Client story

They came for a transcription service. The filing rooms are now scanners.

Nine years ago a Miami imaging group needed someone to type its reports faster. It kept adding pieces (charts, then scheduling, then the worklist, then PACS) until the whole operation ran on one platform and the rooms that stored paper could be given back to patients.

Three locationsCDI and CBCCNine years in
Joseph Oksemberg
Chief Executive Officer,
Center for Diagnostic Imaging
Read what he says ↓
Practice profileMulti-site, Miami-Dade
3
locations: Aventura, North Miami Beach, South Dade
9yrs
on the platform, starting with transcription
7
ultrasound rooms where the filing rooms were
100%
of operations on CareFlow, across CDI and CBCC
In his own words

Five parts of the change, from the chief executive.

Joseph Oksemberg runs the group. He describes an adoption that happened one piece at a time over nine years, and the physical result at the end of it.

Why they called
“We started more in a need of a transcription company at that time. At that time we had a medical transcriptionist taking too long for us to type the reports.”
How it grew
“Little by little we transitioned from transcription to digital charts, from charts to scheduling, from scheduling to worklist, from worklist to PACS, and little by little we start using all the features.”
What it freed
“We’ve been able to cut a lot of the physical space that we were using for either filing, or cabinets, or call center, and we transformed that space into a more productive area where we can scan people using CT, ultrasound or X-ray.”
The audit trail
“For us a very important part of our operation is audit trail. To be able to know exactly what’s going on with each account and each report and each patient, that for us has been a big change in the operation.”
Who feels it
“The referring physicians definitely are the ones feeling the difference and the impact… Since we don’t treat the patients, we only do the test, the doctor’s offices definitely see the benefit.”
The facility

The rooms that used to hold the paper.

A walk through the group’s Miami operation: pre-registration and authorizations, the desk where referred orders arrive, the centralized call center, and the ultrasound, CT, X-ray and women’s imaging departments that now occupy space the filing once did.

Pre-registrationeligibility, estimate and authorization before booking
Orders inreferred orders sorted and attached to appointments
The call centerconfirming, scheduling and pre-registering
Ultrasoundfront desk, statuses, and the tech station behind it
CT, X-ray, DEXAnuclear medicine and stress testing on the same workflow
9 years
of adding one piece
at a time
5 steps
transcription, charts, scheduling,
worklist, PACS
01 · One problem

They only wanted the reports typed faster

The first conversation was narrow. Reports were being typed by a medical transcriptionist and it was taking too long. Sending results out to referrers cost time and manpower on top of that, and the scheduling program was, in the CEO’s words, full of challenges and issues, most of the process still manual. What they were buying, in other words, was transcription.

  • Reports typed by an outside medical transcriptionist
  • Results distributed to referrers by hand
  • A scheduling program the group had constant trouble with
  • Most steps between order and report still manual
02 · One piece at a time

Transcription, charts, scheduling, worklist, PACS

Nothing about this was a big-bang migration. It started with IDS, before the AbbaDox name existed, and each capability arrived only once the last one had settled: digital charts, then scheduling, then the worklist, then PACS. Radiologists now dictate in Voice2Dox, which is a separate product from the platform, and today both CDI and its sister breast-care organization run all of their operations on CareFlow.

  • Started with IDS, before the AbbaDox name existed
  • Digital charts, then scheduling, then the worklist, then PACS
  • Dictation moved in-house to Voice2Dox, replacing outsourced typing
  • CDI and CBCC both running their whole operation on one platform
Why it matters
“Our filing rooms at that time, right now are seven ultrasounds. So definitely we convert that space into a productive space.”
Joseph Oksemberg, Chief Executive Officer
Center for Diagnostic Imaging
03 · What the referrers get

The customer here is the doctor who sent the patient

This group does not treat patients, it images them, so its relationship is with the referring office. Three things changed for them. Reports arrive faster. They can log into a portal and pull their own patients’ images and reports instead of asking. And the audit trail means the referrer can see the state of a case in real time (booked, attended or missed, scanned, reported) rather than phoning to find out.

  • Reports reaching the referring office faster
  • A portal where referrers pull their own images and reports
  • A real-time audit trail: scheduled, showed, scanned, reported
  • Fewer calls asking where a result is

What changed at CDI

7
Ultrasound rooms in the space the filing rooms used to take
Transcription→the whole operation
What they first bought, and what runs on it now
100%
of operations,
CDI and CBCC
3
locations across Miami-Dade
9 years
of adding one capability at a time

Start with one
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