Zero Footprint Viewer

Atul SetlurSenior Product Manager, Enterprise Imaging

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GE Healthcare IT Solution Portfolio

Enhance diagnostic speed & confidence

Lower cost of treating chronic

disease

Improve health system profitability

Make care pathways

more productive

Integrated Care Solutions

Ambulatory Care

Ambulatory EMR

Clinical QualityReporting

Care Areas

High Acuity

Maternal-Infant

Cardiology

Radiology

Pathology

System-wide

Visualization

Workflow

Collaboration

Archiving

Revenue & Risk Mgt

Revenue Cycle Mgt

Financial Risk Mgt

EDI

Practice Mgt

Profit Analytics

Activity-Based Costing

Contract Modeling

Utilization Management

Optimize workforce productivity

WorkforceManagement

Time & Attendance

Staffing & Scheduling

Patient Classification

HR & Payroll

Data Control

HealthcareAnalytics

Care Coordination& Management

Wellness &Patient Engagement

Enterprise Imaging

Care Delivery Management

Population Health Management

Financial Management

Healthcare is evolving to a collaborative care model

Current Hospital-centric ModelCurrent Hospital-centric Model Collaborative Care ModelCollaborative Care Model

Fee-for-ServiceFee-for-Service Outcome DrivenOutcome Driven

Hospital centricHospital centric

Fee for serviceFee for service

EpisodicEpisodic

DepartmentsDepartments

Closed systemClosed system

Data silosData silos

Collaborative care

Patient data consolidatio

n

Solutions

Open & interoperabl

e

Outcomedriven

Patientcentric Patients

RadiologistBest of breed tools

DepartmentIntegrated solution

EnterpriseStandards-based

platform

CommunityCollaboration

suite

Imaging is now an enterprise-level priority

Coordinated care demands moving from stand-alone silos of data to integrated, user friendly workflows

Visualization: Display images from multiple specialties on a common viewer with analytics

Centricity Universal Viewer: A unified, web-based viewer• Streamline workflow with intelligent productivity tools

• Reduce swivel between workstations

• Read multiple modalities on the same workstation

Centricity Universal ViewerYour needs... Help save up to 19% of radiologist’s time1

Increase clinical productivity

“I want to consolidate workstations.”

1Source: Radiologists’ Burden of Inefficiency Using Conventional Imaging Workstations, Dr. Bruce Hillman and Dr. Bhavik Pandya, Journal of the American College of Radiology. November 2013;

AW Advanced Visualization solutions• Streamline post-processing and synergize imaging

techniques across CT, MRI, PET, SPECT and interventional

• Collaborative 2D, 3D and 4D visualization and analysis

Radiologist Viewing

Advanced Visualization

Breast Imaging

Home Reading

Helps to streamline

workflow with enhanced

usability and Intelligent

productivity tools, including

smart reading protocols, native MIP/MPR & PET-

CT

Embedded applications

powered by AW help to reduce swivel between

workstations, enables access

to post-processed

images

Screening and diagnostic workflows

Read Tomo on the same

workstationSupports multi-

modality reading as part

of hanging protocols

High system performance

with bandwidth-adjusting streaming technologyAccess via

web helps to reduce IT

involvement

Enhances patient care and collaboration while reducing total cost of ownership with a common platform

Cardiologist Viewing

Brings cardiology

together with multiple imaging

disciplines together in a

common viewer and a single

patient jacket

Clinician Viewing

Clinicians can view any image

anywhere1 on a device of

their choice, within or

outside the hospital with

little burden for IT.

1Where internet access is available

Centricity Universal Viewer

Archiving: Consolidate images from multiple systems for rapid retrieval and display

Centricity Clinical Archive2 solution is astandards-based, multi-ology, multi-site VNA

• Store clinical content from DICOM & non-DICOM systems

• Deliver a single patient jacket

• Interface directly within an EMR

• Deliver proven scalability for large enterprises

• Provide location agnostic ‘multi-ology’ information access

Centricity Universal ViewerYour needs...Helps reduce cost to

archive images by up to 20%1

Contain costs

“I want to stop buying storage for every

department, every year.”

1 Source: We Calculate a 74% Reduction, But It’s Hard To Compare Apples To Apples by Andrew Reichman, August 25, 2011; Note: UPMC is a collaboration partner of GE Healthcare and as a result has a financial interest in the development and commercialization of certain GE Healthcare next generation imaging products.

2Centricity Clinical Archive solution includes the following product components: Centricity Enterprise Archive, Universal Viewer ZFP, Caradigm™ eHIE, Centricity Clinical Gateway, NextGate MatchMetrix EMPI, and PACSGEAR PacsSCAN.™

Help enhance clinician access…

What has changed in the past 10 years?

Source: http://www.eurekalert.org/pub_releases/2013-06/acop-sop061213.php

Increased usage of Mobile devices in Healthcare• 51% of surveyed physicians using

tablets access EHRs

• 54% physicians use iPad® tablets

• Only 18% of tablet users were “very satisfied” with the quality of apps

Primary Care Physician needs

Providing referral physicians with information they need to deliver patient results.

Access within and outside facility

Default access to report and key images

Targeting large # of users with limited training Information overlays

guide to functions

Cross reference lines

Surgery & Emergency Department needs

Enabling access to images before and during surgery

Emergency department requires technology accessible at patient’s bedside

Volume Rendering

ER – Radiologist Discrepancy Communication

Cardiology

• Optionally launch MUSE™ Cardiology Information System application externally

EKG and Echo

Providing Cardiologists with imaging and accompanying EKG waveforms

Mobile and remote access to images

Mobile access to images

Help enhance care coordination

Complexity of Care Delivery models increasing

15

Oncology Community

Chronic DiseaseManagement

Cardiologist

Patient / Guardian

Internist,GP

Surgeon

Neurology CommunityTrauma

Center

Affiliated Hospitals

Affiliated Hospitals

Affiliated Hospitals

Oncology

Telemedicine

Neurology

Clinical photographs (Visible light) California’s Kaiser Permanente organization now has more images coming into its system from outside radiology than it does in the imaging department.1

•Pressure Ulcers•Burn Assessments•Wound Dressing Instruction

Wound Care

ER Abuse documentation

•Retinal FundusOphthalmology

•Liver StainPathology

•Melanoma, Rashes, Acne & Mole Tracking•Tele-dermatologyDermatology

•Scope PicturesENT & GI Lab:

•Motor Skills & Cognitive Ability VideoNeurology

•Motor Skills Ability and Range of Motion Video•Treatment Progression

Physician Occupational Therapy

1- Source: http://www.radiologytoday.net/archive/rt0414p14.shtml#sthash.ZBiA8MYd.dpuf

Patient centric view of all clinical content in the vendor-neutral archive (VNA)

Optimized to quickly navigate large amount of patient data e.g. 800 + documents

Access to patient’s DICOM, Clinical Photographs and other Clinical Content e.g., CDA

Patient Timeline – Matrix view

Increase access to patient’s imaging

• Access related imaging performed at other affiliate Hospitals.

• These affiliates have their own PACS systems

HILLTOPHILLTOP

MERCY MERCY

GENERALGENERAL

Enabling multi-disciplinary Oncology care

Collaboration via virtual Tumor Boards

Display of Pathology ROI and accompanying Radiology Images

Launch specialized viewing applications where needed

Pathology ROI

Key Images

Telehealth programs for stroke care

Neurologists are in short supply, so many hospitals are turning to virtual stroke networks staffed by specialists from a variety of hospital bases who interpret scans and diagnose strokes.1

1- Source: http://www.wsj.com/articles/a-fast-track-to-treatment-for-stroke-patients-1425338329

• Hospitals in Cleveland and Houston are dispatching special ambulances rigged up as mobile stroke centers modeled on a successful program in Germany.

• On-call neurologists view CT scans and evaluate patients through a secure encrypted network and two-way video screens.

Help contain costs

Simplifying image distribution

Zero Footprint

• No admin rights required

• No software install

• Low memory requirements withServer side rendering for 3D

• Low bandwidth support

• Broad web browser & device support Clinicians can quite simply view any image anywhere1 on a device of their choice, within or outside the hospital.

1Where internet access is available

Single viewer for DICOM, Clinical Photographs and other Clinical content

Reduce operational complexities

Make Images accessible via EMR• Single EMR interface• Secure inbound interface• Outbound interfaces, e.g. Ortho templating

Centralized management of users • Enterprise Active Directory & SSO support• Role based access control• Audit viewing of patient data

Access patients imaging history from the EMR

A robust, standards based solution

24

XDS Registry

Path DermaRad/Card GI Scopes Optho

Vendor Neutral ArchiveWith XDS/XDSi Repository

DIC

OM

&

XD

S

Non

-sta

nd

ar

d

sou

rces

Connectivity components

(messages & devices)

Case Study: Huron Regional Medical Center

ChallengesChallenges SolutionSolution OutcomesOutcomes

The zero-footprint viewer is very intuitive. The tools are very basic, but they’re the tools you need. They’re easy to learn.

– Chad Moser, RT and PACS AdministratorSource: Huron Regional Medical Center case study; January 2015Results may vary and do not constitute a representation, warranty or performance guarantee

• Stay competitive- keep care local

• Balance high-end technology with costs

• Quick and easy access to images from EHR

• Integrated to launch directly out of the EHR

• Broad access to images within and outside the facility

• Images viewable through modern web browsers

• Reformats on the fly

• Intuitive user interface

• Improve relationships with referring physicians

• Faster patient care• Reduce burden of

installing & maintaining software

Large Hospital Operator Scenario

Background• Consolidated Radiology and Cardiology imaging from all Hospitals

on the VNA• Petabytes of imaging data from GE Healthcare PACS and other

vendor PACS.• Redundant data centers w. replicated data

ZFP use• Enable access to imaging on the VNA• Redundant and high performing infrastructure

accessible from all facilities

Addressing Enterprise Imaging challenges

Improve care coordination

Patient centric view of Imaging

Remote access to Referring Physicians

Improve market presence Tools to meet needs of Specialists e.g.,

Cardiology, Orthopedics

Contain costs

Cross enterprise display of data

Consolidate images access across multiple systems

Interoperable solutions

Centricity Universal Viewer Zero Footprint

Care coordination

Clinician access

Cost containment

Any image anywhere1 on a device of their choice

Patient centric with broad tool set

Simplify image distribution with robust interoperability & ease of deployment

1Where internet access is available

Thank you!Questions?

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