10 Steps to Strategically Build and Implement your Enterprise Imaging System: HIMSS-SIIM Collaborative White Paper

Abstract

An enterprise imaging (EI) strategy is an organized plan to optimize the electronic health record (EHR) so that healthcare providers have intuitive and immediate access to all patient clinical images and their associated documentation, regardless of source. We describe ten steps recommended to achieve the goal of implementing EI for an institution. The first step is to define and access all images used for medical decision-making. Next, demonstrate how EI is a powerful strategy for enhancing patient and caregiver experience, improving population health, and reducing cost. Then, it is recommended that one must understand the specialties and their clinical workflow challenges as related to imaging. Step four is to create a strategy to improve quality of care and patient safety with EI. Step five demonstrates how EI can reduce costs. Then, show how EI can help enhance the patient experience. Step seven suggests how EI can enhance the work life of caregivers and step eight describes how to develop EI governance. Step nine describes the plan to implement an EI project, and finally, step 10, to understand cybersecurity from a patient safety perspective and to protect images from accidental and malicious intrusion.

Enterprise imaging and big data: A review from a medical physics perspective

“…The term enterprise imaging has grown in recent years, but the specific definition as to what EI actually is or represents can be varied [3]. More recently the collaborative HIMSS-SIIM member work-group (respectively, the Healthcare Information and Management Systems Society, and Society for Imaging Informatics in Medicine) defined a set of strategies, initiatives and workflows that could be implemented across a healthcare enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange and analyze all clinical imaging and multimedia content to enhance the electronic health record [1,4,3,5,6]. The diversity of imaging that is captured ranges from radiology or radiology-type imaging, which constitutes the main component to clinical photography (e.g.…”

“…2. The enterprise imaging paradigman organized plan to optimize the electronic health record so that healthcare providers and patients have intuitive and real-time access to all patient clinical images and their associated documentation, regardless of source [1].…”

“…An enterprise imaging (EI) strategy is an organized plan to optimize the electronic health record (EHR) so that healthcare providers and patients have intuitive and real-time access to all patient clinical images and their associated documentation, regardless of source. Primo et al [1] proposed a road-map to achieve the goal of implementing EI for an institution that firstly requires defining and accessing all images and data used for medical decision-making and understanding the specialities and their clinical workflow challenges as related to imaging. Creating a strategy to implement an EI infrastructure, with appropriate privacy, security and governance, will improve quality of care and patient safety, for example, by eliminating the number of unnecessary repeat diagnostic tests that may include exposure to radiation.…”

Risk management focusing on the best practices of data security systems for healthcare

“…(Abraham et al, 2019;Blanke & McGrady, 2016;Busdicker & Upendra, 2017;Kharraz et al, 2018;Priestman, Anstis, Sebire, Sridharan & Sebire, 2019) All devices must have their operating systems, software, and antivirus updated as new releases and patches become available. (Abraham et al, 2019;Blanke & McGrady, 2016;Ondiege et al, 2017;Primo, Bishop, Lannum, Cram, Nader & Boodoo, 2018) All devices must have their data backed up on periodically backed up in a secure location on which cybersecurity experts have previously agreed. (Abraham et al, 2019;Blanke & McGrady, 2016;Ghafir et al, 2018;Kharraz et al, 2018;Martin et al, 2017;Primo et al, 2018) Source: The authors.…”

“…(Abraham et al, 2019;Blanke & McGrady, 2016;Ondiege et al, 2017;Primo, Bishop, Lannum, Cram, Nader & Boodoo, 2018) All devices must have their data backed up on periodically backed up in a secure location on which cybersecurity experts have previously agreed. (Abraham et al, 2019;Blanke & McGrady, 2016;Ghafir et al, 2018;Kharraz et al, 2018;Martin et al, 2017;Primo et al, 2018) Source: The authors. Authors When hiring a new employee (even for part-time jobs), the employee's background should be checked (Blanke & McGrady, 2016;Coronado & Wong, 2014;Gordon et al, 2019;Ondiege et al, 2017) Limited access to the system should be granted based on the need for access to employees and on the roles and responsibility of the activity performed in each position.…”