CentricityTM Solutions for Enterprise Imaging RoadmapBill Stoval & Chris Burt (UPMC)May 2015

2

©2015 General Electric Company – All rights reserved.

The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document. All illustrations are provided as fictional examples only. 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.

DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE.

University of Pittsburgh Medical Center (UPMC) is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products.

Omnyx products are for in vitro diagnostic use for specific clinical applications, and are intended for research use only on other applications.

Omnyx is a 50/50 joint venture between GE Healthcare and UPMC.

GE, the GE Monogram, Centricity, Centricity 360 and imagination at work are trademarks of General Electric Company.Omnyx is a trademark or Omnyx, LLCAll other product names and logos are trademarks or registered trademarks of their respective companies.General Electric Company, by and through its GE Healthcare division.

3

Agenda

1. Centricity Solutions for Enterprise Imaging Roadmap (20 min)

2. 2016 Innovation: Imaging Relevant Clinical Context (20 min)

3. Q&A (20 min)

CentricityTM Solutions for Enterprise ImagingCentricity Solutions for Enterprise Imaging

OmnyxTM

PathologySuite

OmnyxTM

PathologySuite

OmnyxTM

IDPOmnyxTM

IDP

Acute Imaging

Suite

Acute Imaging

Suite

Ambulatory Imaging

Suite

Ambulatory Imaging

Suite

Women’s Health

Imaging Suite

Women’s Health

Imaging Suite

OncologyImaging

Suite

OncologyImaging

Suite

CentricityCardio

Enterprise

CentricityCardio

Enterprise

Centricity Clinical ArchiveCentricity Clinical Archive

Centricity Universal ViewerAW – Advanced Visualization

Centricity Universal ViewerAW – Advanced Visualization

Centricity Radiology Workflow

Centricity Radiology Workflow

Centricity 360TMCentricity 360TM

Centricity Women’s

Health Workflow

Centricity Women’s

Health Workflow

Centricity OncologyWorkflow

Centricity OncologyWorkflow

Centricity Cardio

Workflow

Centricity Cardio

Workflow

Centricity Solutions for Enterprise Imaging

Centricity Cardio Enterprise is comprised of Centricity Cardio Imaging and Centricity Cardio Workflow. Centricity Clinical Archive includes the following product components: Centricity Enterprise Archive, Universal Viewer ZFP, Caradigm eHIE, Centricity Clinical Gateway, NextGate MatchMetrix EMPI, PACSGEAR PacsSCAN™ Omnyx™ products are for in vitro diagnostic use for specific clinical applications, and are intended for research use only on other applications. Omnyx is a trademark of Omnyx, LLC.

4

Imaging is now an enterprise-level priority

SpecialistBest of breed tools

DepartmentIntegrated solution

EnterpriseCross enterprise tools

CommunityCollaboration

suite

Coordinated care demands moving from stand-alone silos of data to integrated, user friendly workflows

5

The four key components for enterprise imaging

All of these elements are required to truly deliver collaborative care

Visualization

Archiving Collaboration

Workflow

6

Enterprise Imaging Roadmap1

Outcomes That Matter

Help Improve EfficiencyHELIMED DIAGNOSTIC IMAGING1

SPEED

PREP TIME 50%

Roadmap Priorities3

TODAY Planned 2015 Planned 2016+

•Cross-enterprise reporting•Workflow controls •Mobile Modality (apps 3 & 4)•Breast ultrasound workflow•Relevant clinical context

• Imaging Desktop•Mobile Modality (+wound care)•UV Cardiology support•UV with AW 3.2 (6 more apps)•Admin console

•Diagnostic UV Web & ZFP•Cross-enterprise display•3D Breast imaging workflow•UV with AW3.0 (5 embedded apps)•Patient alerts

Enhance Quality CareWALDVIERTEL

SINGLE PATIENT JACKET

ALL PRIORS

LONDON HEALTH SCIENCES CENTRE2

SILOS OFIMAGING DATA

CONSOLIDATED ARCHIVE

$2M storage costs 3% duplicate exams

UNIVERSITY OF PITTSBURGH MEDICAL CENTER

SILOS OFPATIENT DATA

RELEVANT CLINICAL CONTEXT

CLINICAL INSIGHT

1- Case Study - Helimed Diagnostic Imaging Case study, March 2014. Results may vary and do not constitute a representation, warranty or performance guarantee. 2 - Case Study – Southwest Ontario Diagnostic Network, 2013. Results may vary and do not constitute a representation, warranty or performance guarantee. 3- Any descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability are subject to change and applicable regulatory approvals.

7

8

Christopher Burt

Vice President, Product Development University of Pittsburgh Medical Center (UPMC) Technology Development Center

University of Pittsburgh Medical Center (UPMC) is a collaboration partner of GEHC and as a result, has a financial interest in the development and commercialization of certain GEHC next generation imaging products.

University of Pittsburgh Medical Center (UPMC) & Centricity Solutions for Enterprise Imaging

9

Next generation imaging redefines the Enterprise Imaging space by providing solutions that

enable physicians to provide patient centric care contextualized to the

patient’s specific clinical condition visualized in a way that is most relevant to the

providers clinical specialty and needs.

The EMR conundrum

10

“We read a chest X-ray in 10-15 seconds, we don’t have time to dig in a

chart. We need boiled down information that we can find in 10 seconds. It needs to be fast, it needs to be filtered, and it needs to be

tailored to what we are doing. The chest radiologist cares about some

things that the bone radiologist does not.”

Source: Diagnostic Imaging.com, ‘Why the PACS workflow isn’t working’ by Liza Haar. January 2015. See more at: http://www.diagnosticimaging.com/rsna-2014/why-pacs-workflow-isnt-working#sthash.RpUaRK3K.dpuf

Cree M. Gaskin, MD, University of Virginia Health

Next generation contextualization

11

Imaging Related Clinical Context (IRCC)

Identifies relevant aspects of the imaging exam in conjunction with the

clinical context extracted from data contained within the EMR to

provide the Radiologist with the set of information related to the patients

disease state, progression, and past medical history which is visualized in a way that suits the specific radiologist’s workflow needs.

The moving target of “Clinical Context”

12

Orient ReportInterpretReason for Exam

We cannot simply provide radiologists with Imaging Related Clinical Context once at the start of their workflow and assume that the same content will suffice until the report is finalized.

We must be able to flexibly retrieve and display information as radiologists’ needs change, from exam to exam and within an exam.

The moving target of “Clinical Context”

13

Orient ReportInterpret

What information can we retrieve to help CLARIFY the reason for the exam, and provide a hypothesis for a diagnosis?

Reason for Exam

The moving target of “Clinical Context”

14

Orient ReportInterpret

What other information in the record supports the initial hypothesis? …

.. And if we discover that our first guess is wrong, can we COURSE CORRECT?

Reason for Exam

The moving target of “Clinical Context”

15

Orient ReportInterpret

If there are CRITICAL or incidental findings, can we locate supporting facts quickly?

Reason for Exam

The moving target of “Clinical Context”

16

Orient ReportInterpret

If we are interrupted, can we return to the original thought and CONCLUDE the diagnosis?

Reason for Exam

Context to Orient

17

What clinical question is the ordering physician looking to answer by ordering this exam?

• Identify notes & other communication authored by the physician who ordered the exam

• Within these notes, identify sections where the physician:

• Documents the intent to order the current study

• Mentions the same modality / body region

• Mentions reason for exam & related history

• Identify prior radiology reports that mention the need for follow-up.

Context to Interpret

18

What are the patient’s underlying conditions and the documentation that supports them? Answering this question requires knowing several things:

• Environmental context of exam (Inpatient vs. Outpatient vs. ED)

• The probable affected area of the diagnosis – How many different body regions might provide evidence to support the diagnosis?

• Disease category (Trauma, Vascular, Infection, Neoplasm, Metabolic…)

• The patient’s current phase of treatment at the point of the exam (Screening, Follow-Up, Pre/Post Surgery…)

Context to Report

19

How do we structure reports so that we are generating information that comes full circle when the patient returns for another exam?

• Workflow driven reports for Lung Cancer Screening and other lesion tracking use cases

• Direct import to the report of key information (contrast, radiation dosage…) as well as summarized patient history using NLP.

• Capture and track follow-up recommendations to close the loop on the outcome of care.

Title or Job Number | XX Month 201X20

Source: Patient data not from actual patient.

Title or Job Number | XX Month 201X21

Vis

ual b

ase

d o

n a

vis

ualiz

ati

on

by C

ool H

un

tin

g (

20

14

)

Source: Patient data not from actual patient.

2015 Game Plan

22

11 Solution Quality: Product & service excellence

22Collaboration: Share images and insights with providers in and outside of the care delivery network

33Innovation: Innovations across specialty areas to make enterprises more effective

Questions?

23