May
30
2013

Encryption: The Key to Keeping PHI Private

A hospital’s primary goal is, of course, to improve clinical outcomes—to heal the sick and to cure what ails us. In the process of curing people, healthcare providers and physician practices are generating data at a record pace. All of this data needs to be stored—and it needs to be stored safely.

To complicate matters, IT departments must be cognizant of other influences. Not only must they protect patient data, but they must make certain it remains accessible to all stakeholders. The need to balance information security with information access is a long-standing healthcare conundrum that precludes utilizing certain complex storage architectures that might otherwise be effective.

Additionally, IT departments are expected to keep costs down, paying heed to budgetary restraints, like every other department. And then there is the elephant in the room—HIPAA.

HIPAA: The Law of the Land

HIPAA’s privacy and security regulations dictate that protected health information (PHI) be rendered “unusable, unreadable, or indecipherable to unauthorized individuals.” At this point in time, encryption is key to ensuring the safety of data that is being transmitted or stored. It is optimal, in our estimation, to seamlessly encrypt data, in storage and in motion, so that sensitive data is never compromised. While HIPAA guidelines were designed to protect patients’ privacy, it has also created a wonderful legal—and financial–impetus for healthcare organizations to protect private information. Failure to protect data, per HIPAA, can result in fines and huge remediation expenses. In other words, it pays to keep data safe and sound.

Shooting at a Moving Target

Let us first consider data “in motion.” That would include the mountain of email we send and receive daily, our Skype calls and instant messages, our public and private social media posts, file transfers to the cloud, and a plethora of other digital data exchanges. While transmitting data has become increasingly effortless, it has also made data more vulnerable to exposure to unauthorized parties.

Data at Rest

After our sensitive and (hopefully) private data is received, it will be opened, accessed, unencrypted, evaluated, shared and, ultimately, stored. These “resting places” include the hard drives on desktop computers; laptops and peripheral drives; backed-up copies on local networks or internally-managed archiving systems; and data we’ve whisked off to the cloud.

The fact is, sensitive data is everywhere, in motion and at rest. When data is encrypted, it is rendered unusable to unauthorized sources. When it is left unencrypted, all sorts of negative consequences can occur. So why don’t we always encrypt?

Excuses, Excuses

With frightening regularity, the news media publishes stories of data breaches. It seems no one is immune to hackers and data mishaps. Governments, major corporations, credit card companies, banks, celebrities, healthcare providers and even media outlets have been victimized. In many of these cases, the resultant damage could have been mitigated had the data simply been encrypted. What’s holding us back?

There is a perception that encryption is complicated, unwieldy and simply not worth the effort. Isn’t a data breach one of those things that happens to someone else? Likewise, as individuals, we prefer to react to things, rather than be proactive. That’s our nature. We’ll wait until the roof starts to leak before we’ll replace weathered shingles. We’ll react to the loss of a company-loaned laptop, rather than make sure, in advance, that the data stored on a laptop is secure. And, in some cases, our legacy encryption systems simply can’t protect the data we’re generating today.

Steps toward Security

  • Help your corporate decision-makers understand the depth of the consequences of data breach. Not only can your organization be fined for the breach of PHI, but the public notice requirement now means your organization’s reputation is at stake. The expense of developing an encryption policy to protect your confidential data, in motion and at rest, is a marginal expense, by comparison.
  • Develop an arsenal of policies for protecting data. At the top of this list should be an employee-targeted policy for encrypting data transmitted on any company-owned or personal device. Require that all confidential material be sent in a secure fashion when using email, file transfer, text message or social media post.
  • Another policy should explain, in specific terms, how data should be encrypted when stored on file servers, ftp sites, databases, content management systems and other content-distributing networks.
  • To add “teeth” to your encryption strategy, compose a guideline to address the consequences of a violation of your corporate encryption policies and the use of personal devices for transmitting sensitive data.
  • Finally, there are myriad encryption solutions available. It is critical to select an appropriate solution that suits your specific needs. Develop an intimate understanding of your confidential data—who has it; where it’s located within your system; and the potential repercussions of a data breach. This will go a long way in helping you choose appropriate encryption software and data storage providers.

In Summary

In the modern healthcare environment, sensitive and confidential data is ubiquitous. While encryption is the key to the safety and security of this data, it may be even more critical to develop encryption policies that are fully embraced by employees. There is no good reason for not encrypting confidential data. Your patients—and your organization—will benefit from it.

May
14
2013

Backup/Recovery: Stuff Happens

 

I hate to dwell on the negative, but that’s the nature of the beast when it comes to data backup and recovery. Paraphrasing the vernacular, “stuff happens.” And with the tremendous growth of data in healthcare, stuff happens more frequently and the consequences are more far-reaching than ever before. The requisite first step toward mitigating damage and avoiding business interruption is to properly archive patient data.

Since many catastrophes occur to specific regions (e.g., a tornado rips through southern Ohio, or an earthquake rattles northern California), it makes sense to archive your data in geographically diverse data centers. Obviously, if one of the two locations incurs a calamity, your data is still safe, sound and accessible in the other. [As an FYI, the GNAX data centers are located in Atlanta and Dallas.]

Recovery Starts with Storage

Proper archiving is critical to the restoration process, should the worst occur. Encrypted files in transit and at rest provide maximum security. Professionally de-duped files save storage space, simplify identification, and are more effectively and securely recovered in the event of a catastrophe. Saved storage space, in turn, saves money while allowing for maximum future growth within the current storage environment.

Overworked IT Staff Cause Concern

The huge influx of data in healthcare, while tremendously beneficial for research and quality of care, has had a negative impact as well. IT departments are struggling to cope with all of the new and disparate data. Most healthcare organizations are expanding their data centers and/or opting to utilize cloud storage environments. These same IT departments report that staffing has not kept pace with the workload; CIOs say that their overworked employees are more and more stressed. So what gets lost in this shuffle? Data! Back-ups are neglected, breaches occur, files become corrupted and vulnerability to all types of data loss grows exponentially.

A “Big Picture” Solution

The best way to ensure the safety and security of critical data—and to decrease the stress level of your IT department—is to implement a solution that considers your organization’s “big picture” —storage, budget and staffing issues—while keeping a firm focus on the fact that “stuff happens.” Look for a solution that achieves economies of scale as your data load grows. Make certain that your data is accessible 24/7 and that business can resume on demand—even in the throes of natural calamities. Your organization will benefit during this positive period of growth and technological advancement, and it will recover seamlessly should catastrophe strike.

Check back to this blog in coming weeks to learn more about data storage, cloud services, security and what to do when stuff happens!

May
09
2013

What CFOs Should Know Before Venturing into the Cloud

What CFOs Should Know Before Venturing into the Cloud was published in the May 2013 issue of HFM Magazine. Read the full article.


There are three major trends in the use of cloud-based services for healthcare IT: 

  1. Cloud computing involves the hosting of health IT applications in a service provider cloud.
  2. Cloud storage is a data storage service that can involve, for example, long-term storage and archival of information such as clinical data, medical images, and scanned documents.
  3. Data center colocation involves rental of secure space in the cloud from a vendor, an approach that allows a hospital to share power capacity and proven security protocols, reducing costs.

 


 

Today’s hospital IT departments have come full circle. The costs of data centers have exploded, and hospitals are now moving back to what is conceptually a timeshare model—only this time it is called a “cloud.” In the simplest terms, cloud computing is defined as a hospital having its own data center, but at somebody else’s location and under someone else’s watch, accessible through secure Internet connections. Relieved of the burden of managing hardware, storage, and maintenance, IT departments that use the cloud are able to focus solely on applications and servicing their end-users.

With so much software moving to the cloud, however, it is important to go beyond basic concepts and closely assess the cloud’s true value for each organization. Some hospitals will use cloud services for archival, storage, and backup only. Others will take a bolder approach by completely outsourcing their applications to a cloud services provider.

Learn the five steps that hospitals should take in assessing the value of cloud computing—and determining the right approach. Read the full article.

1.  Step One: Understand Your Data Center Costs

Many capital dollars are invested in meeting a hospital or health system’s IT goals, including those related to duplicating data centers, supporting data sharing, accommodating archival storage, supporting business continuity, and establishing a disaster recovery plan for IT. Therefore, it is critical that healthcare finance executives understand data center costs and quantify them annually.

2.  Step Two: Know Your Options

There are three major “cloud trends” in health care: cloud computing, cloud storage, and data center colocation.

3.  Step Three: Respond to Organizational Concerns

In general, concerns related to the use of cloud computing, storage, and data centers in health care fall into two categories: finance and security.

4.  Step Four: Plan Your Final Destination

Although the first three steps in this process can be accomplished one at a time, the best ROI will be achieved by undertaking them concurrently. The fourth step is to plan the organization’s destination within the cloud: Where does it want to be with respect to its cloud strategy a year from now—or in three years, five years, 10 years, and 20 years?

5.  Step Five: Choose the Right Cloud Partner

All clouds are not created equal. Many cloud providers exist, especially in the consumer or commodity-based cloud market. A true enterprise-grade cloud solution with the appropriate service-level agreements is not easily constructed, especially for health care. This is particularly true in today’s healthcare market, which is increasingly overlaid with considerable privacy, security, and governmental regulations.

6.  Finding Confidence in the Cloud

The budget required to create and manage effective hospital IT departments has burgeoned in recent years, leading many hospitals to create their own personal IT clouds. However, hospitals find it difficult to achieve economies of scale in healthcare IT. Hardware, storage media, and application lifecycles are too short to quantify a long-term return.

____________________________________

What CFOs Should Know Before Venturing into the Cloud was published in the May 2013 issue of HFM Magazine. HFMA is the nation’s leading membership organization for healthcare financial management executives and leaders. More than 40,000 members-ranging from CFOs to controllers to accountants-consider HFMA a respected thought leader on top trends and issues facing the healthcare industry. HFMA members can be found in all areas of the healthcare system, including hospitals, managed care organizations, physician practices, accounting firms, and insurance companies.

 

Apr
18
2013

VNA 3.0 – Beyond the Medical Image

In my last blog post I summarized the evolution of healthcare’s burgeoning data storage needs. Massive digital files generated by new technologies, the digitization of clinical documents, along with the push toward EHRs, have released an incessant flow of sensitive data that needs to be managed, stored, retrieved and queried in a secure environment. HIPAA’s legal requirements for the safety, security and privacy of the data add another level to providers’ IT concerns.

To complicate matters, all medical data is not created equal. Medical images generated by PACS introduce a whole new level of complexity to healthcare’s data storage picture. And hospitals often employ a variety of PACS to cover all of their clinical bases: radiology, sonography, nuclear, interventional, etc.

Sharing information safely and securely between departments just keeps getting more complex!

 

Vendor Neutral Archives (VNA)

As I mentioned in my last post, vendor neutral archives (VNAs) have proven to efficiently normalize, store and secure medical images across all PACS. Nearly a third of healthcare organizations now utilize a VNA as their primary image storage system. Regardless of manufacturer, DICOM data and images from all clinical modalities (including pre-existing systems) are unified for a single, clinical view.

Radiologists want to use the PACS they prefer, without incurring the expense of migration or the technical obstacles often encountered. Images and data can be managed online with the VNA vendor providing the specific safety and security measures required by HIPAA.

While this scenario covers all of the PACS bases, storage-wise, it also creates a situation of redundant storage and incompatible DICOM and non-DICOM file formats. A more complete solution was needed.

 

VNA 3.0: The Logical Next Step

The next generation of VNAs was introduced at the recent HIMSS conference—VNA 3.0. It is the logical next step in VNA technology as it manages both DICOM images and non-DICOM data (i.e. XDS and XDS-i standard). VNA 3.0 does more than simply store all images and data; it enhances your organization’s investment in health information exchange (HIE). VNA 3.0 expedites the flow of information without compromising or corrupting medical images or clinical data.

It straightens the circuitous path created by utilizing multiple PACS.

And VNA 3.0 provides new inroads to interoperability, allowing an enhanced sharing and leveraging of data and applications. Once normalized within VNA 3.0, PACS images and data is accessible from any viewer or via the Web. Providers can exchange studies across systems and have unlimited storage of those images. These are both now realities.

 

A Solution for Today and Tomorrow

Data storage requirements will continue to grow, and issues of efficiency, compatibility and security will never disappear. Implementing the next generation of VNA will allow you to store and protect all of your medical images alongside clinical data, while cultivating an archive that allows for sharing and growth. If your healthcare organization can no longer afford to manage, store and protect the increasing amount of medical images and data you produce, VNA 3.0 is worth a look.

 

Apr
11
2013

Storing Healthcare Data: And Keeping it Safe

Data is generated by healthcare providers at a dizzying pace. We create, chronicle, duplicate and convert virtually every symptom, scan, procedure, prescription and prognosis. The digitization of medicine has lightened the physical load of paper files, enhanced communication between disparate care providers and expedited the exchange of information. Despite these obvious benefits, there is a downside. Virtual mountains of sensitive health-related data must now be stored, accessed and safeguarded.

 

Data Storage, Then and Now

In the olden days paper medical records were kept in metal file cabinets in dusty storage rooms. Old charts were tucked away in the basement. Record retrieval was an art unto itself. Then computers came along, collecting, consolidating and eliminating paper. We all shifted resources and budgets to focus more on technology and less on file storage and retrieval.

The migration to EHRs, while fine-tuning the collection, storage and sharing of medical data, opened another can of worms. Private health information (PHI) became increasingly vulnerable to data loss, hackers and identity thieves. To protect patients, HHS stepped in and, with HIPAA, developed a framework to mitigate the harm of these sorts of privacy and security threats.

So not only has the volume of data in healthcare grown exponentially, but we now have binding legal requirements to keep that data secure. What is the best way for healthcare providers to keep PHI safe and sound?

 

In-house or in the Cloud?

Healthcare organizations must decide how to store their data. They can choose to construct and maintain their own data center, or they can choose to contract with a professional medical data storage facility. There are three key questions to ask:

  • Do we have sufficient IT staff and financial resources to build and maintain a data center?
  • Is this sort of endeavor part of our core competencies?
  • Do we have the expertise to maintain HIPAA compliance in our storage facility?

If you answered “no” to any of these questions, your organization may be an ideal candidate for cloud-based storage.

 

Cloud: The Safe, Secure, Powerful Choice

Cloud storage answers all of the aforementioned questions with a resounding “yes.” Cloud stores provide exclusive, dedicated hardware that keeps PHI together and accessible—yet also maintained professionally, safely, securely and within the parameters of HIPAA compliance. But these clouds must be maintained by healthcare-experienced service providers.

You’ll have the luxury of knowing the location of your data, anytime of the day or night, and how it is being managed. Best of all, you’ll be able to reallocate valuable resources to your core competencies, while giving the cloud vendor (data hosting company) the role of data watchdog.

 

KLAS Measures Cloud Satisfaction

We understand that some organizations are still wary of storing data in the cloud. A recent study by KLAS Research, entitled Cloud Computing Perception 2013: The Hybrid Cloud in Healthcare, showed that 66 percent of non-cloud users say security and control are still a concern with cloud adoption. These threats, categorized as either human, natural and environmental, or technology failures, weighed heavily on the minds of those surveyed.

See Blog:  Healthcare Data Breaches – How Cloud Computing & Storage Can Help

KLAS went on to interview current cloud users to assess their satisfaction with cloud storage. The study found that, with an average satisfaction score of 4.5 out of 5 on security, cloud users feel safe. Rapidly, concerns about cloud security seem to be diminishing.

 

Forecast: Big, Bright, Blue Clouds

Cloud storage, in nearly all cases, is a perfect fit for healthcare. It is designed to deal with the tremendous volume of data generated by every patient visit. It provides the technology to secure sensitive PHI and maintain HIPAA compliance, and it’s the most efficient and agile way to manage your data. The current forecast? Clouds, clouds and more clouds!

Mar
25
2013

HIMSS13: More Than Buzz – Cloud Computing Is Here to Stay

 

 

The Healthcare Information and Management Systems Society (HIMSS) really knows how to host a conference. GNAX Health attended HIMSS13, this year’s version of the organization’s annual gathering, in New Orleans from March 3-7. As a testament to the success of the conference, we arrived home exhausted, inspired, befriended and completely saturated with data, insight, case studies, best practices and predictions for the future.

 

Intriguing advancements in healthcare IT were presented at a dizzying pace, and the Ernest N. Memorial Convention Center was ringing with buzz words. Hardly a sentence was spoken that did not include one of the following concepts: Meaningful use; business intelligence; analytics; or interoperability. For that matter, “patient engagement” was on the tip of nearly every tongue.

Certain technologies discussed at HIMSS13 have transcended the status of being mere trends. mHealth, mobile apps and cloud computing, in particular, are now at the core of innovation in healthcare IT. Virtually every new, second-tier application presented at HIMSS13 piggybacked on these technologies. Unless a solution is mobile, cloud or intelligent, it isn’t ready for healthcare.

 

Evaluating Second-Tier Apps

A variety of questions surrounded these second-tier apps. How does the new technology fit into our penchant for all things mobile? How will it integrate into our EHR? Is it suited for the cloud? How do we manage the new app, and how do we most effectively secure it?

Historically, second-tier applications require a great deal of space and dedicated IT support. GNAX Health manages those second-tier applications, allowing healthcare providers to refocus resources and budget back to their core applications. Ultimately, hospital IT departments shift focus back to the core EHR, clinical and financial systems; ensuring patients receive the best care possible and revenue keeps flowing.

 

Managing Data in New Ways

The conference had definite highlights. Former President Bill Clinton spoke passionately of “the promise of information technology” and managing data in new ways that will improve healthcare in Americafor providers and patients. The value of IT to the healthcare industry, if it had ever been in doubt, was solidified by President Clinton.

President Clinton’s words resonate with GNAX Health, since that’s what we do—we specialize in “managing data in new ways.”

GNAX Health develops highly available private clouds, configuring them with every pertinent security protocol. We work directly with a healthcare provider’s core IT vendors and staff to identify the requirements of every application, manage a secure migration, and ensure solutions perform well in the healthcare cloud.

 

HIPAA Omnibus and the Cloud

There was a quiet undercurrent at HIMSS13. Every presentation and demonstration seemed to reference the HIPAA omnibus rule, which was released in January to help clarify the privacy and security regulation of protected health information (PHI) for cloud-based healthcare solutions. The rule provides healthcare organizations with definitive parameters for securing data and ensuring patient privacy. GNAX Health arrived at HIMSS13 armed with our five-point checklist for complying with the new HIPAA rule, and we proudly shared the following steps toward successful compliance:

  • Risk Assessment—Perform a risk analysis on all potential cloud vendors.
  • Contracts—Review your existing business associate agreements (BAAs) with cloud computing partners and ensure that they are updated to comply with HIPAA omnibus.
  • Audit—Know if the existing or potential cloud vendor has been audited. Do they have a current SSAE report?
  • Encryption—Does the vendor provide encryption for the communication of information and the data at rest? Encryption is the best way to protect data and prevent breaches.
  • Business Continuity—Business continuity has always been a must have with cloud-based solutions. Do they keep their equipment sufficiently maintained?

Basking in the afterglow of HIMSS13, we here at GNAX Health feel validated that our vision for cloud computing and associated service offerings are in perfect synch with the rapidly evolving world of healthcare IT.  The future of healthcare IT has never been brighter. And cloud-based solutions are integral to everyone’s future success.

Mar
12
2013

HIPAA Omnibus Rule Meets the Cloud

 

Five Tips to Keep PHI Private, Secure and Safe with Cloud-Based Solutions

The HIPAA omnibus rule introduced five major changes to the original HIPAA requirements. These changes must be understood and adopted by covered entities (CEs) and business associates (BAs) prior to September 23, 2013.

 

 

  1. Business associates of covered entities will now be directly liable for compliance of certain privacy and security rules.
  2. The rule strengthens the limitations on the use and disclosure of PHI for marketing and fundraising, and it prohibits the sale of PHI without individual authorization.
  3. It adopts the increased and tiered civil monetary penalty structured by the HITECH Act.
  4. It mandates breach notification for unsecured PHI under the HITECH Act.
  5. It modifies the HIPAA privacy rule as required by the GINA (Genetic Information Nondiscrimination Act), prohibiting health plans from using or disclosing genetic information.

 

Considering the key changes listed above, here are five tips for providers to consider when evaluating cloud-based solutions:

Cloud Tip #1 — Risk Assessment
In order to protect themselves, covered entities should perform a risk analysis on all potential cloud vendors. The risk assessment should include policies, privacy & security awareness training, account management, physical security, business continuity, incident response and media disposal.

Cloud Tip #2 — Contracts
Contract language should be specific as to the service, usage and location of the data to be stored in the cloud. Depending on the data or solutions utilized, a Business Associate Agreement (BAA) may be needed or required. Ensure that the BAA contains the updated provisions required by HITECH.

Clout Tip #3 — Audit
Has the potential vendor been audited? Do they have a current SSAE report? If there were findings, is there a documented remediation plan?

Cloud Tip #4 — Encryption
Does the potential vendor provide encryption for the communication of information and the data at rest?

Cloud Tip #5 — Business Continuity
How redundant is the vendor’s power? How many power feeds does the vendor utilize? How many Internet feeds? How often do they perform tests of their systems? Do they keep their equipment sufficiently maintained?

Jan
17
2013

GNAX is now a Certified EMC Reseller

EMCGNAX is now a certified EMC reseller. EMC is a global leader in enabling businesses and service providers to transform their operations through innovative archiving, storage and cloud computing products and services. GNAX can now resell the full array of EMC products and services.

Partnering with EMC makes sense for both parties. Our healthcare customers overwhelmingly utilize EMC. As a reseller of EMC, GNAX can now build solutions that are seamless from the customer’s site to our data center, allowing the customer to go through one vendor to get it all.

GNAX Health utilizes EMC as the integral part of its managed storage solutions. All of GNAX’s archiving and backup platforms rely on EMC, including its Vendor Neutral Archive (VNA) for medical images. EMC hardware is tested and certified for the Universal Clinical Platform from Acuo. Using trusted hardware from EMC ensures the system runs smoothly for our customers.

GNAX Health also offers unique EMC based replication services, giving customers the ability to store one copy of data onsite and replicate a second copy to one or more of GNAX’s data centers. GNAX Health can provide these managed storage solutions as a capital expenditure, a monthly operational cost, or a combination of both.

As we architect solutions for our customers, it is important that we have all options at our disposal. Storage systems can be complex, especially across multiple sites. Some customers want all of their data onsite and some are running out of space onsite. With access to all of EMC’s products and services, we can construct the best solutions for the lowest price.

Contact GNAX Health to learn more about its Managed Storage Solutions from EMC.

Dec
06
2012

Colorado Telehealth Network Selects GNAX Health for Statewide VNA & Image Exchange

Summary:  The Colorado Telehealth Network (CTN) signed a contract today with GNAX Health to enable health care providers in Colorado to safely store and share medical images. GNAX Health is partnering with Acuo Technologies and Client Outlook to provide vendor-neutral archiving services and diagnostic-quality medical image viewing as part of the service.

The Colorado Telehealth Network (CTN) developed a program that will enable hospitals, imaging centers, clinics and other health care providers in Colorado to safely store and share medical images through a private cloud hosted and managed by GNAX Health on CTN. CTN and GNAX Health are working with the Colorado Regional Health Information Organization (CORHIO) and Quality Health Network (QHN)—the two Colorado Health Information Exchanges—to image-enable their physician portals so that images and diagnostic reports will be available through the HIEs. GNAX Health will also allow CTN to offer disaster recovery and business continuity solutions. In addition, electronic medical records (EMRs) can be integrated with the infrastructure to provide physicians a single interface for viewing all medical images, which is a requirement for Stage 2 Meaningful Use.

Nine CHA member hospitals worked with CTN over the past eight months to develop the imaging program with input from hospitals across Colorado. After a thorough RFI process and evaluation of five solutions, CTN selected a solution provided by GNAX Health through a strategic alliance with Acuo Technologies and Client Outlook. The unique requirements of the CTN program required a specific set of capabilities that is best addressed through this strategic alliance. Several use cases—such as the ability to search, retrieve and exchange medical image studies federated across CTN and view images quickly from the cloud—led to this best-of-breed approach.

“This pioneering agreement between CTN, GNAX, Acuo Technologies and Client Outlook further solidifies our network as a national leader in health information technology and connectivity,” comments Ed Bostick, CTN Executive Director. “We are confident this new image-storing service has the functionality and advantages our clients deserve, and promises to significantly enhance patient care coordination and quality across Colorado.”

The solution combines Acuo’s Universal Clinical Platform (UCP) with Client Outlook’s eUnity clinical image visualization, sharing and collaboration toolset, hosted within GNAX’s health care-focused cloud infrastructure and tier-4 data centers—all supported by a cohesive customer support program. This collective solution provides necessary components critical to building a statewide vendor neutral archive and, subsequently, a highly secure disaster recovery and business continuity solution for medical imaging without the infrastructure and costs associated with a traditional model.

GNAX Health is also providing a web-based image exchange service for CTN, called SDEX (Secure DICOM Exchange) that is integrated into the foundation of Acuo’s UCP and utilizes the Client Outlook viewer. It meets the challenge of complicated workflows by integrating with the provider’s employee and patient identification systems to securely access and simplify patient searches. Studies can be retrieved from any of the connected PACS, local edge devices or from the cloud archive, making the location of the image transparent to the end user in addition to reducing the total amount of storage required (because images do not have to be copied in all locations to be accessible).

“This is a great example of a successful public-private partnership. This collaboration led to a unique strategic alliance that produces a solution unlike any others in the market,” said Jeff Hinkle, chief executive officer for GNAX Health. “This offering tightly integrates world-class clinical content viewing, abstraction and life-cycle management applications, data migration, cloud-computing and customer support services into a single bundle, greatly simplifying the process of administering enterprise medical image access, exchange and management while reducing IT costs.”

“This consortium brings an innovative solution based on IHE standards to CTN,” noted Jeff Timbrook, chief executive officer for Acuo Technologies. “We’ve worked closely with GNAX and Client Outlook to develop an implementation approach that will save CTN significant time and effort.”

The benefits of the program to Colorado health care providers and patients are numerous. Patients of participating providers should no longer be required to transport their own imaging studies via CD or film. Consequently, such patients should no longer undergo duplicate studies, reducing unnecessary radiation exposure.

CTN leverages the reciprocal collaborative nature of the solution to make it affordable for all providers in Colorado. The services are available to all CTN members through flexible deployment models that fit each provider’s needs. The program is financially sustained through a subscription model based on the number of studies ingested and the amount of cloud storage required. Because the program is scaled across the entire state of Colorado, it provides cost savings for both large and small providers. The small hospitals receive an enterprise vendor-neutral archive and exchange solution at a fraction of the cost while gaining access to specialists at larger institutions for their patients. Large providers also benefit from the collaboration with critical access facilities because they can service patients they may not otherwise be able to as easily.

Two hospitals are expected to begin implementation this year, with several additional hospitals slated for 2013.

Aug
17
2012

Justifying Your VNA. Easier than You Think

Medical images account for up to 80 percent of data volume in electronic health records (EHRs). Medical images also support 60 percent of all patient diagnoses. Medical images are a critical step in the patient care continuum. It is no wonder that the technology used to capture, produce and store them is so expensive!

For cost-conscious hospitals, clinics and delivery systems, good new has just arrived. Vendor-neutral archives (VNAs) take cost out of medical imaging services. Cost justifying VNAs is easy and with cloud-based options, savings are practically immediate.

What CFOs Need to Know

The Healthcare Financial Management Association (HFMA) provides insight and direction to hospital CFOs looking to cost-justify a VNA solution in their 2012 article, “Storing Radiology Images in the Reform Era: What CFOs Need to Know”.  The article identifies six areas of hard and soft-dollar savings.

  • Consolidated image storage across modalities
  • Lower infrastructure costs (with cloud-based VNA)
  • Fewer support resources (with cloud-based VNA)
  • Stronger contractual positioning with PACS vendors
  • Shorter time to diagnosis
  • Improved radiologist satisfaction

Certainly a cloud-based VNA offers faster savings and use of a “private-cloud” is the safest option.

Savings in the Cloud

Cloud-based VNA, public or private, allows for long-term archival of images from all departmental PACS without any additional hardware or software purchase. Image storage is no longer on-site at the provider location, reducing the VNA’s physical footprint within the IT department and staff time to maintain and update the system.

System maintenance for VNAs is complex. So outsourcing this function to a cloud-based VNA service provider delivers significant savings. With a cloud-based VNA, the vendor takes ownerships of the most labor-intensive tasks.

  • Maintain compliance with HIPAA (access management and audit logs)
  • Monitor and maintain image life-cycle (meet state-by-state retention rules)
  • Serve as system administrator (morph information between systems)
  • Monitor storage consumption and location based on short and long-term caching requirements

Future Cost Avoidance

Finally, VNAs offer opportunities for long-term cost avoidance that shouldn’t be overlooked.  For example, as organizations grow and expand, multiple PACS can be easily integrated into the VNA. Instead of interfacing each modality into the EHR, a single, less expensive interface between each PACS and the VNA is all you need. Savings are substantial for organizations planning ahead for mergers, acquisitions or participation in an ACO.

Migrating images from one PACS to another is another future expense eliminated through a VNA. Even moving stored images as part of a modality upgrade (from one version to the next) can be costly. Once moved into the VNA, images are not held hostage by the PACS. Organizations achieve greater flexibility for future PACS purchases and negotiate from a stronger position.

Rethinking Image Storage

Deployment of a VNA, particularly a cloud-based one, helps providers decrease costs and spur interoperability. Start by developing a clear understanding of how VNAs work and their long-term cost advantages. Five Questions to Ask Your PACS Vendor:

  • What is the long-term cost by study and by year to store data and images?
  • Can data and images from other PACS vendors be included in your archive?
  • Does your system normalize in bound and out bound data and images?
  • How easily can we migrate from your PACS archive to a true VNA?
  • Can your PACS archive exchange data and images as required by ACOs andMeaningful Use requirements?

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