Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and HIPAA for FREE!!

Roundup of Tweets from #RSNA15

Posted on December 2, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


The number of international people at RSNA 2015 is impressive. It provides a unique mix of perspectives.


Like the rest of health care, radiologists care deeply about patients.


The visualizations at RSNA were really extraordinary.


One thing I discovered about RSNA and radiology is that they have a really strong grip on history. In some cases that’s good, but in other ways it’s damaging to progress.


This ultrasound is an example of how inexpensive and portable imaging and other health data collection has become. It’s incredibly powerful!


Outside of the various visualizations, the 3D printing was one of the most exciting things I saw at the conference. It was all over the place and has really become a reasonable option.

We’re More Alike Than We Are Different – Day 2 at #RSNA15

Posted on December 1, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As I’ve continued my virgin journey at the massive RSNA (radiology) conference, I continue to be struck by how the challenges radiologists face are so similar to the challenges that are faced around healthcare IT. Here’s a look at some of them I’ve heard so far:

Data Standardization – In the EHR world we’ve been talking about data standardization forever. In the imaging world the challenges are very much the same. There are large and small vendors and the same challenge of trying to get them all on the same page. I do think imaging is a touch further along than the EHR world when it comes to standardization. However, they still have a ways to go too.

Workflow – Creating the right process for capturing and documenting the image is a major challenge. Getting the image to display at the right place and the right time is also a challenge. Sounds a lot like all the other EHR data doesn’t it?

Patient Engagement – This one really surprised me. In fact, some radiologists argue that the patient doesn’t want to interact with the radiologist, but only wants to interact with their referring provider. However, I’ve heard over and over from people about the opportunity for radiologists to really engage the patient. I think it’s a slightly different engagement, but all of healthcare IT is talking patient engagement.

Privacy and Security – The breach is just as strong in imaging as it is in all other health IT.

Smart Use of Data – There’s a feeling that we need new systems to process all the imaging data in a better way and that we should present only the data that’s relevant and necessary to the situation. In other words, exactly what we’re trying to do with the patient’s entire medical record. In fact, I think the smart use of data has to apply across all of a patient’s data from imaging to consumer collected data to EHR data.

Data Trust Issues – We trust radiology data, but as Kim Garriott, Principal Consultant of Healthcare Strategies for Logicalis Healthcare Solutions pointed out to me, the same isn’t true for a lot of other imaging data. There’s still a lot of work to do to ensure that the capture of other data from ultrasounds to scopes is done in a way that other providers can trust that data. Sounds exactly like our discussion around trusting EHR data.

I guess it shouldn’t come as a surprise that the challenges are very much the same even if it sometimes feels like another world. We’re more alike than we are different. It’s just easy to focus on our differences. I think there’s a lot we can learn from each other.

First Impressions of RSNA 2015 (#RSNA15)

Posted on November 30, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This year will be my first time attending RSNA (see my full schedule of healthcare IT conferences), the massive radiology conference held in Chicago each year. I’d been wanting to check it out for years, but traveling to Chicago right after the Thanksgiving holiday never seemed all that appealing to me. Don’t ask me what convinced me to do it this year. I’m not sure why other than a real desire to experience the show first hand. I’d heard it was massive and would be worth my time. I’ll be sure to let you know what I think.

I’ve already got a schedule that’s nearly as full as HIMSS or MGMA and that’s saying something. I’ll be interested to see how many of them give me the radiology pitch as opposed to the healthcare IT pitch. I think I’ve made myself pretty clear, but we’ll see when we get to the actual meetings. Of course, there’s plenty of healthcare IT that’s worth hearing about. Not to mention amazing innovations around 3D printing and other mobile health technologies. I even saw a virtual reality viewer that I hope I get a chance to check out.

As I’ve prepared for my first trip to RSNA, I’ve been watching the #RSNA15 hashtag on Twitter. It’s been a great way for me to connect with those in the RSNA community. Plus, it’s given me a good overview of what’s likely to be topic of conversations at RSNA. The power of Twitter and hashtags is really amazing to me.

One thing that surprised me on the Twitter stream is how the message to Radiologists is very similar to many of the other healthcare IT events I go to around the country. No, I’m not talking about the #RSNA15 tweetup or the Cannoli Shooters. It seems that radiologists are being encouraged to be more involved in health care. This tweet illustrates an example of this message:

Here’s a good roundup of tweets from the opening RSNA keynotes and day 1 of RSNA 2015:

I look forward to seeing many of you at RSNA and reporting on the event for those of you who can’t make it.

On-Demand and Just in Time: Healthcare CIOs Respond to an On-Demand World

Posted on November 9, 2015 I Written By

The following is a guest blog post by Eric Rice, Chief Technology Officer, Mach7 Technologies.
Eric Rice CTO Mach7 Technologies
Doesn’t it feel at times like we’re living in a total “on demand” world? How did we survive before DVRs, push notification to our pockets and, my current favorite, voice on-demand ordering with “Alexa” (no commercial here for a certain on-line/on-demand retailer).

Consider our on-demand workforce. A recent Intuit survey suggests that the number of Americans working as providers in the on-demand economy will more than double to 7.6 million in 3 years. Our culture is “demanding” on-demand and this trend is naturally impacting healthcare. CIOs must be on-demand-ready both in their delivery of services and in providing access to patient care data.

As a provider of healthcare information technology (i.e., a software and services vendor), our customers are the CIOs and IT directors of hospitals and imaging centers, but the clinical customer has always been the patient.

In our connected world where consumers expect to obtain information easily, shop for the best prices, and control how and where personal information is managed (i.e., financial data, shopping data, exercise data), it’s not surprising that the highly-regulated, compartmentalized world of hospital IT and information management is facing a groundswell for on-demand images and just-in-time information from all corners of the market.

This demand is more than a cry for convenience and personal preferences; in healthcare, on-demand access to patient information and timely decisions can have life-altering impacts. Access to accurate information “on demand” isn’t just a nice-to-have feature, it’s a necessity.

Health IT Standards Meet the Demand for “On Demand”

Adopting a standards-based, robust infrastructure for healthcare data collection, storage, access, sharing, and workflow management is key to handling an on-demand healthcare IT world. CIOs must be able to deliver patient data in all of its formats, from all of its sources, to meet a growing set of regulations, requirements, and constituents. From Meaningful Use to EHR/EMR demands to referring physicians, specialists and, oh yes, patients!

Here’s my take on healthcare transformation for CIOs.

Patient Self-Service: Enabling patients to pay their bills online is a no-brainer, but in an on-demand world, patients want more control and greater visibility. Why should we be surprised? Beyond appointment reminders and bill payment, patients want to “self-schedule”, upload new content, be more in control of their health and involved in their healthcare. They want to review lab and test results and make those data points available to other providers for second opinions. They want to shop for healthcare like they shop for any other retail products – and they want to communicate electronically with their doctors and expect those providers to have full access to a full healthcare history – complete with images, pictures and video. We have the technology today to provide this level of self-service, on-demand access; we need to transform our thinking to make the vision a reality.

Access and Sharing of a Complete Health Record:  We may recognize “show me the money”, but how about “show me the images!” The transition in patient record management made by EHR/EMR deployment was huge. The next step is building and providing a complete patient record that includes image sharing with both referring providers and patients. We are seeing these requirements promoted by regulatory bodies – nationally, CMS and ONC are pushing these requirements through avenues like Meaningful Use. Some states, such as Florida, are mandating that Level 1 and 2 trauma centers have the ability to share images to and from referring organizations.

Imaging access lags the IT advances made in most other industries. With the rollout of EMRs, care record access and sharing may be improved but often a key component is still missing, the specialty images. As one of our customers is fond of saying, ‘an EHR without images is like a museum without paintings.’ Patients and clinicians demand access to a complete healthcare record, and that complete record must contain images – yes, on-demand.

Interoperability in Merger Mania:  Healthcare consolidation is on the rise with increased merger and acquisition activity every year. Connecting, consolidating, and managing patient records across consolidated facilities is a significant challenge. CIOs understand that on-demand access to patient care records requires interoperability for seamless access and sharing of information across HIT vendor solutions.

Proactive Healthcare CIOs and IT professionals are getting in front of this transformation with new thinking, open, flexible technologies, standards, and policies. They know that “on demand” access is a key driver of care delivery, clinician satisfaction and patient satisfaction. After all, we’re all living in an on-demand world.

About Eric Rice
Eric Rice has 12 years of systems architecture and design, engineering and management experience, with the most recent 7 years focused on medical imaging IT. His team is focused on medical imaging workflow and interoperability across disparate RIS, CVIS, PACS, and reporting solutions. He brings strong software engineering techniques, a solid understanding of R&D processes, and excellent medical imaging domain skills to Mach7. Eric holds a Bachelors of Science degree from Virginia Polytechnic Institute and a degree in Management Science & Information Technology with a specialty in Decision Support Systems from the State University (Virginia Tech).

Insightful Tweets from #RSNA14

Posted on December 3, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

If you’re not following @RasuShrestha, you’re missing out on some really good tweets. He’s sent a number of insightful tweets from RSNA that I thought were worth sharing..


I like the rhetoric of his statement, but I’d like to see more action too.


It’s interesting that they’re fans of consumerism. I know that many in healthcare don’t like to think of patients as consumers. They have good reasons for not wanting the comparison and it’s worthwhile to consider the difference. Plus, it’s worth noting that in our current system patients don’t really act like consumers. That’s why I think it’s true that consumerism is hitting healthcare.


I love plays on words. I’m going to have to chew on this one a bit more though.


Click on this image to blow it up. It definitely illustrates how important the EHR is, but also that the other health IT systems are important as well.


This is my favorite tweet. I saved it for the end so only the most faithful readers would get to see it. I’m not an expert on radiology, but this provides an interesting roadmap for some of the things that happening in radiology.

EHR Adaptation, Film to Digital, and Box

Posted on March 23, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


I agree completely that patient expectations are changing. I think we’re going to see a dramatic shift in the patient experience. What I’m not as sure about is whether the EHR will be the one to meet those changing expectations. EHR software is distracted with other things and they’re not well positioned to handle the change.


I’m not sure I’d really classify this as a pivot. I think Viztek is doing pretty well with their PACS. They’re not going to stop doing that anytime soon. It is an interesting diversification for the company. Although, I was more intrigued to think about what we could learn from the PACS experience going from film to digital. We need more people writing about those learnings.


Those are two big powerhouses that Box brought on board. I’d heard a lot about box and its efforts in healthcare. This illustrates how important healthcare is to Box’s future.

Key Radiology Takeaways from RSNA

Posted on December 6, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


This is a guest post by Janakan Rajendran, CIO, GNAX Health.

RSNA began their integration journey in 1998 with the initial launch of Integrating the Healthcare Enterprise (IHE), a multi-vendor technology project designed to connect radiologists with other clinical departments.  The project has grown by leaps and bounds. Now partnered with HIMSS, IHE is a well-respected, annually-demonstrated, healthcare connect-a-thon. At this year’s RSNA, the association took connecting one step further.

RSNA 2012 was all about connecting with the patient. From the opening keynote to exhibit hall signage and educational sessions, radiologists were encouraged to charge forward into a new frontier—patient relationships. This new drive towards end user connectivity was reflected in three key trends:

  • Radiologists are Members of Core Care Team
  • Vendor Neutrality is Essential
  • Images are Embedded into Health Information Exchange

Shared Ownership of Patients – Dosage Tracking

For professionals typically sequestered in dark rooms and technology silos, the concept of patient interaction is novel, timely and suddenly important.  RSNA 2012 even included a day-long workshop on the art of difficult conversations. Focused on front-line conversations with patients, peers and payers, the workshop set a new bar for radiologists’ ability to effectively communicate outside of the reading room.

The conference theme, “Patients First”, was reiterated by Dr. George Bissett, 2012 RSNA President, in his president’s address.

“After a year of reflection on our profession, I believe more than ever that our future depends on our capacity to develop a new kind of shared ownership, along with our primary care and specialty colleagues, of our patients’ needs and expectations.”

Just as the IHE integrated radiology technically, we expect medical imaging to take a stronger position within the core patient care team. One component of “patients first” is the regulatory need for providers to track radiology dosage over patient lifetime—certainly a huge technology challenge and patient safety concern for all.

Vendor Neutral Archives Go Second Generation

Vendor-neutral archives (VNAs) were showcased notably during the 2011 RSNA. This years’ RSNA uncovered the real, extensible benefits of VNAs. Now VNAs are considered a platform that enable providers to do much more than simply avoid future PACS and storage migrations. Cloud-based hosted VNAallows for:

  • Long-term archival of images from all departmental PACS without any additional hardware or software purchase.
  • Image storage is no longer on-site at the provider location, reducing the VNA’s physical footprint within the IT department and staff time to maintain and update the system.
  • Multiple PACS can be easily integrated into the VNA. Savings are substantial for organizations planning ahead for mergers, acquisitions or participation in an ACO or HIE.
  • The cost to migrate images from one PACS to another is eliminated through a VNA. Once moved into the VNA, images are not held hostage by the PACS. Organizations achieve greater flexibility for future PACS purchases and negotiate from a stronger position.
  • Image enabling of the EMR with a Universal Viewer through one, single integration.

Several second generation VNAs were demonstrated at RSNA. These VNAs focus on image exchange within health systems.  Next up: third generation VNAs to support image sharing between health systems. Initial strides toward third generation VNA are already underway.

Images Part of HIE

For decades, the only way to share medical images between radiologists and physicians was manual. Patient sneaker-net (patients hand-carrying CDs from radiology departments or imaging centers to specialists and primary care physicians) is common practice even today. Vendors at RSNA 2012 aim to take patients out of the equation and eliminate CDs.

Several companies demonstrated the ability to control image access, move images along the HIE or ACO continuum, and consolidate image access reporting. Key technology partnerships to support end-to-end image sharing were introduced. As an example, GNAX Health announced an agreement with ACUO Technologies and Client Outlook to integrate medical images into the Colorado Telehealth Network (CTN).

Hospitals, imaging centers, clinics and other health care providers in Colorado will safely store and share medical images through a private cloud hosted and managed by GNAX Health and using GNAX’s SDEXTM (Secure DICOM Exchange) platform. CTN and GNAX Health are working with the Colorado Regional Health Information Organization (CORHIO) and Quality Health Network (QHN)—the two Colorado Health Information Exchanges—to image-enable their physician portals so that images and diagnostic reports will be available through the HIEs. GNAX Health will also allow CTN to offer disaster recovery and business continuity solutions. Nine CHA member hospitals worked with CTN over the past eight months to develop the imaging program with input from hospitals across the state. For Colorado, the future is already here.

RSNA Conversation Changes

RSNA 2012 reflected a new conversation between radiology and their key stakeholders: patients and peers. Technology is supporting this dialogue in ways never thought possible. There seemed to be many more technologists and internal provider system integrators at this show. For once, PACs was not the buzz at RSNA. Information technology was.