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'''Enterprise imaging''' has been defined as "a set of [[strategy|strategies]], initiatives, and [[workflow]]s implemented across a [[healthcare]] enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyze all [[clinical imaging]] and [[multimedia]] content to enhance the [[electronic health record]]".<ref name="Roth" /> The concepts of enterprise imaging are elucidated in a series of papers by members of the [[Healthcare Information and Management Systems Society|HIMSS]]-SIIM Enterprise Imaging Workgroup.<ref name="Vreeland" /><ref name="Cram" />
'''Enterprise imaging''' has been defined as "a set of [[strategy|strategies]], initiatives, and [[workflow]]s implemented across a [[healthcare]] enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyze all [[clinical imaging]] and [[multimedia]] content to enhance the [[electronic health record]]".<ref name="Roth" /> The concepts of enterprise imaging are elucidated in a series of papers by members of the [[Healthcare Information and Management Systems Society|HIMSS]]-SIIM Enterprise Imaging Workgroup.<ref name="Vreeland" /><ref name="Cram" />


The use of the term enterprise imaging in this manner is relatively new, having previously been used to describe expanding access to [[radiology]] images throughout an enterprise.<ref name="Huang" /><ref name="Erickson" /> The concept of expanding [[Picture archiving and communication system|PACS]] to include [[visible light imaging]] and other modalities beyond radiology and [[cardiology]] dates back to the relatively early days of PACS.<ref name="Dayhoff" /><ref name="Bandon" />
== History ==
'''The convergence of Imaging Informatics and Healthcare Information'''


In 2013, a joint initiative between [[HIMSS]], a global, cause-based, not-for-profit organization focused on improving healthcare through the best use of information and technology, and [https://siim.org/ SIIM], a professional organization dedicated to advancing the field of imaging informatics was established to created the HIMSS/SIIM Enterprise Imaging Community. The community aims to leverage the expertise of both organizations to address critical issues, challenges, and opportunities in healthcare IT and imaging informatics.  

The collaborative [[HIMSS]]-[https://siim.org/ SIIM] member workgroup developed the Definition of Enterprise Imaging which defines Enterprise Imaging was published in May 2016.  It is defined as “a set of strategies, initiatives and workflows implemented across a healthcare enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyse all clinical imaging and multimedia content to enhance the electronic health record.”

== Imaging Informatics Across the Enterprise ==
As EHRs were installed, enterprises learned that many care groups had similarly isolated and fragmented approaches to image management. Enterprises also learned that many specialties had similar image capture, image storage, and image distribution unmet needs . In many clinical specialties, such as dermatology or endoscopy, textual descriptions of an image often scream for the image itself; supplementing text with the images better conveys information. Enterprise Imaging as a program or initiative developed as a result of the unmet need to clinically support imaging workflows, procure and manage scalable IT infrastructure, develop operational policy, and centralize governance and communications to accommodate the full body of enterprise multimedia clinical content, the imaging of a health enterprise.

== Ongoing Community Work ==
The group further expanded the concepts into a series of [[Open access|open-access]] whitepapers which provide guidelines and recommendations to the Society for [[Imaging informatics]] in Medicine and [[Healthcare Information and Management Systems Society]] ([[HIMSS]]) communities.

'''[https://siim.org/resources/resource-catalog/?_resource_type=white-paper The HIMSS-SIIM collaborative workgroup whitepapers]''' are a series of experience and practical guidance written by authors from academic institutions, community hospitals and vendors.

== Released Whitepapers ==
Some of the notable whitepapers include:
{| class="wikitable"
|'''Whitepaper'''
|'''Published date'''
|'''Authors'''
|-
|[https://link.springer.com/article/10.1007/s10278-022-00658-z Interactive Multimedia Reporting Technical Considerations: HIMSS-SIIM Collaborative White Paper]
|8/12/2022
|<small>Seth J. Berkowitz, David Kwan, Toby C. Cornish, Elliot L. Silver, Karen S. Thullner, Alex Aisen, Marilyn M. Bui, Shawn D. Clark, David A. Clunie, Monief Eid, Douglas J. Hartman, Kinson Ho, Andrei Leontiev, Damien M. Luviano, Peter E. O’Toole, Anil V. Parwani, Nielsen S. Pereira, Veronica Rotemberg, David J. Vining, Cree M. Gaskin, Christopher J. Roth & Les R. Folio</small>
|-
|[https://link.springer.com/article/10.1007/s10278-022-00584-0 Visible Light Imaging: Clinical Aspects with an Emphasis on Medical Photography—a HIMSS-SIIM Enterprise Imaging Community Whitepaper]
|2/10/2022
|<small>Cheryl A. Petersilge, Julie McDonald, Matthew Bishop, Laurence Yudkovitch, Caitlin Treuting & Alexander J. Towbin</small>
|-
|[https://link.springer.com/article/10.1007/s10278-021-00450-5 Multispecialty Enterprise Imaging Workgroup Consensus on Interactive Multimedia Reporting Current State and Road to the Future: HIMSS-SIIM Collaborative White Paper]
|6/15/2021
|<small>Christopher J. Roth, David A. Clunie, David J. Vining, Seth J. Berkowitz, Alejandro Berlin, Jean-Pierre Bissonnette, Shawn D. Clark, Toby C. Cornish, Monief Eid, Cree M. Gaskin, Alexander K. Goel, Genevieve C. Jacobs, David Kwan, Damien M. Luviano, Morgan P. McBee, Kelly Miller, Abdul Moiz Hafiz, Ceferino Obcemea, Anil V. Parwani, Veronica Rotemberg, Elliot L. Silver, Erik S. Storm, James E. Tcheng, Karen S. Thullner & Les R. Folio</small>
|-
|[https://link.springer.com/article/10.1007/s10278-020-00415-0 The Importance of Body Part Labeling to Enable Enterprise Imaging: A HIMSS-SIIM Enterprise Imaging Community Collaborative White Paper]
|1/22/2021
|<small>Alexander J. Towbin, Christopher J. Roth, Cheryl A. Petersilge, Kimberley Garriott, Kenneth A. Buckwalter & David A. Clunie</small>
|-
|[https://link.springer.com/article/10.1007/s10278-019-00294-0 Interoperability and Considerations for Standards-Based Exchange of Medical Images]
|11/25/2019
|<small>Kenneth R. Persons, Jason Nagels, Chris Carr, David S. Mendelson. Henri “Rik” Primo. Bernd Fischer, Matthew Doyle</small>
|-
|[https://link.springer.com/article/10.1007%2Fs10278-019-00236-w 10 Steps to Strategically Build and Implement your Enterprise Imaging System: HIMSS-SIIM Collaborative White Paper]
|9/8/2019
| <small>Henri Primo, Matthew Bishop, Louis Lannum, Dawn Cram, Abe Nader, Roger Boodoo</small>
|-
|[https://siim.org/link.asp?ymlink=41181874 Technical Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper]
|8/30/2016
| <small>David A. Clunie, Don K. Dennison, Dawn Cram, Kenneth R. Persons, Mark D. Bronkalla, Henri "Rik" Primo</small>
|-
|[https://link.springer.com/article/10.1007/s10278-016-9897-6 Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper]
|8/15/2016
| <small>Alexander J. Towbin, Christopher J. Roth, Mark Bronkalla, Dawn Cram</small>
|-
|[https://link.springer.com/article/10.1007/s10278-016-9887-8 The Current State and Path Forward for Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper]
|7/29/2016
| <small>Christopher J. Roth, Louis M. Lannum, Donald K. Dennison, Alex J. Towbin</small>
|-
|[https://link.springer.com/article/10.1007/s10278-016-9888-7 Orders Versus Encounters-Based Image Capture: Implications Pre- and Post-Procedure Workflow, Technical and Build Capabilities, Resulting, Analytics and Revenue Capturer: HIMSS-SIIM Collaborative White Paper]
|7/14/2016
| <small>Dawn Cram, Christopher J. Roth, Alex J. Towbin</small>
|-
|[https://siim.org/link.asp?ymlink=24398499 Considerations for Exchanging and Sharing Medical Images for Improved Collaboration and Patient Care:  HIMSS-SIIM Collaborative White Paper]
|6/28/2016
| <small>Amy Vreeland, Matthew F. Bishop, Matthew Doyle, Kimberley Garriott, Henri Primo, Danielle Brown, Kenneth R. Persons</small>
|-
|[https://link.springer.com/article/10.1007/s10278-016-9883-z Enterprise Imaging Governance: HIMSS-SIIM Collaborative White Paper]
|6/14/2016
| <small>Christopher J. Roth, Louis M. Lannum, Carol L. Joseph</small>
|-
|[https://link.springer.com/article/10.1007/s10278-016-9882-0 A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper]
|5/31/2016
| <small>Christopher J. Roth, Louis M. Lannum, Kenneth R. Persons</small>
|}

== Content and Topics ==
The whitepapers cover a wide range of topics that are relevant to the healthcare IT and imaging informatics communities. These topics include but are not limited to:

'''Interoperability and Health Information Exchange''' - Addressing challenges and solutions related to data exchange and interoperability between disparate healthcare systems and technologies. '''Imaging Informatics''' - Exploring advancements, standards, and best practices in the field of imaging informatics, such as Picture Archiving and Communication Systems (PACS), Radiology Information Systems (RIS), and integration with electronic health records (EHRs). '''Artificial Intelligence (AI) and Machine Learning''' - Examining the applications of AI and machine learning in healthcare imaging, including image analysis, decision support, and predictive analytics. '''Data Governance and Security''' - Providing guidance on data privacy, security, and governance strategies to protect patient information and comply with regulatory requirements. '''Clinical Workflow and Optimization''' - Addressing workflow challenges and offering recommendations for streamlining processes and enhancing efficiency in clinical settings.

== Impact and Recognition ==
The HIMSS-SIIM whitepapers have gained recognition and influence within the healthcare IT and imaging informatics communities. They are considered valuable resources for healthcare professionals, researchers, policymakers, and industry stakeholders seeking authoritative guidance on various topics related to healthcare technology and informatics. The whitepapers have been referenced in academic literature, industry publications, and conference presentations, further solidifying their impact.

== Data Governance and Security ==
One of the important areas covered by the HIMSS-SIIM whitepapers is data governance and security in healthcare. These whitepapers provide insights and recommendations to address the challenges related to data privacy, security, and governance in an increasingly interconnected healthcare ecosystem.

The whitepapers emphasize the need for robust data governance frameworks that establish policies, procedures, and controls to ensure the responsible and ethical use of healthcare data. They explore strategies for data stewardship, data quality management, and data lifecycle management to maintain the integrity, availability, and confidentiality of patient information.

Data security is a key component of the whitepapers, addressing the risks associated with data breaches, unauthorized access, and cyber threats. They provide guidance on implementing technical safeguards, such as encryption, access controls, and intrusion detection systems, to protect sensitive health data from unauthorized disclosure or manipulation.

In addition, the whitepapers discuss the regulatory landscape surrounding data governance and security, including compliance with laws and regulations like the Health Insurance Portability and Accountability Act (HIPAA) and the General Data Protection Regulation (GDPR). They provide insights into legal and ethical considerations related to data sharing, consent management, and patient rights in the context of data governance.

By providing comprehensive guidance on data governance and security, the HIMSS-SIIM whitepapers aim to assist healthcare organizations in establishing effective frameworks that ensure the privacy, integrity, and security of patient information, while enabling interoperability and data exchange for improved patient care and research.

== Standardization and Interoperability ==
The HIMSS-SIIM whitepapers also address the crucial topics of standardization and interoperability in healthcare. They recognize the importance of establishing common standards and frameworks to enable seamless data exchange and interoperability between disparate healthcare systems and technologies.

These whitepapers delve into various interoperability standards and initiatives, such as Health Level Seven International (HL7) and Integrating the Healthcare Enterprise (IHE), providing insights into their implementation and benefits. They discuss the importance of adopting standardized terminologies, coding systems, and data exchange formats to facilitate meaningful and accurate exchange of health information.

Moreover, the whitepapers explore the role of interoperability in supporting clinical decision-making, care coordination, and population health management. They highlight the potential of interoperability to improve patient outcomes, reduce medical errors, and enhance care delivery across the healthcare continuum.

Through their focus on standardization and interoperability, the HIMSS-SIIM whitepapers aim to guide healthcare organizations and technology vendors in adopting best practices and frameworks that promote seamless and secure data exchange, leading to more efficient and patient-centered healthcare delivery.

== Governance Challenges and Future Directions ==
While addressing governance topics, the HIMSS-SIIM whitepapers acknowledge the challenges and complexities associated with implementing effective governance frameworks in healthcare. They recognize the need for collaboration among stakeholders, including healthcare providers, policymakers, technology vendors, and regulatory bodies, to establish common governance standards and overcome existing barriers.

Furthermore, the whitepapers discuss emerging trends and technologies that have the potential to shape the future of governance in healthcare. This includes the adoption of blockchain technology for secure and auditable data sharing, the use of artificial intelligence and machine learning for automated governance processes, and the integration of governance considerations into the design of digital health solutions.

By discussing challenges and future directions, the HIMSS-SIIM whitepapers encourage ongoing dialogue and innovation in the field of healthcare governance, aiming to drive continuous improvement and ensure the responsible and effective use of technology and data in healthcare settings.

== Collaboration and Development Process ==
The development of HIMSS-SIIM whitepapers involves collaboration among subject matter experts, researchers, practitioners, and industry leaders. The process typically includes extensive literature reviews, expert input, and consensus building to ensure that the whitepapers reflect the latest research, trends, and practical insights in the respective fields.

{{DEFAULTSORT:HIMSS-SIIM Whitepapers}}
==See also==
==See also==
* [[Healthcare Information and Management Systems Society|Healthcare Information and Management Systems Society (HIMSS)]]
* [https://siim.org/ Society for Imaging Informatics in Medicine (SIIM)]
* [[DICOM]]
* [[DICOM]]
* [[Digital Photography]]
* [[Digital Photography]]
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*{{cite journal |last1=Roth|first1=CJ |last2=Lannum|first2=LM |last3=Dennison|first3=DK |last4=Towbin|first4=AJ |title=The Current State and Path Forward For Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper |journal=Journal of Digital Imaging |volume=29|issue=5|pages=567–73 |doi=10.1007/s10278-016-9887-8 |pmid=27473474 |date=2016-10-01 |pmc=5023528}}
*{{cite journal |last1=Roth|first1=CJ |last2=Lannum|first2=LM |last3=Dennison|first3=DK |last4=Towbin|first4=AJ |title=The Current State and Path Forward For Enterprise Image Viewing: HIMSS-SIIM Collaborative White Paper |journal=Journal of Digital Imaging |volume=29|issue=5|pages=567–73 |doi=10.1007/s10278-016-9887-8 |pmid=27473474 |date=2016-10-01 |pmc=5023528}}
*{{cite journal |last1=Towbin|first1=AJ |last2=Roth|first2=CJ |last3=Bronkalla|first3=M |last4=Cram|first4=D |title=Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper |journal=Journal of Digital Imaging |volume=29|issue=5|pages=574–82 |doi=10.1007/s10278-016-9897-6 |pmid=27527613 |pmc=5023531 |date=2016-10-01}}</ref>
*{{cite journal |last1=Towbin|first1=AJ |last2=Roth|first2=CJ |last3=Bronkalla|first3=M |last4=Cram|first4=D |title=Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper |journal=Journal of Digital Imaging |volume=29|issue=5|pages=574–82 |doi=10.1007/s10278-016-9897-6 |pmid=27527613 |pmc=5023531 |date=2016-10-01}}</ref>

<ref name="Huang">{{cite journal |last1=Huang|first1=HK |title=Enterprise PACS and image distribution |journal=CMIG |volume=27|issue=2|pages=241–53 |doi=10.1016/S0895-6111(02)00078-2 |date=2003-03-01|pmid=12620314 }}</ref>
<ref name="Erickson">{{cite journal |last1=Erickson|first1=BJ |last2=Persons|first2=KR |last3=Hangiandreou|first3=NJ |last4=James|first4=EM |last5=Hanna|first5=CJ |last6=Gehring|first6=DG |title=Requirements for an Enterprise Digital Image Archive |journal=J Digit Imaging |volume=14|issue=2|pages=72–82 |doi=10.1007/s10278-001-0005-0 |pmid=11440257 |date=2001-06-01 |pmc=3452763}}</ref>

<ref name="Dayhoff">{{cite book |last1=Dayhoff|first1=RE |title=Proceedings. The Third International Conference on Image Management and Communication in Patient Care |chapter=A Multidepartmental Hospital Imaging System: Implications for the Electronic Medical Record |pages=83–6 |doi=10.1109/IMAC.1993.665436 |date=1993-06-23|isbn=978-0-8186-3640-0|s2cid=54209447 }}</ref>

<ref name="Bandon">{{cite journal |last1=Bandon|first2=D |last2=Lovis|first3=C |last3=Geissbühler|first4=A |last4=Vallée|first1=J-P |title=Enterprise-wide PACS: Beyond Radiology, an Architecture to Manage All Medical Images |journal=Academic Radiology |volume=12|issue=8|pages=1000–9 |url=http://www.academicradiology.org/article/S1076-6332(05)00365-X/ |doi=10.1016/j.acra.2005.03.075 |pmid=16087095 |date=2005-08-01 |accessdate=2017-10-28}}</ref>


}}
}}

Latest revision as of 17:58, 17 October 2023

Enterprise imaging has been defined as "a set of strategies, initiatives, and workflows implemented across a healthcare enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyze all clinical imaging and multimedia content to enhance the electronic health record".[1] The concepts of enterprise imaging are elucidated in a series of papers by members of the HIMSS-SIIM Enterprise Imaging Workgroup.[2][3]

The use of the term enterprise imaging in this manner is relatively new, having previously been used to describe expanding access to radiology images throughout an enterprise.[4][5] The concept of expanding PACS to include visible light imaging and other modalities beyond radiology and cardiology dates back to the relatively early days of PACS.[6][7]

See also[edit]

References[edit]

  1. ^ Roth, CJ; Lannum, LM; Persons, KR (2016-10-01). "A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper". Journal of Digital Imaging. 29 (5): 530–8. doi:10.1007/s10278-016-9882-0. PMC 5023525. PMID 27245774.
  2. ^
  3. ^
  4. ^ Huang, HK (2003-03-01). "Enterprise PACS and image distribution". CMIG. 27 (2): 241–53. doi:10.1016/S0895-6111(02)00078-2. PMID 12620314.
  5. ^ Erickson, BJ; Persons, KR; Hangiandreou, NJ; James, EM; Hanna, CJ; Gehring, DG (2001-06-01). "Requirements for an Enterprise Digital Image Archive". J Digit Imaging. 14 (2): 72–82. doi:10.1007/s10278-001-0005-0. PMC 3452763. PMID 11440257.
  6. ^ Dayhoff, RE (1993-06-23). "A Multidepartmental Hospital Imaging System: Implications for the Electronic Medical Record". Proceedings. The Third International Conference on Image Management and Communication in Patient Care. pp. 83–6. doi:10.1109/IMAC.1993.665436. ISBN 978-0-8186-3640-0. S2CID 54209447.
  7. ^ Bandon, J-P; Lovis, D; Geissbühler, C; Vallée, A (2005-08-01). "Enterprise-wide PACS: Beyond Radiology, an Architecture to Manage All Medical Images". Academic Radiology. 12 (8): 1000–9. doi:10.1016/j.acra.2005.03.075. PMID 16087095. Retrieved 2017-10-28.
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