naphit visualdx: standardizing public health preparedness at
TRANSCRIPT
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 [email protected]
Or
Steve CutronaVice President of Sales &
Marketing585-427-2790 [email protected]
Logical Images, Inc.3445 Winton PlaceRochester, NY 14623
www.logicalimages.com