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.

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HHS proposes rule aimed at improving patients’ electronic access to medical images

The agency believes the industry's ongoing reliance on CDs and other physical media "represents a continued burden for patients and clinicians." 

Dana H. Smetherman, MD, MPH, MBA, FACR, the new CEO of the American College of Radiology (ACR), explains some of the hot button issues in radiology and advocacy efforts led by the ACR.

New ACR CEO outlines key concerns for radiology

Dana Smetherman, MD, MBA, explains some of the hot button issues in imaging and key advocacy efforts being undertaken by the college. 

The American Society of Nuclear Cardiology (ASNC) is asking Congress to repeal the appropriate use software provision mandate, which physicians say is an obstacle to efficient care.

ASNC asks Congress to officially repeal the AUC mandate for advanced medical imaging

Medicare rescinded the provision in the 2024 Medicare Physician Fee Schedule, but the law remains on the books. 

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Information-blocking penalties for providers slated to take effect soon, radiology experts warn

HHS will focus on violations that harm patients, impact care delivery, occur over an extended period or cause financial losses to federal programs. 

Peter Monteleone, MD, an interventional cardiologist, national director of cardiovascular research at Ascension Health, and assistant professor, UT Austin Dell School of Medicine, explained the use of artificial intelligence (AI) to independently identify an emergency stroke or pulmonary embolism (PE) finding on a CT scan and automatically alert critical care team members. His health system uses this type of AI for earlier activation of the pulmonary embolism response team (PERT).

AI critical care software revolutionizes emergency response

Ascension Health in Texas uses AI that can read CT scans for stroke and pulmonary embolism to activate care teams before the images even get into the PACS.

EHR interventions increase lung cancer screening by 30% but still leave over half of patients behind

Although CT lung cancer screening is known to improve detection rates and health outcomes, compliance among eligible patients remains lackluster.

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Why practices might want to think twice before using ChatGPT to create patient education materials

"The potential for disseminating inaccurate information and the occurrence of 'hallucinations'—responses that are generated without grounding in factual data—are significant concerns,” authors of a new analysis warn.

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Radiology providers not responsible for breach notifications after Change cyberattack, HHS says

OCR Director Melanie Fontes Rainer emphasized that patients impacted by the incident “must be notified that their protected health information was breached.”

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Around the web

Health Imaging
Nearly $800,000 settlement offered to family of man who died during MRI exam

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

Cardiovascular Business
Global shortage of nuclear imaging isotopes may be over

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.

Cardiovascular Business
‘A huge win’: CMS significantly increases Medicare payments for cardiac CT

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.