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 Link to this message Neelam Dugar  posted on Saturday, January 21, 2017 - 09:46 am Edit Post Delete Post Print Post ise-imaging-aligns-value-based-care
When exploring options for an enterprise imaging platform, what are some of the top things to look for? The following checklist offers seven solid suggestions.
1. Component Interoperability: While many solutions have been pieced together with components that were not initially designed for interoperability, the various components of a solid enterprise imaging platform must work together harmoniously. Buying a platform that was designed from inception to work as one system will simultaneously ensure the highest level of interoperability and the lowest maintenance overhead.
2. Multiple Viewer Options: Selecting a solution with multiple viewer options built into the platform allows clinicians to easily choosee between “reference-quality” image viewing and full-fidelity “diagnostic-quality” image viewing with the click of a mouse. This kind of choice broadens the available data for real-time decision making at the point of care.
3. Federated Image Viewing: If your organization is growing through acquisitions or has affiliate partners, look for a platform that supports federated image viewing. This means, with a few simple permissions, caregivers at disparate organizations can view images within the other organizations’ picture archive and communication system (PACS) or vendor-neutral archives (VNAs) without the need to move the images.
4. Mobile Image Acquisition: The ability to securely acquire digital photos on a mobile device is a must. The application, however, must not only be secure but also provide real-time patient worklists and the ability to assign required patient demographic and other image-related metadata in a standardized fashion. While the most popular EHRs provide mobile applications to acquire images, these applications do not yet support the assignment of fixed, standardized data elements, which is a critical step in ensuring data integrity and relevant presentation within the EHR.
5. Image Exchange and Sharing: The ability to easily exchange and share images with patients and outside providers without the use of CDs is critical. The platform should image-enable existing patient portals or provide a free-standing, secure portal that supports the ability to quickly exchange and share images with outside providers. This capability is virtually guaranteed to provide increased patient and physician satisfaction and a reduction in operational expense.
6. Longitudinal Patient History: The platform should be able to present a patient’s complete longitudinal imaging history regardless of image type. Digital photos, traditional radiology and cardiology images along with others such as ophthalmology, maternal fetal medicine and surgical/medical scope images should be displayed in an intuitive patient worklist. This allows the caregiver to pick and choose the images that they would like to view and compare in a side-by-side fashion.
7. Data Integrity: The platform must enable a high level of data integrity, thereby enhancng population health datasets and data presentation relevance by providing the ability to employ role-appropriate, standardized acquisition workflows and assign uniform discrete data elements at the point of acquisition.
 Link to this message Neelam Dugar  posted on Saturday, January 21, 2017 - 09:52 am Edit Post Delete Post Print Post
The above article was quite useful. All major PACS vendors were displaying Enterprise imaging strategies with VNA becoming an integral part of PACS at RSNA2016.
For VNAs to be truly interoperable for Enterprise images and documents, and allow viewing by any vendors viewer, to enable patient centric sharing across enterprises, XDS registry/Repository, XCA gateways are really important components within the VNA.
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