Enterprise Imaging

Enterprise imaging brings together all imaging exams, patient data and reports from across a healthcare system into one location to aid efficiency and economy of scale for data storage. This enables immediate access to images and reports any clinical user of the electronic medical record (EMR) across a healthcare system, regardless of location. Enterprise imaging (EI) systems replace the former system of using a variety of disparate, siloed picture archiving and communication systems (PACS), radiology information systems (RIS), and a variety of separate, dedicated workstations and logins to view or post-process different imaging modalities. Often these siloed systems cannot interoperate and cannot easily be connected. Web-based EI systems are becoming the standard across most healthcare systems to incorporate not only radiology, but also cardiology (CVIS), pathology and dozens of other departments to centralize all patient data into one cloud-based data storage and data management system.

Lessons From Year One of the Pioneer ACO Program: Bellin-ThedaCare Healthcare Partners

Sponsored by vRad

On July 16, CMS announced the results1 of its accountable-care organization (ACO) program, the Pioneer ACO Model. The program was designed to test the impact of higher levels of shared savings and risk on ACO success, and it attracted 32 participants from around the country. After the first year of participation, seven Pioneer ACOs that did not produce shared savings announced their intention to transition to the lower-risk (and lower-reward) Medicare Shared Savings Program, while two dropped out of the ACO model entirely.

Disaster Recovery: Planning for the Day You Hope Won’t Happen

Sponsored by FUJIFILM Healthcare Americas

Disaster recovery is an event that PACS administrators hope that they never will have to confront, but it is increasingly clear that it needs to be a top-of-mind concern. Natural disasters, particularly tornadoes and floods, seem to be occurring more frequently, with greater intensity and with more resulting damage. Hospitals and imaging centers are not exempt from their effects.

Bill Russell, SVP, CIO: Why Health Care Needs the Cloud

Sponsored by FUJIFILM Healthcare Americas

With more than 800 active health IT applications to maintain, Bill Russell has no time for distractions. The senior vice president and CIO of St Joseph Health—a nonprofit integrated health-care network that includes 14 hospitals in California and Texas—has a lot on his plate.

Cape Regional Medical Center: Heeding a Superstorm's Wake-up Call

Sponsored by FUJIFILM Healthcare Americas

After four days of ravaging Jamaica, Cuba, and the Bahamas, Hurricane Sandy slammed into the New Jersey shoreline on October 29, 2012, resulting in losses of $30 billion to businesses in the affected area; damaging or destroying 346,000 homes; causing widespread power outages (some of which lasted for several weeks); and killing 37 people. Neither the popular seaside city of Cape May nor Cape Regional Medical Center (CRMC), a 240-bed community hospital in Cape May Court House, suffered damage from what turned out to be the deadliest, most destructive hurricane of the 2012 Atlantic hurricane season—and the second-costliest storm of its type in U.S. history.

DICOM or Nothing:The Case for Informatics Standards in Quantitative Imaging

As radiology enters the era of quantitative imaging, it is well advised to carry with it an old friend, the DICOM standard, according to David A. Clunie, PhD, CTO of CoreLab Partners. He lays out his case in “(Informatics) Standards for Quantitative Imaging,” which he presented on November 28, 2012, at the annual meeting of the RSNA in Chicago, Illinois.

Breast Tomosynthesis and the PACS: The Journey to Sustainable Workflow

Sponsored by Sectra

The emergence of a new, powerful imaging modality is cause for both celebration and consternation, and digital breast tomosynthesis (DBT) has proven no exception to this rule, according to participants in a June 8 educational forum at the 2013 meeting of the Society for Imaging Informatics in Medicine (SIIM), held in Grapevine, Texas. Early results from sites offering DBT to their patients have been nothing short of extraordinary: X-ray Associates of New Mexico (XRANM) in Albuquerque, for instance, reports a 48% reduction in its recall rate, while the University of Pittsburg Medical Center (UPMC) in Pennsylvania has seen a 40% increase in detection of invasive breast cancers, with a reduction in false positives of 15%.

Notes From a Cardiac AV Superuser: Wm. Guy Weigold, MD

Sponsored by FUJIFILM Healthcare Americas

For a cardiologist, Wm. Guy Weigold, MD, spends an unusual amount of time in front of a monitor. “I happen to be a cardiologist who has expertise in cardiac CT,” he explains. “I spend the majority of my time looking at images.” Weigold is director of the cardiac CT program at the MedStar Washington Hospital Center in Washington, DC, and he directs

Rex Healthcare: Implementing a Single Platform for Medical Images

Sponsored by FUJIFILM Healthcare Americas

When Rex Healthcare (Raleigh, North Carolina) went shopping for a cardiology image-management solution, it was looking for three things: good vendor support, the ability for cardiologists to access prior studies from the radiology PACS, and a willing development partner to grow with as it built an employed cardiology practice and a new heart

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.