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.

Stark Implications: Trends in Imaging JVs and Arrangements

A convergence of factors shaping the current health care environment—including some key regulatory changes—has caused many health systems to reevaluate their broad array of physician relationships in an effort to determine the optimal hospital–physician alignment strategy. This is particularly true of medical imaging arrangements, as hospitals

OIC Deployment: Buy, Build, Sell, or Hold?

Tight credit markets may have lengthened timelines, but hospital systems across the United States continue to move aggressively into their communities to fulfill outpatient imaging strategies. The consulting group Sg2 (Chicago, Illinois) predicts 19% growth in outpatient imaging in the 10-year span between 2008 and 2018, representing 90% of total

MSDRGs: Pitfalls and Opportunities

Ernest Glad, president of Cortell Health, Dallas, Texas, sees the 2007 CMS restructuring of the DRGs used in the inpatient prospective-payment system as an opportunity that many hospitals are currently squandering. The restructuring adjusts DRG weights based on the severity of a patient’s condition to improve the system’s ability to account for the

Accessing Capital in a Tight Credit Market

After weathering last fall’s fiscal catastrophe, many hospital CFOs now find themselves in Bert Zimmerli’s position. Though Zimmerli is senior vice president and CFO of the only health care system in the country to receive the highest credit rating from both Standard & Poor’s Ratings Services and Moody’s Investors Service, he says that the

The Evolving Radiologist-hospital Relationship

It was the contract termination heard ‘round the world when Florida Radiology Associates (FRA) ended its 40-year relationship with Florida Hospital last year. Negotiation of a new contract barely got off the ground before the hospital formed its own in-house radiology group, poaching the majority of FRA’s staff. The incident raised eyebrows in the

PACS Nirvana: University Radiology's Reporting-driven Workflow

Sponsored by FUJIFILM Healthcare Americas

Ever since digital imaging liberated radiologists from the site of image acquisition, radiology practices have labored to patch together distributed reading solutions that would efficiently meet the needs of multiple clients, balance workflow, and enable subspecialization.

Can Health Informatics Reduce Health Care Costs?

Sponsored by FUJIFILM Healthcare Americas

The answer to that question may appear obvious to imaging informatics professionals, but a study released earlier this year by the Government Accountability Office (GAO) disputed the ability of health informatics to reduce health care cost. Now, all of us in radiology have seen the ability of informatics to reduce imaging costs within the radiology

Say Aloha to Your PACS: The Selection Process

When Hawaii Health Systems Corp (HHSC), Honolulu, began shopping for a PACS solution for three of its five island regions, newly hired CIO Money Atwal had a few unique issues to take into consideration. Though multisite PACS configurations are increasingly commonplace, most don’t have to cross water in order to work. Atwal needed a solution that