Abstract

Care providers today routinely obtain valuable clinical multimedia with mobile devices, scope cameras, ultrasound, and many other modalities at the point of care. Image capture and storage workflows may be heterogeneous across an enterprise, and as a result, they often are not well incorporated in the electronic health record. Enterprise Imaging refers to a set of strategies, initiatives, and workflows implemented across a healthcare enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyze all clinical imaging and multimedia content to enhance the electronic health record. This paper is intended to introduce Enterprise Imaging as an important initiative to clinical and informatics leadership, and outline its key elements of governance, strategy, infrastructure, common multimedia content, acquisition workflows, enterprise image viewers, and image exchange services.

Highlights

  • Images are captured in many traditional and emerging settings, and these images represent valuable care information that must be managed systematically and widely available

  • Having access to clinical imaging and multimedia content has been acknowledged as an important part of patient care and fully realizing the value of electronic health records (EHRs) [1, 2]

  • Store images imported via EHR uƟliƟes or paƟent portal into Enterprise Imaging Plaƞorm

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Summary

Introduction

Images are captured in many traditional and emerging settings, and these images represent valuable care information that must be managed systematically and widely available. Many of these topics will be discussed in more depth in upcoming HIMSS-SIIM collaboration white papers dedicated to the subject These key elements for a successful Enterprise Imaging program are as follows: 1) Governance 2) Enterprise Imaging Strategy 3) Enterprise Imaging Platform (Infrastructure) 4) Clinical Images and Multimedia Content 5) EHR Enterprise Viewer 6) Image exchange services 7) Image analytics. A beginning strategy and roadmap will at least include plans for the aforementioned key elements (governance, the enterprise image management platform, content, content viewing, EHR integration, image exchange services, and analytics). These decisions inform the suitability of any already owned technology for the EI platform and make apparent capital or operational funding requirements to implement the program They make clear those applications, storage, and viewers that do not fit with longterm enterprise plans. Acquisition devices that are supported include departmental DICOM imaging modalities, point-of-

Imaging Results Availability Messages
Conclusion
Hagland M
Yeager D
48. Saywell WR
50. Dinov ID
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