577, 2017CrossRefPubMed Zwank MD, Gordon BD, Truman SM: Refining the Wild Wild West of Point-of-Care Ultrasound at an Academic Community Hospital. J Am Coll Radiol 14:1574–1577, 2017CrossRefPubMed
53.
go back to reference Choudhri AF, Chatterjee AR, Javan R, Radvany MG, Shih G: Security Issues for Mobile Medical Imaging: A Primer. Radiographics 35:1814–1824, 2015CrossRefPubMed Choudhri AF, Chatterjee AR, Javan R, Radvany MG, Shih G: Security Issues for Mobile Medical Imaging: A Primer. Radiographics 35:1814–1824, 2015CrossRefPubMed
57.
go back to reference Kim J, Lee Y, Lim S, Kim JH, Lee B, Lee J-H: What Clinical Information is Value to Doctors using mobile electronic records and when? J Med Internet Res 19:e340, 2017CrossRefPubMedPubMedCentral Kim J, Lee Y, Lim S, Kim JH, Lee B, Lee J-H: What Clinical Information is Value to Doctors using mobile electronic records and when? J Med Internet Res 19:e340, 2017CrossRefPubMedPubMedCentral
58.
go back to reference Vetter SY, Schuler S, Hackbusch M, Muller M, Swartman B, Schnetzke M, Grutzner PA, Franke J: Tablets for image review and communication in daily routine of orthopedic surgeons – an evaluation study. J Digit Imaging 31:74–83, 2018CrossRefPubMed Vetter SY, Schuler S, Hackbusch M, Muller M, Swartman B, Schnetzke M, Grutzner PA, Franke J: Tablets for image review and communication in daily routine of orthopedic surgeons – an evaluation study. J Digit Imaging 31:74–83, 2018CrossRefPubMed
59.
go back to reference Vreeland A, Persons KR, Primo HR, Bishop M, Garriott KM, Doyle MK, Silver E, Brown DM, Bashall C: Considerations for Exchanging and Sharing Medical Images for Improved Collaboration and Patient Care: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:547–558, 2016CrossRefPubMedPubMedCentral Vreeland A, Persons KR, Primo HR, Bishop M, Garriott KM, Doyle MK, Silver E, Brown DM, Bashall C: Considerations for Exchanging and Sharing Medical Images for Improved Collaboration and Patient Care: HIMSS-SIIM Collaborative White Paper. J Digit Imaging 29:547–558, 2016CrossRefPubMedPubMedCentral
60.
go back to reference Greco G, Patel AS, Lewis SC, Shi W, Rasul R, Torosyan M, Erickson BJ, Hiremath A, Moskowitz AJ, Wm T, Siegel EL, Arenson RL, Mendelson DS: Patient-directed internet-based medical image exchange: experience from an initial multicenter implementation. Acad Radiol 23:237–244, 2016CrossRefPubMed Greco G, Patel AS, Lewis SC, Shi W, Rasul R, Torosyan M, Erickson BJ, Hiremath A, Moskowitz AJ, Wm T, Siegel EL, Arenson RL, Mendelson DS: Patient-directed internet-based medical image exchange: experience from an initial multicenter implementation. Acad Radiol 23:237–244, 2016CrossRefPubMed
61.
go back to reference Carr CM, Gilman CS, Krywko DM, Moore HE, Walker BJ, Saef SH: Observational study and estimate of cost savings from use of a health information exchange in an academic emergency department. J Emerg Med 46:250–256, 2014CrossRefPubMed Carr CM, Gilman CS, Krywko DM, Moore HE, Walker BJ, Saef SH: Observational study and estimate of cost savings from use of a health information exchange in an academic emergency department. J Emerg Med 46:250–256, 2014CrossRefPubMed
62.
go back to reference Vest JR, Jung HY, Ostrovsky A, Das LT, McGinty GB: Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis. J Am Coll Radiol 12(12 Pt B):1371–79.e3, 2015CrossRefPubMedPubMedCentral Vest JR, Jung HY, Ostrovsky A, Das LT, McGinty GB: Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis. J Am Coll Radiol 12(12 Pt B):1371–79.e3, 2015CrossRefPubMedPubMedCentral
64.
66.
go back to reference Williams PA, Woodward AJ: Cybersecurity vulnerabilities in medical devices: a complex environment and multifaceted problem. Med Devices (Auckl) 20(8):305–316, 2015 Williams PA, Woodward AJ: Cybersecurity vulnerabilities in medical devices: a complex environment and multifaceted problem. Med Devices (Auckl) 20(8):305–316, 2015
68.
go back to reference Kruse CS, Frederick B, Jacobson T, Monticone DK: Cybersecurity in healthcare: A systematic review of modern threats and trends. Technol Health Care 25:1–10, 2017CrossRefPubMed Kruse CS, Frederick B, Jacobson T, Monticone DK: Cybersecurity in healthcare: A systematic review of modern threats and trends. Technol Health Care 25:1–10, 2017CrossRefPubMed
69.
go back to reference Moses V, Korah I: Lack of security of networked medical equipment in radiology. AJR Am J Roentgenol 204:343–353, 2015CrossRefPubMed Moses V, Korah I: Lack of security of networked medical equipment in radiology. AJR Am J Roentgenol 204:343–353, 2015CrossRefPubMed
73.
go back to reference Argaw ST, Bempong NE, Eshaya-Chauvin B, Flahault A: The state of research on cyberattacks against hospitals and available best practice recommendations: a scoping review. BMC Med Decis Inform Mak 19:10, 2019CrossRef Argaw ST, Bempong NE, Eshaya-Chauvin B, Flahault A: The state of research on cyberattacks against hospitals and available best practice recommendations: a scoping review. BMC Med Decis Inform Mak 19:10, 2019CrossRef
75.
go back to reference Campbell N: Managing to Succeed: Radiology’s Cybersecurity. Landscape 19:8, 2018 Campbell N: Managing to Succeed: Radiology’s Cybersecurity. Landscape 19:8, 2018
Metadata
Title
The Enterprise Imaging Value Proposition
Author
Cheryl A. Petersilge
Publication date
01-02-2020
Publisher
Springer International Publishing
Keyword
Care
Published in
Journal of Imaging Informatics in Medicine / Issue 1/2020
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI
https://doi.org/10.1007/s10278-019-00293-1

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