High Performance Collaborative Care Centricity PACS-IW .../media/Downloads/us/Product... · Centricity Clinical Archive overviewDOC 3/14/2013 Gaps in dates identified Scaling features

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High Performance Collaborative Care Centricity PACS-IW Customer Webinar

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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


3/14/2013

Presenters – GE Healthcare IT

Dennis Schiraldi Field Marketing Manager

Lawrence White Sr. Region Product Marketing Manager

Rob Holguin DIAMOND Chair

GE Healthcare

Healthcare Business Challenges

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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

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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

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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…

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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 .

DOC 1238397

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

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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

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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

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GE Healthcare

Centricity PACS-IW with Universal Viewer Features overview

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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

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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

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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

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• 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

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On the fly PET 3D

reconstruction

On the fly CT-PET fusion

4 SUV units calculation

Launched in PACS hanging protocols

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Advanced applications Native PET/CT


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

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3/14/2013


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

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3/14/2013


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

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3/14/2013

Universal Viewer Intelligent productivity tools, smart reading protocols

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• 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


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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


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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:


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Learn

Step 3: Click Learn HP (Hanging Protocol) once Teaches the system your hanging preference for MR Lumbar Spine exams w/o contrast



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SRP applied – no adjustment needed!

Step 4: Open another MR Lumbar Spine w/o contrast


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


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

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3/14/2013

Dynamic usability Ergonomic, intuitive user interface

Lights On / Lights Off look and feel provides comfort in any light setting

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3/14/2013

Smaller Title Bar

Smaller viewport borders

Overlays off the images and out to

the viewport corners

Title Bar Navigation


Same main tool bar

throughout

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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

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Relevant studies identified by color and angled corner

Tool tips provide

additional information


3/14/2013

Bookmark drop down supports saving for Conference Display

Saving dialog appears to confirm

Right click to launch CDP


Conference Display Protocols

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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

GE Healthcare

GE Thought Leadership

DOC 1238397


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


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


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

[email protected]

Chairperson Elect

Kirk Siddell

PACS Administrator

California Diagnostic Imaging Center

[email protected]

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:

mailto:[email protected]




GE Healthcare

Q& A

Universal Viewer Specifications

Category Version Information

Universal Viewer Web Client

Diagnostic Use


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


Diagnostic Use


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

Documents

High Performance Collaborative Care Centricity PACS-IW .../media/Downloads/us/Product... · Centricity Clinical Archive overviewDOC 3/14/2013 Gaps in dates identified Scaling features