Thursday, March 27, 2014

Enterprise Imaging at WoHIT14

WoHIT14 in Nice is starting next week. This is another good opportunity to have a look at enterprise imagingThree weeks ago, at HIMSS14, Cleveland Clinic Group shared its experience with enterprise imaging technology. This time, I'm keen to hear about the European perspective.

The Focus Group Session “Creation of the comprehensive medical record – European perspective”is meant to exchange experience on large scale ICT implementations, concerning also  the implementation of a new EMR with an integrated enterprise imaging platform.

The session is lead by Ale Houtsma, Radboud University Medical Center Nijmegen, NL.
(Thu 3rd April - 10h15-11h00, Room Gallieni 5, Level 2 of Congress Center)

Please register here!




I look forward to meet you in Nice!

Monday, March 24, 2014

eHealth in the EU: what's the diagnosis?

Denmark (66%), Estonia (63%), Sweden and Finland (both 62%) mentioned top performing countries for #eHealth uptake in EC press release of today.




http://europa.eu/rapid/press-release_IP-14-302_en.htm

Saturday, March 22, 2014

Impressions on ICIS and Agility

This post has been published earlier on Google+ !

#ECR2014 is over and I’d like to reflect on my (biased) impressions on#ICIS and IMPAX #Agility.

Only insiders may know that Agility was never meant to be a PACS. A couple of years ago we started to develop an entire new image management platform. We agreed on the internal code name ‘Agility’, never having in mind to use it as a product name. Meanwhile almost all of our new developments are based on this platform.
Radiology and cardiology solutions are marketed as ‘IMPAX Agility’, whilst all enterprise imaging solutions are now called 'ICIS' (Imaging Clinical Information System’). 
I had a close look at ICIS as extending the scope of imaging outside of radiology and cardiology is on everyone’s plan today. With ‘ICIS Store’, formerly known as IDC, we had already a proven solution over the past years. A remarkable innovation concerns the introduction of a workflow engine. Whilst it is not much of a problem to share data via XDS, it is crucial to enable the support of collaborative workflow across different disciplines and organizations. To me this module has a high potential to further improve the communication amongst all stakeholders.
The frontend, ‘ICIS View’, remains a zero-footprint solution that enables access to data from everywhere and on every device. It was shown with a couple of new features, most visibly the integration of 3D capabilities and new data sharing mechanisms. Worth to mention is also the improved support for video editing and conversion, significantly simplifying the handling. 
‘ICIS Vivid’, also available for smart phones and tablets, supports now capturing and uploading of data. This opens new possibilities, especially considering the increasing number of sensors available for mobile devices.
‘ICIS Venue’ allows the simultaneous and consolidated access of data from various repositories. This module caught the interest of clients which have to integrate data from various legacy archives.

For a selected audience we also provided a look beneath the surface of ICIS and provided an in-depth presentation of the underlying concepts.

Based on the same platform, but dedicated for the radiology and cardiology audience we have presented IMPAX Agility. You would call it a PACS.
However, having a closer look there are quite some differences to the products I have seen so far. E.g. the solution is built around a task-based workflow engine and it is interesting to see how easy different flows, for different tasks, depending on procedure, clinical data, and other parameters can be configured by means of the included graphical editor. I know such solutions from the EMR space, but I have never seen this implemented in any other RIS or PACS.
The user interface is extremely well designed. A lot of work was done, helping to reduce mouse movement and speed up the work. 
The implementation of hanging protocols itself is unquestioned outstanding. The ability to seamlessly integrate 3D views into the hanging protocols is really impressive.
Reporting is another innovation. I’d call it, a more user friendly way of structured reporting. Sections or chapters can be configured based on context specific information. All information available in the system can be used to fill section templates automatically with the content of any DICOM Tag or any HL7 field. Results of measurements can be dragged into the report. Integration of speech recognition is straight forward. It feels extremely ergonomic and fast.
The solution claims to be fully compliant with the standards. Indeed, it seems to digests everything: MF, US Measurements, waveform display, etc. If a specialty workstation would still be required, any IHE compliant workstation can be connected.
Users reported to be very pleased with the performance of the system even working from home. That makes me feel positive for deploying this solution into the cloud soon.
I missed also some features which are typically found in legacy Systems. Some have been not implemented yet and others dropped from scope. Not everything once declared to be a mandatory requirement for a PACS must make sense today. And as I said before: Agility was never meant to be a PACS!

Last but not least: The coffee at our booth looked somewhat different compared with the one we served at HIMSS. Nonetheless, it had an excellent taste.



Thanks again for joining us! I look forward to see you at #WoHIT in Nice!

Back from HIMSS14!

This post has been published earlier on Google+ and the Agfa HealthCare blog!


Back from HIMSS14 I’d like to thank everybody joining our booth last week!



Amid the wave of EHR implementations, promising the comprehensive longitudinal health record, it is evident that many doctors still miss the integration of images. Accordingly the interest of the audience in our Enterprise Imaging solution was remarkable. With the benefit of hindsight it was a wise decision to dedicate more space to ICIS at this year HIMSS.

This solution, started as a standard based VNA combined with a zero-footprint-viewer integrated in the EHR, meanwhile found also quite some copycats. However, with improved support for mobile devices, enhanced workflow support, innovative collaboration tools and new data sharing mechanisms, enhanced video support, and many more new features we could comfortably keep the gap, which is equally true for the excellent coffee served in our booth.



 
For those who did not have the chance to see ICIS at HIMSS there is good news. ECR in Vienna opens this week and WoHIT in Nice is also close.