Cloud-based Services the Limit for Care Coordination

Rodney Hawkins
Rodney Hawkins

Guest post by Rodney Hawkins, general manager, Diagnostic Solutions, Nuance Communications.

Over the past few years, we have seen the healthcare industry shift toward cloud-based services to improve workflow, patient care and access to information. In fact, a 2014 HIMSS Analytics Survey estimates 80 percent of healthcare providers use the cloud to share and store information today. A cloud network allows physicians, referring providers and specialists at many different sites to simultaneously and securely access patient information in real-time on any Internet-connected device to provide urgent care to patients. This technology is changing how information is exchanged to meet the needs of both physicians and patients. Specifically, using cloud-based services for medical image and report sharing can be a game changer when it comes to advancements in quality of care.

Patient care before the cloud

The best way to explain the benefits of cloud-based image and report sharing is to look at life without the cloud. For providers not using this technology, medical images are stored on a physical CD, and the patient is responsible for carrying it from facility to facility – or, even worse, providers rely on couriers and the postal service to ship discs (which takes days and delays patient care). Most physicians will attest that 20 percent of these CDs are lost, forgotten or corrupt. When this is the case, not only is all the information stored on the CD lost, but time and money is wasted having to repeat the imaging procedure.

Josh Pavlovec, PACS administrator at Children’s of Alabama describes the challenges physicians faced to read CDs before the facility moved to a cloud-based image exchange. “In the middle of the night, if a trauma surgeon needed someone to look at a CD that couldn’t be opened properly, that surgeon or a resident, would physically run the patient’s CD down the street, knock on doors and find a radiology resident to view that study; and then run back to their OR and start treating the patient.”

Another challenge arises when a complete profile is not made available to the entire patient care team. For example, if a patient is sent by a primary care physician to a larger hospital for an exam, and the hospital sends the patient to an outside specialist – that specialist will likely not get the patient’s full medical history, and will certainly not receive that information prior to the patient’s arrival. Children’s emergency physician, Dr. Melissa Peters explains, “Having the reading that’s associated with the transferred images is something that’s very helpful to us. When we have a child that’s transferred, our pediatric radiologists interpret the films, and they need the reading from the other facility in order to create a comprehensive report.”

The absence of readily available images and reports creates silos of patient information within healthcare leading to costly delays and repeat testing and, limiting the quality and efficiency of care provided by teams.

The cloud is greater than the sum of its parts

The most important benefit of the cloud is sharing images and reports – together – in real time across care settings as easily as LinkedIn users share information with their contacts. Physicians depend on medical images, and the diagnostic report associated with the images, to assess a patient’s needs and support decision-making. However, this process becomes complicated when exchanging information between different EHRs and systems, referring providers, clinics and other facilities.

The cloud is easy. As consumers we rely on information hitting the cloud and we expect these services to make life easy as we move at lightning speed through our days. This is now making its way into healthcare. Cloud-based services for imaging and reporting that easily integrate into the EHR create a secure, central location for the entire care team to access patient information, helping them seamlessly communicate across care settings and regardless of the EHR in place. This allows physicians to view patient records including X-rays, CT-scans and other images along with reports where and when they need them, helping to quickly evaluate a patient’s condition and determine next steps prior to the patient’s arrival. Additionally, cloud-based imaging exchange virtually eliminates the costly and insecure process of managing CDs, allowing clinicians to spend more time focusing on the patient, and improving workflow and care delivery.

Going mobile

The widespread adoption of the cloud is spurring the demand and acceptance of mobile physicians. In fact, the previously cited HIMSS survey reported 70 percent of clinicians use mobile devices to view patient information.

The advent of smart devices has made access to information as easy as a tap of the finger. The healthcare industry has optimized this technology to give clinicians secure access to patient information using mobile devices, which fits their workflow perfectly as they move between care areas and consult on patient cases off hours.

Arnold Palmer pediatric surgeon Dr. Donald Plumley describes how he relies on this technology, “Radiologists send me a text message saying ‘Johnny Jones just had his X-ray done and here’s a link to the report and images,’ and I’m able to pull up his images and his report in real-time while I’m dictating the chart.”

As Megan McLendon, manager of business development and innovation at Orlando Health says, “The ability to get results on mobile devices and tie it back to a patient’s medical records is a total game changer.”

The future of healthcare

The healthcare industry is one of the best suited to benefit from cloud services. A recent report estimates that the use of cloud computing by healthcare providers will increase by 20 percent each year, and these organizations will spend $5.4 billion for cloud services by 2017. Cloud-based medical imaging exchanges will certainly comprise a large portion of cloud investments and utility.

While the healthcare industry continues to shift away from on-premise systems, I predict the quality of patient care will improve as mobile and cloud technologies make care faster and more cost efficient to provide. Improving communication across silos of care not only creates better relationships between hospitals and referring providers, but also reassures the patient that they are receiving the best possible care – a goal of all members of the healthcare ecosystem.

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