I. 80% of Physicians own Smart Devices II. Patient Needs III. Apps IV. Design Consideration V. Security VI. Areas of Focus for Imaging Leaders VII. Patient Engagement VIII. Imaging-Specific Portal For more information visit http://www.carestream.com/myvue and http://www.carestream.com/vuemotion

1. SIIM 2013:
Mobile Imaging for Your Enterprise
Jeff Fleming
VP Healthcare Information Solutions
June 6, 2013

2. Public
© 2012, Carestream
Health
80% Physicians Own Smart Devices
What type of device are you using?
59%
29%
20%
3%
14%
7%
0%
10%
20%
30%
40%
50%
60%
70%
iPhone iPad Android
Smartphone
Android Tablet Blackberry Other
%ofRespondents
N = 3143, multiple responses allow ed
*Source: The Nielsen Company, “Q1 2011 Mobile Connected Device Report”,
QuantiaMD® Research Report, “Tablets Set to Change Medical Practice”, June 15, 2011. See www.quantiamed.com/q-
qcp/QuantiaMD_Research_TabletSetToChangeMedicalPractice.pdf
**Source: Manhattan Research, Taking the Pulse U.S. 2012, http://www.informationweek.com/healthcare/mobile-wireless/doctors-tablet-use-almost-doubles-in-
201/240000469
***Source: Healthcare Data Solutions, July 2012, http://www.healthcaredatasolutions.com/assets/docs/HDS_Whitepaper_Mobile-Device-Usage-Patterns-Among-
Physicians.pdf
Tablet use has since
doubled since 2011,
now reaching
62%**
How often do you use mobile devices in your practice
for patient care (smartphone, iPad, etc.)?

3. What are your patients looking for?
3
Harris Interactive Poll 2012

4. Considerations: “To App or Not to App”
Consideration: Radiologist Reviewing Imaging Results
EITHER: Key is access to priors and image manipulation tools
NO APP for Referring: Primary care physicians and specialists will
likely view images and reports ad-hoc from wherever the image was
taken; Access will likely come through EMR/EHR.
Viewer needs to be: system and device agnostic, no download, no
training required
Consideration: Referring physicians accessing EMR
DEDICATED APP: Primary care physicians and specialists will likely
only access dedicated patient records in one system
Consideration: Patients accessing the EMR results
No APP: Portal part of Meaningful Use Requirement

5. p.5
Simple to deploy and maintain
• Zero overhead for high speed performance
• Latest enterprise access technology without replacing a legacy PACS or archive
On-demand and Ad-hoc
• Radiologists and physicians able to access entire patient’s portfolio including images,
reports and other supporting, non-DICOM data
• Enable real-time collaboration between clinical users
Easy to Adapt
• Simplify workflow as independent viewer or embedded within
EMR or HIS eliminating multiple log-ins
• Intuitive User Design that doesn’t require dedicated training
Physical Conditions
• Device durability, ambient lighting, security….
Overall Design Considerations
Vue Motion is FDA cleared for iPad mobile use

6. Security utmost concern
But consider the alternatives:
Applications should be part of an enterprise security architecture that
considers confidentiality, data integrity, and availability.
• Personal device (BYOD) versus corporately issued
• Theft and data loss
• Compliance to government regulations (i.e. FDA)
• Data retained on device (ex. dedicated app) or centralized on server (ex. zero footprint)
• Physical security “screens”
• External network accessed by unpredictable user patterns or demands
p.6

7. Healthcare Reform:
Areas of focus for imaging leaders
Patient Satisfaction
• Reimbursement will be affected by patient satisfaction surveys. While none of the measures relate to imaging, a
bad experience in the imaging department could affect the overall patients’ survey rating
• More than 5 percent of all unique patient seen by the EP during the EHR reporting period (or their authorized
representatives) view, download, or transmit to a third party their health information
Referring Physician Satisfaction
• Referring physicians are key in the ACO model. Keeping them happy and engaged will reduce ‘referral leakage’
Cost Reduction
• Standardization of care practices, processes and infrastructure provide facilities with an opportunity to reduce
cost and impact the bottom line
Public
© 2012, Carestream Health
Apps that provide easy access to patient records for
both the patient and the referring physician while
eliminating the costs and risks associated with physical
media (paper, CD/DVD, etc.) will impact the 3 focus
areas described above
The Accountable Care Act (ACA) puts emphasis on

8. “Less paper work”
“Better care coordination among health care
providers
“Fewer unnecessary tests and procedures”
“Easy, electronic access to your medical
record and have greater control over
your health”
80% Americans who have access their
health information in electronic health
record use it
65% Americans who don’t’ have electronic
access to their health information say it’s
important to have it
2 out of 3 people would consider switching
to a physician who offers access to
medical records through a secure
internet connection
Patient Engagement has Operational Merits
8
Office of the National Coordinator for Health
Information Technology (ONC) is
generating the “demand”*
http://www.healthit.gov/patients-families/electronic-health-records-infographic

9. Example of an Imaging-Specific Portal
Secure access, simple management, quick access

10. Patient Reaction to Imaging Portal
10
Carestream conducted direct surveys to gauge patient
reaction (n=1000)
Preferred Access to Imaging Results
Likelihood of Using Online Portal

11. Questions
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