Patient Identity Management in Imaging IT Systems: A Proposed Maturity Model

Over the years, I have found that many working in imaging informatics understand the basics of how patient identity is managed in healthcare information systems. In today’s Consolidated Enterprises, where the historic imaging exam data for a given person may be indexed by many different patient identities, and perhaps cross-referenced by an Enterprise Master Patient Index (EMPI), ensuring that all a patient’s records are accurately associated with the correct Patient Identity (ID) requires understanding of the information models and values that may be in use at the enterprise. Along with the strategy and vision for how Patient IDs will be managed in future.

New data acquired in other enterprises continues to come into an enterprise’s imaging IT systems. From data migration associated with system consolidation (for example, as part of organizational merger or acquisition activities) to programs that involve data exchange—such as importing outside exams prior to appointments, teleradiology, or the sharing of systems with affiliates—ensuring that your imaging IT systems can safely and reliably handle all the potential complexities is important.

Patient ID Management Maturity Model (PIM3)

In the JDI article, “Patient Identity Management Maturity Model (PIM3) for Imaging Information Technology Systems” (Note: access to the Journal of Digital Imaging, such as that provided by SIIM membership, is required) a maturity model for assessing both an enterprise’s needs (today and potentially in future) and the capabilities of a given imaging IT system is proposed.

The intent is to establish a simple, hierarchical model by which both healthcare system operators and vendors can easily match needs with capabilities.

In addition to the proposed model, the paper provides an overview of many patient identity management concepts, data standards, along with challenges and potential methods of addressing them. Those interested in simply learning more about patient ID management in imaging informatics and IT systems may find the paper informative.

MIIT21 – Learn About Imaging Informatics & Earn 10 CE Credits!

Medical Imaging Informatics and Teleradiology (MIIT) is once again virtual, but the format of this year’s meeting is new. Instead of the traditional full-day of content, MIIT21 will be organized into half a day’s content available in spring and again in the fall. Sessions will be pre-recorded, with a live faulty roundtable for each session.

There will also be a live Keynote session on Thu 25-Mar-2021 at 4 pm ET. Dr. Rasu Shrestha, Chief Strategy and Transformation Officer at Atrium Health, will give a talk titled “Confronting Reality – Reimagining the Next Normal for Healthcare”.

The live keynote and two faculty roundtables will be recorded and available to registered attendees after they are complete.

Our speakers will cover topics such as AI and Fairness, updates in data standards, updates on gender in HL7, AI deployment, research programs in data science, global health outreach, structured reporting in Enterprise Imaging, and an expert panel on the progress and vision of Diagnostic Imaging Repositories (DIR) in Canada.

The full program can be found here.

Register today by clicking on the “Register Now” button on the main MIIT webpage.

As Co-chair, I also want to thank our generous sponsors. Without their support, we would be unable to deliver this important educational content.

MIIT is accredited by the Continuing Education Credit Approval Program (CECAP). Registered attendees must log in and review all the MIIT content to earn 10 Category A CE Credits.

Join us Online (and get your CE credits) for the First Virtual MIIT Meeting on Fri May 15!

Now Online!

Why MIIT Went Virtual

As someone that has mostly worked from home for over seven years, I understand the value of digital communication and collaboration. In healthcare, we have had many digital tools for more virtual experiences, but have been slow to adopt them. The COVID-19 pandemic has caught many organizations with paper-based and analog processes flat footed.

Education is no different than healthcare and other organizations that have heavily depended on in-person settings. While there is no doubt an in-person conference is more personal and provides social networking opportunities, content can easily be delivered online (the slides and audio are all digital, right?).

This year’s Medical Imaging Informatics and Teleradiology (MIIT) meeting was scheduled to take place in-person in Hamilton, Ontario, just like it has for well over a dozen years. Given the current situation we are all facing, my Co-Chair Dr. David Koff (@koff14) and I were faced with a choice: cancel or try to continue with an online version. As we believe strongly in the importance of imaging informatics education, and the value in this year’s excellent program, we chose the latter.

The first virtual MIIT will take place on Friday May 15, 2020. We have lowered attendee and sponsor rates in consideration of the lower costs of operating a virtual meeting.

Program

We have a great program this year with Dr. Tessa Cook from UPenn, Dr. Vamsi Narra from BJC, Dr. Cree Gaskin from UVa, Les Folio from the NIH, Dr. Adam Prater from Emory, Michael Toland from UMMS, Ted Scott from HHSC, along with Kevin O’Donnell providing an update on the DICOM standard at MIIT 2020 and MIIT’s own Britt Tomlin providing an update on Alberta’s province-wide Connect Care CIS program.

Review the full program here.

Costs

At only CAD$80 per person (which, at the current exchange rate, is only US$57 for our American friends), and with accreditation for CE credits, it is very high value. There are no travel costs and imaging informatics professionals can join from anywhere in the world.

Register using the “Register Now” button at miit.ca.

Sponsorship

Sponsorship of MIIT is still available, starting as CAD$1,000 (~US$715 with today’s exchange rate). Higher tier sponsors are given high visibility with attendees and the opportunity to give a brief talk during the lunch hour.

Be sure to stay top-of-mind among imaging IT decision makers and influencers (from anywhere now) to make up for lost contact at cancelled meetings, conferences, and trade shows!

More information is available here.

More Information

If you have any questions, email us at info@miit.ca.

MIIT20 – Don’t Miss This Year’s Program!

Now Virtual! No Travel! CE & CME Credits!

See updated info in this post!

Medical Imaging Informatics and Teleradiology (MIIT), the one-day educational meeting on imaging informatics, returns to beautiful Liuna Station in Hamilton, ON on Friday May 15, 2020. MIIT has been going for 15 years and this year has a great program with speakers from leading Canadian and U.S. institutions speaking on a range of timely topics, including hot topics like AI, multimedia reporting, change management, and building effective teams, as well as a panel discussion.

We are excited to have Drs. Tessa Cook from UPenn, Vamsi Narra from BJC, Cree Gaskin from UVa, Les Folio from the NIH, Adam Prater from Emory, as well as Michael Toland from UMMS and Dr. Christian van der Pol and Ted Scott from HHSC, providing talks in person or remotely, along with Kevin O’Donnell providing an update on the DICOM standard and MIIT’s own Britt Tomlin providing a talk on the Alberta province-wide Connect Care EMR project.

Program

Check out the full program here.

Sponsorship

Information on sponsoring MIIT is here.

Registration

To register as an attendee or sponsor, click here. All prices are in CAD$.

Standard Physician registration are $200, and healthcare professionals are $150.

Early-bird registration has two deadlines with discounts for early registration. The dates and discounted rates are:

  • Physicians: By 25-Mar-2020, $150; By 27-Apr-2020, $175
  • Healthcare Professionals: By 25-Mar-2020, $100; By 27-Apr-2020, $125

A group discount rate is available to help teams attend.

  • 3-4 registrants: 10% discount
  • 5+ registrants: 20% discount

The above discounts may be applied to the early-bird rates, resulting in big savings for groups that register early.

The registration fees make MIIT very affordable, especially considering the quality of speakers and talks available in a great, easy-to-get-to venue.

AXIS Imaging Interview: Four Options for Image-Display Architecture: A Deep Dive

How diagnostic images get from server hard drives to the screen is a topic of great interest to both industry and buyers of imaging IT solutions. Speed of image access is critical for quality of service and care, along with productivity and user satisfaction.

Different solutions take different approaches to optimize image delivery over varying networks. Many solutions combine more than one software design method to achieve the best possible performance. In many cases, industry or buyers will use jargon, like “streaming”, to apply a simple term to these sometimes complex technical methods.

In a recent article by AXIS Imaging, I describe four common techniques that are used in (and occasionally between) different imaging IT systems to maximize image display speed. The article length limit prevented coverage of additional methods and intentionally excluded IT infrastructure optimizations (for example, faster networks, CPUs, and drives) and the use of irreversible lossy image compression of the images on disk.

Important Article Corrections

Although I followed up with the author about some transcription errors they made in preparing the article language, they were not corrected (at least at the time of posting this), so I am going to note some corrections here.

  1. Where the article states “…radiology practices and departments have options when designing high-speed image display…”, it should state “…radiology practices and departments have options when choosing the solution for high-speed image display…”. Radiology practices choose a solution and that solution will use one or more of the design methods (or additional ones not listed), but the Radiologists don’t choose the methods within the solution.
  2. In subsection #3, the second bullet refers to a condition where pre-caching is typically not possible (the article states the opposite). If the worklist is a separate application from the image display application, the image display application often has no method of knowing which exams listed are in the worklist, so is unable to pre-cache the images to the workstation. This is not always true, as some worklist applications can expose this information to the image display application through an API, but this is not a universally available capability and does require that a specific integration be developed to support this across the applications.
  3. In subsection #4, where it states “visual design infrastructure”, it should instead state “virtual desktop infrastructure”. People commonly refer to it as VDI.

The State of RIS Today

A lot of attention is paid to imaging IT systems, like PACS and VNAs, and EMRs these days, but Radiology Information Systems (RIS) play a very important role in the success of the Radiology service line within an enterprise.

The industry and market for RIS has changed a lot since their introduction, with two core markets (with different needs) evolving.

I recently wrote an article for HealthCare Business News, titled A tale of two kinds of RIS solutions, on the subject. The article is here.

AXIS Imaging Interview: Three Tips for Setting Up Remote Reading for Radiologists

Remote reading is a hot topic for many working in diagnostic imaging. It is highly desirable for many Radiologists who want to telecommute like the rest of us. And, as cloud-based imaging IT solutions become more popular, the ability to read remotely (Rads won’t be going to the data center to read) will become the standard.

AXIS Imaging interviewed me to get three tips on setting up remote reading for radiologists. The article is here.

AXIS Imaging Interview: How to Prepare a Successful Vendor RFP

AXIS Imaging recently interviewed me to get three tips on preparing for a Request for Proposal (RFP). The article is here. Enjoy!

There are obviously a lot more recommended practices when doing an RFP, but these three are always good to consider. I tried to provide guidance that applies to both IT and equipment purchases.

SIIM19 – Will I See You There?

In less than two weeks, the SIIM Annual Meeting will be taking place at the newly opened Gaylord Rockies Resort in Aurora, Colorado. I am looking forward to catching up with old friends and meeting new ones, along with learning lots of new information.

This year, I am (co-)chairing three sessions and participating in a fourth. Here is a summary (my role). All times are in local MT.

If it is your first annual meeting, I recommend you go to the First Time Attendee Meet-up on Tue 25-Jun at 6:15 pm in the Adams C/D Lobby room and attend the New Member Orientation: Intro to SIIM session on Wed 26-Jun at 9:45 am. Jim and Rick are great educators and mentors.

Also, be sure to check out the pre-conference sessions, the Hackathon and Innovation Challenge events, as well as the #AskIndustry, Learning Lab, and Scientific sessions. And be sure to put the SIIM 2019 Reception on your calendar. It is great to connect with peers and review the scientific posters.

While you are on-site, don’t forget to share information and activities (and selfies!) using the SIIM Twitter handle @SIIM_Tweets (remember to follow SIIM for great info on imaging informatics throughout the year!) and the official 2019 Annual Meeting hashtag: #SIIM19.

I hope to see you there!

MIIT 2019 – An Overview

On Friday, May 10, I once again have the pleasure of co-chairing the Medical Imaging Informatics and Teleradiology (MIIT) conference at Liuna Station in Hamilton, ON.

The program for the 14th annual MIIT meeting is stellar, we have a record number of sponsors, and—thanks to lower registration fees and new group discounts—many people are already signed up to attend.

Program Highlights:

  • AI Strategy of CARRoger Tam will enlighten us on the Canadian Association of Radiologists’ strategy for AI.
  • Cloud Services for Machine Learning and Analytics – Patrick Kling will reveal how cloud-based solutions can address the challenge of managing large volumes of data.
  • Patient-Centered Radiology – Dr. Tessa Cook (@asset25)will provide insight into their progress on this topic at UPenn.
  • Collecting Data to Facilitate Change – Dr. Alex Towbin of Cincinnati Children’s Hospital (@CincyKidsRad) will show us how to use data to support change management.
  • Panel on the Future of DIRs in Canada – In this interactive session, we will discover what has been accomplished with Diagnostic Imaging Repositories (DIRs) in Ontario, and what’s next. I will moderate a panel with leaders from SWODIN and HDIRS.
  • Practical Guide to making AI a Reality – Brad Genereaux (@IntegratorBrad), with broad experience working in hospitals, industry, standards committees, and technology, will help attendees prepare for this new area.
  • Healthcare IT Standards – Kevin O’Donnell, a veteran of healthcare standards development and MIIT, will provide an overview of developments within the DICOM and HL7 standards, and IHE.
  • ClinicalConnect – Dale Anderson will provide an update on this application (@ClinicalConnect), used by many organizations in the local region.

If you can attend, I am sure you will find the event educational. There are lots of opportunities to interact with our speakers and sponsors. If you are not from the region, you may find a weekend getaway to the nearby Niagara on the Lake wine region enjoyable.

And don’t forget to follow MIIT (@MIIT_Canada) on Twitter!