naphit visualdx: standardizing public health preparedness at

NAPHITVisualDx: Standardizing

Public Health Preparedness at the Point of Care

Art Papier MD, Chief Scientific Officer, Logical

Images

Logical Images

• Rochester NY, founded 1999• Decision support for clinicians• Public health informatics• Image and Case databases supporting

research and education

Logical Images

Logical Images developed the CDC/HHS trainingprogram for smallpox vaccination adverse events.

Logical Images: Clients

• Department of Defense• Hospitals (450+)• Clinics (multiple)• Public Health

– State (MS,DE,PA,NY,SC)– Metro (NYC,DC,LA, San Antonio)– County (numerous)

VisualDx addresses a fundamental need:

• Assists MD’s to recognize diseases and patterns they have never seen before

VisualDx addresses a fundamental need:

Implications of VisualDx for Care

• Patient Safety• Accuracy• Quality• Reduce Error• Patient

Education

VisualDx is comprehensive

• Over 10 years of development • 70+ physician editors• Peer reviewed• Standards based• Surveillance• Alerting• Reporting

VisualDx is “All Hazards”

• Category A, B, and C agents

• SARS• Avian

influenza• Infectious

disease• Address the

worried well

VisualDx is “Dual Use”

• Addresses common and rare diseases• STD’s• HIV/AIDS• Dark Skin • Pediatrics• Oral Medicine• 700+ diseases

VisualDx

Helps clinicians recognize horses and zebras • Classic presentations• Unusual or severe variations due to:

-Disease timeline

-Immune status-Skin color-Severity-Inherent

variation

• 4 cases presented as unknowns• Archives of dermatology “Off-Center Fold”• Chose difficult cases: Physicians seek

reference for rare presentations• Increased diagnostic accuracy 124%

– After only 5 minutes of training

Text-Based Image Reference

- Vs -

Software Decision Support

VisualDx Is Scientifically ValidatedStudy Was Performed

Total Number of Correct Diagnoses by Intervention (1st, 2nd, and 3rd Choices Combined)

19

16

21

56

21

9

7

9

25

12

0 10 20 30 40 50 60

Family Medicine

Internal Medicine

Emergency Medicine

All Non-Dermatology

Dermatology

Specialty

Correct Diagnosis

Books

Software

Results: Doubling Diagnostic Accuracy

Chi-SquarePr>Chi-Square

Dermatology 2.8772 <.0898

Non-Dermatology 20.1888 <.0001

Emergency Medicine 3.2267 <.0724

Internal Medicine 7.8204 <.0052

Family Medicine 9.1572 <.0025

Significant doubling of accuracy: Non-dermatologists

VisualDx is “Real World” Validated

Impact of Academic DetailingNYC Usage by Month Based on Unique ASP Sessions

0

200

400

600

800

1000

1200

Jun-05 Jul-05 Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06

Total Sessions by Usage Groups

0

50

100

150

200

Average Per Site Usage

Usage Group 1

Usage Group 2

Average Per SiteUsage (NYC)

Average Per SiteUsage (Other MajorState LevelInstallation)

NYC DOH Academic Detailing

•Busy NYC Emergency physicians persistently use VisualDx

Current VisualDx U.S. Installations

Standardizing US Preparedness

• 13% of US Emergency Rooms are currently using VisualDx

VisualDx and Public Health

• Meets federal CDC/HRSA bioterrorism preparedness guidelines

• Meets Pandemic Flu guidelines• Includes Chemical Preparedness• Includes Smallpox Vaccination• Includes Sexually Transmitted Disease• Includes Communicable Respiratory

Disease

VisualDx: Accurate Diagnosis while Minimizing False Positives

• Addresses critical node for early response: prepared clinicians– Increases physician awareness of

CBRN, and emerging and re-emerging diseases through day to day use for common problems

– Problem-oriented visual approach uniquely addresses false positives inherent in detecting low probability disease

VisualDx: Customize 24x7x365

• Health alerts• Communicable disease

reporting• Local customization by health

departments• Bring public health to the

point of care

Contact Information

Art Papier MDChief Scientific Officer585-427-2790 x230apapier@logicalimages.com

Or

Steve CutronaVice President of Sales &

Marketing585-427-2790 x110apapier@logicalimages.com

Logical Images, Inc.3445 Winton PlaceRochester, NY 14623

www.logicalimages.com