ACR Economics Update:
The Future of Imaging Informatics
Speaker Name
Title
What’s Driving Imaging Informatics?
Embed video clip of Dr. Geraldine McGinty
What’s Driving Imaging Informatics?
 The CMS and HHS agenda:
 Drive reimbursement to primary care
 Reduce unit reimbursement for imaging to manage
utilization
 Reduce overall spending
 Respond to “outside” pressure (e.g., MedPAC)
Our Current State
 Payment models have determined our business
models
 Business models have determined our innovation
 Incentives fuel our innovation
 Resulting technologies based on fee-for-service
Our Current State
Teleradiology
 Created secure access for remote radiologists
 Initially created to improve productivity and
convenience
 Serves to further reduce costs
 Unintended consequence
Our Current State
FUTURE STATE
CURRENT STATE
INNOVATION
PRODUCTIVITY
RIS
PACS
SPEECH RECOGNITION
ADV VIS, 3D, CAD
IMAGE DISTRIBUTION
TELERADIOLOGY
IMAGE SHARING
STRUCTURED REPORTING
COMMUNICATION TECH
IMAGING CDS
IMAGING EHR
IMAGING PHR
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PERFORMANCE
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PRESENCE
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CURRENT
PRODUCTIVITY
PROFITABILITY
PERFORMANCE
PRESENCE
The Future of Imaging Informatics
• Health and imaging reform
• US healthcare represents 17% of the GDP
• Cost is a primary concern for all health reform
• CMS exploring fee-for-service alternatives
• Shifting of risk from payers to providers
Meaningful Use
Improve Quality,
Safety, Efficiency
Engage Patients
and Families
Stage 1 Core
Order Entry
Drug Interaction
Problem Lists
e-Prescribing
Medication List
Allergy List
Demographics
Vital Signs
Smoking Status
Quality Measures
Decision Support
Stage 1 Menu
Drug Formulary
Lab Test Results
Patient List
Patient Reminder
Stage 1 Core
eHealth Info Copy
Clinical Summary
Stage 2 Menu
Progress Note
Family History
Imaging Results
Stage 1 Menu
Electronic Access
Educational Info
Stage 2 Core
Secure Messaging
Improve Care
Coordination
Improve Public &
Population Health
Stage 1 Core
Electronic
Exchng
Stage 1 Menu
Immunizations
Syndromic Data
Stage 1 Menu
Reconcile Meds
Transition of Care
Stage 2 Menu
Cancer Registry
Specialty
Registry
Ensure Privacy
and Security
Stage 1 Core
Protect Electronic
Health Information
Meaningful Use (MU)
A voluntary CMS incentive program to promote use of
Certified Electronic Health Record Technology (CEHRT)
to improve the safety, quality and cost of health care.
Meaningful Use
40%
26.7%
32.2%
30%
20%
10%
6.4%
0.9%
4.5%
7.8%
0%
2011
Attested Physicians
Attested Radiologists
2012
Jan-13
Meaningful Use
Ordering Physician MU Expectations of You
ORDERING
PHYSICIAN
FACILITY
IMAGING
PROVIDER
CEHRT
ORDERING
PHYSICIAN
FACILITY
ORDER
FACILITY
IMAGING
PROVIDER
CEHRT
ORDER
FACILITY
ACR Imaging 3.0 Technology
MEMBERS
FEDS
ACR
INDUSTRY
IMAGING 3.0 TECHNICAL FRAMEWORK
Providers
Technology Vendors
Payers
PEER REVIEW APPS
ACCREDITATION APPS
REGISTRY APPS
APPLICATIONS
ACR CONTENT
ENABLING PLATFORM
APPLICATION SHARING
INDUSTRY
ACCESS
IMAGING STANDARDS
IMAGING 3.0 TECHNICAL FRAMEWORK
MEANINGFUL USE
IMAGE SHARING
SPEECH REPORTING
EHR & PHR
RIS & PACS
PATIENT DOSE APPS
RADIOLOGIST CDS APPS
IMAGE SHARING APPS
ACR SELECT
SIMULATION APPS
CLINICAL TRIAL APPS
ED CENTER APPS
CASE IN POINT
Imaging 3.0 Technical Framework
Our Future State
FUTURE STATE
CURRENT STATE
INNOVATION
PRODUCTIVITY
RIS
PACS
SPEECH RECOGNITION
ADV VIS, 3D, CAD
IMAGE DISTRIBUTION
TELERADIOLOGY
IMAGE SHARING
STRUCTURED REPORTING
COMMUNICATION TECH
IMAGING CDS
IMAGING EHR
IMAGING PHR
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PROFITABILITY
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PERFORMANCE
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PRESENCE
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CURRENT
FUTURE
PRODUCTIVITY
PROFITABILITY
PERFORMANCE
PRESENCE
Our Future State
CURRENT
FUTURE
PRODUCTIVITY
PROFITABILITY
PERFORMANCE
PRESENCE
The Future of Imaging Informatics
• Healthcare reform is changing how we practice
• IT innovation is equally transformative
• Imaging 3.0 is serving as our framework
• Creating IT tools centered on this framework
• Educating our profession about new paradigms
• Participating with Feds and Industry to manage change
Imaging 3.0 – Preparing for the Future
www.acr.org/Advocacy/Economics-Health-Policy/Imaging-3