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In pursuit of EMR and image interoperability at HIMSS

February 22, 2017
Health IT HIMSS

Cris Bennett
From the EMR perspective, the challenge of incorporating diagnostic images and video clips needed for ultrasound and angiographic studies creates a sizeable task both for bandwidth and for storage within the solution. It also requires minimizing access time, to keep the physicians willing to access and use the data in their medical assessments and decision-making.

The road has been bumpy to date. A number of cardiovascular information system (CVIS) vendors were concerned that EMR records were insufficient to provide data that could be used in a meaningful way by physicians that need a much deeper level of information. There may have been an early learning curve for the EMR vendors, as well as the IT input for the minimally acceptable image and data required to be a beneficial data summary.

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Also, the consumer (hospital) focus was on the extremely challenging and expensive task of choosing, implementing and integrating even the basic functionality of an EMR into their environment. To a degree this is still ongoing, but they have gained early experience and are now beginning to step back and realize there is still more work to be done for this concept to become fully functional.

This will continue to be a focus for imaging and EHR vendors for the future. Based on our discussions with EMR and imaging vendors at HIMSS, both sides now have common visions and those visions are coming into focus. It will be critical to see both segments working in a more collaborative manner to ultimately achieve the desired goal, or at least the necessary foundation to make the desired goal achievable.


ABOUT THE AUTHORS: Tom Watson joined MD Buyline in 1986 and has over 40 years of experience in the field of cardiovascular medicine. He started his career as a staff technologist at West Jefferson Medical Center. He spent two of those years as a staff technologist and the remainder as administrative and technical director of cardiology. His clinical experience and training include all diagnostic noninvasive cardiac modalities, including echocardiography, stress-testing Holter and ECG. His invasive experience encompasses diagnostic cardiac catheterization, PTCA and electrophysiology. He also has experience with critical care and intensive care monitoring, as well as cardiac rehabilitation applications. As a senior clinical analyst at MD Buyline, he is the primary analyst for cardiology, which includes interventional angiography (cardiac, vascular and neurological), electrophysiology imaging and monitoring, and cardiology PACS and information systems. He provides secondary support for noninvasive cardiology. He also provides cross-coverage to related areas of radiology.

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