Merck offers the example of Emergency Department ultrasounds to illustrate both the difficulty of implementing change, and the clinical benefits of the solution. “Order entry is key to ensuring every stored image has complete identification information. However, not all departments included this step in their traditional imaging workflow.
The Emergency Department staff, for example, do a lot of bedside ultrasounds. Previously, they would simply send the images to radiology, who would then have to try to work out patient identification, exams, etc. We now needed the Emergency Department staff to fill in order entries themselves for the ultrasounds they were carrying out.
Luckily, we were able to show them how easy it is to pull up a patient’s priors, when exams have been ordered in a systematic way. As a city and country health provider, we have many patients who return to the Emergency Department multiple times, so fast access to the patient’s complete imaging history is a clear benefit for the staff. Now, they are much more willing to place the orders, with all the needed details.”
The gastro-intestinal group had a similar issue. “They do a lot of volume-rendered cholangiopancreatographies (ERCPs) and other scans in their clinic. These can be stored as ‘outside images’ in Enterprise Imaging, but by creating orders that get sent to Enterprise Imaging, the images become part of the ecosystem.
Our philosophy is to overcome potential resistance by giving each department solutions and benefits that meet their needs and offer them tangible value to enhance care. That is why I say ‘build it and they will come’.”