King Edward VII’s Hospital
King Edward Vll’s Hospital is a prestigious private hospital in London with a long history of providing care to the British royal family. It is the only hospital in the UK where consultants must be invited to practice. Known for its use of state-of-the-art technologies and a highly credentialed medical staff, the Hospital enjoys a reputation as the “foremost private hospital” in London.
King Edward VII’s Hospital had an aging PACS that was performing poorly. The hospital was also challenged to provide uniform access to imaging in all service areas. When an upgrade was proposed by another vendor at high cost with no new functionality, leadership at the Hospital decided to consider other options.
Having had a positive business relationship with Vital and Toshiba Medical in the past, King Edward VII’s Hospital launched a tender process to look at alternatives to the current vendor. After careful review, IT, medical and administrative staff all selected Vital.
Fairview Health Services
Fairview’s imaging leaders faced several barriers to accessing actionable information to support their business decisions. Although the reporting module built into their EMR provided some preconfigured strategic reports, the process of getting ad-hoc information to support an immediate decision was long, requiring the submission of service requests to IT and the involvement of specially trained analysts to construct new reports. Often by the time the requested information was provided, the timeframe for making a critical decision had already passed. Compounding the problem, the EMR is not the only source of operations-related information. The RIS (radiology information systems), PACS (picture archiving and communications systems) and imaging modalities themselves also contain valuable data which contribute to the overall picture.
Fairview worked with Vital to implement Practice Management to empower the imaging leaders with self-service access to data. As part of this implementation, one year’s worth of historical data was imported into Practice Management to provide users with immediate insights into performance trends. Fairview’s implementation includes four applications: KPI Dashboard, On Demand Reporting, Scanner Utilization and Clinical Report Search.
Johns Hopkins Medicine
Johns Hopkins Medicine (JHM) was interested in providing a consistent view of patient information across the enterprise and, to this end, is in the process of rolling out a new EMR from Epic, which is live and in use at several JHM facilities. JHM also has been working to provide enterprise access to patient imaging history and to clinicians directly from the EMR system.
JHM had a vision of providing all clinicians with enterprise-wide access to medical images – accessing imaging studies directly through the EMR, discovering and including prior studies regardless of location and allowing side-by-side comparison of these images. Ideally, this would be provided from a single web-based system where clinicians would learn once and then access images through the EMR via their existing laptops, desktops and mobile devices.
JHM selected and implemented Vital’s enterprise viewer in phase one of the enterprise viewer initiative. Clinicians can view patient images, radiology reports and related documents from within the EMR via secure link. They launch Vital’s enterprise viewer by simply clicking on a link in the EMR and within seconds they are viewing the images and have access to patient prior imaging studies stored within the VNA.
Phase two extended this capability by implementing Vital’s image streaming technology to provide direct access to studies stored in the PACS at Johns Hopkins Suburban Hospital and Sibley Memorial Hospital facilities without requiring data migration, routing or caching.
Summit Medical Group
When Summit Medical Group decided imaging was a key component in improving healthcare and outcomes, they had to confront a daunting puzzle. Their wide base of practitioners, vast specialties, multiple facilities, dynamic needs and supporting infrastructure were all pieces that had to fit into their vision as they moved forward.
After they found the PACS viewer did not fit their needs, Summit Medical Group looked into several universal viewer products to solve the problem of expanding imaging outside of radiology, with Vital’s enterprise viewer clearly rising to the top of their list after multiple rounds of review.
Banner wanted to implement an enterprise solution that would provide access to all of the advanced visualization tools currently available on their Vitrea® Advanced Visualization workstation deployments and from multiple PACS workstations. Their requirements called for access at sites in a variety of geographic locations, without any compromises in functionality or speed.
Vital provided a multi-modality, vendor-neutral platform that supports a PACS-integrated enterprise deployment for PACS (Fuji), as well as CT and MR (Toshiba, GE, Philips and Siemens). The deployment provides a single user interface and standardization across facilities, which improves user adoption and lowers support costs.
In 2011, Allina Health announced that all of its hospitals met the First Stage of Meaningful Use. To continue with their efforts, Allina needed to implement an appropriate technology to be able to attest to Stage Two Meaningful Use for image results, which included providing fast and convenient access to all of the images stored in their various PACS systems.
Vital’s enterprise viewer integrates seamlessly with Epic, Allina’s electronic medical record system (EMR). It helps to deliver medical images within Allina’s current workflow of reading radiologic reports and meets or exceeds their requirements for ease of use, single sign-on, average time to launch first image and scalability.
HackensackUMC wanted to meet physician demand for better access to radiologic images. They wanted to bring the images to the care teams, when and where they need them, helping to garner more value from investments already made in image acquisition and improving the patient care process.
To stay ahead of its competitors, HackensackUMC wanted to provide image access across their medical enterprise. Vital’s enterprise viewer provides fast access to DICOM images from any archive on browsers and mobile devices.