Imagine a breast center where the technologists never touch a workstation, relying instead on mobile devices to manage their entire workflow. While it may sound like a chapter from science fiction, this is the reality at Corridor Radiology. Continue reading Building the Breast Center of the Future: Technology Meets Patient Care in Iowa
I would like to update everyone on the MagView go live last week at CoxHealth. CoxHealth actually moved their interfaces to production Friday, March 30th, but we went on-site last week from April 9-16. We took them live with MagView hybrid reporting, PowerScribe integration, workstation integration with both Sectra and Hologic, patient tablets, TechPad, risk with Tyrer-Cuzick, ADT, SIU, ORM, and ORU inbound interfaces, ORM, ORU, and letters outbound, patient navigation, texting, EQUIP and a data conversion.
Stuart and I were on-site at the Breast Care Clinic, their main location, and Bhushan was at Branson, their other reading location. They also have two smaller clinics that aren’t reading locations which we supported remotely. Throughout the project we were met with resistance from the radiologists, who said they would absolutely not point-and-click in MagView. However, Stuart worked his magic and set up some macros, and was able to get most of the radiologists on board (at least for screenings). They all now refer to Stuart as the “rad whisperer” – he took even their most difficult radiologist and made her happy! We also brought a screening pad on-site for each reading location for them to try out, and the radiologists thought it was very nice and convenient.
Here is a picture from Friday at BCC, with the registrars, techs, and imaging managers (as well as the Cox monkey they gave me!):
We received good feedback throughout the week. The registrars said they were surprised it was so easy, and were also surprised that even the patients liked using the survey! Kim (the support staff supervisor) said it was the smoothest go live they’ve been a part of.
This has been a successful go live and we have had very few major issues. We were able to address the urgent issues while on-site, and are working to resolve the smaller issues as well as requests. I have been communicating with the super users each day, and we are continuing our weekly status calls to review issues as a group.
I would like to thank Mike for his help throughout the project, and Stuart for his quick and efficient help during go live (and after). I would also like to thank Bhushan for coming on-site for both training and go live, as well as Prachi and Chris for assisting throughout the project.
MagView got into the Halloween spirit with decorations and fun costumes!
MagView is proud to fund the Natosha Lynne Morton Memorial Scholarship. This scholarship provides recognition to a deserving Breast Health professional who best exhibits character, compassion, and caring in conjunction with providing the best possible care to patients.
Ms. Morton was a lifelong supporter of Breast Cancer Detection. Under her leadership as Center Director at Houston Northwest Medical Center, the site became the first Certified Quality Breast Center of Excellence in the NCBC’s NQMBC Program. She was actively involved with numerous charities involving the detection, education, and treatment of breast cancer patients. After a long struggle, Mrs. Morton succumbed to the very disease she had so passionately fought against.
Congratulations to Rochelle Loconto, a winning member of the MagView family!
Rochelle has an interesting and amazing professional past, starting as a professional drummer in the 1980s. She next worked as a mammography technologist at Howard County General Hospital in the 90’s, gaining insight into technical processes and patient care. Rochelle then came to work at MagView in 1999, and completed her Bachelor’s degree in Information Systems.
As the MagView Regional Account Manager for the North East, Rochelle fully embraces the MagView mission of patient care, believing that MagView’s job is to take care of our customers’ clinical staff members, so that they in turn, can take care of their patients.
In her free time, Rochelle enjoys running half-marathons, full marathons and triathlons. How is Rochelle able to keep up her incredible pace at 60? Rochelle says, “Triathlons keep me sane! The training required for it—it’s something you have to constantly think about.”
Rochelle loves her customers, her territory, and her job. Thank you, Rochelle for your inspiration to our team and good luck in the next big race!
Every system must adapt to its environment in order to thrive. Cactus plants have mechanisms for storing water throughout the year in a climate where water is scarce. Deer and other animals move where the food source goes. Birds of all kind migrate with the changing seasons.
The same is true for MagView and each one of our customers. We often find ourselves in the midst of a rapidly changing clinical environment. State and federal legislation, oversight agency regulations and rulings can evolve, changing the regulatory landscape. Imaging technology and diagnostic practice continues to advance, leading us to new opportunities and new challenges. Best practices within the clinical environment continue to emerge, allowing us to constantly improve patient care and outcomes.
In just the last couple of years, we have seen large changes as a result of the HITECH Act, Meaningful Use, the Affordable Care Act and PQRS that have started the advance towards an outcomes-based focus on healthcare and reimbursement and changed compliance priorities. Revisions to the ACR BI-RADS Atlas have changed the way we create structure reports and collect data. A recent wave of tissue density legislation throughout many States has changed the way we provide notification to patients.
In this rapidly changing environment, MagView stands committed to support our customers in anticipating key trends and responding to new requirements. Our goal is to help customers not only face these challenges, but identify within them the opportunity to make improvements in efficiency, patient care, and outcomes.
Continuous Improvement Program
The MagView Continuous Improvement Program allows sites to schedule members of the MagView Solution Team to periodically be on-site with them to help assess their workflow, identify strengths, weaknesses, opportunities and risks. Using this process, the MagView team is able to review workflow, assess the customer’s full utilization of MagView capabilities, and make change recommendations based on the customer’s priorities. Following this review, the MagView Solution Team implements the recommended changes and helps the customer achieve their goals.
MagView Continuous Improvement Programs can be designed in a flexible way, from quarterly engagements to a single yearly meeting. In addition to the on-site Solution Manager, the team will include the resources of MagView engineers, developers, applications specialists and support staff to ensure a successful implementation of each solution.
Change is inevitable. In the ever-changing healthcare environment, however, MagView’s commitment to strong relationships and effective solutions remains a constant.
Quality assurance for an application like MagView which is constantly growing and changing is a challenge. One of our biggest focuses moving into 2017 is how we can improve and grow our Quality assurance program to match.
We have learned that Quality isn’t any singular person or department’s role—it needs to span the entire company and includes everything we do. From the moment a feature or request gets reported to the moment that feature is delivered to a customer, that feature or change is guided through several layers of control by our Development Operations Team.
These processes include, but aren’t limited to Risk/Workflow Assessments, Peer Code Reviews, Automated Testing, Update/Testing Plans, and most importantly, Retrospectives—a review of any weakness and continuous improvement. Here at MagView, we all own the responsibility of delivering a stable product to our customers.
The best management of patients with breast cancer often involves the expertise of specialists from different disciplines. This has led to the evolution of multidisciplinary teams where key professionals collaborate to review individual patients and contribute to clinical decisions.
At MagView, we find the same benefits when providing solutions and service to our customers. The traditional model for technical support involves a process where an issue is passed from one technician to the next until a solution is found. We believe that the best outcomes and customer experience comes from a team based approach where each of the resources on the team can contribute to a solution depending on the nature of the problem. In support of this unique approach, MagView has developed and staffed several key teams that participate in providing solutions.
For many customers, a dedicated support representative has been assigned who knows and understands the stakeholders, workflow and priorities of the customer. The dedicated representative leads the rest of the team in coordinating solutions.
Frontline Support Specialist (Tier 1)
The frontline support team handles issues as soon as they come in. They will either provide a rapid solution or triage the issue and bring in an investigative support specialist. If you have ever called in to our Support Department, chances are you have spoken with one of these support specialists.
Investigative Support Specialist (Tier 2)
The investigative team participates to research more complex issues and provide application customization services.
Development Operations Team (DevOps)
The DevOps group is a newly formed group that provides a bridge between the customer and the Development group. When an issue is complex and requires code changes or enhancement requests, a DevOps specialist will work on the problem in the customer’s environment to be sure that the requirements are well understood and an optimal solution is provided from the customer’s perspective.
MagView Product Engineers participate in the team any time the diagnosis of a problem is particularly challenging and requires advanced troubleshooting or programming.
Our Transition Managers specialize in bridging the gap between implementation and support for customers who have recently gone live. The Transition Manager participates in the implementation process to learn and understand the workflow, goals and special needs of the customer, and works to ensure that the customer has a smooth transition and positive early experience with MagView.
Research & Development
MagView software is built and maintained by programmers who understand the users’ experience. Each member of our development team has spent time on site with customers and are routinely tasked with research in the field of breast imaging.
We have learned a lot from our customers! One of the most valuable things we have learned is that a multidisciplinary team approach helps to create the best solution and the best customer experience.
MagView is a mission critical application that affects patient care and demands reliability and stability. With this in mind, MagView has introduced MagTAC, an uptime monitoring and alert system designed to ensure early warning for potential problems, promote system stability and maximize application uptime.
The MagTAC application operates based on a secure SSL encrypted HTTP connection that provides real time monitoring of the MagView application, interfaces, and background and maintenance processes. If any potential problem is detected, MagTAC will perform diagnostic tests and issue an alert to the MagView Support department. This allows MagView to respond to problems as they are detected, and in some cases, prevent problems before they occur.
MagTAC Offers these features:
- Ongoing Overall System Health Checks
- Portal Uptime Monitoring
- HL7 Interface Monitoring and Reporting
- Database Maintenance Monitoring
- MagView Task Monitoring
MagTAC requires no additional fees, and can be installed by the MagView Support Department within a short period of time. We strongly encourage all MagView customers to utilize the MagTAC uptime monitoring utility.
For more information on how MagTAC can help you improve uptime, please contact the MagView Support Department.
MagView provides many quality assurance tools to help radiologists and groups understand their performance based on medical self-audit. Periodically auditing outcome measures can link practice patterns to patient outcomes in a way that can influence the interpreting physician’s behavior and performance in a positive way.
However, several challenges can limit this process. It is often difficult for the radiologist to frequently review outcome measures and observe them changing in response to changes in practice patterns. It is also sometimes difficult to understand each of the measures and what corrective action should be associated with each of those performing measures.
The MagView Learning Worklist overcomes these challenges by providing the radiologist with real time access to relevant cases that they can learn from.
This feature provides each radiologist with a worklist of their own screening and diagnostic positive cases which have recently been followed-up, and for which the outcome is now known based on a diagnostic exam or biopsy result. The radiologist can review the initial imaging and report, then review the subsequent imaging or pathology result to critique the false positive or reinforce the true positive case.
The MagView Learning Worklist provides the radiologist with a source of continuous feedback from which they can improve their confidence when calling patients back or deciding that they do not need to call the patient back. Using these tools over an extended time can help the radiologist improve their sensitivity and positive predictive value, and lower their recall rate if it is too high.
- Improve patient outcomes
- Increase radiologist confidence
- Share feature allows radiologists to optionally review other cases from the group
- Blind review feature allows radiologists to predict and then review the outcome
- Optional integration with ACR RadPeer
For more information about the MagView Learning Worklist, please contact your account manager.