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What’s Imaging Got to Do with EMRs?

Posted on January 13, 2014 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

I’ll continue documenting my New Year’s resolution / Blue Button pledge journey next week so that this week I can share a recent interview I did with Yassin Sallam, National/International Sales Director at BRIT Systems. A Twitter encounter turned into a very interesting post-RSNA conversation about the evolving relationship between medical imaging and EMRs.

In our current world of increasing interoperability and patient engagement, how do medical imaging systems interact with today’s EMRs?
For several years, medical imaging systems have provided the ability to interact and launch from EMR portals. However, in many cases the set-up, maintenance and cost uplift requirements prohibits extension to the patient. At times, even simply extending access to trusted partners within a health system or medical community is cost prohibitive. Plus, IT organizations are concerned about the increased probability of security breaches when widely extending electronic access to patient information.

Today, medical images are readily accessible from EMRs via URL links. Different vendors implement different schemes for security, however, so the integration can still be time consuming and expensive.

The industry has certainly recognized room for improvement, namely via patient portals. In my experience, portals consistently make the list of top-five priorities a healthcare CIO seeks to address. The emphasis is often on scheduling, appointment confirmation, lab results, and radiology reports. Technology available today allows for cost effective, efficient and meaningful image enabling platforms.

What role do (and will) imaging systems play in HIEs?
There are approximately 217 HIE networks in the US, and they range in maturity and list of priorities. Image access is an inevitable value-add for these health networks. Whether a provider is looking to reduce cost, or a patient’s exposure to radiation; transfer a patient from one surgical team to another; provide access to a second opinion; expedite therapeutic decisions to shorten the length of stay; or better manage population demands, the availability of medical imaging is an important factor. Platform infrastructure and industry standards can achieve functional, cost effective interoperable imaging systems.

Creating image access and enabling interoperability with EMRs and other hospital IT systems is the foundation of browser-based solutions. BRIT Systems hopes to add to the momentum of representing images at the forefront of patient records with our interoperable solutions.

I’m intrigued by the article you sent me regarding the Radiolopolis Radiology Network. When I think of social networking in healthcare, radiology isn’t the first thing that comes to mind. Why do you think social networking can be a vital part of today’s community of radiology practitioners?
Radiologists work under the pressure of producing quick turnaround, high quality, concise and accurate reports based on what they see in images. The quality of the report may be perceived to rely solely on the words of the radiologist. Consideration should be given to the holistic workflow, which includes: the procedure ordered, at times by the referring physician with no consultation of a radiologist; equipment utilized; skill level of the technologist operating the equipment; quality of the hardware used by the radiologist to view the images; and THEN the words of the radiologist.

Radiologists practice in a wide range of environments. Most do not have the support of specialists or peer consultation accessible in the short timeframe needed to meet service-level agreements. Social media is an outlet, when configured by Radiolopolis, for purposes of a practicing radiologist, that can assist in higher confidence reporting.

Also, we’ve all seen those beautiful ultrasound baby pictures. They give a whole new meaning to baby’s first picture. Who wouldn’t want to share those friends and family?

Anatomy Eye Candy – Blausen

Posted on September 26, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’ve been following the progression of a company called Blausen for over a year now. Some of you might remember my post about the Blausen Medical Content Google Chrome Extension.

Previously, the home page of Blausen did little to illustrate the really amazing work they’d done creating various medical related animated videos. However, they’ve gone through a redesign that really captures the beauty of what they’ve created. If you enjoy amazing animations of anatomy and physiology, then you’ll really enjoy the Blausen videos.
Blausen Medical   Medical Animations
I’ll be interested to see what Blausen does with all of these videos. I’m still skeptical that this will work as a standalone website. I feel like it needs to be integrated with another product to be really valuable. With that said, I’m told that they’ve already had 2 million hits and 50,000 videos watched in last 30 days. So, maybe there is a business that can be built around high quality anatomy videos.

I’d be interested to hear what doctors think of these videos. Would you use them with your patients? Could these be useful in medical education?

iPad EMR Eases Doctors Concerns

Posted on October 27, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

At least the above is the title of the Information Week article on ClearPractice’s iPad EHR interface called Nimble. You might remember that I did a short review of the Nimble iPad EMR previously. I still stand by my comments of the Nimble iPad interface not being perfect for the iPad. The keyboard was clunky and slow to appear and the boxes were surprisingly small for a native iPad app.

Here’s the doctor in the article’s take on the iPad EMR:

Having a small office, there’s no space for a desktop in the exam rooms, so prior to recently using Nimble on the iPad, Dr. Lianna Lawson, a solo-practitioner, wheeled a laptop on cart to exam rooms.

“Laptops on carts — I don’t like that, it seems impersonal,” said Lawson, whose practice, Lawson Family Medicine and Aesthetics is based in Daleville, VA. Lawson has been using ClearPractice’s web-based EMR on a laptop for about a year. Lawson added Nimble to her practice in September.

Nimble running on the iPad, “has the feel of a [paper] chart,” Lawson. “Many doctors are traditionalists, so the comfort level with technology is difficult,” she said. “But for physicians not particularly tech savvy or reluctant of about how they’ll meet the meaningful use requirements, this gives a little more comfort and confidence,” she said.

It’s true that laptops on carts are a mess. As I recently argued in a post on healthcare mobile devices, the iPad does seem to have the right size and feel. That combined with the 3G connection helps to change the game. Although, I think we’re going to see more devices that build on top of the iPad’s innovations and provide an even better user experience for doctors.

Here’s another quote from the Doctor about the use of the Nimble iPad EMR:

Now Lawson said she brings the iPad with her wherever she goes, responding to patients “24 by 7,” when they have questions over weekends, or other after-hour concerns. In the office, she can use Nimble “while scooting around” in her exam rooms caring for patients.

There’s been other surprise perks to using the iPad-based product, namely engaging patients while using the EMR, she said. “I didn’t expect this to be the result, but patients can see” and talk about what’s on the EMR as she uses the iPad near them. The interactions can help in building a more solid dialogue between physician and patient — and can even help make records more accurate.

While Lawson was using the iPad during a patient exam recently, the patient saw that an entry on the list of medications in her health record was incorrect, and the patient reminded Lawson that she was no longer taking a particular drug. Lawson updated the information.

The first paragraph highlights what some doctors hate about an EMR. They want to leave the office at the office. They don’t want to be proverbially chained to the office since it’s all literally at the touch of their fingertips. Maybe this is why there were so many work life balance sessions at the AAFP conference I attended recently.

Patients seeing what you’re doing in your EMR has often been seen as good and bad. Some doctors love it and embrace the participation with the patients. Other doctors hate having the patients look over what they’ve done and have to answer more questions because a patient saw something on the screen which they didn’t understand. I think we all know which doctor we’d rather see. Although, we can all appreciate the uneasy feeling of someone looking over our shoulders.

The article did remind me of the images that the Nimble EMR makes available to a doctor. That part is actually really cool and the iPad is the perfect way to display and navigate those images as a doctor describes something to a patient.

I should also remind people, the iPad still doesn’t print. Although, that should be remedied relatively soon. Or there are a few hacks out there to make it happen.