Great Patient Care: The Intersection of Clinical Excellence and Advanced Technology C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic My Pr actice My Pr Imaging Solutions
Practice of Medicine Paper Chart Observation Testing Analysis Diagnosis Treatment Follow-up My Pr actice My Pr Imaging Solutions
Practice of Medicine Paper Chart Observation Testing Analysis Diagnosis Treatment Follow-up My Pr actice My Pr Imaging Solutions
Practice of Medicine Film Libraries and Other Storage Media Paper Chart My Pr actice My Pr Imaging Solutions
Practice of Medicine Film Libraries and Other Storage Media Paper Chart Specialized Visualization Technology EMR EMR = Data Aggregation My Pr actice My Pr Imaging Solutions
Practice of Medicine Specialized Visualization Technology Image Aggregation EMR Image Aggregation = Data Aggregation Encounter Encounter Encounter Encounter Data Data Data Data Data Data Data Data My Pr actice My Pr Imaging Solutions
Practice of Medicine Patient-Specific, Image-Enabled Longitudinal Medical Record EMR = Data Aggregation Image Aggregation Encounter Encounter Encounter Encounter Data Data Data Data Data Data Data Data My Pr actice My Pr Imaging Solutions
My Pr actice My Pr Imaging Solutions
My Pr actice My Pr Imaging Solutions
Operations Clinical Business Care Quality and Regulatory and Financial Compliance My Pr actice My Pr Imaging Solutions
Clinical Operations Clinical 9:45 AM Dr. ___ Patient Scheduled 60 M 11:00 AM Dr. ___ Patient Scheduled 68 F 11:30 AM Dr. ___ Patient Scheduled 62 M Business Care Quality and Regulatory and Financial Compliance My Pr actice My Pr Imaging Solutions
Clinical 9:45 AM Dr. ___ Patient Scheduled 60 M 03/26/2013 Office Visit INT MED Rash and Cough G10 03/26/2013 Office Visit INT MED Description G10 11:00 AM Dr. ___ Patient Scheduled 68 F 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 11:30 AM Dr. ___ Patient Scheduled 62 M 03/26/2013 Telephone FHCSTR Description G10 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Telephone FHCSTR Description INT1 My Pr actice My Pr Imaging Solutions
Clinical 03/26/2013 Office Visit INT MED Rash and Cough H11 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Telephone FHCSTR Description G10 The patient is a 62 year old male with a history of 03/25/2013 Office Visit FHCSTR Description INT1 diabetes who complains of a swelling of the middle 03/25/2013 Office Visit FHCSTR Description INT1 finger of his right hand, and a mild cough. 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/22/2013 Office Visit INT MED Description G10 Patient, presents with swelling of middle finger, right 03/22/2013 Office Visit INT MED Description G10 03/22/2013 hand. Also describes a moderate, dry cough. Telephone INT MED Description G10 03/22/2013 Swelling is warm to the touch and sensitive, Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 including an itching sensation. The swelling began 03/22/2013 Office Visit INT MED Description G10 approximately 6 days prior to visit. 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Telephone FHCSTR Description INT1 My Pr actice My Pr Imaging Solutions
Clinical Order: White Cell Count The patient is a 62 year old male with a history of Order: diabetes who complains of a swelling of the middle finger of his right hand, and a mild cough. Chest X-Ray Order: Patient, presents with swelling of middle finger, right hand. Also describes a moderate, dry cough. Swelling is warm to the touch and sensitive, Antibiotic including an itching sensation. The swelling began approximately 6 days prior to visit. Order: My Pr actice My Pr Imaging Solutions
Clinical Order: White Cell Count Diabetes Care Checklist Order: Visit Recommendation: Up-to-Date 4 times per year Chest X-Ray X Order: Laboratory Tests: Up-to-Date Antibiotic X Click for Result List Eye Care Exam Order: Click for Result List Blood Pressure: Up-to-Date X Click for Result List My Pr actice My Pr Imaging Solutions
Clinical Order: White Cell Count Diabetes Care Checklist Order: Visit Recommendation: Up-to-Date 4 times per year Chest X-Ray X Order: Laboratory Tests: Up-to-Date Antibiotic X Click for Result List Eye Care Exam Order: Click for Result List Fundoscopic Eye Exam Blood Pressure: Up-to-Date X Click for Result List My Pr actice My Pr Imaging Solutions
Clinical Order: White Cell Count Laboratory Test Result: Evaluation of laboratory blood Order: differentiation test for patient ___ indicates a normal range, considering age, Chest X-Ray geographic altitude and other standard, potentially related criteria. Order: Results are: RBC count: Antibiotic • 4.9 million cells/mcL WBC count: • 6,500 cells/mcL Order: Hematocrit: • 45.6% Fundoscopic Eye Exam Hemoglobin: • 16.4 gm/dL My Pr actice My Pr Imaging Solutions
Clinical Chest X-Ray: Result Laboratory Test Result: Fundoscopic Eye Exam: Result Evaluation of laboratory blood This is a chest image of a 62 year-old male Utilizing a fundoscope, which is an differentiation test for patient ___ indicates taken on _____, 2013. On the top portion of instrument specially designed to serve as a normal range, considering age, the chest is the neck and the collar bones a magnifying glass, including a number of geographic altitude and other standard, (clavicles). On the bottom, the chest cavity lenses that can magnify an object by is bordered by the diaphragm under which potentially related criteria. nearly 15 times, this procedure was is the abdominal cavity. On either side of performed on ______, 2013. Beginning by Results are: the chest wall, the bones of the shoulders anesthetizing the eye with drops of and arms are easily recognizable. atropine, the exam was performed to RBC count: identify any existing abnormalities of the • 4.9 million cells/mcL Inside the chest cavity, the vertebral optic disc that, once identified can signal WBC count: column can be seen down the middle of the the onset of such disorders as diabetic • 6,500 cells/mcL chest, splitting it nearly in equal halves. On retinopathy or glaucoma, and that may Hematocrit: each side of the midline, the dark appearing also indicate the presence of intracranial • 45.6% lung fields are seen. The white shadow of pressure. the heart is in the middle of the field, atop Hemoglobin: the diaphragm and more to the This is important because increased • 16.4 gm/dL My Pr actice My Pr Imaging Solutions
Clinical My Pr actice My Pr Imaging Solutions
Clinical Image Acquisition Sources Women’s Health Cardiology Radiology (Departments / Devices) No Image Acquisition System; Imagine Mgt. System Imagine Mgt. System Stand-Alone Devices; Not Integrated VNA Viewer Viewer Viewer My Pr actice My Pr Imaging Solutions
Clinical Women’s Health Cardiology Radiology ICIS Workflow Service Imagine Mgt. System Imagine Mgt. System Imaging Clinical Information System (ICIS): Smart Image Library VNA My Pr actice My Pr Imaging Solutions
Clinical Women’s Health Cardiology Radiology ICIS Workflow Service Imagine Mgt. System Imagine Mgt. System Imaging Clinical Information System (ICIS): Smart Image Library Viewer My Pr actice My Pr Imaging Solutions
Clinical Women’s Health Cardiology Radiology ICIS Workflow Service Imagine Mgt. System Imagine Mgt. System Imaging Clinical Information System (ICIS): Smart Image Library Viewer My Pr actice My Pr Imaging Solutions
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