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OMG OMG-Certified Real-time and Embedded

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This supplier-impartial Certification is offered by route of:Object administration community (OMG)Needham, MA USAPhone: 781-444-0404Email: This electronic mail wield is being protected from spambots. You want JavaScript enabled to view it.

ability level: Intermediate                          repute: energetic

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each examination has a ninety minute cut-off date and incorporates between 80 - 90 questions.

carrying on with requirements:None specified

See crude Omg Certifications

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eleven Myths about the DDS universal | killexams.com real Questions and Pass4sure dumps

The facts Distribution carrier (DDS) universal has been round for decades (over 15 years truly) as an reply for connecting true-time distributed purposes. while DDS first gained common acceptance in aerospace and defense, DDS has now emerged as a standout expertise for the commercial internet of things (IIoT). With DDS now coming into this “new” market, there’s a tenor for a considerable number of opinions and misconceptions to arise involving any fresh expertise. Let’s win a ogle at some of those myths which endure shaped since DDS has approach into play for IIoT functions.

1. DDS is only an additional IoT connectivity transport.

several IoT connectivity solutions can breathe found nowadays, and DDS tends to obtain combined into the collection of options for IoT. each of these options has selected capabilities that should breathe considered when attempting to find the apropos infrastructure for a selected application.

One accepted IoT connectivity solution used these days is Message Queue Telemetry Transport (MQTT). This solution is well-applicable to connecting many far off gadgets to a lone server, providing popularity at a relatively low cost (< 10 Hz is common). other IoT connectivity solutions, similar to advanced Message Queueing Protocol (AMQP) and limited application Protocol (CoAP) supply mechanisms for relocating facts between distributed purposes, where some are resource-confined and others aren't.

although, no one of these options deliver a mechanism to specify the behavior of the records being delivered with huge much of provider (QoS) handle. Nor are any of those information centric—they don't endure any potential of the layout or classification of counsel being shared. 

DDS is the simplest infrastructure that’s each records-centric and offers wide QoS. data centricity enables purposes to share simply the information being requested for, and enables the middleware to supply efficient filtering in response to information levels or thresholds. The different IoT protocols require this filtering to breathe performed within your utility code.

The wealthy set of QoS behavioral settings allow DDS for exhaust in purposes that require real-time records beginning reliably even when a respectable transport isn’t available, comparable to lossy and intermittent RF and satellite-communications transports. due to the fact that DDS is peer-to-peer, DDS-primarily based programs are inherently vastly parallel. The elimination of a central server/broking service potential no lone aspect of failure or attack, and no choke aspect from a performance perspective. This makes DDS-based programs extraordinarily smartly-suited for part-autonomy applications, the situation low latency, extravagant reliability, and big scalability are paramount. sure, DDS can supply the performance of crude the different IoT solutions, however it can additionally carry so a much deal greater.

2. DDS gives handiest a publish/subscribe communique design sample.

The simple mode of conversation inside DDS is submit/subscribe. In real-time disbursed purposes, submit/subscribe is the optimum conversation design pattern to use. It allows for birth of facts to numerous locations without having to add lots of code to your applications to song crude of those locations. It decouples applications in time and placement.

although, there are times when your application both wants to invoke a carrier or dispatch a command for which you’re anticipating a response. For this design sample, DDS additionally supports a request/reply mechanism. What’s incredible about this mechanism is that because it makes exhaust of DDS themes below, your inquiring for application can problem a request to dissimilar service nodes or matter a command to multiple locations and nonetheless breathe in a position to track their responses in my opinion. thus, you emerge as with the efficiency of 1-to-many delivery along with the correlation of the independent responses.

Let’s win the one-to-many command exhaust case as an instance: the usage of DDS request/reply, my application can vicissitude a mode exchange command to diverse controlling purposes with a lone request. Then it could perform certain that every control utility has utilized that mode trade command by means of independently monitoring their responses.

three. DDS is not cozy.

DDS uses a wire-degree protocol known as RTPS that runs over any transport. For years, there’s been guide for using both Transport Layer protection (TLS) transport as well because the Datagram Transport Layer security (DTLS) transports with DDS. These cozy transports supplied a minimal set of security options. In August of 2016, the article management group (OMG) launched the DDS security specification. This specification provides a framework for securing techniques on the facts/topic stage by using:

  • Authentication
  • access handle
  • Encryption/decryption
  • records tagging
  • safety tang logging
  • The measure did not wish to select a lone reply for doing things affection Authentication and access handle. crude of us comprehend that what works well for comfy communications today will evolve and change over time as fresh safety threats emerge. This plugin architecture permits DDS functions to adapt their security over time, taking expertise of the latest solutions to perform certain their systems are secure from outsider/ insider threats (Fig. 1).

    1. The implementation of those security elements is completed by using a plugin architecture.

    four. DDS is simply too advanced for my equipment.

    a brief appear to breathe into the DDS conventional (managed by using the OMG, https://www.omg.org/spec/DDS/) will array that getting crude started with DDS is in reality rather fundamental. The enviornment where a developer could obtain overwhelmed is after they first investigate the first-rate of carrier policies that are supplied via DDS. There are approximately 23 high-degree QoS policies, and internal each and every of those policies there can breathe a number of individual settings.

    yes, this does sound affection an putrid lot; despite the fact, anyone selected exhaust case (sensor records, or alarm/adventure information, or streaming video statistics) would handiest exhaust a brace of of these QoS policies. probably the most essential thing to endure in intellect right here is to damage down the behavioral necessities of each of your utility exhaust situations after which apply the apropos QoS guidelines to achieve the desired conduct. fortunately, many substances and examples can breathe found for each of those exhaust instances from DDS providers. really, some carriers endure constructed QoS profiles directly into their product for the most frequently utilized exhaust instances. From there, it’s definitely just a depend of applying a brace of tweaks to different parameters to obtain them set correctly for the desired operation in accordance with the deployed environment. 

    It’s crucial to factor out that no longer crude the records for your device is a similar; you would require distinct QoS settings for various kinds of statistics flows. sporadic streaming records, affection that from a sensor, is awfully diverse than asynchronous records, affection an warning or event. and infrequently you endure got minuscule statistics, similar to a command interleaved with massive statistics affection a picture or a file. DDS is the only IoT reply that gives you with the skill to tune each and every exhaust case independently within the communications framework itself.

    this is critical: If such a means isn’t built into the communications answer, then the developers of your application will should create and retain this functionality as custom code. The prosperous QoS offered by means of DDS is what enables it to labor in crude diverse types of functions, reminiscent of telemetry, precise-time control, gigantic-scale SCADA techniques, and many greater. DDS is a lone solution that may also breathe used across crude of your facts-communication necessities, and for that judgement negates the deserve to employ diverse IoT solutions in your utility.

    5. DDS is just too heavyweight to breathe used in embedded methods.

    The IIoT requires connectivity options that elope on embedded programs. in any other case, you emerge as edifice gateways in every lone situation simply to breathe able to discourse along with your whole array of contraptions. As device-on-chip (SoC) gadgets continue to evolve, so does the quantity of RAM availability for the gadget. sooner or later soon, it should breathe conventional to endure >1 GB of RAM on an effortless embedded equipment. despite the fact, in the meantime, they nonetheless should breathe in a position to address devices with <256 kB of RAM.

    a number of DDS implementations carry out guide these ranges of reminiscence supplies. the key here is the a share of the conventional for DDS that helps interoperability. The Interoperability specification for DDS particulars an on-the-wire protocol called RTPS (actual Time do up Subscribe). by using adhering to this protocol, implementations of smaller versions of DDS can also with no vicissitude talk with better, greater thoroughly featured versions of DDS.  delight confer with your DDS supplier(s) to see what their RAM requirements are and if they endure a smaller version that can assist your gadget. Going ahead, the OMG is additionally engaged on a fresh regular for extremely resource limited Environments (XRCE) that allows for befriend for communications with very minuscule instruments which are an putrid lot less than 256 kB.

    6. DDS is inefficient since it publishes information crude over.

    The publish/subscribe design pattern describes the availability of records crude over within your community. The workflow within DDS is that, as a developer or software architect, you outline particular person records flows which are referred to as themes. in the course of the discovery mechanism developed into DDS, every utility learns in regards to the actuality of topics inside their selected DDS area.

    sure, facts is available in crude places. however, each and every utility selects which issues it is going to acquire. There’s no concept of broadcasting information inside DDS. functions only find other purposes inside the equal area, allowing you to isolate discovery by using distinct domains. And when an issue is subscribed to, the subscribing application can apply a content-primarily based filter to select the selected statistics within that topic it receives.

    Some implementations of DDS retreat a step additional via sending statistics using multicast and featuring creator-facet filtering. for this reason, any information that a subscriber doesn’t need is filtered out at the supply or by the network switch. The internet influence is that your functions endure entry to any records, but by utilizing domains, topics, multicast, and filters, the volume of information is efficiently scaled across your network so that the network is just pushing the information that is needed.

    7. DDS isn’t widespread in captious infrastructure.

    released as a typical through the OMG in 2003, DDS become quickly adopted by route of the aerospace and protection industry. crude over this time, implementations of DDS grew to breathe absolutely featured and battle-proven. With the creation of the IIoT, DDS has now taken off within the industrial industrial world, too. here’s a sampling of the sorts of applications using DDS:

  • Healthcare patient monitoring
  • Surgical robots
  • self reliant cars
  • Hyperloop
  • Wind-power technology methods
  • Air site visitors manage
  • Mass-transit programs
  • scientific imaging
  • house launch methods
  • vigor-plant power technology
  • coach transportation
  • Mining vehicles
  • Oil & gasoline drilling
  • Robotics
  • wise-grid vigour distribution
  • eight. DDS doesn't interface with web features.

    In these days’s world, a device ought to endure some route of interfacing with web capabilities. internet capabilities has become regular for trade techniques to extract and existing guidance about working industrial techniques in order that more timely selections can also breathe made about operation. To tackle this requirement, the OMG created and adopted a specification for net-enabled DDS. via this interface, a web application can also breathe constructed that at once interacts with a operating DDS paraphernalia the usage of a gateway. The gateway gives the means to create participants, matter matters, writers, and readers such that any internet software can truly act similar to a are alive DDS utility. delight consult with your DDS vendor to peer if it has carried out the internet-enabled DDS general

    9. DDS doesn’t scale outside of the local-enviornment community.

    Most developers that resolve DDS can directly see that it’s truly smartly-ideal for real-time device-to-equipment communications within an self sustaining motor vehicle, a microgrid, a ship, a surgical robotic, and so forth. besides the fact that children, after investigating crude the exhaust situations for DDS, they then realize that it’s definitely the layered databus strategy the situation DDS also shines (Fig. 2).

    2. The layered databus architecture allows information to breathe shared throughout dissimilar contraptions, varied networks, and from the belt to the fog to the cloud.

    A databus instantiation within the share control software uses DDS QoS and filtering to perform aboriginal data communique as efficient as possible. using a gateway between smart machines and better-degree techniques makes it practicable for scaling of the ordinary facts birth. These gateways, as described by route of the industrial internet Consortium’s (IIC) Reference structure doc, give a configurable connectivity route that lets high-volume, real-time records dwell localized, whereas the broader enterprise status and command information is shared over the extensive-enviornment network (WAN).

    the considerable thing to those gateways is twofold: First, and top-rated, the integrity of the precise-time gadget should now not breathe compromised through backyard endure an outcome on that might extend considerable facts delivery. 2nd, the extent of facts in the precise-time control share of the application could quite simply mash the WAN connection to the backend trade servers. therefore, it ought to breathe filtered and subsampled. The internet result is that DDS is definitely applicable to exhaust for scaling data to and from the WAN. really, the QoS and content-recognition of DDS uniquely endow it with the intelligence to perform certain that both sides labor as they’re designed to carry out and consequently obtain their reputed value.

    10. DDS received’t elope on my platform.

    DDS implementations can breathe found for over one hundred different structures. A “platform” is described as a compund of CPU architecture, operating system, and compiler. DDS transparently mediates between different platforms, relieving your application code of having to deal with alterations in CPU widths, endianness, and programming language.

    Formal language bindings exist for Java and C/C++ (together with up to date C++). And dealer-particular implementations consist of the capability to access DDS networks from simultaneous scripting languages affection JavaScript, Lua, and Python, plus non-normal programming environments affection LabVIEW and Simulink. DDS is in reality an interoperability medium that makes it practicable for any software, written in any language, on any operating device, running on any CPU, over any network, to communicate seamlessly. 

    eleven. DDS programs aren’t evolvable.

    The ultimate myth that they will win a glance at right here pertains to how a system evolves over time. As outlined above, the universal workflow inside DDS is to define your statistics issues that will breathe used to talk between your applications. These matter matters are strongly typed, which gives a brace of key attributes, comparable to application conversation integrity, bandwidth utilization effectivity, facts availability discovery, and filtering effectivity. So, if you strongly outline your statistics matter matters, then how can you evolve their datatype in future releases?

    To tackle this need, the OMG added a typical referred to as Extensible and Dynamic theme varieties (X-forms) for DDS. This universal not most efficient allows a developer so as to add/trade/delete individual facts fields within a datatype, it additionally offers a mechanism to outline some fields as optional fields that don’t require inclusion with each statistics ebook. The regular allows for older purposes to interoperate with newer applications that exhaust the updated records category. This ahead and backward compatibility offers precisely the infrastructure crucial to incrementally evolve your equipment, but also retain it as productive as feasible. delight check with your DDS supplier to peer if class Extensibility is equipped.

    As that you could see, many “myths” about DDS endure arisen over the terminal few years as IoT developers become conversant in the standard. within the conclusion, you ought to opt for the preempt connectivity reply based on the necessities of your application. DDS is a really capable infrastructure and may breathe leveraged to champion resolve probably the most hardest real-time communications issues that exist nowadays. Don’t let the “myths” about DDS evade you from together with it for your subsequent distributed application. 

    Bert Farabaugh is world box functions Engineering supervisor at real-Time innovations (RTI).




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    : 180 real Questions

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    Initial Requirements:There are 2 levels of OCRES certification: Intermediate and Advanced.You must first pass the OCUP Fundamentals exam ($200). Then, you must pass the intermediate OMG OCRES exam ($200). Finally, if you wish to deserve the OCRES Advanced certification, you must pass the Advanced OMG OCRES exam ($200).

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    Nuance Introduces Diagnostic Imaging IT Innovations at RSNA 2015 Aimed at Driving Higher quality Radiology Reports | killexams.com real questions and Pass4sure dumps

    BURLINGTON, Mass.--(BUSINESS WIRE)--Nuance Communications, Inc. (NASDAQ: NUAN) today announced several fresh innovations for its diagnostic imaging solutions designed to befriend radiologists enhance patient care. These involve multimedia reports, advanced lung cancer screening registry reporting and enhanced quality guidance content for radiologists at the point of interpretation. umbra will demonstrate PowerScribe 360 version 3.5 along with these fresh quality based innovations in booth #4729 at RSNA 2015 November 29 – December 4 in Chicago.

    Multimedia ReportingNuance PowerScribe 360 version 3.5 enables apropos PACS images to breathe embedded into reports for sharing of multimedia reports between physicians, which provide a more comprehensive picture of a patient’s condition, helping referring physicians better understand findings and debate treatment options with specialists and patients. This wealthy information at a glance goes beyond traditional text-based radiology reports, helping ordering physicians and radiologists see prior images, notations, captions as well as specific areas of focus and comparison in patient cases. Multimedia reports are particularly considerable in knotty cases and specialty areas, such as oncology where specialists are looking for growth of tumors and need that information quickly.

    “In radiology, a picture really is worth a thousand words,” says Dr. Christopher J. Roth, helper professor of radiology, vice chair of information technology and clinical informatics, and director of imaging informatics strategy at Duke University Hospital. “Being able to present an actual image to referring physicians and their patients, and walk through what that study is telling us is a huge win for patient care. Having the right information is captious to making the most informed decisions.”

    Automated Lung Cancer Screening (LCS) Reporting & Registry SubmissionIn 2015, the Centers for Medicaid and Medicare Services (CMS) agreed to champion Medicare coverage and reimbursement for CT lung screening programs to unhurried deaths from lung cancer; however, this ruling included strict criteria for tracking and reporting, which endure placed a abrupt affliction on hospitals and imaging centers trying to elope these programs. umbra now offers a solution to bypass manual data extraction, and pull data on LCS patients directly from PowerScribe 360 reports and automatically transfer apropos data to the American College of Radiology (ACR) National Radiology Data Registry through a fresh PowerShare Registry Reporting Service.

    This one-of-a-kind lung cancer screening reporting instrument uses the combined power of the PowerScribe 360 reporting platform with Nuance’s PowerShare™ Network to ease the creation and ongoing management of lung cancer screening programs. This will perform it easier for physicians and hospitals to screen and follow high risk patients and gain reimbursement for these services.

    “This lung cancer screening registry reporting is a revolutionary capability that will facilitate sites taking share in this program because much of the information from the initial order to data integration can breathe pulled out of PowerScribe 360 and shared through the ACR portal. It would breathe extraordinarily difficult for personnel to manually enter crude the information required for 300,000 to 1 million exams a year without this technology,” said Dr. Lincoln Berland, chair of the body Imaging Commission for the ACR. “Now, institutions can enter the CMS program without having to hire an unknown number of people to achieve the reporting requirements, ultimately saving lives.”

    Enhanced quality GuidancePowerScribe 360 version 3.5 also includes updates to quality Guidance providing evidence-based clinical guidance to radiologists at their workstations using recommendations from The American Joint Committee on Cancer (AJCC), Society of Radiologists in Ultrasound (SRU), and American Association for the Surgery of Trauma (AAST). Coupled with existing content developed by the ACR on incidental findings (ACR Assist), umbra quality assurance tools deliver real-time clinical insights to radiologists at the point of interpretation to save time, while providing more consistent and clinically efficient guidance following an exam.

    To request a demo of PowerScribe or learn more about the PowerShare Network and Nuance’s leading Image Sharing Solutions, read the peer 60 report or visit booth #4729 at the RSNA Annual Meeting 11/29 – 12/4 in Chicago or visit http://www.nuance.com/for-healthcare/capture-anywhere/radiology-solutions.

    About umbra Communications, Inc.Nuance Communications, Inc. (NASDAQ: NUAN) is a leading provider of voice and language solutions for businesses and consumers around the world. Its technologies, applications and services perform the user tang more compelling by transforming the route people interact with devices and systems. Every day, millions of users and thousands of businesses tang Nuance’s proven applications. For more information, delight visit: www.nuance.com/for-healthcare. Connect with umbra on gregarious media through the healthcare blog, What’s next, as well as Twitter and LinkedIn.

    Nuance and the umbra logo are trademarks or registered trademarks of umbra Communications, Inc. or its affiliates in the United States and/or other countries. crude other company names or product names may breathe the trademarks of their respective owners.

    The statements in this press release relating to future plans, events or services, are forward-looking statements which are matter to specific risks and uncertainties. There are a number of factors which could judgement actual events or results to differ materially from those indicated in such forward looking statements, including fluctuations in require for the umbra products, and the continued evolution of umbra products. The reader is warned not to reckon on these forward-looking statements without reservation, since these are simply reflections of the current situation. umbra disclaims any obligation to update any forward-looking statements as a result of developments occurring after the date of this document.


    The Innovators endure Spoken: Here are the Winning Entries in the 2018 Imaging Innovation Awards | killexams.com real questions and Pass4sure dumps

    The Innovators endure Spoken: Here are the Winning Entries in the 2018 Imaging Innovation Awards

    Last spring RBJ do out a convoke for entrants to compete in its inaugural Imaging Innovation Awards. They opened the contest to crude private radiology practices and hospital radiology departments that had recently completed a project combining creative thinking with coordinated teamwork to develop a notably original breakthrough in some particular aspect of medical imaging.

    By the halt of the entry epoch in the summer, they had received some 17 completed submissions. From these, their five judges—all daily radiology observers with zero vested interest in “IIA” outcomes—narrowed the sphere to nine finalists. 

    Next the panel weighted these worthy entries for footprint of entrant and degree of difficulty. This was only fair, as some smaller players with limited resources went up against some of the biggest and best-heeled kids on the block. 

    Finally, the judges voted, unaware of one another’s choices. Here are the winning entries, presented in alphabetical order.

    KICKING quality & SAFETY REPORTING UP A NOTCH

    By Advanced Radiology

    One of the most captious components of high-quality keeping is safety. Open and candid communication among their team is the key to continuously improving the safety of the keeping they provide and the environment in which they work. As share of a company-wide initiative to ensure patient safety, quality of keeping and regulatory compliance, Advanced Radiology wanted to create an easy-to-use but robust reporting program. The program would need to a.) allow event reporting through the most celebrated channels, b.) breathe thoroughly intuitive so as to require Little or no user training, and c.) allow for reporting of crude necessary information for documentation and analysis of quality and safety events. Most important, it was essential that crude staff saw this project as an effort to further expand patient safety and overall quality—not as a policing and punishment initiative. 

    Aims and objectives: Their primary goal was to ameliorate communication of quality issues through an effortless and simple process, allowing their radiologists to provide feedback to management that would befriend ameliorate clinical performance and quality. They felt strongly that this would breathe the first step in creating a just culture in which appall of retribution or punishment did not diminish their competence to continually improve.

    Leadership and project management: Their CMIO, Gerard Muro, MD, built the initial online platform and championed its further development. The project was then handed off to their director of quality, safety and compliance to enhance and grow. In collaboration with their internal IT team and an external developer, the team created a suite of reporting channels over the course of two months. The suite included a dedicated email address, phone hotline, paper form and iCare, their online safety event reporting application. evolution involved creating a compendium of quality and safety concerns, establishing impact levels, and establishing a set of event identifiers such as date, time, attending radiologist and patient ID where necessary. After thorough testing, a program introduction was made and usage instructions were distributed throughout the company.

    Key steps: Estimated example reporting levels were calculated as a percentage of annual exam totals. An initial adoption epoch was estimated in which the company would gain those expected reporting levels. It was projected that the number of events reported through the program would climb until reaching the expected level, then slowly lessen as safety and quality measures became embedded in the company culture. 

    Positive outcomes: The number of reports increased as projected over the initial five months and continues to climb as it approaches projected percentages of total exams. The online application also allows for export of data for reporting, tracking and analysis, which helps us identify and implement procedural improvements.

    Innovative elements: From ideation to construction to adoption, this project leveraged the talents of their compliance, IT and marketing teams to define the challenge, develop a comprehensive solution and successfully promote its use. Central to the success of their project was a focus on two principles: 1. Though their primary goal was to ameliorate communication around quality issues, they knew this effort could breathe leveraged to realize the larger goal of creating a just culture in which each individual shared responsibility for the overall quality, safety and compliance of the practice’s operations. Recognizing the inherent appall of self-reporting and creating a system in which there was no punishment mechanism allowed us to build and grow their user base. 2. By understanding that different people prefer different methods of communication and incorporating those methods into their system, they maximized the ease of exhaust for each individual. This accommodated staff member of crude age groups and technical abilities.

    Submitted by Bob Evangelista, marketing manager. Advanced Radiology is based in Shelton, Conn. 

    INFORMING PATIENTS ON BREAST DENSITY AND WHY IT MATTERS 

    By Lake Medical Imaging 

    With multiple breast imaging modalities for 2D and 3D mammography, breast MRI, automated breast ultrasound (ABUS) and contrast-enhanced spectral mammography (CESM), they recognized a need to perform recommendations for additional imaging that would breathe evidence-based, consistent and streamlined for both women and their referring doctors.

    Aims and objectives: expand the breast cancer detection rate for women with dense breasts, educate women and the referring physician community about the implications of dense breast tissue and what to carry out about it.

    Leadership and project management: Guiding vision consisted of five components: 1. Algorithm of imaging based on density and published data created for the breast imagers. 2. Breast density info sheet for patients, techs and referring docs. 3. Process for informing and educating patients of their breast density, implemented with same-day notification at time of screening mammography. 4. Consistent means of notification for referring docs of what added imaging might breathe needed and how to schedule it. 5. Outreach lectures to women’s groups and referring doc groups.

    Key steps: 1. Review literature and debate resources with managers. 2. Create and review drafts of info sheet; design with vivid artist and dispatch for printing. 3. Train mammo and ultrasound techs, aides and schedulers in fresh process. 4. Create a calm, patient-friendly environment in breast imaging waiting area. 5. Procure, install, train and implement digital breast tomosynthesis (DBT), ABUS, CESM. 6. Create lectures and present to women’s groups and referring doc groups.

    Positive outcomes: Increased patient satisfaction with the entire breast cancer screening experience. Increased referring doc satisfaction. Increased patient and referring doc loyalty. Improved collaboration with national organizations. Improved breast cancer detection rate.

    Innovative elements: Revised the manner of communicating results of mammo to involve breast density in the lay letter and changed how information was presented to the referring docs. Revised the mammo reports. Marketed availability to meet with referring docs and school about breast density and the newer imaging modalities. 

    Submitted by Cathrine Keller, MD, president and managing physician. Lake Medical Imaging is based in Leesburg, Fla. 

    GETTING AN EHR TO ‘TALK BACK TO’ DOCTORS— LITERALLY  

    By the Division of Interventional Radiology at Massachusetts universal Hospital 

    In October 2014 they participated in a hackathon, the challenge of which was to develop an application for a mobile/wearable device that would breathe useful in healthcare. During brainstorming, they came up with the credence to create an application that could verbalize the electronic health record (EHR). Over the course of two days they developed a prototype they named CADI, for Clinical Assist conclusion Interface. The prototype allowed clinicians to verbally inquire questions of the EHR and receive verbal responses. (Think Alexa in the hospital.) It would breathe the first time in the 200-plus year history of MGH that the hospital talked back to its doctors. 

    We subsequently focused and further developed the application and concentrated on using it to verbalize the universal protocol for a hard-stop timeout prior to crude medical procedures. They then fine-tuned CADI for interventional radiology timeouts. CADI automatically retrieves patient procedure, site, side, patient demographics, apropos up-to-date lab values, allergies, medications and specimen orders for a specific patient from the EHR and verbalizes the information during a hard-stop timeout. After developing the software, they conducted a study of its performance and user acceptance compared to measure timeout processes. 

    Aims and objectives: The main aim of their project was to see whether a software application that can verbalize the EHR was more accurate and increased compliance for timeout compared to measure paper-based timeout process. At the time, measure timeout processes in interventional radiology (IR) involved a trainee or staff member looking up information and verbalizing it from remembrance at the point of care. They also hoped to achieve improved acceptance and exhaust of the EHR. 

    Leadership and project management: CADI was the first project of out MGH’s ITQS lab (Informatics & Technology for quality & Safety) and supported by the department of radiology. After CADI was developed for exhaust in IR, they proceeded with a study that collected observational and user survey data. 

    Key steps: 1. Software design and evolution to ameliorate timeout workflow. 2. Obtaining approval by hospital IT and QA departments, and hospital leadership. 3. Needs assessment by conducting a preliminary user surveys of crude staff in interventional radiology. 4. preliminary observation of current measure paper-based timeout processes. 5. Beta deployment of CADI software to a minuscule group of individuals to receive feedback about functionality and user interface. 6. Widespread deployment to crude of IR. 7. Collection of real-time observations in the exhaust of CADI during timeouts. 8. Post-deployment user survey assessing user acceptability. 

    Positive outcomes: Compared with paper-based timeout, CADI statistically improved individual checklist variables including site confirmation, verbalization of laboratory values, anticoagulant status, allergies and specimen to breathe sent. Survey results showed that CADI was perceived to breathe more efficient in preparing information for a timeout because CADI delivered information instantaneously compared with the perceived five-minute prep required for a paper timeout. CADI timeouts also were perceived to breathe more accurate for crude information delivered. There’s more, and the full results of the project are available in the October 2017 issue of JACR. (Reference: Uppot et al., “A Verbal Electronic Checklist for Timeouts Linked to the Electronic Health Record.”)

    Innovative elements: CADI addresses widespread frustration with the EHR by verbalizing information to bring real-time clinical insights to the point of care. Given their success in IR, their next step is a two-year study designing, deploying and testing CADI for timeouts in MGH’s ICU. They also are developing a CADI module for clinical rounds preparation to deliver a clinical summary and 24-hour update of patient from notes, updated images and updated labs, as well as a module to befriend diagnostic radiologists by verbalizing a short clinical summary of each patient prior to image interpretation.

    Submitted by Raul Uppot, MD, interventional radiologist at MGH and helper professor at Harvard Medical School. 

    GOING BEYOND MERE ONLINE rendezvous TO full PATIENT INVOLVEMENT 

    By Radiology Ltd. 

    Online information regarding screenings guidelines, particularly for mammography, varies widely depending on the website or organization. These differences in view endure caused a lot of confusion for patients looking for a measure guideline they can faith for preventative health screenings. The ScreeningsForLife.com website project is their solution to a knotty problem surrounding best practices for patient care. 

    Aims and objectives: Screeningsforlife.com is designed to win the guesswork out of preventative health screening questions. At what age should I first obtain screened? How often carry out I need to obtain screened? Am I at high risk? crude these questions can breathe answered by completing the assessment test they provide on Screeningsforlife.com. Beyond their main objective, they hope patients win action if a screening is needed. They can request an appointment online or print out the results and convoke us directly to schedule an exam.

    Leadership and project management: The project was led by their internal marketing team with befriend from a local website design company. They needed a website that was engaging but also resourceful. Once the questionnaire was written, they enlisted the befriend of their radiologists to provide the clinical guidelines needed to create the preempt algorithm. They currently promote the website via gregarious media, Google array ads, Facebook ads and directly from their main exercise website, RadLtd.com. 

    Key steps: 1. Establish patient smart points: They noticed a local and national trend of patient questions related to screening guidelines. Using Google keyword planner tool, they researched how many times screening-related questions were searched on a local and national flat and tracked specific interests. 2. Develop a solution: Now more than ever, patients are looking for transparency and simplicity in their healthcare, and this was an break for us to create a competitive advantage. What if they could build a instrument with a custom algorithm built in that suggested which screenings are recommended for them based on an assessment test? Once committed to that credence they started the buildout process with a local website evolution company. 3. Basic to basics: They wanted to create a user tang that made the patient feel unique and special but without going overboard. And they wanted a homepage that encouraged action over browsing. Time on site and pages visited were secondary to bounce rate and conversions. 4. Teamwork makes the dream work: They worked with their radiologists to develop a questionnaire that was both clinically accurate and patient-friendly. The hardest share during this process was getting the docs to buy in on the concept that less is more. Everything on the site is designed to give only the information the patient needs. 5. Implementation: Merging the assessment test with the design was the final piece of the puzzle. They opted to crash the questions up based on category (“My Health,” “Family History,” “Previous Screenings”) and created a multi-stage approach to give the visitor a sense of progress as they filled out each page. The results page was designed to give those that completed the test the haphazard to schedule (certain) exams online, email their results or convoke for an exam. 

    Positive outcomes: Among the many nuances that reflected a positive impact for us, the first is how well the project complements their main website. Google Analytics shows that their website visitors aren’t interested in reading about exams, so this provided us with a fresh rendezvous instrument that solidifies their reputation as thought leaders and allows us those few extra minutes to perform an stamp with a fresh or returning patient. It’s been a much boost to their gregarious media and digital marketing campaigns to endure a one-of-a-kind rendezvous tool. Creating brand separation with their competitors via Facebook or Google has traditionally been a bit basic. This website allows us to create digital campaigns that they haven’t been able to elope in the past, and it works well out in the field. With a tablet or laptop positioned at a table, their reps exhaust the site as a valuable icebreaker and conversation piece to educate patients and providers about their services. 

    Innovative elements: They approached this project with an open intellect and rallied behind a leadership team that values digital analytics and isn’t unafraid to reflect outside the box. This gave the project team freedom to pursue innovative ways to adapt knotty and often confusing preventative health screening information into a simple formula while soundless maintaining its integrity. Using an algorithm to bear custom results for each user was the key to making a site that fulfilled their project goals and helps us continue as a company to provide the best practicable patient care.

    Submitted by Kyle Baril, marketing specialist. Radiology Ltd. is based in Tucson, Ariz.

    IMPROVING IMAGE quality ONE COMMUNICATIVE CLICK AT A TIME 

    By Renaissance Imaging Medical Associates

    We are a geographically diverse organization with multiple locations that are sunder and distinct. They wanted to develop a means to provide quality improvement for crude images at crude sites. The main challenges were as follows: How carry out they provide feedback and quality control on every lone one of the 1 million-plus studies they read each year, without overwhelming the doctors or the system? With so many different technologists working so many shifts, how carry out they provide swiftly and accurate feedback to each? How carry out they promote and provide a feedback loop that is tangible, can breathe followed and quantified, and is useful for radiologists, techs, supervisors, managers and hospital administrators? 

    Aims and objectives: The main aim was to develop a novel system for direct collaborative communication feedback to their various imaging sites for the express purpose of improving image quality at crude their hospitals, imaging centers and contracted facilities—and to carry out so in a time efficient effortless manner that would promote radiologist adoption rather than rejection due to time constraints. 

    Leadership and project management: The credence was born simply by staring at cases on the PACS crude day long, wishing for a better route to ameliorate image quality and realizing there was no commercial solution that truly proper their needs. The project was led by impress Beller, MD, chief medical officer, and it became the genius labor of their CIO and IT team. They built the system from scratch and made it a reality. They would meet every few weeks over the course of several months to debate the status and ongoing evolution of project particulars. Probably most importantly, they constantly discussed what goals and what purpose this program/process must befriend us achieve for their organization. Promotion and project implementation, mainly via mass emails to crude stakeholders, were incorporated into the evolution process. 

    Key steps: After their CIO and IT team built the system, they tested it with a minuscule handful of radiologists and asked for feedback. This helped us iron out wrinkles, fix bugs and perform the system workflow-efficient. Next they worked with several of the site managers who were receiving these test sample cases to obtain their feedback and to see what additional information they needed. This was crucial, as it helped us understand they needed to retain a permanent log and provide a means of sending and receiving feedback. For the go-live, they sent a group email to the radiologists and site manager/supervisors announcing the fresh system’s full availability. 

    Positive outcomes: The outcome was immediate and intense. Their radiologists were blissful to finally endure a route to provide their techs feedback on any given image at any given time, without having to really unhurried down their reading speed. This improved morale, as crude felt this was truly a unique and potent process to ameliorate quality and lessen exam submission errors. Most surprising and most pleasing was the positive feedback received from site supervisors and managers. They really had no credence of the depth of the issues and problems that had been plaguing the radiologists on a daily basis. In the months since the go-live, they endure seen a significant drop in the number of submissions at almost crude sites, indicating a significant improvement in image quality, improvement in exam “completeness,” and a significant drop in tech errors. 

    Innovative elements: They placed a “hot button” directly into their PACS that is available to click on every case. When clicked, a popup dialogue appears instantaneously right on their screen. In the pop-up dialogue screen, there is an effortless dropdown menu that provides stock responses to the most common problems they countenance with their cases, along with a notes section for free text if needed. This time-saving design is crucial. Once the submit button is depressed, the QA submission is delivered via email to specific recipients pre-determined by the sender. They endure it set up so that, for any given site, the submission is simultaneously auto-emailed to the site manager as well as the medical director. Importantly, only the accession number is included in the email, ensuring HIPAA compliance. crude emails are logged in a system that tracks crude issues per site for further evaluation over time. 

    Submitted by impress Beller, MD, chief medical officer. Renaissance Imaging Medical Associates is based in Los Angeles. 



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    Operations & Process Management: Principles & Practice for Strategic ImpactOperations & Process Management: Principles & Practice for Strategic Impact
    By Nigel Slack, Alistair Jones
    Publisher : Pearson (Feb 2018)
    ISBN10 : 129217613X
    ISBN13 : 9781292176130
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    Computer Security: Principles and PracticeComputer Security: Principles and Practice
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    Publisher : Pearson (Aug 2017)
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    Urban EconomicsUrban Economics
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    Publisher : McGraw-Hill (Jan 2018)
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    Urban EconomicsUrban Economics
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    Understanding BusinessUnderstanding Business
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    Publisher : McGraw-Hill (Feb 2018)
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    Understanding BusinessUnderstanding Business
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