Enterprise XDS based VNA

Transcription

1 GE Healthcare Enterprise XDS based VNA Enterprise medical document and image management that unifies patient images and documents across the care continuum and helps support clinical workflows. Stefan Bei der Kellen, PhD Global Product Manager Centricity Clinical GE Healthcare IT

2 2013 General Electric Company All rights reserved. General Electric reserves the right to make changes in specifications and features shown herein, or discontinue the product or service described at any time, without notice or obligation. 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 VNA benefits compared to PACS Enhance business continuity High availability and disaster recovery Reduce storage costs Intelligent management of storage costs in a clinically relevant matter Reduce migration costs Reducing the cost of data migration when switching the software product Enable image sharing DICOM image distribution Enable non-image sharing Enterprise-wide integration of nonimage data and non-dicom image data Source: 3

4 A multi-level VNA adoption model Departmental DICOM Enterprise DICOM Multi-PACS, cardiology Enterprise Multi-specialty Connecting to ologies, enterprise registry Multi-institution Patient Information Management Multi-PID, patient consent, gateway to image exchange Level 1 (DICOM) Independence of PACS application Level 2 (DICOM) Imaging consolidation across enterprise Level 3 (+XDS) Enterprise-wide clinical data consolidation Level 4 (+XDS) Cross-enterprise patient repository & sharing Scalable and Standards Compliant Prepare for the next level 4

5 VNA design principle: neutrality Application Neutrality (DICOM, HL7, IHE) Leverage healthcare interoperability standards Obtain information from departmental systems through standards based interfaces: DICOM, HL7, IHE XDS Access information from the VNA through standards based interfaces: DICOM, IHE XDS, WADO PACS/RIS Enterprise systems Departmental systems LAB DICOM, PDF, ECG, EEG, endoscopy, photos, Others HIS EMR IT Platform Neutrality (Storage, ization) Leverage the continuous improvement in infrastructure technology to lower cost Leverage standards-based storage interfaces Preserve your existing investment Format Neutrality (DICOM Part 10, CDA) Store information in native standardized format Reduce migration costs DICOM, HL7, IHE-XDS, WADO Application Neutral Format Neutral Enterprise XDS based VNA IT Platform Neutral Objects SAN CAS NAS 5

6 Image/non-image sharing needs Common challenges Variety of data formats Images, documents, videos Security and access control Across departments and facilities Multiple data models Different sets of terminology Limited accessibility No unified view of images and documents 6

7 Image/non-image sharing needs Common challenges Variety of data formats Images, documents, videos Security and access control Across departments and facilities Multiple data models Different sets of terminology Limited accessibility No unified view of images and documents How XDS can help: Native support for many different file formats DICOM, CDA, PDF, JPEG, and more Role-based access control and consent management Across departments and facilities Normalized coding schemes XDS metadata Patient centric model Central index, accessible anywhere 7

8 A patient centric approach for data consolidation and sharing Information Sharing Single interface to the EMR Single, multi-ology viewer ZFP: no download, browser agnostic, no admin rights Infrastructure Sharing Centralized information archive Information life cycle management Data security & access safeguards Scalable for future needs Disaster Recovery Other Radiology EMR Radiology Cardiology Cardiology Pathology Integrated multi-ology information viewer Enterprise XDS based VNA Pathology Visible Light Other Dermatology Specialized solution for department efficiency & productivity 8

9 Fast access to relevant information For Clinicians: Integrated IHE XDS/XDS-I Consumer optimized for large data sets Provides patient centric view Uses XDS metadata for navigation and filtering Displays DICOM and non-dicom information side-by-side Other requirements Zero footprint Web based without client-side installs Browser and OS agnostic EMR integration 9

10 Neutrality: standards-based access For clinicians and specialists: Vendor neutral access Multiple XDS / XDS-I Consumers can be used in parallel to access the patient centric record in the Enterprise XDS based VNA Clinicians Integrated XDS / XDS-I Consumer with zero-footprint client provided as part of the VNA Specialists XDS / XDS-I Consumer embedded in existing specialty applications, e.g. in RIS/PACS 10

11 Clinical workflow is collaborative Imaging Blood biomarkers Circulating tumor Surgery Interv l oncology Radiation Chemotherapy Radiologist Surgeon Oncologist Pathologist Oncologist Pathologist Surgeon Radiotherapist GP Radiologist Monitor Early detection Patient Treatment Diagnosis Staging GP Radiologist Referral Lab tests Imaging Pathologist Radiologist Oncologist Surgeon Imaging Lab tests Endoscopy Biopsy Pathologist Surgeon Nuc Med Radiologist Oncologist Imaging Lab tests Pathology 11

12 Supporting multi-specialty workflows Treating MD Radiology Treating MD Pathology Ward Order imaging Perform imaging Order biopsy Perform Biopsy MDT meeting Access patient history Access patient history Store report (CDA) and images (DICOM) Access results Access patient history Store report (PDF) and snap shot images (JPEG) Access results and patient history Other Enterprise XDS based VNA Radiology Cardiology Pathology Visible Light Other 12

13 VNA a Foundation for Collaborative Care Stroke Networks Breast screening Cross-site Reporting Web Workflow Engines Oncology Networks Referral GP Access Consolidates imaging Silos Builds Patient History Shares Clinical Information Enterprise XDS based VNA Radiology Cardiology Pathology Endoscopy Vis. Light Multiple sites Multiple sources Multiple vendors 13

14 Thank you.

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