Tucson Medical Center (TMC) is a locally governed nonprofit regional hospital in Tucson, Arizona. Licensed at 629 beds, the medical center treats 30,000 inpatients, 122,000 outpatients, and over 80,000 ED patients annually in addition to 6,000 infant births. TMC is Southern Arizona’s leading provider for emergency and pediatric care, and includes the region’s first Pediatric Emergency Department with specialized treatment for young patients. Other specialty areas include women’s health, maternity, cardiovascular, orthopedics, neuroscience, hospice care, imaging and senior services. More than 600 physicians are on staff, representing 60 specialties from anesthesiology to vascular surgery.
Cardiology and radiology images were being captured as DICOM files and stored in their respective imaging systems at TMC. IT administrators were surprised to discover that a number of different systems were being used to store non-DICOM images (such as JPEG, MPEG and AVI files) on a variety of media in many other clinical departments. Some images were burned on CDs, others were on optical discs; still others were copied onto DVDs. Aside from the lack of consistency, managing these images was inefficient and limited the ability to replicate the images at TMC’s disaster recovery site.
Additionally, the non-traditional images were not available to all physicians as part of the online patient record. When IT administrators realized that these images, which were patient content and just as pertinent as the data they had spent years transferring to the EMR, they needed to find a way to integrate the images across the continuum.
TMC also wanted to bring all images online to a digital, filmless system with appropriate support and oversight. It needed to develop a strategy to integrate, manage and store all imaging through a central system that would provide privacy and allow accessibility for important patient data through the EMR.
In an effort to bring a higher level of service to its physicians, TMC expanded the capability of the PICOM365 platform previously implemented by ScImage that consolidated five cardiology workflows (cardiac catheterizations, echo cardiograms, ECGs, and vascular imaging) onto a single platform. TMC found this to be a cost-effective, efficient and seamless way to add non-DICOM images.
- All cardiology and non-DICOM images are displayed in a single patient folder, improving clinician access and patient care
- Images can be viewed directly from PICOM365 from anywhere, or through the EMR
- Staff productivity is improved
- Departmental resources and space are freed up
- Images are managed, secure and in compliance with the TMC Disaster Recovery Plan
One of the youngest branches in the U.S. military, the Air Force was borne from the Army Air Forces in 1947 and continues today as one of the most formidable branches of today’s armed forces.
Recent estimates indicate a cost of nearly $2.6 million to fully train an air force fighter pilot. That same fighter pilot is strapped into a fighter jet like an F-22, costing upwards of $150 million. With that much on the line, it’s probably a good idea to keep the pilot and other flight personnel in good cardiac health.
Keeping pilots, co-pilots, flight engineers and navigators airborne is in part the responsibility of the USAF School of Aerospace Medicine, Aeromedical Consultation Service (ACS). The ACS interprets and reports on ECGs, cardiac stress, holter, echocardiography, cardiac catheterization, cardiac CT & MRI.
When a rated aviator presents with cardiac related symptoms, or exhibits any cardiac anomalies during a routine physical, surveillance or medical flight screening, test results are directed to the ACS for clinical evaluation.
Using a secure, DIACAP accredited PicomEnterprise PACS from ScImage, Inc., flight clinics worldwide can electronically transfer exams to ACS for rapid assessment. Inbound exams are reconciled with MilPDS and subsequently presented to specialists along with relevant priors for primary reading. It’s all about having access to the right data, quickly. ACS physicians report their observations electronically, providing quick decision support for the disposition of flight personnel.
USAF_docIn the past, aviators could potentially be disqualified from operational status until their exams were physically delivered to ACS, read and returned to the flight clinic. Now, that valuable aviator can be rapidly evaluated and re- deployed to operational status in hours rather than days.
When phase II of the ACS Central Library project is completed, ACS will have the foundation of a complete cardiology recordset, consisting of imaging, reports and discrete test data for all rated aviators; including an ECG library reaching back nearly 60 years. This vast volume of data will provide the USAF with profound research capabilities, all from one database.
Provide immediate access to cardiology related exams to assess the cardiac health of all rated aviators in the USAF, USAFR and the ANG.
Creation of a USAF-wide, comprehensive digital system for the categorization, visualization and interpretation of full diagnostic quality cardiac studies.
Using secure Cloud technologies provided by ScImage, cardiac exams will be captured at USAF flight clinics worldwide and delivered securely to USAF Consultation Services for evaluation and determination.
- Secure electronic submission reduces physical media delivery costs by over $100,000 annually.
- Automation in study processing reduces manpower requirement by over 60%.
- Offers real-time, expert response to critical cardiac investigations.
- Provides new level of research capability with access to test metadata, including cross-correlation between modalities.
- Expedites aeromedical cardiovascular decisions and results reporting, vastly reducing flight disqualification delays.
- Eliminates regional servers with isolated data and limited access, instead providing a global dataset for research and instant access to relevant prior exams.