WinguMD RSNA 2018 Highlights

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BodyMapSnap 4.0

We’ll be announcing BodyMapSnap 4.0. The biggest change on this version is the support for MP4 video capturing and sharing. MP4 to JPEG DICOM Multi-Frame images will also be available in January 2019 for our enterprise customers. If your PACS viewer support Ultrasound clips. You can view the videos.

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Ask Us Our Approach to Encounter Based Imaging Workflow

Many clinical users have been asking us about our approach to Encounter Based Imaging Workflow. We approach this in a very flexible way without breaking your current workflow and without a need to add any extra methods or devices to accomplish both Order Based and Encounter Based. This is used successfully in Nicklaus Children’s Hospital and our base of private practice clinicians. In both cases valuable metadata will be fully available for use either in the PACS, EHR or within our system. There will be an IHE Encounter Based Workflow meeting at RSNA, you may want to attend that meeting especially if your workflow involve point-of-care ultrasound acquisition and photography. (Tuesday 11/27 12 PM-1 PM S105C McCormick South).

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“Alexa” of EHR—New NLP AI Partnership with InContext.ai

As a part of our AI Platform Initiative for 2019, we will be showing InContext.ai technology which will be our Reporting AI technology partner to provide Alexa like speech recognition. We will also be using the technology for clinical note taking. CEO of InContext.ai, Dr. Robert Grzeszczuk and myself will be providing a live demo of this technology. If your workflow involves your ER department this will be very powerful addition to your tools. This is a work in progress presentation.

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Wound Assessment AI Initiatives Updates

We have been working on AI technology to detect wound conditions from photos. This will become an important technology for our system to have a grasp of the context of the images especially in post-operative follow-ups and long-term and tracking bed-sores of immobile patients. This is a work in progress presentation.

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US Patent Grant Approved for Our Size Measurement System

We are happy to announce that the US Patent Office will be able to approve a grant for our size measurement technology. Our simple paper based smart ruler technology can convert any photographic device to a viable size measurement device. This is a great tool especially for clinical users located in remote regions of the world with a limited budget to purchase mobile devices.

Nicklaus Children’s Hospital Selects Dicom Systems, WinguMD for Enterprise Mobile Clinical Collaboration Platform

Monday, November 19, 2018 via PR Newswire

Comprehensive enterprise solution integrates clinical team collaboration, visible light imaging and EHR for improved pediatric patient outcomes.

Campbell, CA, November 19, 2018 – Dicom Systems, Inc. (www.dcmsys.com), a leader in Enterprise Imaging IT, and WinguMD, (www.wingumd.com) a clinical collaboration mobile app, have announced a joint deployment for Nicklaus Children’s Hospital in Miami, Florida.

Nicklaus Children's is consistently recognized amongst the best children's hospitals in the nation in U.S. News & World Report's “Best Children's Hospitals” edition and no other hospital in Florida has more ranked specialties as listed in the 2018-19 report.  As a CHIME #1 “Most Wired” hospital in 2018, Nicklaus has the largest pediatric teaching program in the southeastern U.S. with a track record of leading healthcare IT. In order to better integrate clinical communications over mobile, Nicklaus Children's sought to implement a secure, centralized platform to capture and share clinical photos inside their EHR. WinguMD provided sharing and indexing of serial clinical photos across care teams as well as comparison with pathology, wound care and other imaging. Unifier by Dicom Systems served as the integration engine for workflow and interoperability.


Elise Hermes, Chief Nursing Information Officer for Nicklaus Children’s Health System said, “Nicklaus Children's is excited about the communication tools and interdisciplinary collaboration provided by WinguMD. Prior to deploying the application, clinical photos were stored in multiple devices using numerous manual processes. Quality, continuity, security, and integration were our key drivers and intended outcomes. WinguMD is a single and seamless solution for clinical photos that answers the needs of our care teams.”

“We are on the cusp of a mHealth revolution. Nicklaus Children’s Hospital is an innovative institution that leverages technology to provide better patient care. We are pleased to be the chosen vendor to meet their mobile clinical photo and collaboration needs,” said Dr. Oliver Aalami, practicing vascular surgeon and Co-Founder of WinguMD.


Benefits of Nicklaus Children’s Enterprise Mobile Clinical Collaboration Platform

  • Easy to use social-media style platform reports on patient status to all members of the care team

  • Integrates encounter-based imaging, chat and mobile device clinical photos into EHR and viewer

  • Features medical-grade photo app with capture, comparison and annotation of medical photos series

  • DICOMweb integration provided Nicklaus Children’s with their choice of enterprise viewers

  • Unifier DICOM Modality Worklist (DMWL) by Dicom Systems integrates visible light imaging, DICOM, HL7 and non-DICOM imaging data

  • Plans for hospital-sanctioned iPads preloaded with enterprise WinguMD and Dicom Systems solution for all new residents to support culture of compliance and more seamless workflow

Recent research shows growing interest in this emerging solutions category. Frost & Sullivan noted the adoption of visible light imaging modalities across several image-using and image-producing specialties was gaining traction across healthcare organizations. Meanwhile, KLAS Research released a 2018 Enterprise Imaging report that listed adopting and standardizing encounter-based imaging and visible light images as having the greatest impact on workflow success.

“This tight integration at Nicklaus Children’s Hospital is a tribute to the fundamental value of interoperability. We seamlessly deployed this solution leveraging Nicklaus Children’s existing IT ecosystem with zero downtime impact on existing infrastructure. The newly enabled workflows do not cause end-users to deviate from existing workflows, which means they are naturally adopting the solution,” said Florent Saint-Clair, Executive Vice President of Dicom Systems. “Providers and residents can now use iOS devices to collaborate in a controlled, secure, hospital-sanctioned environment. Dicom Systems in partnership with WinguMD co-founders, Dr. Aalami and Manabu Tokunaga, are proud to be in the trenches with providers, empowering clinical teams to collaborate on the best care for their pediatric patients.”

Dicom Systems (#7900) and WinguMD (#1158G) will be exhibiting in their respective booths during the 104th Radiological Society of North America (RSNA) Annual Meeting from November 25-29, 2018 at McCormick Place in Chicago, CA.


Resources

Frost & Sullivan, 18 April 2016, “Visible Light Imaging and Operating Room Informatics Market, Forecast to 2019” http://www.frost.com/sublib/display-report.do?id=MC12-01-00-00-00

KLAS Research, Keystone Summit 2017, “Enterprise Imaging: Enterprise Imaging Measurement, Functionality and Keys to Success” https://klasresearch.com/report/keystone-summit-2017/1324


About Dicom Systems

Dicom Systems provides Enterprise Imaging solutions that simplify IT and data management. The features-rich Unifier platform delivers intelligent routing, SSL-based DICOM and HL7 integration tools, DICOM Modality Worklist, archiving and de-identification through on-premise, private cloud and leading cloud providers like Google Cloud. Proven at worldwide deployments, Dicom Systems is recognized by top healthcare enterprises, government agencies and partners for next-generation Enterprise Imaging. To learn more, visit www.dcmsys.com.

Media contact: Taylur Ngo, 415-684-8790, taylur@dcmsys.com


About WinguMD

Based in Silicon Valley, WinguMD is an essential mobile clinical collaboration platform that closes information access gaps in the hospital EHR. The comprehensive mobile app unifies individual physicians and physician groups as well as all members of the hospital care team security and efficiency when communicating using personal mobile devices. WinguMD seamlessly integrates all communications, mobile photos, orders and other clinical documents into the EHR and PACS. WinguMD is a Startup Health company. Its BodyMapSnap app is available as a free download from the iTunes App Store. To learn more, visit www.wingumd.com.

Media contact: Tawnya Pell, 408-786-5399, tawnya.pell@wingumd.com


About Nicklaus Children’s Hospital 
Founded in 1950 by Variety Clubs International, Nicklaus Children’s Hospital is South Florida’s only licensed specialty hospital exclusively for children, with nearly 800 attending physicians, including more than 475 pediatric subspecialists. The 309-bed hospital, known as Miami Children’s Hospital from 1983 through 2014, is renowned for excellence in all aspects of pediatric medicine with many specialty programs routinely ranked among the best in the nation by U.S. News & World Report since 2008. The hospital is also home to the largest pediatric teaching program in the southeastern United States and has been designated an American Nurses Credentialing Center (ANCC) Magnet facility, the nursing profession’s most prestigious institutional honor. For more information, please visit www.nicklauschildrens.org


Read also…

Read also the coverage on our press release on MobiHealthNews (November 19, 2018)



Avoid Painful or Fatal DVT During This Air Travel Season

Getting a DVT can be life-threatening especially for elderly travelers. Please share this article with your friends and relatives and enjoy your holiday visits, not visiting a hospital.

It is that time of the year when a lot of us visit friends and families often with long inter-continental and overseas flights. The immobility associated with long flights/drives is associated with an increased risk for developing a deep vein thrombosis (DVT).

Part of our business involves photographing the calf swelling and discoloration often associated with DVTs for documentation and easier communication. We specialize in mobile medical photography integrated with the electronic health record (EHR) without risking patient health information leaks. So helping diagnose a DVT is right up our alley!

A photo of a DVT patient with a swollen left calf (via Wikimedia).

A photo of a DVT patient with a swollen left calf (via Wikimedia).

Like you can see here, photos of DVT conditions are valuable because a DVT patients will show

  • Asymmetrical swelling of the calf/foot where one leg becomes larger than the other. Photos document the subtle changes in size and extent of edema and are valuable for tracking over time by other medical specialists.

  • Depending on the extent of the DVT the skin in the calf and/or foot may get a bluish discoloration or become red. Photos are useful to see the extent of color changes over time.

So I asked my co-founder and also our own vascular surgeon, Dr. Aalami to tell us about what is DVT and how we can avoid them.

So, what is DVT?

DVT stands for Deep Vein Thrombosis. This is when a blood clot forms in one of the deep veins. The most common site for DVTs to occur is in the calf and leg veins. They can start small but propagate (get longer/larger) over time. We are taught about Virchow’s Triad when thinking about what increases the risk for DVTs.

This is when you have,

An ultrasound echo imaging will be used to show the location of the DVT located deep in your body.

An ultrasound echo imaging will be used to show the location of the DVT located deep in your body.

  1. Blood flow stasis (slow flow),

  2. A hypercoagulable condition (a reason for blood to be thicker), and

  3. Vein injury (often to the inner-most lining of the vein- the intima). One frequent cause of this is to sit on one position, notably in aircrafts or long drives. We care about DVTs because of the life-threatening pulmonary embolisms (PEs) they may cause. This is when a piece of the clot breaks off and goes to the heart and lungs and cuts of circulation. It is important to note that the signs and symptoms of this are chest pain and shortness of breath.

How Would I Know I Have a DVT?

• Swelling of leg (or other affected areas)

• Red or blue skins on the leg

• Pain in the leg or especially when you try to walk or dorsiflex your foot (point your toes towards your head)

• Chest pain and shortness of breath could be a sign of PE from a DVT

Simple Steps Can Prevent a DVT

There are simple steps one can take to help prevent a DVT, especially when you know you will be immobile for long periods of time on a flight or long drive.

Check out this FINAVIA airline website for more information on in-seat exercises to avoid DVT. There are also many good flight tips.

Check out this FINAVIA airline website for more information on in-seat exercises to avoid DVT. There are also many good flight tips.

  1. Wear Compression Socks: The simplest approach is to wear compression socks that go up to the knee. For prevention the low-medium compression grade (~15 mmHg-20 mmHg range) will suffice. These now come in stylish contemporary colors or designs (like Sockwell or Comrad or Many Others), so you don’t have to be embarrassed about your style being crimped.

  2. Wigle and Move Around: Blood has to fight gravity to work its way back up to the heart. The normal pressure in veins is quite low, 0-5 mmHg. Our body uses the “Calf Pump” to pump the blood back to the heart. We also have valves in our veins to help keep the blood from working its way right back to our feet. Something easy to do when sitting on a flight or in a car is to simply activate this calf pump by pointing your toe to your head and back down 15 times every hour. This will keep the blood moving. I like FINAVIA airlines’ [1] web page describing simple exercise steps.

  3. Ask for and Drink Lots of Water: According to Vein Association of Texas [2], Dehydration is also the leading cause of DVT (thickening of blood in Virchow’s Triad).

    Also, according to the World Health Organization (WHO) [3] the humidity in passenger aircraft is significantly lower (20% or less) providing a much drier environment facilitating dehydration. And while many of do like alcohol services in the cabin, it is also the source of dehydration—just ask for water with your orders.

    So always drink sufficient water in flights and do your bathroom break more often too to get out of your seats and get your leg circulation going!

  4. Taking Anticoagulants: If you are on anticoagulant medication, take them as advised by your doctor. Some doctors recommend taking a baby aspirin (81mg) before your trip but there is no solid research evidence that it can prevent blood clots in veins. Many still take it because of how effective aspirin is at preventing clots in arteries.

Don’t let DVT ruin your holiday visits.

Please share this article.

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Make Your Clinical Communications Run Much Faster, Simpler and Accurate

Working in vascular surgery or ultrasound departments? Try our app for free and join major hospital and private practitioners saving 1000 of hours a year in time.
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Reference:

  1. Easy in-flight exercises to prevent deep vein thrombosis https://www.finavia.fi/en/newsroom/2017/easy-flight-exercises-prevent-deep-vein-thrombosis

  2. Dehydration and Blood Clots https://texasveins.com/dehydration-blood-clots/

  3. Cabin humidity and dehydration, World Health Organization https://www.who.int/ith/mode_of_travel/chad/en/

Photo Attributions (in the order of appearance)

  1. Economy class interior of B-5972, N509FZ [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], from Wikimedia Commons

  2. Deep vein thrombosis of the right leg.jpg, James Heilman, MD [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0) or GFDL (http://www.gnu.org/copyleft/fdl.html)], from Wikimedia Commons, https://commons.wikimedia.org/wiki/File:Deep_vein_thrombosis_of_the_right_leg.jpg

  3. Ultrasonography of deep vein thrombosis of the femoral vein -annotated.jpg: Mikael Häggström [CC0], from Wikimedia Commons, https://commons.wikimedia.org/wiki/File:Ultrasonography_of_deep_vein_thrombosis_of_the_femoral_vein_-annotated.jpg

  4. Easy in-flight exercises to prevent deep vein thrombosis, A company Blog of FINAVIA airlines. https://www.finavia.fi/en/newsroom/2017/easy-flight-exercises-prevent-deep-vein-thrombosis