We enable the IT systems that support your enterprise medical imaging workflows to meet the evolving needs of your healthcare organizations clinical practice, regardless of size or complexity. Timely access to all of a patient’s medical imaging information is a requirement, to improve the quality of care and reduce risk. These demands are particularly acute when clinical workflows must unify physically and technically distinct business entities or clinical departments that employ multiple imaging and archiving systems.

Imaging Workflow Solutions diagram

Advantages

Our enterprise workflow solutions synchronize delivery of current and prior imaging studies to the clinical staff that needs them, wherever they reside; and automate the processes that enable the increasingly distributed healthcare organization to:

  • Integrate systems and facilities
  • Improve productivity
  • Increase organizational efficiency
  • Enhance clinical quality and patient care
  • Expand clinical services and patient referrals

Solution Components

Combine and configure Laurel Bridge workflow components to solve your enterprise imaging workflow needs. Automate ingestion and distribution of DICOM and non-DICOM studies, retrieve and share relevant priors, perform HL7 message routing, DICOM load distribution and balancing, and enhance dictation system integration… all among disparate clinical and enterprise imaging IT systems.

Deploy one or more of these full-featured components for a customized solution:

  • Compass – Routing Workflow Manager
  • Navigator – Imaging Retrieval Workflow Manager
  • Waypoint – Consolidated Modality Worklist
  • Beacon – Enterprise Study Q/C Manager

Artificial Intelligence Workflows

While much of the effort surrounding Artificial Intelligence (AI) in medical imaging is focused on algorithm development, clinical utility relies strongly upon the seamless and reliable integration of AI algorithms into existing clinical reading workflows.

Common Challenges

Regardless of the deployment model, there are common challenges that exist when integrating AI algorithms into medical imaging workflows. To ensure maximum value is realized, it is essential that AI algorithm workflow augment and enhance existing clinical workflow by automatically:

  • Receiving, fetching, de-identifying, and delivering current and relevant prior studies to the AI algorithms
  • Re-identifying AI algorithm results and delivering those results to the correct clinical IT system or archive
  • Integrating algorithm results into master patient record and billing workflows

Laurel Bridge AI Workflow Suite

The Laurel Bridge AI Workflow Suite enhances the capability of healthcare providers and AI developers to integrate AI algorithms into their clinical workflows by automating key tasks and by leveraging functionality in our Compass Routing Workflow Manager, Navigator Imaging Retrieval Workflow Manager, and Waypoint Encounter & Modality Worklist Manager.

Our AI Workflow Suite:

  • Integrates on-premises, cloud-based, and AI marketplace workflow deployments into existing clinical workflows
  • Is HIPAA-compliant
  • Adheres to DICOM standards
  • Enables the delivery of AI algorithm results to a PACS, VNA, and EMR

On-Premises Workflow

Workflow tools, whether part of the local infrastructure or integrated into the AI deployment, are often required to inspect data attributes and perform normalization and transformation on-the-fly to accommodate the differing data models that exist in multi-vendor AI algorithm environments.

AI Workflow On Premises
Cloud-Hosted Workflow

This model can be susceptible to connectivity and performance challenges where transfer volumes and/or object sizes are significant and often requires additional privacy and security considerations and failover processing/notifications. Also, ensuring secure and encrypted channels are established between local and cloud-hosted environments without the added complexity of managing separate virtual private network (VPN) connections is a priority.

Cloud Hosted Workflow

AI Marketplace Workflow

An AI marketplace can be deployed on-premises, in the cloud, or as a hybrid model depending on site-specific preferences and the underlying requirements of the engaged algorithms. Because a common infrastructure is shared, there is the potential for data models to be aligned across hosted algorithms, which can reduce the complexity associated with data transformations and interoperability.

AI Marketplace Workflow

Benefits

The Laurel Bridge AI Workflow Suite provides the following benefits:

  • Integrates study data between AI algorithms and existing clinical systems and workflows
  • Offers seamless interoperability between local facilities and cloud-based AI algorithms

Supports standards-based interoperability with third-party applications and clinical systems

Whether you are working with radiology, cardiology, or ophthalmic applications, when anonymized study information is needed for training or research, or to train new machine learning algorithms, we can automate the secure data flow from any number of sources and automatically de-identify patient specific information as needed.

Structured Reporting and Dictation System Integration

The new dictation integration option for Compass automates the insertion of quantitative measurement data, from a modality, into the radiologist’s report or dictation template.

Automating the inclusion of measurement data improves radiology staff productivity and enables the radiologist to focus on dictating their report. Clinical quality is also be enhanced because automation ensures the right information is accurately incorporated into the clinical report. Compass DICOM structured report (SR) data management becomes an extension of the tag morphing/coercion capability of our Compass Routing Workflow Manager, which enables the solving of complex imaging workflow challenges that benefit from these combined capabilities.

The Compass Dictation Integration Modules use application APIs to map DICOM SR data fields into the appropriate report template. Post-processing can be performed to modify, add, or remove custom fields. The flexibility and configurability of Compass also provides support for custom or private DICOM SR formats or fields and includes the following exam types by default:

  • OB-GYN
  • Vascular (Doppler Carotid, Renal, Abdomen)
  • Thyroid
  • Testicular

Standardize study identification and distribution

Ensure critical patient information such as patient ID, demographics, originating location, and study description is normalized to enable seamless ingestion and workflow efficiency.

Move studies and related data

Enable access to DICOM imaging studies from any number of sources, and ensure the delivery of non-DICOM patient information, such as reports, EKG’s and non-DICOM images among departments and IT systems where needed.

Ingest and deliver from remote locations

Efficiently offload mobile and remote location acquisition devices and ensure secure, reliable delivery of medical imagines to any archive or clinical workstation.

Ingestion and retrieval across disparate archive systems

Provide scalable, federated access and retrieval of a patient’s entire imaging record across any number of disparate clinical archive systems (PACS & VNA), including integration with an MPI.

Enhance radiology reporting workflow

Improve radiology staff productivity and clinical report quality by automating the insertion of DICOM Structured Report (SR) measurement data in your radiologist reporting templates.

Route DICOM images based on HL7 messages

Route current and prior imaging studies based upon order information in previously received HL7 messages, such as to support centralized telemedicine, teleradiology or teleICU strategies.

Share modalities among multiple scheduling entities

Simplify sharing of imaging resources among different patient scheduling systems and ensure new studies are automatically delivered to the appropriate reading locations.

Fetch prior images and reports from multiple archives

Enable distributed mammography workflow, teleradiology workflow or teleICU workflow across merged and consolidated enterprises.

Automate priors fetching for long lead time exams

Ensure that prior studies are available on-time even when imaging exams are scheduled 12-24 months ahead of being performed.

Integrate imaging studies lacking a pre-existing order

Automatically ensure that encounter-based images acquired at the point-of-care (POC), even when missing a pre-existing order, are accurately associated with the patient’s record by converting the images to DICOM format and automatically adding demographic information from the scheduled encounter information.

Image Ingestion and Access

Ingest, transform, and deliver medical images between disparate systems and locations.

  • Based on time, schedule, content, orders or events
  • Anonymize patient data
  • Standardize patient demographics
  • Encrypt and compress
  • Integrate with Master Patient Index (MPI)

Image Retrieval and Distribution

Retrieve medical images from disparate systems or centralize archives and deliver to where needed.

  • Support comprehensive fetching requirements
  • Support complex relevancy matching
  • Multiple triggers (worklist, HL7, manual)
  • Standardize patient demographics
  • Encrypt and compress
  • Integrate with an MPI or EHR

Clients

What Clients are Saying

"The Laurel Bridge Software solution enables us to present our clinical team only what they need to care for the patient, eliminating financial waste and simplifying the clinical process."
Dan MarnachDir. of Technology, Avera Hearth Hospital of S.D.
"Since we implemented Navigator, Laurel Bridge's image sharing and priors fetching solution, we have been able to automate and free up at least 95% of a full-time resource for other projects and tasks."
Josh HammondDirector of IT, American Radiology Associates
"We're extremely impressed with the throughput on the Compass routers."
David DonohueDirector, Information Services, Skagit Radiology, Inc.
"The Compass workflow solution has revolutionized our Cerner downtime process by reducing the likelihood of human error and saving radiologist time. It has eliminated the need to manually place an order, choose the correct report template and add identifying demographics."
David E. Moore, MDRadiologist, Asheville Radiology
"Freeport Health Network recently received the Stroke Gold Plus Quality Achievement Award from the ASA. This was in part because our Compass router automatically ensures CT studies are delivered to the local radiologist and the remote teleneurologist necessary to support the time critical stroke intervention process."
Eric DittmarEnterprise Imaging Specialist, Freeport Health Network
"Our very busy breast imaging program requires interpretation of images from multiple systems quickly and reliably, but we struggled with disparate medical record numbers and wasted radiologist time fetching previous studies at the time of interpretation. Compass and Navigator solved this problem for us."
Helen S. Sandven, MDMedical Dir. of Breast Imaging, Asheville Radiology Associates
"PowerTools makes analysis via Excel very handy. The Indexer is my preferred tool to use, as having the data in columns is the best!"
Sawyer ButterfieldMarshfield Clinic
"We replaced all of our other gateways that were configured individually for each client with Compass. The fact that Compass supports and manages unlimited sources and unlimited destinations was the perfect solution."
Jim OesterritterSourceHOV, Louisville, Kentucky
"I always felt that Compass was the strongest point in our CPACS infrastructure and once configured is something I could pretty much just count on working. A great product!"
Gary FelixCardio PACS Admin, Children's Hospital & Med Center, Omaha