The Benefits and ROI of Medical Image Sharing A Complimentary - - PowerPoint PPT Presentation

▶
the benefits and roi of medical image
SMART_READER_LITE
LIVE PREVIEW

The Benefits and ROI of Medical Image Sharing A Complimentary - - PowerPoint PPT Presentation

May 30, 2023 254 likes •652 views

The Benefits and ROI of Medical Image Sharing A Complimentary Webinar From healthsystemCIO.com Sponsored By lifeIMAGE Your Line Will Be Silent Until Our Event Begins Thank You! Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239

slide-1
SLIDE 1

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Benefits and ROI of Medical Image Sharing

A Complimentary Webinar From healthsystemCIO.com Sponsored By lifeIMAGE Your Line Will Be Silent Until Our Event Begins Thank You!

slide-2
SLIDE 2

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Housekeeping

  • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com
  • Ask A Question
  • We will be holding a Q&A session after the formal presentations.
  • You may submit your questions at any time by clicking on the QA panel located in the

lower right corner of your screen, type in your questions in the text field and hit

  • send. Please keep the send to default as “All Panelists.”
  • Download the Deck
  • Go to: http://healthsystemcio.com/presentation/imageroi-webinar.pdf
  • Shortened link below appears on all slides.
  • View the Archive
  • You will receive an email when our archive recording is ready.
  • Separate registration is required.
slide-3
SLIDE 3

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Agenda — 45 Minutes

  • (20 min) Joel Vengco, VP/CIO, Baystate Health
  • (5 min) A Word From Our Sponsor: Amy Vreeland, Senior VP, Product

Management and Marketing, lifeIMAGE

  • (20 min) Q&A w/Joel Vengco, Moderated by Anthony Guerra
slide-4
SLIDE 4

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Benefits and ROI of Medical Image Sharing

slide-5
SLIDE 5

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

About Baystate Health

  • $1.6B in revenues
  • 10k+ employees, largest employer in Western

Massachusetts.

  • One of the largest Integrated delivery network in

Massachusetts

  • 4 hospitals
  • Academic Medical Center, affiliated with Tufts University

Medical School

  • 80+ medical practices
  • Level 1 Trauma Center
  • 5-star health plan
slide-6
SLIDE 6

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Problem: From Digital back to Analog?

  • Image exchange has been wrought with manual processes
  • External image upload (CDs)
  • Film exchange between collaborators (both internal and external)
  • Requires FTE to manage
  • Lack & Lag of access to images results in:
  • Costly duplication of tests
  • Patient dissatisfaction because they have to manage the images
  • Referring provider dissatisfaction
  • Decreasing quality of care
  • Continued growth in storage costs
slide-7
SLIDE 7

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

“Say Yes To All Transfers” Campaign

  • Campaign to accept all transfers…
  • Trauma transfers to Baystate and referrals were high volume and

sometimes off hours

  • Patients would come with no CD or Images were unable to be opened

due to viewer limitations

  • More redundant scanning
  • 1 FTE+ to manage CD uploads
slide-8
SLIDE 8

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Our Goals

“Images anywhere, anytime…”

  • Improve and enhance Baystate Health’s Care Transition Initiative to have

images available when patient is transferred

  • Decrease duplicate tests, thereby decreasing patient radiation exposure

and unnecessary utilization

  • Improve image sharing and communication among referring physicians in
  • ur community
  • Direct Image transfer from transferring Hospital or organization
  • If possible, control image storage growth
slide-9
SLIDE 9

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Solution: Image Exchange

Ingest outside CDs

VALUES:

  • Clinicians’ time and convenience
  • Automated workflow for

push to PACS

  • Images are accessible to all users

Ingest outside CDs View and Collaborate

VALUES:

  • Share imaging data with other

researchers via the web

  • Communicate and collaborate

with other researchers

Receive via cloud

VALUES:

  • Immediate access to clinical trial

data

  • Clinical trial de identification tools
  • Anytime anywhere access
slide-10
SLIDE 10

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Phased approach

Phase 1: Developing product and workflow

  • Beta work began with

lifeIMAGE on January 2010

  • Pilot with the Trauma Services

and Neurosurgery: July 2010

Phase 2: Testing Product and Workflow

  • Go-live with Vascular Services:

01/20/2011

  • Go-live with One Non-Baystate

Hospital: 02/22/2011

Phase 3: Expanding the use of the product

  • Go-live with Cancer Center

Services: 05/12/2011

  • Go-live with 2nd Non-Baystate

Hospital: 05/23/2011

  • Go-live with 3rd Non-Baystate

Hospital: 07/11/2011

slide-11
SLIDE 11

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Internal Exchange: Between Departments & Systems

PACS EMR

Baystate Health LILA

Internal Departments

  • ED /Trauma
  • The Cancer Center
  • The Heart and Vascular Center
  • Radiology
  • Neuroscience and Stroke Pulmonary
  • Surgery
  • Film Library

Outcomes

  • Immediate access to images
  • Secondary Reads were possible,

particularly for Trauma cases at night

  • New sites could be established

without up front interface work

slide-12
SLIDE 12

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

External Exchange: Local facilities regularly transfer exams to Baystate Health

PACS EMR PACS

Baystate Health LILA

External Providers

  • High volume Exchange
  • Lower volume exchange
  • Referral Capture and Transfers
  • Upload using an on-site appliance or through BH website
slide-13
SLIDE 13

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-14
SLIDE 14

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-15
SLIDE 15

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-16
SLIDE 16

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-17
SLIDE 17

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-18
SLIDE 18

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-19
SLIDE 19

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

slide-20
SLIDE 20

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

External Exchange: Local facilities regularly transfer exams to Baystate Health

PACS EMR PACS

Baystate Health LILA

External Providers

  • High volume Exchange
  • Lower volume exchange
  • Referral Capture and Transfers
  • Upload using an on-site appliance or through BH website

Outcomes

  • Immediate Access to Images uploaded
  • Vendor Neutral Viewer solved access issues
  • Cost Savings on CD uploads, because the referrers

uploaded the images to LISA. YR1 savings = $25,000 (equivalent to -0.6 FTE)

  • Decreased patient rescanning by 80%; estimated

Yr 1 = $300K in unreimbursed procs

  • Increased Referral Throughput. Additional NP in

Year 1 for select areas = $136K

  • Radiology 2nd Reading Revenue NP in Year 1 = $89K
slide-21
SLIDE 21

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Baystate Health Results Distribution

PACS LISA

Baystate Health LILA

Outcomes

  • Provider satisfaction increased.
  • New referrals to Baystate climbed; those who

didn’t have access prior..

  • Total Yr 1 additional NP = $20K

Closing the loop

  • Needed a solution for those providers who

can’t access our Baystate EMR or who have a different viewer or who don’t want to ingest more images

slide-22
SLIDE 22

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Utilization Dashboards: Use of ReferralBox

slide-23
SLIDE 23

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Summary Dashboard

slide-24
SLIDE 24

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Benefits

  • Improve staff workflows at patient arrival, especially with CDs (little to

no waiting)

  • Satisfied referring providers – can upload easily & can download for

read

  • Vendor neutral viewer
  • Allows remote reads by on-call staff
  • Expedite image access and exchange for newly acquired practices
slide-25
SLIDE 25

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Returns

  • Savings on PACS archiving / image storage
  • 33%+ exams that accompany a patient are not sent to PACS
  • In Year 1 we saw 30K in PACS savings; continue to see $50K+ annually
  • Decrease in on-site CD upload
  • For Oct 2013, 405 CDs / 822 exams were uploaded by external referrers
  • Typically about 5-10 min per CD to upload = over 40 hrs of potential BH doc’s

time in one month

  • Avoidance of diagnostic imaging redundancy
  • Ease of referrals
  • Secondary read revenues
slide-26
SLIDE 26

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Year 1 Summary – Pitching the Value

Project Costs Year 1 Investment in solution: $116,000 FTE cost for rollout and to promote adoption: $22,500 PROJECT COSTS: $138,500 Cost Reductions

  • 1. Reduced PACS Archiving Costs

$36,274

  • 3. Avoiding un-reimbursed repeat imaging

$330,000 Number of film library FTEs wasted on CDs a year 0.63

  • 5. Reduced Staffing in Film Library, due to distributed CD ingestion

$25,128 Year 1 Cost Reductions: $391,403 1 Year Profit from Increased Revenue:

  • 2. Increased Referrals to specialists through Connections and ReferralBox

$136,200

  • 3. Increased Radiology referrals from referring physicians who can't access results from your EMR (o

$19,200

  • 4. Increased Radiology Reading Revenue for Interpretations of Outside exams

$82,294 Year 1 Net Profit Increases: $237,694 TOTAL POTENTIAL PROJECT RETURNS (cost reductions + net profit increases) $629,097 ROI: (Project returns - Project costs) $490,597

slide-27
SLIDE 27

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Next Steps

  • Continue to improve usability and access
  • Integrate with our broader regional HIE platform for true IHE XDSi

exchange

slide-28
SLIDE 28

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

ROI & Medical Image Sharing

Amy Vreeland | Vice President, Strategic Accounts | lifeIMAGE

slide-29
SLIDE 29

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

BEST PRACTICE

––––––––––––––––––––

Think enterprise transformation not implementation

slide-30
SLIDE 30

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

BEST PRACTICE

––––––––––––––––––––

Think enterprise transformation not implementation THINK BIG

slide-31
SLIDE 31

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

Categories of Return on Investment

COST REDUCTION –––––––––––––––––– ––

Decrease PACS storage costs Prevent unneeded and unreimbursed inpatient imaging Freeze film library staff Reduce study distribution costs Prevent unproductive transplant travel

slide-32
SLIDE 32

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

Categories of Return on Investment

REVENUE GROWTH –––––––––––––––––– ––

Increase new patient referrals Win market share for imaging services Get reimbursed for secondary reads Ensure physician productivity Build eReferral business Develop new markets

COST REDUCTION –––––––––––––––––– ––

Decrease PACS storage costs Prevent unneeded and unreimbursed inpatient imaging Freeze film library staff Reduce study distribution costs Prevent unproductive transplant travel

slide-33
SLIDE 33

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

Categories of Return on Investment

REVENUE GROWTH –––––––––––––––––– ––

Increase new patient referrals Win market share for imaging services Get reimbursed for secondary reads Ensure physician productivity Build eReferral business Develop new markets

COST REDUCTION –––––––––––––––––– ––

Decrease PACS storage costs Prevent unneeded and unreimbursed inpatient imaging Freeze film library staff Reduce study distribution costs Prevent unproductive transplant travel

CLINICAL/CARE –––––––––––––––––– ––

Patients avoid harmful radiation Avoid adverse events and medical errors Improve physicians satisfaction Improve patient satisfaction Fewer “bad” referrals Place more donor organs

slide-34
SLIDE 34

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

1. Define enterprise and incremental goals at the executive level 2. Name an executive sponsor 3. Dedicate a clinically savvy project owner 4. Engage hospital marketing 5. Evangelize early and often (inside and out) 6. Be creative and recognize needs as they change 7. Measure success against goals 8. Expand Goals

The Key to ROI in Medical Image Sharing: An Enterprise Mindset

BEST PRACTICE

––––––––––––––––––––

Engage hospital executive team to get enterprise buy in. Recognize how image exchange adds value across all services.

slide-35
SLIDE 35

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

  • Integrate into EMR
  • Film Library
  • Transfer Center
  • Clinical Trials Staff
  • Intake Coordinator
  • Transplant Evaluation
  • Discharge Coordinators

Incorporate Image Exchange into Existing Workflows

BEST PRACTICE

––––––––––––––––––––

Infuse image exchange at existing points of patient information transfer

slide-36
SLIDE 36

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

BEST PRACTICE

––––––––––––––––––––

Choose an experienced vendor with high customer utilization who can teach best practices

slide-37
SLIDE 37

Slide Deck: http://goo.gl/XDtXW7 Webex Support 1-866-223-3239 Event # 667 203 028

BEST PRACTICE

––––––––––––––––––––

Financial & utilization goals Measure and report Course correct Expand goals

slide-38
SLIDE 38

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Q&A

Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

slide-39
SLIDE 39

Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Thank You!

  • You will receive an email when our archive recording is ready.

(Separate registration is required)

  • Thanks to our sponsor: lifeIMAGE!
  • Questions/Comments – Anthony Guerra aguerra@healthsystemCIO.com

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.