Release Notes. Release Version LUMINARY

Transcription

1 Release Notes Release Version LUMINARY

2 MagView Luminary Release Notes MAGVIEW UPDATE This document includes information about MagView Luminary, and the major changes which have been incorporated since the release of MagView 7.2. This document does not reference each minor change or correction which has been made. However, each change that represents a potential workflow enhancement, radiologist or technologist workflow change, or significant new option is included. New software modules available for purchase to supplement the MagView system are also included in this document. HOW TO UPDATE For most sites, we recommend that you contact the MagView support department to schedule a Managed Update. Following are necessary steps that are recommended before any MagView production environment is updated: 1. Review release notes and other appropriate documentation. 2. Confirm and verify that regular back ups of the MagView system and database, including all sub folders are being performed. 3. Coordinate with your staff for one to two hours of application and interface downtime. 4. Confirm that workflow tests have been performed in your test MagView system, and that all changes have been reviewed, tested, confirmed, and documented. 5. Confirm with the facility s internal administration that this update has been approved. ** In the event of an unforeseen complication resulting from this update, an administrator will be notified by MagView staff, and the application will be rolled back to the most recent data backup. No changes will be made after the data back up is saved. MANAGED UPDATE There are many benefits to having MagView workflow experts, project managers and technical resources working directly with you and your staff to prepare them for an upgrade to MagView. Reviewing new features and options with workflow experts can help you make the best decisions on what changes to make to take full advantage of the features that can add value and efficiency to your current workflow. Project management can help organize training sessions that would best suit your workflow based on your needs and personnel. MagView technical resources will be available to help you with a fast turnaround for any feature requests that your may need while reviewing new features and options. Please contact MagView customer service assistance at ext. 100 to arrange for a Managed MagView Updated Onsite Plan. 2

3 SYSTEM REQUIREMENTS For full system requirements, please visit MagView.com/hardware. The following hardware requirements apply to file / application servers. A dedicated server is recommended. The use of a single workstation as the server is not recommended. Operating System Processor Supported Windows 2008 Server R2 Windows Server 2012 Windows Server 2012 R2 Windows Server 2016 Intel 2GHz 2 CPU cores Equivalent AMD Recommended Windows Server 2012 R2 Windows Server 2016 Memory 4 GB 8 GB, or more Storage SQL Version (if applicable) 40 GB System Drive 40 GB Data Drive 20 GB Log Drive See Storage Requirements below for data growth Microsoft SQL Server 2008 R2 Microsoft SQL Server 2012 R2 Microsoft SQL Server 2014 R2 Microsoft SQL Server x Intel 2GHz 2 CPU cores, or higher Equivalent AMD 40 GB System Drive 100+ GB Data Drive 40 GB LOG Drive See Storage Requirements for data growth Microsoft SQL Server 2014 Microsoft SQL Server 2016 Network 100 Mbit w/ use of thin client 1000 Mbit, or above Thin Client Platforms Virtualization Citrix XenApp Microsoft Remote Desktop VMWare Microsoft Hypervisor Citrix XenApp VMWare We recommend following VMWare s best practices for installing an SQL server in a virtual environment. 3

4 PRE REQUISITES DATA BACK UP AND ANTI VIRUS. We require a back-up device or back-up system for the daily back-up of the system database. The capacity for the back-up system should be sufficient to back-up all data and configuration files. Typically, MagView recommends the back-up of the entire directory and all subdirectories. Failure to appropriately back-up the database may result in unrecoverable data loss. Developing, implementing, testing and monitoring the backup process is the sole responsibility of the customer. MagView recommends daily incremental as well as full weekly backups. MagView also recommends quarterly testing of the restore process to validate that the data is being properly backed up. Additionally, anti-virus programs, especially those employing active scan technologies, have been known to interfere with or interrupt the workflow of users as they are using MagView. For this reason, MagView recommends that the system directory and all subdirectories be excluded from virus scan routines. UPTIME MONITORING. We recommend using our uptime monitoring utility. MagTAC is our interface and service monitoring system. If MagTAC detects a potential interruption in any monitored service, it will warn the support department while running a diagnostic and recovery program. In the event that MagTAC fails to correct the issue, the warning for support becomes critical and a support specialist is assigned to manually intervene. 4

5 General Notes APPLICATION AREA VERSION DESCRIPTION GENERAL 1. User Interface Luminary MagView Luminary has a new user interface that updates the look and feel of the main screen and the QuickLink shortcut icons that allows each user to customize MagView based on the functions they perform most often. 2. Credential Management Module Luminary This module allows for ease of tracking credentials for your staff. 3. Worklist Luminary The Worklist Print Report now respects the selected Worklist filter. Radiologists are now able to see when another radiologist is viewing a patient from the MagView Worklist. This helps to prevent radiologists from reporting on the same exam when reading from a shared Worklist. The Worklist Selection dropdown is now wider and easier to read. 4. Login Screen Luminary A new prompt allows you to invalidate multiple users logging in. 5. Risk Support Luminary Support for the updated Tyrer-Cuzik version 8 risk model is now included. 6. Configure Procedure Screen Luminary Users are no longer allowed to create duplicate procedure codes when using the Copy to New feature. 7. Merging Patients Luminary Merging Patients performance is improved. 8. NMD 3.0 Submission 7.2 In support of the changes to the National Mammography Database that coincide with the release of the 5 th Edition of the ACR s BI-RADS Atlas, MagView has been updated to support exporting data to the National Mammography database in the latest format. 5

6 GENERAL 9. Automated Printing 7.2 A new user interface has been added to allow administrative users to easily configure and manage MagView automated letter printing. 10. Darkroom Display Mode 7.2 Users can now enable or disable Darkroom Mode for their personal MagView session from the MagView user preferences menu. This mode darkens all elements of the MagView for easy reading in a dark room environment. Default Behavior 11. Window Size and Position Persistence 7.2 MagView will now remember the size and position of the application window, and will open to the same position when re launching the application. This makes it easier for users having multiple windows open at the same time. Default Behavior 12. MagTAC 7.2 Real time monitoring of the MagView application, interfaces, and background and maintenance processes. If any potential problem is detected, MagTAC will perform diagnostic tests and issue an alert to the MagView Support department. This allows MagView support to proactively respond to problems and in some cases, prevent problems before they occur. For more information, please contact the MagView Support Department. 13. Enhanced Patient Portal 7.2 MagView Patient Portal has an updated look and feel for easier more intuitive use by patients. Default Behavior 14. Configuration Screens 7.2 User-friendly configuration screens for; film comparison options, report layout, and MagView Patient Portal settings. 6

7 CLARITY SYSTEM REPORTS 15. Clarity Reporting v2 Luminary Several significant enhancements have been added to the new Clarity Reporting system. Clarity Reporting is your data, organized in a way that helps you understand it better, and answer the big questions quickly and easily. A leap forward in the system reporting toolset, the Clarity Reporting platform will enable users to more easily get the information they want out of their system. Generate reports off-line reports when finished Recently generated reports Reporting Analysis and Recommendations Reporting Profiles 16. Quality Assurance Reports Luminary The MagView Quality Assurance reports have been enhanced to provide groups with more focused information that is relevant in assessing radiologist performance and measuring quality assurance for the group. Quality Assurance Summary report Quality Assurance Worksheet Quality Assurance Positive Screening Outcomes Quality Assurance Quality Analysis For more information, please contact the MagView Support Department. 17. NQMBC Report Enhancements FOLLOW UP and TRACKING 7.2 MagView has updated queries for the NQMBC reports based on updated requirements published by the NCOBC. For more information, please contact the MagView Support Department. For more information, please contact the MagView Support Department. 18. Patient Portal Electronic Acknowledgement Luminary An issue was corrected which caused an extra letter to be printed in the patient notification batch in certain conditions, if a patient failed to acknowledge the electronic letter in the MagView Patient Portal. This issue only affects customers using the Patient Portal. For more information, please contact the MagView Support Department. 19. Report Extraction Screen Luminary A modality filter to the Report Extraction Screen has been added. Users are now able to change the radiologist in certain conditions on the Report Extraction Screen. For more information, please contact the MagView Support Department. 7

8 RADIOLOGIST WORKFLOW 20. Support for Hologic SecureView Version 10, 3 rd party mark as read Luminary MagView supports the Hologic mark as read functionality. This capability allows MagView to trigger the Hologic SecureView to flag exams as read For more information contact your MagView or Hologic representative. For more information, please contact the MagView Support Department. 21. Live Retrieve Luminary A new feature has been added that allows users to request prior images from a PACS archive be sent to the reading station. For more information, please contact the MagView Support Department. 22. Film Comparison Luminary Functionality has changed to retain film comparisons when deleting all findings from a report on the Findings tab. 23. Dragon Report Layout Luminary Enhanced report layout features for users of Dragon voice recognition have been added. You can now define separate sections and populate default values into sections when using the Dictate VR feature. 24. PowerScribe 360 Integration 25. BI-RADS 5th edition Ultrasound Tissue Density Additions Luminary Luminary A study save trigger point for MagView to send data elements to PowerScribe 360 (PS360) custom fields has been added. This allows better PS360 integration for radiologists that never touch MagView. Screening ultrasound tissue composition values have been added to standard MagView lexicon. Homogeneous background echotexture fat Homogeneous background echotexture fibroglandular Heterogeneous background echotexture 26. M*Modal Fluency Integration 7.2 MagView is now fully integrated with the M*Modal Fluency voice recognition system. This allows Radiologists to use Fluency to dictate findings, BI RADS, and other reports from within MagView. 8

9 RADIOLOGIST WORKFLOW 27. Learning Worklist 7.2 This feature provides each radiologist with a worklist of their own recent screening and diagnostic positive cases. The radiologist can review these cases as a learning tool to help improve patient outcomes. 28. Reporting Templates Multiple Biopsy Sites TECHNOLOGIST WORKFLOW 7.2 Report Templates have been expanded and refined to allow for easier reporting of multiple biopsy sites. This also includes the ability to select no site for the report, and more control over the format of the report. 29. Patient Breast Diagram Tool Luminary A new Patient Breast Diagram Tool in now available. This new tool allows users to save discrete information about each marking on the diagram. 30. Study Screen Luminary If the user changes laterality of the procedure, the module functionality now prevents the reapplication of default views. The ability to turn off spell checking in technologist comment fields while leaving spell check on for other users has been added. The ability for a user to print the referring physician report on demand from the Letter button on the studies tab has also been added. 31. EQUIP 7.2 In response to new FDA requirements, MagView has introduced the MagView EQUIP Module. EQUIP can help facilities comply with the new FDA requirements with features such as the Image Review Worklist allows radiologists to review sample images to indicate corrective action, Corrective Action Worklist allows technologists to review films selected for corrective action and document the appropriate corrective action, and Compliance Report allows the lead interpreting physician to report on the image review and corrective action for a date range as required by the EQUIP program. 9

10 PATHOLOGY 32. Pathology Screen Luminary The MagView Pathology Screen has been redesigned from the ground up to make input and display of pathology data simple and efficient. Now, the user can see reports and make selections simultaneously (with a pathology system interface, only). Additionally, the fields have been reorganized and grouped for easier navigation. Certain valid entries in the Estrogen Receptor and Progesterone Receptor fields on the Hormone tab of the Pathology screen are no longer prevented. Default Behavior 33. Pathology Completeness 7.2 The Pathology Screen now includes a feature for Pathology Completeness. This will allow users to quickly and easily ascertain the completeness of the pathology data entry as it pertains to the requirements of MQSA and other certifications (NCoBC NQMBC, ACR Breast Centers of Excellence, etc.). Simply check the programs you want to require, and MagView will automatically identify and require fields that are missing. Default Behavior 34. Pathology Worklist Filter by Location 7.2 Users can now filter the Pathology Worklist by location. RADIOLOGIST REPORTING 35. MRI Reporting Enhancements 7.2 MRI reporting templates have new features and expanded configurability for BPE, Tissue Density, Kinetics, and report verbiage. Default Behavior 36. More Change in Finding Options 7.2 You are now able to create custom Change in Findings selections that are available when a Negative assessment is selected. 37. Quick View Reports 7.2 Reports that have come from outside systems can now be seen using the Quick View icon on the Findings screen. Default Behavior 38. Clear Reports On Hold 7.2 It is now easier to clear a report template that has been placed on hold. Default Behavior 10

11 SYSTEM REPORTS 39. Scheduled Report Generation 7.2 Users can now generate reports in the background. Compared to traditional report generation, this saves time by combining processes. 40. MIPS 7.2 MIPS is now integrated within MagView. 41. NAPBC Report Enhancements 7.2 The NAPBC Report includes 2 new measures. The first measure for axillary sentinel lymph node biopsies for patients with early stage breast cancer. The second is for palpation-guided or image-guided needle biopsies. 42. QA Screening PPV 7.2 PPV and BI-RADS 3 measures are available on screening audit reports. 43. BIRADS Category Text 7.2 BI-RADS category default text has been updated based on recommendations from BI-RADS 5th Edition, these can be changed on the Advanced System Options screen. HARDWARE 44. TechPad 7.2 MagView TechPad is our new breast center workflow management solution. MagView s 25 years of experience are leveraged to enable you and your staff to benefit from the best ideas in workflow management from across the country. Breast center managers and staff know how what they do is different; and the MagView TechPad delivers an end-to-end package for department workflow. 11

12 Expanded Notes 1. New User Interface MagView Luminary has a new user interface with and updated look and feel of the main screen. QuickLink shortcut icons now allow each user to customize MagView based on the functions they perform most often. Features Include: Expanded support for larger screen resolution with different application window sizes and responsive screens Several new QuickLink options that can be used to customize the MagView main window Several Screens, including preview screens, increased in size as part of the new look and feel making MagView more easy to read 2. Credential Management Module Enhanced existing CME module with new features. Features Include: Added ability to track multiple credential types with varying expiration dates Run or schedule a report that lets you keep your team on track Note: The Credential Management Module is an optional module. For more information, please contact your MagView Account Manager. 12

13 10. Darkroom Display Mode Users can now activate Darkroom Mode directly from the MagView application. This mode darkens all elements of the MagView for easy reading in a dark room environment. 12. MagTAC MagTAC is our interface and service monitoring system. If MagTAC detects a potential interruption in any monitored service, it will warn the support department while running a diagnostic and recovery program. In the event that MagTAC fails to correct the issue, the warning for support becomes critical and a support specialist is assigned to manually intervene. MagTAC is installed and supporting 1000 s of users, and allows support to address problems often times in advance to the symptoms being identified by end users. Implementation of this feature only requires server access to an internet browser and involves no associated system downtime. Additionally, MagTAC requires.net Framework 4.5 (Windows Server 2008 or later) and the ability to access com from the MagView server(s). Any server that meets the minimum MagView requirements can run MagTAC as well given it meets the above. MagTAC requires that there be an account with local administrative permissions on all servers that host MagView applications. We most likely already have this, as this is part of the MagView support requirements. 13

14 13. Enhanced Patient Portal Note: The Enhanced Patient Portal is an optional module. For more information, please contact your MagView Account Manager. The existing Patient Portal has been enhanced with new features. MagView s Patient Results Portal provides a cost effective alternative to printing and mailing letters to patients. Instead, your patients receive a personalized from your center with a link to a secure, HIPAA-compliant patient portal on your group s web site. The MagView Patient Results Portal provides an added layer of legal documentation by logging the date and time when a patient retrieves her letter(s). In addition, the MagView Patient Results Portal automatically generates printed letters after a chosen number of days for any patient who fails to retrieve her results from the Patient Results Portal. 15. Clarity Reporting v2 Several significant enhancements have been added to the new Clarity Reporting system. Clarity Reporting is your data, organized in a way that helps you understand it better, and answer the big questions quickly and easily. A leap forward in the system reporting toolset, the Clarity Reporting platform will enable users to more easily get the information they want out of their system. Features Include: Generate Reports Off-line Now allows you to generate reports in the background. Freeing you to do other things while your report is generating. Reports When Finished Now allows you to generate reports in the background and receive an once the report is finished. You also have the option of receiving the report and sub reports in your inbox. Recently Generated Reports Now has a new area that shows you reports that have been recently run which makes them easier to find. Reporting Analysis and Recommendations A new feature that guides which reports we recommend being run and at what occurrence. This will develop as a proactive area to guide customers to possible problem areas. This area will also allow users to run the reports we recommend with a single click. Reporting Profiles Generate reports with one click, and eliminate confusion based on having to remember all the report options you selected before. You can setup complex reports and never have to set those options again by saving them to profiles. 14

15 16. Quality Assurance Reports The MagView Quality Assurance reports have been enhanced to provide groups with more focused information that is relevant in assessing radiologist performance and measuring quality assurance for the group. Features Include: Quality Assurance Summary Report The MagView Quality Assurance Summary sub report has been redesigned and enhanced to provide a better focus and clear picture of your screening data. Key features of the new MagView Quality Assurance Summary report include the following: The report now has a new focus on the key screening metrics; BCSC & NMD columns have been added for comparison; Expanded Criteria* shows where you are meeting ACR guidelines or the new expanded guidelines provided by a key study on Rad performance; The report profile name is saved on the report for ease of seeing the options and re running the report; The report has been updated with a new colorful look and feel along with an image logo ability; MagView QA now has a smart date display where it will display the date in a more natural form; BI-RADS Fifth measures have been added to the report for review and comparison Quality Assurance Worksheet The MagView Quality Assurance Worksheet sub-report has been added to provide clarity on how the screening QA metrics and calculations are derived. This report allows more drill down into the data that is presented. Key features of the new MagView Quality Assurance Worksheet include the following: New column-based totaling allows for ease of following the calculation totals; Outcome call-outs have been added as well to deliver more information inline about outcomes; Easy illustration of FP1, 2 and 3 and where the numbers are derived Quality Assurance Positive Screening Outcomes The MagView Quality Assurance Positive Screening Outcomes sub report has been added to provide clarity on the outcomes of the positive cases of the screening QA metrics and calculations. Key features of the new MagView Quality Assurance Positive Screening Outcomes report include the following: New column based totaling allows for ease of following calculations; Screening outcomes have been added for ease in seeing inline the outcome data of the positive cases; Includes follow up status and details inline of positive cases Quality Assurance Quality Analysis The MagView Quality Assurance sub-report has been added to provide radiologists their metrics in a way that is actionable. Key features of the new MagView Quality Assurance Worksheet include the following: Plots BCSC and ACR data points along with the ACR zone of acceptability so radiologists can quickly see where they are against those points/zones; PPV versus Abnormal interpretation rates are plotted on graph along with the cancer detection rate being charted as well; Plots the Expanded Zone* on the graph for easy comparison in order for radiologists to evaluate their performance *Expanded Criteria Study: Criteria for Identifying Radiologists with acceptable screening mammography interpretive performance on basis of multiple performance measures 15

16 21. Live Retrieve Images View Station MagView Workstation Live Retrieve Engine Note: The Live Retrieve Module is an optional module. For more information, please contact your MagView Account Manager. PACS Live Request C-Move Request MagView Live Retrieve allows the radiologist to retrieve images to their reading workstation from PACS storage based on a patient that is selected in MagView. This helps the radiologist work more efficiently when images for a case they are reading are not available on their reading workstation for any reason. Features Include: Compatible with most PACS systems Works in mixed vendor environments Configurable to a single workstation or all viewing workstations at a location Custom routing rules available 27. Learning Worklist The MagView Learning Worklist feature provides each radiologist with a worklist of their own screening and diagnostic positive cases which have recently been followed-up, and where the outcome is now known based on a diagnostic exam or biopsy result. The radiologist can review the initial imaging and report, then review the subsequent imaging or pathology result to critique the false positive or reinforce the true positive case. The MagView Learning Worklist provides the radiologist with a source of continuous feedback from which they can improve their confidence when calling patients back, or deciding that they do not need to call the patient back. Benefits Include: Improving patient outcomes Increasing radiologist confidence Allowing radiologists to optionally review other cases from the group (Share feature) Allowing radiologists to predict, and then review the outcome (Blind Review feature) Optional integration with ACR RadPeer Note: The Learning Worklist is an optional module. For more information, please contact your MagView Account Manager. 16

17 29. Patient Breast Diagram Tool A new Patient Breast Diagram Tool is now available. This new tool allows users to save discreet information about each marking on the diagram. Features Include: Pre defined shapes for various markers (lump, pain, mole, etc.) Ability to define markings as persistent so they are pulled forward from prior years Ability to make comments about markings Drag and drop style user interface Scar drawing tool Note: The Patient Breast Diagram Tool is optional. For more information, please contact your MagView Account Manager. 31. EQUIP In response to new FDA requirements, MagView has introduced the MagView EQUIP Module. Features Include: Image Review Worklist allows radiologists to review sample images to indicate corrective action Corrective Action Worklist allows technologists to review films selected for corrective action and document the appropriate corrective action Compliance Report allows the lead interpreting physician to report on the image review and corrective action for a date range as required by the EQUIP program Benefits Include: An efficient review workflow Improved image quality Compliance with the FDA EQUIP program Saves time for radiologists and technologists Includes tools for the Lead Interpreting Physician Note: EQUIP is an optional module. For more information, please contact your MagView Account Manager. 17

18 32. Pathology Screen The MagView Pathology Screen has been redesigned from the ground up to make the input and display of pathology data simple and efficient. Now, the user can see reports and make selections from within one screen (with a pathology system interface, only). Additionally, the fields have been organized and grouped for easy navigation. The Invasion modifiers have been updated to be consistent with the latest version of the BIRADS Atlas. 33. Pathology Completeness The Pathology Screen includes a new feature for Pathology Completeness. This will allow users to quickly and easily ascertain the completeness of the pathology data entry as it pertains to the requirements of MQSA and other certifications (NCoBC NQMBC, ACR Breast Centers of Excellence, etc.). Simply check the programs you want to require, and MagView will automatically identify and require fields that are missing for those programs. 18

19 40. MIPS Tools The MagView MIPS Module allows you to participate in the CMS Physician Quality Reporting System (PQRS) to avoid reimbursement penalties, and qualify for increased quality tiered payment adjustments. In most cases, participation in MIPS can be achieved based on data which is already being captured in MagView. For example, reportable Quality Measures include the following: Cancer detection rate Recall rate Positive predictive value Report turnaround time Maintaining a reminder system for mammograms Inappropriate use of the BI-RADS Category 3 assessment at screening Biopsy follow-up results with the patient and referring physician These and other measures that qualify for the QCDR and MIPS are calculated by MagView, and can be submitted to the appropriate data registries to qualify for participation and quality incentives. Note: MIPS is an optional module. For more information, please contact your MagView Account Manager 44. TechPad Implementation of the MagView TechPad will enhance the patient experience based on several factors: Patient perception Utilization of the MagView TechPad will show the patient that your facility employs leading edge technology tools to provide the best patient care. Less patient wait time The MagView TechPad allows the technologist to spend time directly reviewing patient history with the patient. Increased patient engagement Technologists can show the tablet screen directly to the patient, allowing them to review and verify information directly. An improved patient experience is likely to result in increased patient volumes and revenue. Note: TechPad is an optional module. For more information, please contact your MagView Account Manager. 19