mark oherlihy director of healthcare europe, middle east & africa perceptive software...

Mark O’HerlihyDirector of Healthcare

Europe, Middle East & Africa

Perceptive Software

'Using Information to Drive Integrated Care'

"Healthcare Content in Context"

© 2012 Perceptive Software. All rights reserved.

Presentation Focus

© 2012 Perceptive Software, LLC. All rights reserved.

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

VNA + ECM: Build a Foundation for Data Liquidity

Healthcare Today

Content ChallengesManage, Store, Access

Archived, existing and new

Store Efficiently, Access on Demand

Terabytes

Zettabytes

Petabytes

Exabytes

Radiology/Cardiology

Imaging

Non-DICOMContent

DigitalPathology

Genomics

Healthcare Today




Process ChallengesManual Unmanaged Processes

Business and clinical inefficiencies

Discover, Design, Execute, Improve

Healthcare Today




Application ChallengesProprietary, inflexible systems

Access and functionality limitations

Eliminate Silos, Deliver in EMR context

Process ChallengesManual Unmanaged Processes

Business and clinical inefficiencies

Discover, Design, Execute, Improve

Your Enterprise Environment


+ EMR Process Strengths• Clinical Pathways, CPOE, Clinical

Messaging

+ EMR Content Strengths• Physician/nurse populated data,

Nursing assessments, MD Documentation

EMR

- Processes outside of EMR• Chemo Treatment Plan Management• Provider Credentialing

- Content outside of EMR• Photos, paper documents,

Correspondence, Faxes, Radiology Dictation and Imaging, Pathology

Other Clinical Systems• Radiology, Cardiology, Lab, HIM

Unified Content Platform;• Eliminate content silos• Optimize your EMR• Complete the patient recordEnterprise non-clinical Systems

• ERP, HR, Revenue Cycle, Registration / Admissions

ERPREG

HR

LAB

RIS

HIM

All contentAny sourceAny purpose In context

ECM + VNABuild a Foundation for Data Liquidity


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

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 Points

VNA – Key Point

Interoperability Delivers Data Liquidity – Useful, Relevant Data to Each Stakeholder, User or Application

Market Research

VNA and ECM

Combine – Market

Response

IMS Research – Lexmark Acquires Acuo Technologies – InMedica’s View -http://www.imsresearch.com/blog/Healthcare_Data_Management_Intelligence_Service_Monthly_Analysis_Feb_2013/33

ImagingBiz - The VNA Revealed: Understanding Its Role in a Health-delivery system -http://www.imagingbiz.com/articles/radinformatics/the-vna-revealed-understanding-its-role-in-a-health-delivery-system

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-the-bandwagon.aspx

Gartner – Lexmark’s Acquisition of Acuo Technologies Heralds a new ECM Focus for HDOs -http://www.gartner.com/technology/reprints.do?id=1-1E1KL8D&ct=130211&st=sg

http://www.imsresearch.com/blog/Healthcare_Data_Management_Intelligence_Service_Monthly_Analysis_Feb_2013/33



http://www.imagingbiz.com/articles/radinformatics/the-vna-revealed-understanding-its-role-in-a-health-delivery-system



http://www.appliedradiology.com/Issues/2013/02/Articles/Enterprise-vendor-neutral-archive--Guide-to-riding-the-bandwagon.aspx



http://www.gartner.com/technology/reprints.do?id=1-1E1KL8D&ct=130211&st=sg

http://www.gartner.com/technology/reprints.do?id=1-1E1KL8D&ct=130211&st=sg

IMS Research – Rise of the Middleware


It highlights the potential for VNAs to help drive hospitals towards cross-enterprise 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?

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 content-management systems and clinical systems to provide a complete record of structured and unstructured content to the EMR systems.”

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.

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.

Creating a New Reality in Healthcare

Completing The Patient Record


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Challenges of EMR/EHR Integration

TypicalEMR/EHR Installation

Missing health content = incomplete picture of patient healthcare experience

Disparate departmental systems and clinical data silos

Cardiology PACS

Other clinical content

RIS/HIS/eMPI

Radiology PACS

Unstructured content in digital and paper formats, in standalone servers, physical file cabinets and desk drawers,

sent by courier and carried by patients

Unified Content Platform

ECM Cardiology PACS Radiology PACS Specialty PACS

CloudSAN NAS

Enterprise Content Strategy

Liberated data – to capture, manage and access in context

Universal Access

ILM

Storage

EMR

Semantic searching of multiple data elements from a single view Pretrieve patient clinical content Analytics of unstructured content Eliminate information silos

Scanned Content

Electronic Forms

Deliver in Context


Digital Photos

Enterprise Imaging

Content-based medical record


Healthcare Vision


EMR

NHS #: 200803768

Core System (EMR)Device Output DICOM External Content Traditional Content

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

Integration with patient data from EMR

Clinical content intermingled with ECM in results grid

Unified Healthcare Content Platform

VNAvendor neutral archive ECMenterprise content

management

Content-BasedMedical Record

all content, any source, any purpose, in context of the patient record

Radiology PACS, Cardiology PACS, RIS/HIS/eMPI, other clinical content

Scanned documents, reports, notes, photos,

videos, wave forms, other content

SAN SAN

CAS/Cloud NAS CAS/Cloud NAS

Questions?

Mark O’Herlihy

Director of Healthcare

Europe, Middle East & Africa

Perceptive Software


mark oherlihy director of healthcare europe, middle east & africa perceptive software...

Documents

data liquidity slide

vendor neutral archive

data sources

medical data

relevant data

patient data

data formats

demand slide