NAPHIT
VisualDx: Standardizing
Public Health Preparedness at
the Point of Care
Art Papier MD, Chief Scientific
Officer, Lo...
Logical Images
• Rochester NY, founded 1999
• Decision support for clinicians
• Public health informatics
• Image and Case...
Logical Images
Logical Images developed the CDC/HHS training
program for smallpox vaccination adverse events.
Logical Images: Clients
• Department of Defense
• Hospitals (450+)
• Clinics (multiple)
• Public Health
– State (MS,DE,PA,...
VisualDx addresses a fundamental need:
• Assists MD’s to recognize diseases and
patterns they have never seen before
VisualDx addresses a fundamental need:
Implications of VisualDx for Care
• Patient Safety
• Accuracy
• Quality
• Reduce Error
• Patient
Education
VisualDx is comprehensive
• Over 10 years of development
• 70+ physician editors
• Peer reviewed
• Standards based
• Surve...
VisualDx is “All Hazards”
• Category A, B,
and C agents
• SARS
• Avian
influenza
• Infectious
disease
• Address the
worrie...
VisualDx is “Dual Use”
• Addresses common
and rare diseases
• STD’s
• HIV/AIDS
• Dark Skin
• Pediatrics
• Oral Medicine
• ...
VisualDx
Helps clinicians recognize horses and zebras
• Classic presentations
• Unusual or severe
variations due to:
-Dise...
• 4 cases presented as unknowns
• Archives of dermatology “Off-Center Fold”
• Chose difficult cases: Physicians seek
refer...
Total Number of Correct Diagnoses by Intervention
(1st, 2nd, and 3rd Choices Combined)
19
16
21
56
21
9
7
9
25
12
0 10 20 ...
Chi-Square
Pr>Chi-
Square
Dermatology 2.8772 <.0898
Non-Dermatology 20.1888 <.0001
Emergency Medicine 3.2267 <.0724
Intern...
VisualDx is “Real World” Validated
Impact of Academic Detailing
NYC Usage by Month Based on Unique ASP Sessions
0
200
400
...
Current VisualDx U.S. Installations
Standardizing US Preparedness
• 13% of US Emergency Rooms are currently
using VisualDx
VisualDx and Public Health
• Meets federal CDC/HRSA bioterrorism
preparedness guidelines
• Meets Pandemic Flu guidelines
•...
VisualDx: Accurate Diagnosis while Minimizing
False Positives
• Addresses critical node for early
response: prepared clini...
VisualDx: Customize 24x7x365
• Health alerts
• Communicable disease reporting
• Local customization by health
departments
...
Contact Information
Art Papier MD
Chief Scientific Officer
585-427-2790 x230
apapier@logicalimages.com
Steve Cutrona
Vice ...
of 21

NAPHIT VisualDx: Standardizing Public Health Preparedness at ...

Published on: Mar 3, 2016
Published in: Health & Medicine      News & Politics      
Source: www.slideshare.net


Transcripts - NAPHIT VisualDx: Standardizing Public Health Preparedness at ...

  • 1. NAPHIT VisualDx: Standardizing Public Health Preparedness at the Point of Care Art Papier MD, Chief Scientific Officer, Logical Images
  • 2. Logical Images • Rochester NY, founded 1999 • Decision support for clinicians • Public health informatics • Image and Case databases supporting research and education
  • 3. Logical Images Logical Images developed the CDC/HHS training program for smallpox vaccination adverse events.
  • 4. Logical Images: Clients • Department of Defense • Hospitals (450+) • Clinics (multiple) • Public Health – State (MS,DE,PA,NY,SC) – Metro (NYC,DC,LA, San Antonio) – County (numerous)
  • 5. VisualDx addresses a fundamental need: • Assists MD’s to recognize diseases and patterns they have never seen before
  • 6. VisualDx addresses a fundamental need:
  • 7. Implications of VisualDx for Care • Patient Safety • Accuracy • Quality • Reduce Error • Patient Education
  • 8. VisualDx is comprehensive • Over 10 years of development • 70+ physician editors • Peer reviewed • Standards based • Surveillance • Alerting • Reporting
  • 9. VisualDx is “All Hazards” • Category A, B, and C agents • SARS • Avian influenza • Infectious disease • Address the worried well
  • 10. VisualDx is “Dual Use” • Addresses common and rare diseases • STD’s • HIV/AIDS • Dark Skin • Pediatrics • Oral Medicine • 700+ diseases
  • 11. VisualDx Helps clinicians recognize horses and zebras • Classic presentations • Unusual or severe variations due to: -Disease timeline -Immune status -Skin color -Severity -Inherent variation
  • 12. • 4 cases presented as unknowns • Archives of dermatology “Off-Center Fold” • Chose difficult cases: Physicians seek reference for rare presentations • Increased diagnostic accuracy 124% – After only 5 minutes of training Text-Based Image Reference - Vs - Software Decision Support VisualDx Is Scientifically Validated Study Was Performed
  • 13. Total Number of Correct Diagnoses by Intervention (1st, 2nd, and 3rd Choices Combined) 19 16 21 56 21 9 7 9 25 12 0 10 20 30 40 50 60 Family Medicine Internal Medicine Emergency Medicine All Non-Dermatology Dermatology Specialty Correct Diagnosis Books Software Results: Doubling Diagnostic Accuracy
  • 14. Chi-Square Pr>Chi- Square Dermatology 2.8772 <.0898 Non-Dermatology 20.1888 <.0001 Emergency Medicine 3.2267 <.0724 Internal Medicine 7.8204 <.0052 Family Medicine 9.1572 <.0025 Significant doubling of accuracy: Non-dermatologists
  • 15. VisualDx is “Real World” Validated Impact of Academic Detailing NYC Usage by Month Based on Unique ASP Sessions 0 200 400 600 800 1000 1200 Jun-05 Jul-05 Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 Total Sessions by Usage Groups 0 50 100 150 200 Average Per Site Usage Usage Group 1 Usage Group 2 Average Per Site Usage (NYC) Average Per Site Usage (Other Major State Level Installation) NYC DOH Academic Detailing •Busy NYC Emergency physicians persistently use VisualDx
  • 16. Current VisualDx U.S. Installations
  • 17. Standardizing US Preparedness • 13% of US Emergency Rooms are currently using VisualDx
  • 18. VisualDx and Public Health • Meets federal CDC/HRSA bioterrorism preparedness guidelines • Meets Pandemic Flu guidelines • Includes Chemical Preparedness • Includes Smallpox Vaccination • Includes Sexually Transmitted Disease • Includes Communicable Respiratory Disease
  • 19. VisualDx: Accurate Diagnosis while Minimizing False Positives • Addresses critical node for early response: prepared clinicians – Increases physician awareness of CBRN, and emerging and re-emerging diseases through day to day use for common problems – Problem-oriented visual approach uniquely addresses false positives inherent in detecting low probability disease
  • 20. VisualDx: Customize 24x7x365 • Health alerts • Communicable disease reporting • Local customization by health departments • Bring public health to the point of care
  • 21. Contact Information Art Papier MD Chief Scientific Officer 585-427-2790 x230 apapier@logicalimages.com Steve Cutrona Vice President of Sales & Marketing 585-427-2790 x110 apapier@logicalimages.com Logical Images, Inc. 3445 Winton Place Rochester, NY 14623 www.logicalimages.com

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