1. THE HIGH PERFORMANCE COLLABORATIVE CARE WEBINAR SERIES
Defining A
UNIVERSAL
VIEWER

2. SPONSORED BY:
Defining A
UNIVERSAL
VIEWER
Presenter Presenter Presenter Moderator
Judy Hanover James Whitfill, MD Lawrence White, Mary C. Tierney
Research Director, CMIO, Southwest Medical Senior Marketing Manager, VP, Chief Content Officer,
Provider Strategies Imaging, Phoenix, Ariz. Radiology, TriMed Media Group
IDC Health Insights, Boston GE Healthcare IT Providence, R.I.

3. Legal disclaimer
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features shown herein, or discontinue the product or service described at
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Your product features and configuration may be different than those shown.
Information contained herein is proprietary to GE. No part of this publication
may be reproduced for any purpose without written permission of GE.
 The information in this presentation represents the views of the specific
authors and presenters. The content and materials for this presentation
have not been screened, approved or reviewed by GE Healthcare.
 *GE, the GE Monogram, Centricity and imagination at work are trademarks
of General Electric Company.
 General Electric Company, by and through its GE Healthcare division.

4. Defining the Universal Viewer
Judy Hanover,
Research Director, Provider Strategies
IDC Health Insights

5. Trending: Centralizing PACS
 Workstations or viewers for advanced
visualization becoming more integrated, thin-
client based  fewer dedicated workstations
 Advanced viz on PACS – anytime, anywhere
 Leverage VNA for adv viz and other functions
 Enables universal desktop environment for
radiologist – view images from multiple PACS
from one workstation
 VNA can accelerate this centralization and
standardization

6. Trending: Moving Away from
Department PACS
 Providers evaluating unique functionalities of
each PACS
 Seeking more tightly integrated PACS – retain
functionality but have more integration
 Leveraging VNA to improve data flow with
multiple PACS, EMR, ACO and HIE

7. Why Do We Have Multiple PACS?
 New is often a standalone technology
 Over time, functionalities are integrated
 Natural progression to move from department to
enterprise PACS
 Enterprise PACS functionalities will increase
• i.e. Separate programs for word processing and
spreadsheets while today we have one program that
do both

8. Department PACS: Into the Future
 Need still exists in some instances and some facilities
 Do radiologists feel they need specialized PACS
features?
 Can a centralized PACS meet needs of practice?
 Reduce overhead by reducing number of PACS – weigh
this vs. missed functionality and workflow disruption
 Advanced viz – will it remain separate or part of
enterprise PACS?
 Department PACS can reduce productivity

9. SOUTHWEST MEDICAL IMAGING/
SCOTTSDALE MEDICAL IMAGING –
SCOTTSDALE, ARIZ.
• 10 imaging centers
• Radiologists read for Scottsdale Health Care System
• 300,000 exams per year - SMIL
• 300,000 exams read per year for hospital system
• 35 radiologists – specialized in neuroradiology,
body/ultrasound, cardiac imaging, musculoskeletal
imaging , mammography, interventional radiology,
PET and nuclear medicine

10. IT & PACS CHALLENGES
• 6-7 dedicated PACS and workstations for:
- Ultrasound
- Nuclear medicine
- PET
- CT – 2 systems
- Breast imaging – 2 systems
• Challenges:
- Integration at the physician desktop: VR, RIS
& EMR
- Specialized workstations & imaging
information not co-located with physicians,
mandating the need for travel to workstation or
arrange other access to images
10

11. USER INTERFACE
• Radiologists are frustrated
• 8-12 hours of interaction a day with user interface 
creates great inefficiency
• Challenges:
- Multiple clicks
- Difficult or impossible access to information in
different systems
11

12. WHAT IS THE COST OF
INTEGRATION?
• Unknown and hard to measure hidden costs
• Issues with workflow and training
• Burden larger than estimated and anticipated
12

13. RADIOLOGISTS & ADVANCED
VISUALIZATION
• Depends on subspecialty:
- Nuclear medicine/PET
- Cross-sectional CT readers
• One universal desktop would be very helpful to
workflow
• Deep integration with a universal desktop is the holy
grail: RIS, PACS, VR & EMR
• Information at physician fingertips
• Specialty workflow boosts productivity
13

14. DEFINING THE UNIVERSAL
VIEWER
• Viewing environment to look across subspecialty and
utilize all of the specialized tools well
• Thin client – available anywhere across the enterprise
• IHE defines separating PACS & components:
- Viewer
- Storage/archive
- Application/database
• Decouple with VNA underneath and viewers attached
to various PACS
• Alleviates need for dedicated PACS  radiologist
needs one workstation, one set of screens for
interpretation across all specialties
14

15. NEXT-GEN PACS:
THE UNIVERSAL VIEWER
• Ability to do all work, A/V studies and subspecialty
work on one workstation
• Thin-client based to enable image access anywhere
inside or outside the health care enterprise  see
images and do diagnostic interpretation anywhere
• Design flexibility into workflow and user interface
• Organize and configure user interface by user
• Intelligently pull information from other systems that is
key to a specific case (ie EMR, lab, pharmacy)
• One set of screens interpret across radiology
15

16. Defining the Universal Viewer
Lawrence White,
Senior Marketing Manager, Radiology,
GE Healthcare IT
16 /
GEHC Proprietary & Confidential

17. “Intuitive Workspace
Brings Together
Advanced 3D,
Oncology, & Breast
Imaging to Boost
Efficiency”
17 /

18. Universal Viewer
Where it all comes together…
Centricity PACS and Centricity PACS-IW with Universal
Viewer puts more clinical insight within reach to help
healthcare systems deliver patient results efficiently.
Community
Dynamic
• Advanced • Web-based • MIP/MPR
Advanced Visualization
Intelligent Tools
Usability & Access
Enterprise
Open exam layout common UI • PET/CT
• Smart • True Zero • Breast
Reading Footprint Imaging
Department Protocols exam viewer • Oncology
Connected • Adaptive • Mobility, tabl • Vessel
streaming et/phone Tracking
Engine • EMR access • Bone
Radiologist • Navigation Removal
of priors
Specialized • Registration
18 /

19. Universal Viewer: More information
• Product Video
• Request a
brochure
• Sign up for a
product
demonstration
http://www3.gehealthcare.com/en/Products/Categories/Healthcare_IT/Medical_Imaging_Infor
matics_-_RIS-PACS-CVIS/Centricity_PACS
19 /

20. GE Healthcare:
Customer Reflections
20 /

21. THE HIGH PERFORMANCE COLLABORATIVE CARE WEBINAR SERIES
Defining A
UNIVERSAL
VIEWER