Modernising the Workflow of Clinical Photography: Digital Asset Management in Healthcare

Modernising the Workflow of Clinical Photography: Digital Asset Management in Healthcare

Clinical photographs play a major role in the healthcare industry and are widely used in areas such as clinical documentation, research, publication and education. Hundreds of thousands of clinical photographs are produced each year in the health sector and it’s increasingly crucial to manage these images effectively and safely to assure effective governance of often highly sensitive, clinical photographs of patients.

Medialogix have many clients in the healthcare industry

Our NHS clients are currently all Medical Illustration departments, where FotoWare Digital Asset Management (DAM) is employed for the management and viewing of clinical photographs taken by professional clinical photographers, doctors and allied health staff. Clinical photographs of patients are routinely taken to assist with diagnosis, monitor progress, plan treatment and provide educational material. Hundreds of thousands of clinical photographs are produced each year and the requirement for effective management of these images continues to increase with the development of technology and the General Data Protection Regulations (GDPR). There are many opportunities for centralising image management resources for other departments using ‘standalone’ storage and image capture devices and also within the Private Sector.

FotoWare DAM has solved the problems with management of clinical photographs

Prior to using DAM, clinical photographs were managed via manual processes which stemmed from traditional film photography procedures used prior to the advent of digital photography. Patient details were documented in paper books, spreadsheets or job databases and kept separate from the photographs. Digital photographs were printed out and inserted in paper case notes with very ineffective (if any) controls in place to prevent unauthorised access, copying and distribution. There were multiple margins for error and loss to occur and quite often, prints were missing from patient notes and were either unavailable for patient care or filed after patients had been discharged. With the growth and availability of digital photography, timely availability of clinical photographs often did not meet requirements, a problem exacerbated due to reduced staffing and increased workload pressures.

Employing FotoWare DAM has completely modernised the workflow of clinical photography and has enabled strict governance procedures to achieve legal compliance in terms of Data Protection and GDPR. Due to improved workflow, photographs are now available at the point of care, risks are minimised through proper control of access and the availability of full audit trails of activity. Printed photographs are only rarely required which minimises the risk of loss and unauthorised viewing. Patient details, diagnosis and consent provide useful metadata as the basis for processing images.

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Common problems that prospective customers in the healthcare sector are experiencing without a DAM:

Without a DAM, customers are still employing labour intensive systems in an attempt to manage digital assets using manual processes. Proper control over access to images cannot be achieved and many photographs are still unavailable at the point of care. There are many ‘halfway systems’ in place where digital photographs are being printed, then scanned back into Electronic Patient Records (EPR’s) – literally doubling the workload! When photographs are required for teaching, doctors are putting them on USB sticks and taking images home to process and import into documents – there is no audit trail!

It is well known that many doctors and allied health staff are taking photographs on personal mobile phones which poses many security risks due to images being stored on personal cloud services outside of the EEA which breaches the GDPR and DP laws. This also causes significant governance issues around the use, storage and availability of images. Image sharing via WhatsApp is also a growing problem. In response to this, many hospitals are now employing mobile devices for doctors and nurses in huge volumes of 300-500 at a time or allowing Bring Your Own Device (BYOD) systems with camera functions enabled. This requires the use of a DAM to ensure that resulting images and metadata are managed securely and centrally, making them available to those that are authorised to view them.

Some hospitals have decided to employ EPR’s or radiology systems as a means of image storage. Although they do at least provide an image repository, they do not provide image management functionalities or the specialist access controls required and sadly, the workflow process often generates additional work in an environment already under pressure.

Risk is the single biggest problem for organisations that do not have a proper solution in place – risk of significant financial fines due to breach of GDPR & DPA, risk of poor organisational reputation, risk of negative effect on patient care, risk due to the lack of centralised resources…

 

The main uses of DAM in the healthcare industry:

FotoWare Digital Asset Management ensures full auditable control of clinical photographs via the configuration of several different control mechanisms based on: the medical specialty caring for the patient; the sensitivity of the images; the consent the patient has given regarding the use of their images. This configuration ensures that images are viewed on a ‘need to know basis’ and are processed in accordance with the patient’s permission.

FotoWare also supports the upload of images from a variety of different sources, enabling integration with mobile phone Apps to ensure that even staff working in remote community locations have the same resource available to them. Medialogix have recently developed a secure Clinical Uploader App which can be integrated with FotoWare DAM so that images and metadata are imported and processed automatically, ensuring they are managed securely within the centralised DAM process.

The DAM solution can be the primary image viewing interface, or it can be used in conjunction with an EPR to provide seamless availability with the proper access controls in place. The workflow for image processing is immediate, intuitive, automated where appropriate and reduces the administration burden of clinical photographers and clinicians alike.

Which organisations in the health sector need a DAM solution?

If they take clinical photographs, they need a solution!

How can organisations in the health sector determine what the return on investment is for a DAM system?

The return on investment is both quantitative and qualitative. Images are available at the point of care, enhancing the patient pathway. Workflow efficiencies make better use of staff resources. Proper governance reduces the risk of significant financial penalties relating to breaches of legislation-the cost of a DAM solution is a fraction of a potential penalty!

 

About the author:

Lisa Fisher has been part of the Medialogix team since April 2018 in her role as Business Development Manager, working primarily within the health sector. Previously she worked as a Clinical Photographer within the NHS for 19 years, the last 9 years of which, were as the manager of a Medical Illustration Department. Therefore she is very familiar with the challenges and requirements of image management and the governance of highly sensitive clinical images. Having always been an advocate of secure and effective workflows within her previous role and within the wider clinical photography profession she is now able to influence this further through promotion of DAM and Medialogix products to provide a comprehensive solution to NHS and health sector clients.

If you would like to discuss the content of this article or would like more information about healthcare solutions please contact lisa@medialogix.co.uk

A related article was also published here.

 

Getting into the Cloud: What are IaaS, PaaS and SaaS?

Getting into the Cloud: What are IaaS, PaaS and SaaS?

There are still companies out there that think cloud is just a hype, and that owning your own servers is the only way to go. Cloud might have been a hype 25 years ago, when Microsoft bought Hotmail, but today it has become the most secure and scalable solution for companies that want to grow.

Back in 2003 I had an important task of getting our server up and running to receive email, run the website and store our company files. At that time I had to spend much of my time doing things I didn’t intend to do, such as increasing the storage, upgrading operation systems, repairing hardware, etc. Before long, I found a company who provided hosted email and website services and started using a local RAID storage device for the company files. This hugely reduced my workload, but I still had to deal with backing up the local storage.

Our business has been fully utilising cloud services since 2013. Now we no longer have anything stored locally. Even our developers use GitHub in the cloud to store their code. This left me to concentrate on the job at hand which is to help existing clients improve their usage of our software and acquire new business. The great thing about the annual subscription is that we can change our services easier than if we had paid a hefty price for perpetual software. And that gives us great flexibility.

IaaS, PaaS, SaaS – what do they really mean?

I often get questions from my customers on what the difference among cloud service models is and what they do. Let me give you a simple explanation using the car analogy, since I also love cars (almost as much as I love tech).

On-premises is like owning a car. When you purchase a car, you’re responsible for its repairs etc. When you need to upgrade you just buy a new car.

IaaS (Infrastructure as a Service) is a little bit like hiring a car. When you hire a car, you choose the car you want and drive it, but the car doesn’t belong to you. When you want to upgrade you just hire a new car.

PaaS (Platform as a Service) is like taking a chauffeur driven car. You don’t drive a vehicle yourself, but simply tell the driver where you need to go and relax in the back seat.

SaaS (Software as a Service) is like going by train. Trains have assigned routes, and you share the ride with other passengers. (but without having to sit with them – you all have your very own carriage).

What are the benefits of each cloud service model?

IaaS (Infrastructure as a Service)

IaaS is a cloud-based service that provides servers, storage and networking resources. Major IaaS providers include Microsoft Azure, Amazon AWS and Google Compute Engine. This service is great for IT administrators and those with the technical knowledge but don’t want to have to worry about the hardware. It’s amazing that nowadays you can switch on hundreds of thousands of euros worth of equipment, use it for whatever purpose you need to and then switch it off and only pay for what you used.

Many of our clients require more control of their resources and software versions and configurations. As a FotoWare partner and Microsoft partner we provide fully managed services for organisations who need it. One such organisation is Nikkei. We are based in the UK and Nikkei are based in Japan. Without having to fly out, we can at the touch of a few buttons utilize Azure services hosted in data centers based in Tokyo. This makes it nice and fast for our client and it complies with their policy on where the data must be stored. Nikkei can focus on their business and we take care of their IT-infrastructure.

PaaS (Platform as a Service)

PaaS solutions are mostly used by software developers and software development companies. The great thing about PaaS is we can have environments for development, testing and managing applications and not worry about maintaining the server-side components of the infrastructure such as web servers, storage, network resources, etc. These tools can reduce the time it takes to code new app with pre-coded components built into the platform. Heroku, Amazon AWS Lambda and Google App Engine are also very popular services.

SaaS (Software as a Service)

SaaS allows you to use cloud-based web applications. Many email services such as Hotmail and Gmail are well known examples of SaaS. Other examples are software products such a Microsoft 365 and Google G Suite, Pipedrive customer relationship management software and even Netflix.

Usually you would pay for these services on a pay as you go monthly or annual payment. You don’t have to worry about hardware to setup or software to install and maintain. Usually the application is ready to go soon after you sign up and you get your username and password. And you always have the flexibility to add (or remove) users as your company grows. This leaves organisations with a huge advantage as they don’t have to make big upfront investments, but only pay for what they use. Not to mention the cost of server storage and risk of an outage.

FotoWare is also available as a SaaS and this is great for many organisations who want to use the solution with no big upfront investment or those who don’t have enough IT resources to take care of the maintenance. FotoWare on the SaaS platform meets the requirement of most organisations and the uptake is growing. I think this is the future for all solution providers, and it is not in the too distant future.

In today’s market of cloud services, customers have the flexibility to make the choices that fit their IT infrastructure requirements, and not being forced to managing their servers on site. This empowers especially the small and medium business segments, since in the past, the cost of owning servers was a risk factor in growing their business fast enough. But also, enterprise organisations are more and more leveraging the benefit of using Cloud infrastructure. Now IT personnel can spend time on business development tasks, rather than upgrading disk space. Lately at Medialogix we have seen a huge increase in enquiries about the cloud, and how to move data and start using cloud services. We are enjoying helping and advising customers and are proud to be part of their journey to growing their business.

Photo: Faisal Mahmood, Medialogix UK, speaking at the FotoWare Partner Summit 2019

If you would like to know more about our solutions and in particular our experience in the cloud, please don’t hesitate to email me: faisal@medialogix.co.uk or message me on linkedin.

This article was previously published here.

 

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