iCONNECT® ENTERPRISE CLINICAL

iCONNECT® ENTERPRISE CLINICAL PLATFORM &
MERGE HONEYCOMB™: PRODUCT ROADMAPS
Jon T. Devries, VP Product Solutions, Merge Healthcare
Atul Agarwal, SVP R&D, Health IT Solutions, Merge Healthcare
Monday, August 27, 2012
© 2012 Merge Healthcare
This presentation may contains forward looking information including
future deliverables which are not yet generally available
and are not guaranteed.
All dates and features presented are estimates and are subject to
change without notice.
agenda
iConnect as a Platform for Enterprise Imaging
iConnect Roadmaps:
‒ iConnect Enterprise Archive
‒ iConnect Share
‒ iConnect Access
Merge Honeycomb Roadmap
Voice of the Customer
Q&A
3
iCONNECT TECHNOLOGY PLATFORM
today…isolated departments and image silos
Cardiology*
Radiology*
Orthopedics
Dermatology, etc
Eye Care
* Two largest sources of imaging in a health system.
5
the move to enterprise imaging strategies
1
Archive Images to
Eliminate Silos and
Centralize Storage
Archive Images in Merge’s
Enterprise Archive
Radiology*
Cardiology*
* Two largest sources of imaging in a health system.
Orthopedics
Eye Care
Dermatology, etc
6
the move to enterprise imaging strategies
1
Archive Images to
Eliminate Silos and
Centralize Storage
2
Share
Radiology*
Archive Images in Merge’s
Enterprise Archive
Cardiology*
* Two largest sources of imaging in a health system.
Share Images with
other hospitals, and
imaging centers
Orthopedics
Eye Care
Share
Dermatology, etc
7
the move to enterprise imaging strategies
1
Archive Images to
Eliminate Silos and
Centralize Storage
2
Share Images with
other hospitals, and
imaging centers
3
8
Access Images
through EMR / EHR or
Physician Portal
Access
Share
Radiology*
Archive Images in Merge’s
Enterprise Archive
Cardiology*
* Two largest sources of imaging in a health system.
Orthopedics
Eye Care
Share
Dermatology, etc
iCONNECT ENTERPRISE ARCHIVE
ROADMAP
iConnect Enterprise Archive was formerly known as iConnect VNA or Emageon’s ECM platform
iConnect Enterprise Archive & iConnect Share roadmaps10
9.0
TODAY
New Features
› HC Gateway (limited)
› HC LTA Billing
V10 / Futures
New Features
Prefetcher Update
Migration Tool
Epic QRY
Platform
Enhancements
› Basic Multi-Tenancy
Support
› PACS 7.x support
› Cardio 10.x support
› Object Level
Storage Support
› Infrastructure
Enhancement
› Webadmin
Enhancement
›
›
›
›
VOC Feedback
›
›
›
›
›
V9.2
New Features
VMware cluster
Non-DICOM Images
IRWF
WebAdmin UI
VM Enterprise Cluster
VOC Feedback
› 10Gb Support
Q1 2012
New Features
›
›
›
›
›
Honeycomb Launch
EMPI Aware
XDS & ATNA Support
Dell DX Storage
iConnect Share
New Features
› Latin-1 Character Set
V8.40 – v8.80
Q2 2012
Q3 2012
Q4 2012
New Features
›
›
›
›
EMC Atmos
DIY Morphers
Deletion propagation
Policy Based Deletion
VOC Feedback
› WebAdmin Update
V9.1: Oct 31, 2012
Q1 2013
VOC Feedback
› Improved
documentation
Q2 2012
August 10, 2012
iConnect Enterprise Archive 9.0
Honeycomb Gateway
Non-DICOM to DICOM Conversion
Honeycomb LTA Billing
Web-Admin UI Update
VNA Enterprise Clustered servers in
VMware
11
August 10, 2012
iConnect Enterprise Archive 9.0: Honeycomb Gateway
Merge Honeycomb Gateway
‒ The Honeycomb gateway is a device that
is the “edge server” for Honeycomb and
communicates with the cloud via SSL
Features
‒
‒
‒
‒
‒
‒
Proxy for DICOM services
Proxy for HL7 services
Share for local operations
MWL reconciliation
Deletion propagation and QC
User management
Communicate with the Cloud via SSL
12
August 10, 2012
9.0: register your VNA with Merge Honeycomb
Your onsite VNA
is your on-ramp
to Honeycomb
Easy solution for
image sharing
and storing Copy
2 offsite
Configure your VNA as
a Honeycomb Gateway
13
August 10, 2012
9.0: search onsite and Merge Honeycomb LTAs
An “Include LTA
Searches” check
box has been
added to the
Archive Search
screen
When selected, the
search function will
include the
Honeycomb LTA
New “Include LTA”
Search Feature
14
October 31, 2013
iConnect Enterprise Archive 9.1
Do-It-Yourself (“DIY”) Morphers
Policy-Based Deletion
Object Storage
‒ EMC Isilon Support
‒ EMC Atmos API
Product Support:
‒ EMPI / IPID Support for Cardio PACS and
Merge PACS
‒ Support for Eye Care PACS storing to VNA
15
October 31, 2013
iConnect Enterprise Archive 9.1: DIY morphers
Catalog of morphers
‒ The catalog will increase as new morphers
are added via Prof. Services or customer
create there own and share them
‒ Examples
‒ IPID Assignment and morphing
‒ Study Description Mapping
Rules Engine
‒ Build from more primitive rules
‒ Regular expression manipulation
‒ Cascading of rules, priority of the morphers
Testing of Morphers
Auditing Morphers
First Step to DIY
DICOM Migrations
16
October 31, 2013
iConnect Enterprise Archive 9.1: PBD enhancements
A number of enhancements were added to the
Policy-Based Deletion (PBD) tool:
‒ Pt Age & Pt DOB search in WebAdmin
‒ Refined Pt Age calculation for use in rules
‒ Allow use of a tag with multiple values / re-use
within a rule
‒ E.g. Modality = CT AND modality = KO
‒ Multiple conditions and multiple conditional
operators in rules
‒ Vetoer editability
‒ “Early delete” option for Mammo CAD SR objects
‒ Short run simulations (e.g. 1 00 items) and
scheduled off-line simulation runs
‒ Scheduled purge time (time of day and days of
week)
‒ Study as well as series level test / simulation
results
‒ Progress indication in WebAdmin
Attend tomorrow’s
tomorrow s
session “DICOM Image
Lifecycle – The Journey
from Theory to Practice”
to hear Ascension
Health’s
Health s story regarding
policypolicy-based deletion!
Session 6: Interoperability
17
1Q 2013
iConnect Enterprise Archive 9.2
Enhanced Prefetcher to Support
Teleradiology Workflows
“DIY” Migration Tool
Platform Enhancements
‒
‒
‒
‒
New Clustering Infrastructure
Direct SAN Support
10Gbit Support
Clustered File System
Basic Multi-tenancy Support
18
2Q 2013
iConnect Enterprise Archive 10.0
Merge Product Support:
‒ PACS v7.x
‒ Cardio 10.x
Object Storage Platforms: Object
Level vs. Study Level Support
Multi-Tenant Support
Merge Honeycomb
‒ Reconciliation Web Services
Infrastructure
RCM auto-failover Support
Lossey JPEG 2K Support
Reporting Server
Improved Packaging / Implementation
(aka FIC-on-a-Stic)
‒ Encryption Option
‒
‒
‒
‒
19
June 2013
iConnect Enterprise Archive 10.0: the future
VNA “Helm” as in “You take the
Helm of your VNA”
‒
Business Intelligence
‒
Ad hoc Reporting
‒
Notifications / Warnings
‒
Cross Platform Analysis (i.e. RIS to
PACS to VNA)
Integrated Clinical Imaging
Management System (CIMS)
Hybrid Onsite / Offsite or Cloud
Architectures
WebAdmin Enhancements
‒
Deletion Management
‒
Enhanced Study Browsing
‒
Enhanced Help
‒
Prefetcher Enhancement
‒
Integrate Storage Move &
Migration Tools into VNA
20
iCONNECT SHARE
iConnect Share 2.1
Support for Merge Honeycomb and collect images from anyone who has
access to the internet
‒ Second Opinions
‒ Patient transfers
Integrate viewing (iConnect Access) with importing (iConnect Share) to
create a comprehensive image distribution and collaboration solution
‒ Provides single sign-on experience
22
August 10, 2012
iConnect Share 3.0
CD/ DVD/ USB import
‒ Manually edit DICOM header so that it
conforms to the requirements of the
local PACS and EMR (i.e. local MRN)
Non-DICOM wrapping and conversion
‒ PDF documents
‒ non-DICOM still images (JPG baseline
lossy, JPEG lossless, BMP, PNG, TIFF)
‒ MPEG2 & 4 will be covered in a future
release
‒ Manually edit the DICOM header
‒ In a future release this information will be
used to search the DICOM MWL, VNA
archive, affiliated archives and the EMPI
for similar patients to gather the
demographic information for the header
23
August 10, 2012
non-DICOM header
Associated with an Existing Patient
24
Create a New Patient
25
October 31, 2012
iConnect Share 3.1
URL Launch Share from EMR / RIS / Portal in
context, including
‒
Attach other ‘ology’ images to Encounter / Visit /
Note at the point of care
‒
Demographic Information
‒
Identification Number
‒ e.g. Encounter # + Date + Time
‒
Imported images can be viewed with Access or
any DICOM viewer
Group Management (i.e. each hospital in an IDN
is a Group)
Selecting the destination from a picklist triggers
a routing / morphing rule
DMWL and/or Archive query lookup
26
Attend today’s
today s
session “The Future
of NonNon-DICOM
Images” to hear
Cincinnati Children’s
Children s
story!
Session 3: Interoperability
October 31, 2012
iConnect Share 4.0
Proxied DICOM Query
Proxied Access Query
Patient Demographic Query (QRY)
Web Service Interface
MPEG 2 & 4 Support
27
iCONNECT ACCESS
Zero-client Viewer
iConnect Access roadmap
29
TODAY
New Features
› Ortho Tools – Joint,
Plumb, and
Continuous line tools
› PDF report with Key
images
› Quick 1 on 1
compare
VOC Feedback
› Auto global stack
› iPad Physician query
› iPad My Search
VOC Feedback
› Linked scrolling or
prior and current
› View non-DIOCM and
PDF images
Q1 2012
New Features
› New UI
› New iPad UI
› Ortho support
VOC Feedback
› LDAP
› Report
improvements
V3.0
4.0
V3.2
New Features
V3.01
Q2 2012
New Features
› Briefcase w/ PACS
› Ortho tools
› Passing User
Preferences between
Applications
New Features
Merge Live WIP
Demo Speed
›
›
›
›
Scrolling
W/L
Zoom
Pan
Q3 2012
RSNA WIP
Demo Speed
› Cine
› Editable
annotations
› Highly
responsive
Q4 2012
Maintenance
Release
› Multiple
Authentication (Ortho)
› Storage Time (Allina)
› HTML5
› FDA approved for
diagnosis on iPad
SPEED
SPEED
SPEED
Q1 2013
Access in HTML5
› Ready for Beta
Testing
› All of current
features
› Improved
performance
VOC Feedback
›
›
›
›
›
GUI Enhancement
Open multiple pts
Edge Enhancement
Pixel Value tool
GSPS Support for
Radsuite
V3.1
WIP 3 : PrePre-Release
V3 . 2 . 1
February 8, 2012
iConnect Access 3.0
Revamped User Interface
‒
New study list
‒ Search, sort, scroll ,group
New viewer controls and layout
‒ Better use of screen real-estate
‒ Dual / triple study layout capability – study splitting like
PACS / Halo
‒ Fly out Patient History
‒ New toolbars and icons to better match PACS and
Ortho
New iPad UI
‒ Closer to desktop version – more tools and up to 4 up
display
‒ iPad Specific gesture support
Improved play (stack scroll) performance
Active Directory / LDAP Support
‒ SSO Process and User Provisioning Interfaces
30
May 31, 2012
iConnect Access 3.1
Orthopedic Workflow Enhancements
‒ Inherit Access User Preferences when launching from
the RTWL vs. a generic set of user preferences
‒ Launch multiple simultaneous patients in Access from
the RTWL to support a high volume clinic workflow
‒ Briefcase Express in Access (view only)
Viewer Improvements
‒ Free Draw tool
‒ Calibration feature in iConnect Access
Pixel and Edge Enhancement Tool as well as GSPS
support for RadSuite
Search results are cached on the iPad to allow a
physician to return to a prior search
31
May 31, 2012
iConnect Access 3.1
Viewer Enhancements
‒ Default Modality Toolbars
‒ Hide Toolbars
Enhanced iPad Search
‒ Add Physician to query field on iPad
This is the first phase of the work in iConnect
Access to support the orthopedic market
and transition existing OfficePACS
customers to Merge OrthoPACS
32
August 12, 2012
iConnect Access 3.2: viewer functions
Linked Scrolling of Current and Prior
Exams
Plumb Lines, Vertical and Horizontal
‒
Plumb Lines (Vertical and Horizontal)
Joint Line
Continuous Line (Option)
‒
‒
New Behavior: Click – Drag – Release
Old Behavior: Click – Click
33
August 12, 2012
iConnect Access v3.2: viewer enhancements
View non-DICOM Image and PDFs
‒ Non-DICOM images are saved as secondary capture OT
‒ PDFs are saved as Encapsulated PDF
Print Preview and PDF Report with Key Images
‒
‒
‒
‒
Improved formatting and insertion of header / logo for the practice
Based on Vericis report format
Reports can be printed or downloaded (as PDF) to local client or local drive
Local download is important for import into referring physician's local EMR
NOTE: This is a critical feature in attracting referring physicians
because most physician EMRs will NOT have
an HL7 connection to the iConnect Access host site due to
implementation costs and need for VPN.
34
1Q 2013
iConnect Access 4.0
Mission Speed ,Speed, Speed
Leverages HTML5 to move some
functionality to the client to improve
performance
Release is scheduled for March 2013
3 WIPs
‒ Merge Live: Scrolling, W/L, Zoom, Pan
‒ RSNA: Majority of Tools, improve consistency
of behaviors
‒ Pre-Release: Near complete and ready for
beta customer evaluation
FDA approval to use iConnect Access on
iPad for diagnoses
35
MERGE HONEYCOMB ROADMAP
Merge Honeycomb roadmap
V1.2
37
TODAY
V 3.0
New Features
New Features
› Performance
› EHR integrations
› Process Notifications
› HC Gateway
› Non-DICOM
VOC Feedback
› Group Support
› Advanced reporting
& Auditing
› Improved Gateway
› Performance
› Integrations
› Portal Customization
› Mobile Apps
› SDK
Q1 2012
Q2 2012
New Features
› Go Live
› Image Sharing
› Upload/Download/
View/ Share
› End User
VOC Feedback
Q3 2012
Q4 2012
New Features
›
›
›
›
›
Group Support
Performance & UI
SDK
Reporting & Auditing
Gateway
enhancement
› Limited Launch
› System hardening
V1.0
V2.0
Q1 2013
June 2012
Merge Honeycomb 1.0
Applications
‒ Leverage iConnect solutions to run
Honeycomb services
‒
‒
‒
‒
Upload – iConnect Share
View – iConnect Access
Archive – iConnect VNA
Share – Honeycomb user interface to call on
the iConnect services
Hosting
‒ 3rd party to host and manage in multiple
geographically separate data centers
‒ Implement redundant cloud based solutions
‒ Contract for management services
Support Services
‒ Online self-service and support portal for
knowledge base and user questions
‒ 3rd party monitoring and security services
38
June 2012
Merge Honeycomb 1.0
Image Sharing
‒ Users upload and share DICOM studies with
existing contacts
Archive
‒ Accounts contract for long term storage and
disaster recovery services
39
July 2012
Merge Honeycomb 1.2
Honeycomb Gateway
‒ The Merge “edge device” for SSL communication to
Honeycomb (No VPN)
‒ Proxy for DICOM services
‒ Proxy for HL7 services
‒ MWL Reconciliation
‒ Deletion propagation and QC
‒ Option for CD import functionality
Non-DICOM
‒ Honeycomb Gateway or Honeycomb for accepting
non-DICOM information
‒ Options to associate DICOM header with other DICOM
files
‒ Gateway options to associate via MWLQ
‒ Supported Images: TIFF, BMP, PNG, JPEG, PDF
Billing and Reporting tools
‒ Ability to report on ingested studies
‒ Ability to produce internal reports for billing
reconciliation
40
October 2012
Merge Honeycomb 2.0
Group Support
‒ Users have the ability to create groups and sub-groups with
permissions
‒ Allow for group and sub-group based notifications
Performance and User Interface
‒ Speed of processes and functions
‒ UI improvements and synchronization with the addition of group
functionality
Software Development Kit (SDK) for edge devices
‒ Merge PACS, Merge OrthoPACS, eFilm, PACS Gear, Sorna, etc.
Reporting and Auditing additions
‒ Better tracking of study ingestion and archive size
‒ Ability to download Activity lists for customized audit processing
Gateway enhancements
‒ Ease of deployment, support, maintenance, upgrades and cost to
produce
41
Q1, 2013
Merge Honeycomb 3.0
Performance and User Interface
‒ Speed of processes and functions
‒ Enhanced group and user functionality based on
customer feedback
EHR integrations
‒ Ability to link viewing from Honeycomb to
Electronic Health Records or third party systems
Process notifications
‒ Communications from Honeycomb and Gateway
on executed processes
‒ Integration between systems for active
communication of status
42
Merge Honeycomb futures
Enhanced monitoring
‒ User level dashboards
43
Patient workflows
‒ Ability to notify and store for patients
‒ Real-time usage
Lock studies
Local database back-up
‒ Onsite database back-up
Credit card processing
‒ Lock individual studies from 90 day
delete
Java improvements
‒ To upload tool
Portal customizations
Mobile application
WHAT DO YOU NEED?
USER INTERFACE 1
iConnect Access: patient search
iConnect Access: patient search
iConnect Access: patient search, advanced
USER INTERFACE 2
iConnect Access: study list
iConnect Access: study list
iConnect Access: view study
iConnect Access: full screen view
iConnect Access: full screen
iConnect Share: create group
iConnect Share: create group
iConnect Share: worklist
iConnect Share: worklist
iConnect Enterprise Archive: configure devices
iConnect Enterprise Archive: Reports
56
What do
you think?
QUESTIONS?
Jon T. Devries, VP Product Solutions, Merge Healthcare
jon.devries@merge.com
Atul Agarwal, SVP R&D, Health IT Solutions, Merge Healthcare
atul.agarwal@merge.com