What Is Imaging 3.0? “Imaging 3.0 is a change process led by the ACR for the field of radiology. It includes a set of technology tools that equip 21st-century radiologists to ensure their key role in evolving health care delivery and payment models—and quality patient care. Imaging 3.0 is a call to action to all radiologists to take a leadership role in shaping America’s future health care system.” “Leveraging radiologists’ tools and expertise to optimize patient care from the time imaging is first considered until referring physicians and patients fully understand the imaging results and recommendations.”1 Image Sharing Environment Hospital K ` ` WAN Firewall Hospital G WAN Firewall Hospital E WAN Firewall WAN Firewall Data Center Metro E 3750 Switch ` ` ` Admin LAN Metro E 3750 Switch WAN Firewall ` Admin Office ` 9 Users VPLS/MPLS Backbone Metro E 3750 Switch Metro E 3750 Switch Hospital D Metro E 3750 Switch Internet WAN Firewall Internet Firewall WAN Firewall WAN Firewall ` WAN Firewall ` ` CIRA VLAN Hospital C ` ` ` 35 Users HS_B_ LAN 9 Users ` ` Healthcare System B Healthcare System A ` ` Common Worklist Fully Automated Environment Remote Facilities CIRA Data Center / ADT HL7 HIS / EMR DICOM MWL HL7 ORM / ORU / (ADT, SIU, etc) Modality HL7 Engine RIS HL7 ORM / ORU 7O RU HL 7 O RM /O RU DICOM SEND HL Clinical Workflow Administrators M OR Viewer Worklist HL Dictation 7O RU M CO DI HL7 O RU DICOM 2) HL7 Engine adds to Dictation worklist by HL7 ORM Worklist Server (DL380 g6) 4) Study QA by CIRA Clinical Workflow Administrator (may be automated) 5) Status update on worklist indicates study ready 6) Physician double clicks study in Dictation Application 7) Study status updated by Dictation with update to RIS (HL7 ORU) Render Server DL380 G6/7 8) Physician dictates study and generates report 9) Physician Signs Report 10) Dictation sends report back to RIS (HL7 ORU) Radiologist ) /R Q PACS Co-managed 1) Scheduled Procedure in RIS sent via HL7 ORM to HL7 Engine 3) Image Notify from Modality to RIS (SCN) forwarded thru HL7 to Dictation /( Potential options that might be available in the near future (now?) Scenario 1 Scenario 2 Opportunities to leverage MU in the future to enhance interoperability and exchange between referring and rendering physicians, patients, etc. Hospital CIRA Data Center Remote Facilities HL 7 HL 7 HIS / EMR HIS / EMR HL7 Engine H L7 HL 7 Modality DICOM Modality DICOM HL7 RIS DICOM DICOM RIS Viewer / Worklist Accelerator D DI CO M Clinical Workflow Administrators IC M O Dictation PACS DIC OM DIC PACS OM CIRA owned / Co-managed CIRA owned / Co-managed VNA VNA DIC M CO DI OM Viewer Viewer Radiologist