Solutions to Making Digital Breast Tomosynthesis Widely Accepted in Mammography Imaging

Ron Muscosky, Worldwide Product Line Manager, HCIS, Carestream

Ron Muscosky, Worldwide Product Line Manager, HCIS, Carestream

The challenges with digital breast tomosynthesis are well explained in this article on AuntMinnie, and very real. At Carestream, we have been working with digital breast tomosynthesis data from various vendors to provide solutions for these very same issues.  Although there are many different aspects to consider when adding digital breast tomosynthesis, I’ll explain some of the solutions we’ve found and hope others find them to be useful.

Since digital breast tomosynthesis is relatively new, we are finding that the level of support each vendor provides varies significantly.  We decided to embrace digital breast tomosynthesis from the start since we believe it will have a place among the various different technologies used to detect breast cancer.  Other technologies will continue to evolve to the point where each will have a place as well.  The clinical benefits of digital breast tomosynthesis are still being debated by some, but it has rapidly gained supporters in the Radiologist community.

While support continues to grow,  two main barriers that exist include reimbursement and dosage.  Reimbursement will definitely help encourage widespread acceptance from a business perspective. And, with the various acquisition device vendors working on synthetic 2D images, it appears the dosage barrier can be overcome as well.  This may open the door for digitial breast tomosynthesis to be used on a regular basis in the screening environment.

Regarding the storage of the digital breast tomosynthesis data objects, we have found that in addition to the use of lossless compression, adequate network bandwidth and intelligent routing/pre-fetching of data are vital to efficiently move such a large amount of data transparently to the user.  This is especially true when reading such procedures across multiple facilities and/or remotely. We are recommending that internal networks support 1 Gigabit, as some of the acquisition device vendors have done..

As mentioned in the AuntMinnie article, earlier digital breast tomosynthesis data may have been stored using a proprietary format. Our current understanding is that the conversion process being provided can be scheduled during the evening or weekend, so there is little or no impact during normal business hours. Although this conversion process can appear to be a daunting task at first, it is important for a site to maintain data that follows the DICOM standard moving forward for interoperability.  Otherwise, the task becomes much larger at a later time.  The same will be true for synthetic 2D images in the near future.

Another challenge outlined in the article is the additional time needed to read digital breast tomosynthesis images.  Similar to when digital mammography was first introduced, users experienced a learning curve not only with reading the images, but also with using the workstations and the tools that they provided.  We believe the same is true with digital breast tomosynthesis, where the reading time will decrease as both of these improve.  Focusing on the tools provided by workstation vendors, we have found that a key aspect to optimize the reading time is not only through basic tools that automatically scale and position both 2D and 3D images, but also advanced tools that can help localize pathology and allow the user to quickly navigate current and priors studies.  It is not enough to just stack a series of tomosynthesis slices and allow the user to scroll through them at will.  With traditional 2D mammography, digital breast tomosynthesis, synthetic 2D mammography, and other mammography procedures (e.g. breast US, breast MRI, etc.) being generated, workstations with hanging protocols that can support and display all of these in an efficient manner become extremely important.

As the IHE Mammography Image integration profile is expanded to include digital breast tomosynthesis, our expectation is that the interoperability issues experienced early on will at some point be resolved by most vendors.

The video below shares more information about digital breast tomosynthesis and Carestream’s capabilities in that area.

Rethinking Our IT Budgets

Bruce Leidal, CIO, Carestream

Bruce Leidal, CIO, Carestream

In today’s fast-paced business world, companies need to be in a perpetual state innovation and optimization. The goal is to put the best processes and technologies in place, and then track and optimize them along the way to ensure the business receives maximum value. This scenario is common in the IT space and is something my team and I are routinely thinking about here at Carestream.

I spoke with Peter High, a contributing writer to Forbes.com, at length about changes we’ve made in our IT department and the successes we’ve seen through the ongoing conversation with our business colleges. The article—titled, “There’s a Smarter Way to Tighten an IT Budget”—goes into detail about the method we have developed to identify opportunities and risks used to manage our budget, along with the steps that were taken to make the budget more transparent and disciplined.

For more background on Peter, he is the president of Metis Strategy, a CIO advisory firm that he founded in 2001. He has written for the Wall Street Journal, CIO Magazine, CIO Insight, Information Week, and several other periodicals. He is also the author of World Class IT: Why Businesses Succeed When IT Triumphs, a book on leading IT practices.

You can follow Peter on Twitter @WordClassIT and you can read, ““There’s a Smarter Way to Tighten an IT Budget,” in its entirety on Forbes.com.

HIMSS 13: It’s More Than Just The Technology

Robert Salmon

Robert Salmon, Carestream Health

How many times have we heard someone at places we do business with announce that “we are bringing on a new system…” in a tone that portends imminent doom and the demise of their organization.

The selection and adoption of new technology is often viewed in the same light as being devoured by alien life forms—sometimes even by those of us whose passions and livelihoods are dedicated to the design and evolution of technology for the greater common good of society. And yet when the implementation of a new IT system is successfully completed, we wonder how we ever survived without this new incarnation and soon become its greatest ambassador.

Former President Bill ClintonIn a brilliantly delivered presentation on “Trending Health: Using Information Technology to Deliver Clinical Outcomes” during the HIMSS ’13 conference, Dr. Manuel Lowenhaupt discussed how healthcare IT is “foundational to transforming healthcare and essential to leveraging better clinical outcomes.” He described that for many healthcare facilities, the path to deriving the greatest patient benefits from new healthcare IT systems is often a multi-year journey and is about much more than just the latest IT systems.

He went on to say that culture is at the core of such change and very often, the bigger the organization the bigger the challenge. If the culture is one where there is a genuine commitment to keeping care sacred and free from internal politics, then the process has a much higher likelihood of success, and the journey can be one of excitement and continuous learning that sets the stage for significant improvement in how care is delivered. A new healthcare IT system that stands the test of time is only part or the challenge. A culture of “making it easy to do the right thing” can direct people to a common goal that leads to successful adoption.

In his keynote address at HIMSS ’13, President William J. Clinton opened by saying that “healthcare information technology and how we manage it is critical to healthcare in the 21st century.” He provided examples of how his foundation is playing a global role in improving the lives of millions of people around the world. Citing numerous examples of how IT systems can increase access to care, lower costs, and improve the quality and deliver of care, he emphasized that “these are exciting times and it’s what you do that matters.”


What are you doing that will pave the way for successful adoption of new technologies? Is your organization culturally ready for change?

HIMSS 2013: Talk of the Town in New Orleans

Author: Rich Pulvino, Social Media & Digital Media Specialist, Carestream

HIMSS13 is the first trade show I’ve ever attended in my brief career, and let me just say that future shows will have a lot to live up to if they wish to compete with this one. In addition to its sheer size, HIMSS has attracted the most intelligent minds in healthcare IT, allowing it to serve as a think tank for where this industry will head in the next year, three years, and even five years. Based on day one’s keynote by Ochsner’s Warner Thomas, it’s clear that healthcare IT is leading the charge when it comes to the evolution of healthcare in our country, but healthcare IT can’t do it alone. It takes collaboration, understanding, and optimism from organizations if they are to truly be the appropriate healthcare provider of the future–one that provides patients with high-quality, affordable care.

himss13Throughout the first two days of HIMSS, there have been a plethora of buzzwords bouncing around the walls of the convention center. That’s not to say that these words are spoken so much that they’ve lost all meaning, but from the volume of conversation surrounding them, it’s clear what the most important topics are here at HIMSS.

Meaningful Use: This is probably the most common phrase that has been spoken among the HIMSS crowd. With EHRs and EMRs being adopted among organizations, a wide variety of vendors present, and the looming incentives healthcare organizations stand to gain, it’s a no brainer that you can hear this phrase uttered wherever you go. HIMSS has even created a Meaningful Use showcase that allows vendors to show customers and prospects how they are helping organizations meet Meaningful Use requirements. Carestream is one of many vendors participating in that showcase, and it’s truly impressive to see just how many providers are out there working to make Meaningful Use a reality in healthcare.

Big Data: This one is kind of tied to the Meaningful Use phrase. Warner Thomas mentioned in his keynote how retailers are using big data to understand the shopping behaviors of their customers and healthcare should be doing the exact same thing. With moving to the digital realm, there are petabytes of data available to healthcare providers that allow them to understand healthcare trends and patterns among patients in a way that will can provide more efficient and higher quality care. Imagine if a hospital was able to diagnose a condition for a patient based on similar symptoms and patterns recognized by combing big data of other patients (anonymously) throughout a state or region. It’s possible, and it’s currently being put into practice today.

Patient Engagement: Yesterday was “Patient Engagement Day” HIMSS and for good reason–this initiative is seen as being the key to improving the quality of delivered healthcare. This phrase is often tied to Meaningful Use and being able to provide patients with access to their EHRs, which is actually a requirement of Meaningful Use Stage 2 stating that 5% of patients must be able to access their records. But patient engagement is so much more than EHR access. It involves access to healthcare providers, being able to communicate freely with medical professionals in a way that enlightens the patient, and allows providers to deliver better care. Patient portals play a huge role in this, because it allows patients to have the access to their healthcare providers, and delivers their own healthcare information that hey should be allowed to see whenever they want. This has been a huge initiative for Carestream with the launch of MyVue and the successful trials we’ve seen with it in the medical imaging space. It’s no surprise that this trend continues to grow in popularity.

Health IT Security: No surprise here, but with so much data becoming digital, and more providers hosting this data via cloud environments, security of this information is increasing in importance. HIPAA and HITECH has set security mandates for providers so that patient data can be protected, but it remains an ever-changing field because as the threats evolve, so must the security technologies. There are numerous vendors at HIMSS that are showing off their cloud and storage capabilities while simultaneously showing attendees the technologies and steps that are taken to ensure that data remains secure, yet still accessible to those who need it. It’s a as instinct trend to follow, and one that will only become more important as more healthcare providers step into the digital world.

While there are many more buzzwords and phrases being talked about at HIMSS–mHealth, cloud computing, ACOs, Affordable Care Act, ICD-10, etc.–these we’re the four that I’ve personally been coming across most often.

What topics have you found to be the most interesting at HIMSS13? As we move into day three, what has been your favorite moment of the event so far?

HIMSS 2013: Day 1 Keynote – Optimism and Collaboration are Vital to the Future Healthcare

Author: Rich Pulvino, Social Media & Digital Media Specialist

HIMSS Keynote

As described in the HIMSS13 guide, Warner Thomas is focused on addressing the changes initiated in the Affordable Care Act and health insurance reformation. His organization, Ochsner, is an eight-hospital, nonprofit, academic, multi-specialty healthcare delivery system. Prior to his role as CEO, he held the position of president and COO, leading the organization’s effort in building its own hospital system by acquiring six hospitals, which led to Ochsner’s current status.

In his HIMSS13 keynote address on day one of the conference, Thomas spent a bit time talking about the city of New Orleans and the state of revival and improvement it has been in since Hurricane Katrina hit. As devastating as the storm was, he touched on how it served as an impetus of change for the city, which is currently thriving. The city’s public schools were in poor shape before the storm. Now, New Orleans is a national model for education reform based on its large volume of charter schools. Thomas likened this change to what he is seeing in healthcare and IT throughout the city and state too.

Thomas’s focus on healthcare IT started with a comparison to the airline industry, which went through massive changes in the last decade compared to its state in the 1990’s. The number of people who fly increased dramatically, yet the number of people employed in the airline industry decreased by about 10,000. In a way, that’s what happening with healthcare—more care is needed for more people (especially as the baby boomers enter and approach retirement), yet there are fewer people providing the care. That’s where healthcare IT comes in.

For success to be seen in healthcare IT, and healthcare as a whole, collaboration and optimism is a must. Healthcare organizations cannot bury their heads in the sand if they hope to address the changes, because these changes are going to happen whether they like it or not. To show how technology can lead the charge, in addition to the airlines, Thomas brought up comparisons to the banking and retail industries–both which addressed changes by focusing on online technologies and being where the consumers are. Airlines now allow people to register for flights and print out their boarding passed themselves; ATMs and online banking allow people to fulfill their banking needs without waiting in line for a teller, and retailers now rely on big data related to purchasing behaviors so that they can understand their customers and provide them with the products or services that they need most.

When talking about healthcare, Thomas has noticed that patients want three things: more mobile access, faster care, and more affordable care. He asked why patients aren’t signing into clinics and physician offices with a tablet so that they can enter their medical history and allow it easily be stored. Electronic medical records and access to those records will be a major component of that change. With the Affordable Care Act serving as change agent to the industry, Thomas called for medical professionals to have greater access to insurance claims data so that they have more complete patient information. He said that in today’s healthcare industry, if a patient goes to another clinic, then the insurance claim should be updated automatically.

Thomas left his keynote with a big, yet vital, challenge to healthcare IT executives: Learn what your patients want and provide it to them, while cutting costs and improving the quality care. That may seem like a mouthful, but with insurance and healthcare costs rising with no end in sight, this is exactly the kind of change that needs to happen. Technology is leading the charge for this change and it is up to IT to collaborate with other departments to ensure that these new systems are providing patients with the affordable, quality care that they deserve.

DRX-Transportable System About to Make Its “Coldest Journey”

Jane Grimsley, Marketing Manager for Digital Capture Europe, Carestream

Jane Grimsley, Marketing Manager for Digital Capture Europe, Carestream

Veteran polar explorer, Sir Ranulph Fiennes, is about to embark on what is considered to be “The Coldest Journey”—a 4,000-kilometer expedition across Antarctica in the dead of winter. Having never been accomplished before, the frigid environment will see Sir Ranulph and his crew face complete darkness for most of the adventure in temperatures as low as -90°C.

Conditions such as these require the utmost care and medical attention. Sir Ranulph and his team will not be without expert medical staff and equipment. The expedition’s doctor, Rob Lambert, said that an X-ray system that is small, light and easy to operate would be a necessity for the adventure. The DRX-Transportable fills those needs and will be accompanying the team throughout their journey.

The DRX-Transportable is a rugged, all-in-one solution specifically designed for use in the field. Additionally, a Carestream distributor in the UK, BCF Technology, has donated the source generator for X-ray capture.

While “The Coldest Journey” is seeking to accomplish something that has never been done before, the organization is also doing this for a greater cause. In addition to crossing Antarctica, the team also has a goal of raising USD10 million for “Seeing is Believing,” a global charitable initiative to fight avoidable blindness.

The expedition officially set off on December 6th, when the expedition ship SA Agulhas set sail from London with over 100 tonnes of equipment needed for the crossing. The six Ice Team members will join the ice-strengthened vessel in Cape Town before heading down to Antarctica.

On March 21, 2013, the team will begin their six-month journey to reach the Ross Sea, which is a deep bay in the Southern Ocean of Antarctica. The expedition’s route will take them from the Russian base of Novolazareskaya (Novo) to Captain Scott’s base at McMurdo Sound, via the South Pole. Including the return trip, training, and preparations, Sir Ranulph and his team will be on the expedition for 15 months.

Map courtesy of http://thecoldestjourney.org and map created by LIMA Project

Map courtesy of http://thecoldestjourney.org and map created by LIMA Project

This mission will test the limits of human endurance. During this time the team will be entirely self-sufficient as there is no search and rescue facility available, as aircraft cannot penetrate inland during winter due to darkness and risk of fuel freezing.

We are proud that Sir Ranulph reached out to Carestream to use our DRX-Transportable for his expedition. We hope that they never have to use it throughout their travels, but we have the utmost confidence that it will provide the appropriate diagnosis in a time of need.

Be on the lookout for future updates from us.  The Twitter accounts for The Coldest Journey and Carestream will be posting updates throughout the team’s journey. You can follow the organizations at @coldestjourney and @Carestream. We wish Sir Ranulph, Dr. Lambert, and the team a safe and successful journey across Antarctica.

Mobile Devices, Imaging Apps, and the Future of Healthcare

Cristine Kao

Cristine Kao, Global Marketing Manager, Healthcare IT, Carestream

Physicians are incorporating iPads and other mobile devices into their practices at an unprecedented pace. A 2012 study conducted by Manhattan Research, involving 3,015 U.S. practitioners in over 25 specialties, revealed that a remarkable 62% of doctors now utilize these devices – nearly doubling the adoption rate since 2011.

Recently, I read an article in the N.Y. Times exploring this trend and its potential impacts on the future of Medicine. The piece notes that the proliferation of mobile devices has created something of a “generational divide” in the medical field. It contends that while most younger doctors enthusiastically embrace the digital revolution, some older practitioners have a serious concern – namely, that the growing focus on technology may erode the “human connection” historically at the foundation of the doctor-patient relationship.

This is an issue worthy of discussion. And certainly, technology is no substitute for a caring and engaged bedside manner.  But as a leading provider of healthcare imaging applications for iPads and other devices, we at Carestream are convinced that when properly employed, tablet technology has great potential to actually strengthen the doctor-patient relationship.

Our own Vue Motion, FDA cleared for use on iPads, is a good example. It’s a zero-footprint viewer that provides physicians with easy and intuitive access to patient images and exam data on mobile devices. Vue Motion benefits the physician-patient relationship in many ways.

For example, consider this scenario – one that can really shake a patient’s confidence: the individual has been sent for X-rays and returns to the primary care physician to learn the results. But the doctor begins this follow-up visit by leafing slowly the patient’s folder, intently studying various documents. This goes on for some time. The patient begins to wonder – is the doctor reading my test results for the first time? Or worse yet, is he trying to remember my previous appointment and the details of my health problem? I’ve been in this very situation myself more than once, and it made me quite uneasy about where I stood on the doctor’s priority list.

With Vue Motion it’s a whole different story. The images and report data aren’t in a folder, on a CD, or on a piece of film somewhere. They’re right at the doctor’s fingertips, instantly accessible on a web-enabled device, with no download required.

The intuitive user interface requires no special training, so it’s as simple as opening up a film jacket and displaying the critical information. This makes it fast and easy for the physician to review the patient’s images and clinical portfolio – earlier in the day or just prior to the appointment – and enter the exam room in full command of the situation and its details. This helps maximize the patient’s trust and confidence.

In addition, Vue Motion is an overall time-saver and productivity booster, allowing the doctor to spend more time with patients. This is highly beneficial in strengthening the doctor-patient bond. Here’s an insightful article by Dr. Suzanne Koven in The Boston Globe that focuses on how that extra time can dramatically elevate the quality of care.

Vue Motion also has great potential to improve doctor-patient communication. Physicians and patients can now view diagnostic images together in the office or at bedside. This “visual aid” allows the doctor to explain more clearly and give the patient a fuller understanding of his or her condition. Finally, Vue Motion makes it easy for physicians to collaborate with other clinicians, across town or across the country, to raise the both the standard of care and patient satisfaction.

Putting digital healthcare information in the patient’s hands is another way to strengthen the patient-provider relationship. Our MyVue* offering lets doctors empower patients to play an active and important role in their own care. When patients have x-rays taken, they can then go online in the comfort of their own homes and view those images. Not long after, they can read the radiologist’s report as well. All data remains secure and confidential.

Moreover, MyVue allows the patient to share their images and reports with their primary-care doctor, specialists, or healthcare facilities. They simply authorize the selected individuals to log in and view their images. And, they can revoke that authorization at any time – so they always feel that they’re in control.

With MyVue, patients feel included and trusted by their doctors. In fact, it lets them partner with their doctors in the management of their healthcare – and further strengthens the physician-patient bond.

And how is MyVue going over with patients? A recent case study showed 50% patient engagement, with patients actively using and sharing their healthcare information. This was supported by an implementation combining simple technology, intuitive design and appropriate education.

As physicians’ use of iPads and other devices continues to grow, I believe we’ll be seeing an example of how technology can actually serve to support the vital human connection at the core of quality care.

*Available February 2013

Information Technology (“IT”) Trends – Predictions Through 2015.

Diana Nole, Carestream Health

Diana L. Nole, President, Digital Medical Solutions

In a recent webinar, Gartner, the information-technology research and advisory firm, outlined the 10 trends they believe will have the greatest impact on IT through 2015. While some of their predictions struck me as less-than-revelatory – citing trends already self-evident in the industry – some of their other speculations are both interesting and insightful.

In any case, this forecast is a great jumping-off point for further thought and discussion. Below, I’ve condensed Gartner’s major points into an easy-to-scan overview. What do you think of their analysis and predictions?   I encourage you to share your responses. If you want to dig deeper, you can view Gartner’s presentation, as published in Health Data Management’s  online magazine.

1) Consumerization and the Tablet

The growing use of tablets by customers will require companies to intensify their focus on security issues, use profiles, and planned integration.

2) The Infinite Data Center

Data centers will achieve “logical growth without physical growth” – handling more data with far less infrastructure.

3) Resource Management

Organizations’ energy consumption and management will become an “enterprise-level discipline.”

4)   Mobility

A growing mobile focus will drive an IT paradigm shift, security will be a greater concern, and creating portals for myriad devices will be a serious challenge.

5) Hybrid Clouds

Businesses will transition form their current cloud-based solutions to reap the benefits of private and hybrid clouds.

6) Fabric Data Centers

The integration of disparate IT elements via fabric data centers will help optimize workflows. Fabric-based computers will follow, offering pooled global resources.

7) IT Complexity

As every 25% gain in functionality drives a 100% increase in system complexity, companies will have to squeeze every cent from their IT dollars.

8) Big Data — Big Problems

The challenges of managing and using immense quantities of data will increase – making virtualized storage, de-duplication, and prioritizing of data crucial.

9) The End of Service Desks

Users’ demand for immediate, real-time support will grow, and service desks will become inadequate – transitioning into business productivity teams.

10) Virtual- and Software-Defined Networks

Increased automation, hardware/software separation, simplified design and other factors will change the interactions between systems, humans and one another.

Having contemplated these predictions, I believe that there’s an overarching trend that encompasses them all –– a trend accelerating at an exponential rate. Bill Gates articulated it well when he said: “Information technology and business are becoming inextricably interwoven. I don’t think anybody can talk meaningfully about one without talking about the other.”

Nowhere is this more relevant than in the business of medical imaging. Clinician productivity, diagnostic speed and accuracy, patient satisfaction, the quality of care we provide – all of these can grow and improve only as fast as our ability to effectively manage healthcare information.

You can explore some of Carestream’s leading-edge imaging IT solutions here.

Innovative Tools To Improve Clinical Quality: Montage Signal

At RSNA 2012 there was a subtle shift in emphasis from radiologist productivity to clinical quality, no doubt driven by greater quality reporting and pay-for-performance requirements.  Shown as a prototype in the Carestream booth, Montage Healthcare Solutions demonstrated Montage Signal™, a new software capability that flags report inconsistencies during radiology report dictation and identifies errors in real-time that can degrade clinical quality and reduce reimbursement.

Montage selected Carestream Vue Reporting as a proven radiologist workflow platform for demonstrating Signal. Signal is an extension of the Montage search-driven radiology business intelligence and clinical quality analytics tools that help practices understand and improve productivity and clinical quality. Visitors to the Carestream booth saw Montage Signal flag reports containing laterality and gender errors, critical test results and incomplete billing documentation—all before report finalization.

Montage search provides access to the unstructured clinical information in radiology reports, enabling radiologists to answer complex clinical questions without disrupting reading workflow. The result is clinical quality improvement and continuous learning because report creation can now occur in the context of prior clinical findings.

Woojin Kim, M.D.,  Interim Chief of Division of Musculoskeletel Imaging at the Hospital of the University of Pennsylvania and  Co-founder of Montage Healthcare Solutions, stopped by our social media broadcast lounge at RSNA to share his thoughts on the next step in clinical quality improvements and the importance of integrating tools into the reading workflow:

What other ways can we prevent errors before they come part of the clinical record?  What analytic innovations did you see at RSNA? 

IT Will See You Now – The Seamless Patient Engagement Experience

Dr.Stenoien

Randall A. Stenoien, MD, CEO, Houston Medical Imaging

Houston Medical Imaging’s experience with Carestream’s MyVue Patient Portal* is no stranger to Everything Rad. I’ve previously shared our patient engagement figures and examples driving our patient portal business case, but a question I continue to be asked is “what burden did this place on your IT staff and resources?”

I’ll admit it. Before we embarked on our MyVue trial I had a few sleepless nights worrying about how many patients would be able to adopt this technology and how difficult it would be.

We all have that friend, co-worker or family member who struggles with technology. You know, the one who thinks their computer is frozen but their elbow is resting on the space bar. I think my IT guys call them “PICNICs” – Problem. In. Chair. Not. In. Computer.

But even the most tech savvy of us can get lost in the simplest online banking site and need IT support to make an account transfer.

What percentage of my engaged patients would require dedicated training and assistance? Do I have the resources I need to support them?

Surprisingly, three months into our trial, the migration to MyVue has been seamless because it is so user-friendly.

With MyVue, a unique and secure log-in is generated and emailed to each patient after their exam. Patient images can be accessed through the secure log-in from a variety of devices.  Once registered, patients can view their study and manage who they want to share with.

We’ve had patients at our front desk and we’re explaining to them you’re going to get two emails a welcoming email and then an email that tells you how to log on and in a matter of seconds it’s on their phone and we’ve had patients say “Oh! I’ve already got it.”

I expected the phones to be ringing and my IT people to be complaining and yelling at me, but that just hasn’t happened. Patients are able to do it by themselves the majority of the time.

In fact, of our 2662 unique patient accounts, we only received 47 support calls—primarily for password resets. That’s less than 2 percent. Compare that to the IT industry benchmark of an average of 1.2 calls per month per end user to a service desk.

Houston Medical Imaging Trial

The biggest surprise of our trade trial was how quickly and easily our patients have adopted and how little extra work it has caused for our IT department or medical records people to have to bare.

By combining an intuitive platform with good planning and strong first-time user education, we’re able to offer an innovative technology service that keeps my IT team becoming part of the primary care team.

You can download the full case study of our MyVue experience.

*Available February 2013

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