1. To learn about the ESR's eHealth policy positions, initiatives and tools.
2. To understand the European Union's eHealth policies.
3. To understand the complementarity of and tensions between eHealth policy and practice.
4. To learn about the present status and future outlook for eHealth in radiology from the policy makers' and practitioners' perspectives.
eHealth is a priority topic in which the ESR is actively engaged, having been a member of the European Commission’s eHealth Stakeholder Group since 2012. A white paper on teleradiology has been published on insight into imaging and an online survey was conducted in 2012. Recently, HIMSS Europe and the ESR launched the Digital Imaging Adoption Model (DIAM) as a benchmarking programme to guide the adoption of IT supported processes in radiology departments. So, radiology is heavily involoved in eHealth and at the session we will learn a lot more of policies, practices, pitfalls, and potential.
1. To learn about the ESR eHealth SC activities.
2. To understand the role of eHealth tools within radiology.
3. To learn about the ESR policy positions on eHealth issues.
The ESR eHealth and Informatics is a subcommitte of the ESR Quality and Safety Committee. The main activities of the subcommittee have been focused on the following: (A) Development of the ESR-RSNA joint Structured reporting initiative. The initiative is ruled by a memorandum of understanding signed in 2015 between RSNA and ESR aimed at promoting the development of structured reports available on the radreport.org website of RSNA. The initiative led to the creation of a Template Library Advisory Board Panel, an editorial board that revises and validates the SR Templates. The eHealth subcommittee produced a ESR position paper on Structure reporting that is under publication in Insight Into Imaging. (B) Impact of the Data Protection Regulation on the Radiology profession. In 2016 the EU delivered the General Data Protection Regulation (GDPR), that provides rules on how to protect the citizens data in the digital era. The eHealth subcommittee has produced a ESR position paper on "What the radiology should know about the GDPR", recently published in Insight Into Imaging. (C) Proper Use of Mobile Devices in Radiology. In the digital single market mobile devices (smartphone, tablets, PCs) are used by multiple physicians as a tool for helping their clinical practice. In radiology mobile devices are used as DICOM user, as eLearning tool, for social media access to improve communication. All these aspects are discussed in the ESR Position paper on the "Use of mobile devices in radiology" under publication in Insight Into Imaging.
1. To learn about the ESR's clinical decision support initiative ESR iGuide.
2. To learn about the ESR-RSNA cooperation regarding structured reporting.
3. To understand how the ESR views the use of eHealth tools in clinical practice.
The adoption of eHealth systems has already revolutionised radiologists’ daily routine and, with big data and artificial intelligence, the next revolution appears to be just around the corner. The ESR supports its members caught up in these developments by providing a variety of eHealth tools and materials. CDS: In cooperation with the American College of Radiology and National Decision Support Company, the ESR has developed the clinical decision support system, ESR iGuide. Using the ESR’s referral guidelines based on the ACR Appropriateness Criteria, ESR iGuide can be integrated into CPOE systems to provide actionable, evidence-based guidance to help referrers select the most appropriate imaging test at the point of patient care. CDS referrals for the first time enable statistical analysis of incoming requests for radiology departments, and these data can be used to improve performance or be linked with other data sets like dose data or structured reports to understand the correlations between the interrelated tasks in the imaging value chain. The ESR has been working in cooperation with the Radiological Society of North America (RSNA) on a joint structured reporting initiative. The first step in this cooperation is the creation of structured reporting templates for a template library to cover clinical scenarios suitable for structured reporting. To facilitate the adoption of these templates in practice, the ESR is exploring cooperation with PACS and voice recognition systems. In addition, the ESR’s eHealth and Informatics Subcommittee is publishing a paper on structured reporting in radiology, setting out the ESR’s conceptual approach.
1. To understand the concept of the Digital Imaging Adoption Model (DIAM).
2. To learn about the benefits in participating in the DIAM.
3. To learn about the DIAM stages, survey and certification.
The Digital Imaging Adoption Model (DIAM) has been jointly developed by ESR and HIMSS Europe to provide clinical and managerial users of medical imaging technology with a tool to assess the maturity of their Imaging-IT investments and implementations. The model is designed to identify potential gaps in infrastructure and workflow, to monitor technological progress, to enable benchmarking with peer organisations and to provide a roadmap for strategic and operational planning as well as investment decisions. The DIAM, launched in 2016 at ECR, can be used by hospitals with imaging departments or external imaging centres collaborating with hospitals across the globe. The DIAM associates participating organisations with one of 8 stages. Stage 0 indicates a low level of imaging IT maturity and Stage 7 represents advanced maturity. Participants of the session will learn how the DIAM can be used, which organisations have been assessed so far and what benefits they have received from participation. An outlook about future developments will also be provided.
1. To learn about the ESR-PAG view of eHealth policy in the EU.
2. To understand how patients can benefit from eHealth tools.
3. To learn about concerns about the adoption of eHealth from the patient's view.