From apps to telemedicine and beyond, technology has become a linchpin for patient engagement. The RSNA Image Share network represents a prime example.

February 5, 2014 (HIMSS Booth #4388) – Raleigh, NC - Viztek, the leading provider of complete digital software and hardware diagnostic imaging solutions, today announced 45 percent year-over-year revenue growth from the 2011-2013 calendar years. Strong DR and PACS sales supported this, with 20 percent growth in DR, and 15 percent growth in software. The PACS replacement market was particularly strong for the company, with 75 replacements in 2013, a year when Viztek also saw a significant jump in its customer base of hospitals with more than 200 beds.

Like many people, Chris Tirabassi has watched the political parties duke it out over the relative merits of the Health Information Technology for Economic and Clinical Health (HITECH) Act. As practice administrator for CNY Diagnostic Imaging Associates LLC (Liverpool, New York), however, he has little time for philosophical discussion. Instead, Tirabassi is knee-deep in the meaningful-use mandates of the HITECH Act, as they apply to CNY’s Syracuse-area private practice of six radiologists.

In dissecting stage 2 of the meaningful-use program, Alberto Goldszal, MBA, PhD, drolly summarizes the meaningful-use challenge for radiologists: “In the meaningful-use rules, you are going to see some specific examples of things that are changing the radiology workflow that are perceived as a contraindication for radiology efficiency,” he says. “Overall, it does improve patient care—at least, that is the intended goal.”

For Colorado Springs Radiologists/PENRAD Imaging (Colorado Springs, Colorado), state-of-the-art imaging equipment and IT solutions have long supported a mission to offer top-tier patient care while maintaining a high degree of efficiency overall. A recent move to support this mission by replacing its RIS and billing systems has led the practice to the brink of Stage 1 meaningful use Stage 1 attestation, slated to occur shortly after January 1, 2014.

In 2004, as Hurricane Charley closed in on Florida, the CIO of Walmart, Linda Dillman, wondered which items the store should be stocking up on in advance of the storm. Employees suggested flashlights and batteries. Dillman had another idea: diving into terabytes of data on past shopping behaviors, she discovered that ahead of hurricanes, the two most-purchased items at Walmart stores were beer and strawberry Pop-Tarts. Walmart stores in Florida increased their inventories of these items, and by the time the hurricane passed over, the company had made a killing.

As accountable-care organizations (ACOs) take root around the country, radiology, as predicted by many, is proving to be a troublesome link in the care chain. Jordan Halter, vice president of solutions for Virtual Radiologic (vRad), says, “Radiology risks being seen as a cost center, to be managed, in the ACO model. Radiology must fundamentally and permanently alter itself to survive in the new fee-for-value health-care world. It’s no longer good enough to be available and affable; groups need to be accountable, affordable, and aligned with their hospitals, as Alan Matsumoto, MD, and the ACR® Council Steering Committee pointed out earlier this year. Radiology needs to be seen as a strategic partner with a seat at the leadership table, not as a cost center.”

On June 6, 2013, at the annual meeting of the Society for Imaging Informatics in Medicine (in Dallas, Texas), Eliot Siegel, MD, chief of radiology and nuclear imaging at VA Maryland Health Care System (Baltimore), copresented “Personalized Medicine.” He envisions a promising future for radiology—if the profession can surmount the obstacles that it faces, when it comes to big data. “Medicine in general is behind the curve on big data,” Siegel says, “and we have the chance to get radiology ready for the coming era of big data and personalized medicine, if we can address five key challenges.”