'Using Information to Drive Integrated Care' "Healthcare Content in Context" Mark O’Herlihy Director of Healthcare Europe, Middle East & Africa Perceptive Software © 2012 Perceptive Software. All rights reserved. Presentation Focus VNA + ECM: Build a Foundation for Data Liquidity ECM Enterprise Content Management VNA Vendor Neutral Archive, Enterprise Clinical Content Management Interoperability The ability to share information between systems, internally or externally Data Liquidity Delivering useful, relevant data to each stakeholder, users or applications © 2012 Perceptive Software, LLC. All rights reserved. Healthcare Today Content Challenges Manage, Store, Access Archived, existing and new Store Efficiently, Access on Demand Healthcare Today Content Challenges Manage, Store, Access Archived, existing and new Store Efficiently, Access on Demand Process Challenges Manual Unmanaged Processes Business and clinical inefficiencies Discover, Design, Execute, Improve Healthcare Today Content Challenges Manage, Store, Access Archived, existing and new Store Efficiently, Access on Demand Process Challenges Manual Unmanaged Processes Business and clinical inefficiencies Discover, Design, Execute, Improve Application Challenges Proprietary, inflexible systems Access and functionality limitations Eliminate Silos, Deliver in EMR context Your Enterprise Environment Unified Content Platform; Other Clinical Systems • Eliminate content silos • Radiology, Cardiology, Lab, HIM • Optimize your EMR • Complete the patient record -Enterprise Processes outside ofSystems EMR non-clinical •• Chemo Treatment Management ERP, HR, RevenuePlan Cycle, + EMR Process Strengths • Provider Credentialing Registration / Admissions All content • Clinical Pathways, CPOE, Clinical Messaging Any source Any purpose In context + EMR Content Strengths • Physician/nurse populated data, Nursing assessments, MD - Content outside of EMR • Documentation Photos, paper documents, Correspondence, Faxes, Radiology Dictation and Imaging, Pathology HR LAB RIS REG HIM EMR ERP © 2012 Perceptive Software, LLC. All rights reserved. ECM + VNA Build a Foundation for Data Liquidity © 2012 Perceptive Software, LLC. All rights reserved. VNA: Definitions VNA, PNA, PEA, ANP, UCA, CCF, UCP – WHAT! So what is it? VNA & ECM Combined Market Response What is a Vendor Neutral Archive Acronyms VNA – Vendor Neutral Archive (Industry) PNA – PACS Neutral Archive (Mike Gray) PEA – PACS Enterprise Archive (Industry) ANP – Archive Neutral PACS (Paul Chang) UCA – Universal Clinical Archive (Dell) CCF – Clinical Content Foundation (Dr. Rasu Shrestha - UPMC) UCP – Universal Clinical Platform (Acuo) What is a VNA? “Platform” that provides long-term, disaster recovery, lifecycle management Ability to easily share medical (data) by communicating with different PACS Central repository for medical imaging data and other patient data based on open architecture for multiple departments of multiple hospitals. Accepts data irrespective of the originating PACS or other viewing, acquisition and workflow management system Makes originating sources changeable without having to change the data formats or interface of the archive.1 1 InMedica Research – Data Storage – Vendor Neutral Architecture – 2012 Edition VNA – Key Points Platform – much more than an archive, a platform “enables” Open architecture – based on standards or standards based interfaces Accept data irrespective – source and format should blur and become unimportant Sharing – data becomes liquid Originating source(s) changeable – customer has choice and control to change data sources and consumers VNA – Key Point Interoperability Delivers Data Liquidity – Useful, Relevant Data to Each Stakeholder, User or Application Market Research IMS Research – Lexmark Acquires Acuo Technologies – InMedica’s View http://www.imsresearch.com/blog/Healthcare_Data_Man agement_Intelligence_Service_Monthly_Analysis_Feb_2 013/33 ImagingBiz - The VNA Revealed: Understanding Its Role in a Health-delivery system http://www.imagingbiz.com/articles/radinformatics/thevna-revealed-understanding-its-role-in-a-health-deliverysystem Applied Radiology - Enterprise vendor neutral archive: Guide to riding the bandwagon http://www.appliedradiology.com/Issues/2013/02/Articles /Enterprise-vendor-neutral-archive--Guide-to-riding-thebandwagon.aspx Gartner – Lexmark’s Acquisition of Acuo Technologies Heralds a new ECM Focus for HDOs http://www.gartner.com/technology/reprints.do?id=11E1KL8D&ct=130211&st=sg VNA and ECM Combine – Market Response IMS Research – Rise of the Middleware It highlights the potential for VNAs to help drive hospitals towards crossenterprise data integration. However, it also shows the potential limitations of VNAs to do so on their own. It signals a trend towards integration of third-party systems to bring together major hospital IT systems – something we are calling “The Rise of the Middleware” (see third section). It begs the question – what is next for VNAs? © 2012 Perceptive Software. All rights reserved. Radinformatics – Need for Interoperability Hospitals aren’t the only ones consolidating, as evidenced by Lexmark International’s recent acquisition of Acuo Technologies—a trend that Shoemaker also views as a natural progression. “…especially as VNAs begin to move out of the radiology/cardiology space. There is a large need for interoperability between enterprise contentmanagement systems and clinical systems to provide a complete record of structured and unstructured content to the EMR systems.” © 2012 Perceptive Software. All rights reserved. Applied Radiology – Not all VNA’s are created equal Not all VNA solutions are created equal, however, and as each of these categories continues to evolve, the story keeps on getting better for all of us. Enterprise content management (ECM) firms bridging with VNAs seems to be the next logical evolution, and this makes for perfect sense in terms of a broader strategy to manage all content across the healthcare enterprise. Across the board, there is a push for greater degrees of maturity around content management in healthcare, and my prediction is for continued innovation in this area. © 2012 Perceptive Software. All rights reserved. Gartner – New ECM Focus for HCOs View ECM as an enterprise wide information infrastructure that will support multiple business and clinical applications and workflows. Create a content ecosystem that puts the user (the patient, clinician or employee) at the center. Resist installing stand-alone ECM components such as document management and imaging (DMI), Web content management, and digital asset management applications. Consolidate content repositories and develop exit strategies for departmental content applications that are not considered critical and can be addressed by an ECM solution. © 2012 Perceptive Software. All rights reserved. Creating a New Reality in Healthcare Completing The Patient Record © 2012 Perceptive Software, LLC. All rights reserved. Challenges of EMR/EHR Integration Disparate departmental systems and clinical data silos Unstructured content in digital and paper formats, in standalone servers, physical file cabinets and desk drawers, sent by courier and carried by patients Radiology PACS ? Cardiology PACS ? RIS/HIS/eMPI Other clinical content Typical EMR/EHR Installation ? ? ? ? ? ? ? Missing health content = incomplete picture of patient healthcare experience Unified Content Platform Enterprise Content Strategy Liberated data – to capture, manage and access in context ECM Cardiology PACS Radiology PACS Specialty PACS EMR Universal Access ILM Storage SAN NAS Cloud Deliver in Context Semantic searching of multiple data elements from a single view Pretrieve patient clinical content Scanned Analytics of unstructured content Content Eliminate information silos Electronic Forms Digital Photos Enterprise Imaging © 2012 Perceptive Software. All rights reserved. Content-based medical record © 2011 Perceptive Software, LLC. All rights reserved. Healthcare Vision Device Output DICOM External Content Traditional Content Core System (EMR) Clinical content intermingled with ECM in results grid Integration with patient data from EMR EMR NHS #: 200803768 A powerful healthcare solution that drives both cost efficiencies and better patient care through a single, enterprise-wide and content-based medical record that is accessible via any electronic medical record (EMR) system © 2012 Perceptive Software. All rights reserved. Unified Healthcare Content Platform Radiology PACS, Cardiology PACS, RIS/HIS/eMPI, other clinical content VNA vendor neutral archive CAS/Cloud NAS SAN Content-Based Medical Record Scanned documents, reports, notes, photos, videos, wave forms, other content ECM enterprise content management CAS/Cloud all content, any source, any purpose, in context of the patient record NAS SAN Questions? Mark O’Herlihy Director of Healthcare Europe, Middle East & Africa Perceptive Software © 2012 Perceptive Software. 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