Pacs 3.0
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Transcript of Pacs 3.0
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PACS 3.0Thiago Julio, MD
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Não há conflito de interesse nessa apresentação.
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RSNA 2012 Honorary Lecture
Meaningful IT Innovation to Support the Radiology Value Proposition
Paul J. Chang, MD
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PACS 1.0deal with images“get digital images from one place to another”
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PACS 2.0digital image managementcloud ologies
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PACS 3.0workflow managemententerprise image sharingpatient-centric data sharing non-radiology image datasets
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radiologistwhat is our role?
PACS 3.0
CPOE
Critical results
Lesion measureme
nt
Radiation exposure
monitoring
Cloud computing
Image Sharing / Exchange
Mobile
RIS Search
NLP
BI and analytics
Lexicons
Quantitative ImagingPACS
Reports
Productivity
Workflow management
Structured report
Teaching Files
Viewers
BYOD
CAD
Dashboards
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decision support systemsprovide evidence-based educational material to a user to improve clinical decision making
demonstrates how doctors provide value as a specialty and are not just a diagnostic tool
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any tool that allows to add value and context to interpretation
the easier to locate and integrate into reporting, the more it will be used
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“double-edged sword”
technological advancements in medical imaging in the form of PACS and RIS are commodities within radiology
these advances help radiologists in their work but could also make their services seem obsolete
solution >> add VALUE for docs and patients
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business intelligence
{analytics}
dashboards
+ departments need to define goals
and form a vision as they create a business model for dashboards and scorecards
Dashboards: tactical performance monitoring tools
Scorecards: strategic focus on performance
management utilize metrics, such as key
performance indicators (KPI), related to goals.
workflow
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the global worklist accessibility
flexibility
performance
cost effective
convenience
quality care
+ VNA or not VNA?
{is that the question?}
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why aren’t we using it?
{or are we??}
mobile
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the key to oncology’s and researcher’s heart
lesion measurement
+annotation image markup
{AIM – daniel rubin - stanford}
speech recognition systems
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ologies...{we are not alone}
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integration{we gotta do it!}
+ critical results reporting
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image sharing{our little instagram}
2014
2016
2017
2018
EMR adoption
Enterprise Order ManagementEnterprise Viewers - Clinical images
Web appsPACS >> EV(clinical
staff) Radiology RIS >> EMR RIS
New app ecosystem
Structured ReportingVoice
Recognition
Ontologies and lexicons
Radiology PACS >> EV
Cloud VNA
Multi-facility workflow tools
Domain >> PlatformModalities >> VNAPatholog
y
Legacy data
2015
EVEMR ModulesWeb information systems
RIS / PACS
mobileanalytics
VNAMulti-system image information
Enterprise image management
Cross enterprise sharing
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message in a bottle
{radiologists 3.0}