Transcript Images!
ACR Economics Update: The Future of Imaging Informatics Speaker Name Title What’s Driving Imaging Informatics? Embed video clip of Dr. Geraldine McGinty What’s Driving Imaging Informatics? The CMS and HHS agenda: Drive reimbursement to primary care Reduce unit reimbursement for imaging to manage utilization Reduce overall spending Respond to “outside” pressure (e.g., MedPAC) Our Current State Payment models have determined our business models Business models have determined our innovation Incentives fuel our innovation Resulting technologies based on fee-for-service Our Current State Teleradiology Created secure access for remote radiologists Initially created to improve productivity and convenience Serves to further reduce costs Unintended consequence Our Current State FUTURE STATE CURRENT STATE INNOVATION PRODUCTIVITY RIS PACS SPEECH RECOGNITION ADV VIS, 3D, CAD IMAGE DISTRIBUTION TELERADIOLOGY IMAGE SHARING STRUCTURED REPORTING COMMUNICATION TECH IMAGING CDS IMAGING EHR IMAGING PHR PROFITABILITY PERFORMANCE PRESENCE CURRENT PRODUCTIVITY PROFITABILITY PERFORMANCE PRESENCE The Future of Imaging Informatics • Health and imaging reform • US healthcare represents 17% of the GDP • Cost is a primary concern for all health reform • CMS exploring fee-for-service alternatives • Shifting of risk from payers to providers Meaningful Use Improve Quality, Safety, Efficiency Engage Patients and Families Stage 1 Core Order Entry Drug Interaction Problem Lists e-Prescribing Medication List Allergy List Demographics Vital Signs Smoking Status Quality Measures Decision Support Stage 1 Menu Drug Formulary Lab Test Results Patient List Patient Reminder Stage 1 Core eHealth Info Copy Clinical Summary Stage 2 Menu Progress Note Family History Imaging Results Stage 1 Menu Electronic Access Educational Info Stage 2 Core Secure Messaging Improve Care Coordination Improve Public & Population Health Stage 1 Core Electronic Exchng Stage 1 Menu Immunizations Syndromic Data Stage 1 Menu Reconcile Meds Transition of Care Stage 2 Menu Cancer Registry Specialty Registry Ensure Privacy and Security Stage 1 Core Protect Electronic Health Information Meaningful Use (MU) A voluntary CMS incentive program to promote use of Certified Electronic Health Record Technology (CEHRT) to improve the safety, quality and cost of health care. Meaningful Use 40% 26.7% 32.2% 30% 20% 10% 6.4% 0.9% 4.5% 7.8% 0% 2011 Attested Physicians Attested Radiologists 2012 Jan-13 Meaningful Use Ordering Physician MU Expectations of You ORDERING PHYSICIAN FACILITY IMAGING PROVIDER CEHRT ORDERING PHYSICIAN FACILITY ORDER FACILITY IMAGING PROVIDER CEHRT ORDER FACILITY ACR Imaging 3.0 Technology MEMBERS FEDS ACR INDUSTRY IMAGING 3.0 TECHNICAL FRAMEWORK Providers Technology Vendors Payers PEER REVIEW APPS ACCREDITATION APPS REGISTRY APPS APPLICATIONS ACR CONTENT ENABLING PLATFORM APPLICATION SHARING INDUSTRY ACCESS IMAGING STANDARDS IMAGING 3.0 TECHNICAL FRAMEWORK MEANINGFUL USE IMAGE SHARING SPEECH REPORTING EHR & PHR RIS & PACS PATIENT DOSE APPS RADIOLOGIST CDS APPS IMAGE SHARING APPS ACR SELECT SIMULATION APPS CLINICAL TRIAL APPS ED CENTER APPS CASE IN POINT Imaging 3.0 Technical Framework Our Future State FUTURE STATE CURRENT STATE INNOVATION PRODUCTIVITY RIS PACS SPEECH RECOGNITION ADV VIS, 3D, CAD IMAGE DISTRIBUTION TELERADIOLOGY IMAGE SHARING STRUCTURED REPORTING COMMUNICATION TECH IMAGING CDS IMAGING EHR IMAGING PHR PROFITABILITY PERFORMANCE PRESENCE CURRENT FUTURE PRODUCTIVITY PROFITABILITY PERFORMANCE PRESENCE Our Future State CURRENT FUTURE PRODUCTIVITY PROFITABILITY PERFORMANCE PRESENCE The Future of Imaging Informatics • Healthcare reform is changing how we practice • IT innovation is equally transformative • Imaging 3.0 is serving as our framework • Creating IT tools centered on this framework • Educating our profession about new paradigms • Participating with Feds and Industry to manage change Imaging 3.0 – Preparing for the Future www.acr.org/Advocacy/Economics-Health-Policy/Imaging-3