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Editor's e-Note
A visit to HIMSS 2014 showed how medical imaging is venturing out of the radiology department and into the enterprise. Just a few years ago, radiology was a small portion of the annual HIMSS conference; to be sure, EMR remains the star. But the vendor-neutral archive is growing as an approach to integrate images from across the enterprise into the EMR.

— Jim Knaub, editor
e-News Exclusive
VNA: More Than Just a New ‘A’ in PACS
By Jim Knaub

What would you want a vendor-neutral archive (VNA) to do for your organization? That was a hot question in the VNA-related education sessions and exhibits at HIMSS 2014 in Orlando late last month.

Some view a VNA as the last data migration they’ll ever need for their PACS, but that’s just one possible component of a VNA enterprise strategy. For example, Louis M. Lannum, director of enterprise imaging at the Cleveland Clinic, discussed his institution’s VNA project, which is designed to bring 60 different image-producing services from the clinic’s eight hospitals into one VNA and make those images accessible through its EMR system. Lannum said the organization’s IT team has worked through about one-half of those 60 services, and the project extends far beyond the radiology department. “Imaging decisions are no longer in the silo of radiology,” he said.

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Worth Repeating
“Given the ‘safety net’ role of EDs [emergency departments] for uninsured patients, uncompensated services are increasingly a challenge to all specialists and appear to be a particularly common problem for radiologists.”

Richard Duszak Jr, MD, chief medical officer for the ACR’s Harvey L. Neiman Health Policy Institute, as reported in an RSNA press release discussing the growing challenge of uncompensated imaging in the
emergency department
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