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

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

The Benefits and ROI of Medical Image Sharing 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 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 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 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 our community • Direct Image transfer from transferring Hospital or organization • If possible, control image storage growth Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

The Solution: Image Exchange Ingest outside CDs Ingest outside CDs Receive via cloud VALUES: VALUES: Clinicians’ time and convenience - - Immediate access to clinical trial - Automated workflow for data push to PACS - Clinical trial de identification tools - Images are accessible to all users - Anytime anywhere access View and Collaborate VALUES: - Share imaging data with other researchers via the web - Communicate and collaborate with other researchers Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Phased approach Phase 2: Phase 3: Phase 1: Expanding the Testing Product and Developing product and use of the Workflow workflow product • Beta work began with • Go-live with Vascular Services: • Go-live with Cancer Center lifeIMAGE on January 2010 01/20/2011 Services: 05/12/2011 • Go-live with 2 nd Non-Baystate • Pilot with the Trauma Services • Go-live with One Non-Baystate and Neurosurgery: July 2010 Hospital: 02/22/2011 Hospital: 05/23/2011 • Go-live with 3 rd Non-Baystate Hospital: 07/11/2011 Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Internal Exchange: Between Departments & Systems Internal Departments • ED /Trauma • The Cancer Center • The Heart and Vascular Center • Radiology • Neuroscience and Stroke Pulmonary • Surgery • Film Library PACS Outcomes Baystate Health LILA EMR • 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 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 External Providers PACS • High volume Exchange • Lower volume exchange • Referral Capture and Transfers • Upload using an on-site appliance or through BH website PACS Baystate Health EMR LILA Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

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

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

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

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

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

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

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 External Providers PACS • 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 PACS uploaded the images to LISA. YR1 savings = $25,000 Baystate (equivalent to -0.6 FTE) Health • EMR Decreased patient rescanning by 80%; estimated LILA Yr 1 = $300K in unreimbursed procs • Increased Referral Throughput . Additional NP in Year 1 for select areas = $136K Radiology 2 nd Reading Revenue NP in Year 1 = $89K • Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

Baystate Health Results Distribution 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 Outcomes Baystate • Provider satisfaction increased. LISA Health • New referrals to Baystate climbed; those who LILA didn’t have access prior.. • Total Yr 1 additional NP = $20K PACS Slide Deck: http://goo.gl/zj59bc Webex Support 1-866-223-3239 Event # 667 203 028

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

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