Using Interoperability to
Transform Clinical Content
Management & Collaboration
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Clinical content growing rapidly
In the past, hospital
imaging strategies
focused on radiology
departments using
VNA
using PACS and
Clinical content growing rapidly
Providers have
become one of the
largest consumers of
data, with imaging
making up over
33%
*
of all data generated
within healthcare.
* SOURCE: The Enterprise Strategy Group, Research Report: North American
Health Care Provider Information Market Size & Forecast
Clinical content growing rapidly
But it doesn’t just stop
with DICOM content.
While full of holes,
electronic clinical
content is made up of
80%
*
unstructured data.
* SOURCE: The Institute of Health Technology Transformation (iHT2),, Research
Report: Analytics, The Nervous System of IT-Enabled Healthcare
INCREASING CLINICIAN DEMAND
Any Source
Any Location
Any Format
Expecting Integration
Requiring access to the complete patient record from the EHR
Regardless of where this content resides, providers now need
it available, on-demand, at the point of care—anywhere,
anytime, on any device.
Fragmentation reality
CLINICAL SYSTEMS
& REPOSITORIES
DEPARTMENTAL
PACS / VNA
Top Rated Hospital
EHR LOGIN
USERNAM
E
PASSWOR
D
johnreeves
************
NO EHR
INTEGRATION
NO
SHARING
LOGIN
ENTERPRISE EHR
EMC’s standards based approach
AGGREGATE & OPTIMIZE
SHARE
FRAGMENTED
CLINICAL SYSTEMS
PPIC
BPPC
REST
XDS/I
PIX
FHIR
EMC
XCA/I
PDQ
SEARCH
ENTERPRISE-WIDE
ARCHIVED
VIEW ALL
FORMS
CLINICAL
ACCESSIBILITY
CONTENT
OF CLINICAL CONTENT
HEALTHCARE
COMMUNITY
MHD
IUA
CDA
INACTIVE
CLINICAL SYSTEMS
HL7
ENTERPRISE EHR
The new reality
ENTERPRISE
DEPARTMENTAL
VENDOR
NEUTRAL
PACS ARCHIVE
/ VNA
CCD
PDQ
PIX
CLINICAL
XDS REPOSITORY
SYSTEMS
& XDS
REPOSITORIES
REGISTRY
Top Rated Hospital
XDS-I
XDS
EHR LOGIN
USERNAM
E
PASSWOR
D
johnreeves
************
ENTERPRISECOMMUNITY
IMAGEFULLY
LOGIN
ENABLED
WIDE
INTEGRATED
ACCESS
ACCESS
EHR
XCA-I
PPIC
XCA
CDA
ENTERPRISE EHR
HL7
Case Study (Finland)
Centralized Imaging Archive
CHALLENGE
SOLUTION
• Medical images were stored in
data repositories that were
vendor and/or system specific
EMC was able to migrate
multiple data repositories into a
single, standard, shared format
to build the world’s first cloud
archiving service based on XDS
technology:
• Made sharing of the
information between hospitals
and systems within the region
difficult, or even impossible
• Created significant expense
when migrating medical
applications as medical data
was proprietary formats
• Provides services to store,
publish, search and retrieve
imaging related documents
• Stores 1 million medical
images annually (over 100TB)
Considerable
cost savings realized
Value
through access to patient
information across modalities,
hospitals and clinical disciplines
Case Study (Finland)
Centralized Imaging Archive
Portals
PACS and other imaging
Generic XDS consumers
DICOM and HL7 interfaces
VIEWERS
XDS interfaces
SERVICES
EMC Documentum Healthcare Connector
EMC Documentum XDS connector
Repositories
(imaging manager, XDS registry, XDS repository)
EMC Documentum Services
(archiving, lifecycle management, retention policies, storage management, data transformation)
EMC Infrastructure Services
(server virtualization, network power, compute power, tiered storage capacity, high availability, serviceability)
CONTENT MANAGEMENT
Case Study (Finland)
National Health Archive
CHALLENGE
SOLUTION
• A comprehensive view of
patient information was
unavailable to clinicians
Pioneered
EMC was able to build one of the
world’s first unified national
patient record archives based on
XDS technology to keep digital
healthcare information protected,
secure and continuously
available for:
IHE XDS profiles supporting
medical information exchange
• System hospitals, private
clinics and pharmacies were
unable to exchange patient
information between facilities
• Needed a common way to
share all patient information by
leveraging healthcare
standards (HL7 / XDS)
• 300,000 professionals within
the Finnish public healthcare
and pharmacies, as well as
private medical clinics
• 5.3 million Finnish citizens
ROI
Expected to generate major
financial savings, among
improvements in patient service,
diagnostic excellence and other
areas of delivery
Case Study (United Kingdom)
Integrated Platform
CHALLENGE
SOLUTION
• Demand for services was
growing as funding declined
ROI
EMC delivered an integrated
solution for managing and
sharing patient information and
images using XDS technology to
optimize care through:
Significantly reduced operational
costs, while meeting the ever
growing demand for immediate
access to clinical information
• Older legacy clinical systems
were proving inadequate and
costly to maintain
• No single view of the medical
record or facility to share
information—affecting
productivity and patient care
• Regulations mandated
increased data security
• A single enterprise content
management platform
• A regionally shared VNA
• Integration with their EHR to
address clinical access and
patient care needs
Case Study (Belgium)
Integrated Image Sharing
CHALLENGE
SOLUTION
• Mostly proprietary storage for
electronic documents,
scanned documents and for
digital PACS images
Increased
EMC delivered a single, vendorneutral clinical content repository
leveraging open data standards
for DICOM, HL7 and XDS to:
care quality due to immediate
access to information, with no
record-access downtime
• Inability to retrieve and share
documents from these
systems on-demand
• Aggregate medical images and
patient documents across
multiple systems
ROI
• Difficult to manage upgrades
to storage silos, in addition to
long backup and restore times
• Provide seamless access to all
forms of patient information
• Ensure compliance to defined
retention policies and security
Financial return recognized
through system consolidation,
while improving operational
efficiency
Case Study (Georgia)
National Healthcare Cloud
CHALLENGE
SOLUTION
• Lacked complete platform to
support government mandate
for an electronic healthcare
system (a national EMR)
ROI
EMC was able to centralize all
forms of patient information and
content enable the EHR to
provide access to the national
medical archive utilizing XDS
and cloud technology, enabling:
Increased efficiency and
maintained a consistent level of
care service by being able to
seamlessly store and access
medical data from a single
source
• Inability to implement
international standards to
capture a minimum data set of
electronic medical records
• No mechanisms to monitor,
govern or audit the level of
care being provided to citizens
• 360 degree view of the
medical record, accessible
across the continuum of care
• Management and sharing of
documents and medical
images
Case Study (Georgia)
National Healthcare Cloud
PARTNER
PARTNER
Business
Intelligence
Web Application Portals
EMC Connector (non-XDS Systems)
(hospital, doctor, patient, government)
(using HL7, DICOM, CDA)
and
PARTNER
Reports
Design
Healthcare Platform
(central EHR, central HIS, messaging fabric)
EMC XDS
Registry
EMC XDS
Repository
NATIONAL HMIS
EMC Documentum Services
(archiving, metadata, content, lifecycle management, retention policies, storage management, high availability)
EMC VCE vBlock Infrastructure Services
(server virtualization, network power, compute power, tiered storage capacity, high availability, simplified support)