IMAGE SHARING AND ARCHIVING IN AN ENTERPRISE ENVIRONMENT

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IMAGE SHARING AND ARCHIVING IN AN

ENTERPRISE ENVIRONMENT

Shad W. Lappe, Medical Imaging Archive Administrator, Dignity Health

Tuesday, August 28, 2012

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• Profile of Dignity Health

• Current Hospital PACS

Deployment

• Archiving Challenges

• Dignity Health Imaging Volumes

Agenda

• Dignity Health Imaging Volumes

• Enterprise Archive Hardware

• Interoperability Solutions

• Imaging Integration

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Dignity Health

Background:

• Dignity Health, headquartered in San Francisco, Calif., provides integrated, patient and family centered care to more than six million people annually. It is the fifth largest health system in the nation with 10,000 physicians and 55,000 employees across Arizona, California, and Nevada. Dignity Health is committed to delivering

compassionate, high-quality, affordable health care services with special attention to the poor and underserved.

Mission:

• Dignity Health is committed to furthering the healing ministry of Jesus. We dedicate our resources to delivering compassionate, high-quality, affordable health services; serving

HQ:

San Francisco

Net Operating Revenue:

(FY11) $10.6 Billion

Hospitals:

40 Clinics/Ancillary Care Centers:

150 Medical Foundations:

11 Employees:

55,000

Physicians:

10,000

_{resources to delivering compassionate, high-quality, affordable health services; serving} and advocating for our sisters and brothers who are poor and disenfranchised; and partnering with others in the community to improve the quality of life.

Vision

• A vibrant, national health care system known for service, chosen for clinical excellence, standing in partnership with patients, employees and physicians to improve the health

Physicians:

10,000

Acute Care Beds:

8,800

Skilled Nursing Beds:

800 Received team award for

excellence and outstanding

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Current Hospital Radiology PACS Deployment

Vendor End of FY12 Merge (standard) 14 DR Systems (standard) 12 McKesson (standard) 8 GE (grandfathered) 3 Carestream 1 North State Mt. Shasta: MMC-MS Redding: MMC-R Red Bluff: SECH

Sacramento –

SSA---Mercy General: MGH Medical Foundation Methodist: MET Grass valley: SNMH Folsom: MFH Woodland: WHC Carmichael: MSJH Central CA San Andreas: MTSJ Bay Area San Francisco: SMMC

CALIFORNIA

ARIZONA

NEVADA

Bakersfield

Bakersfield Memorial Hospital: BMH Mercy Hospital Bakersfield: MHB Mercy Southwest Hospital: MSH

Central Coast---San Luis Obispo: FR Oxnard: SJRMC Arroyo Grande: AG Camarillo: SJPVH Santa Maria: MMC-SM San Andreas: MTSJ Stockton: SJMC Merced: MMCM Southern CA - West Northridge: NHMC Glendale: GHMMC Los Angeles: CHMC Long beach: SMMC-LB San Francisco: SMMC San Francisco: SFMC Redwood City: SEQ

Santa Cruz: DSCH

ARIZONA

EDC

NEVADA

Henderson SRDH, SRDH-SM SRDH-S Phoenix Metro Phoenix: SJHMC Chandler: CRH Gilbert: MGMC Southern CA - East San Bernardino: SBMC Redlands: CHSB

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• Distributed Storage Costs

• Availability of Archived Studies

• DICOM Conformance

• Image Data Ownership

• Data Integrity Management

Archiving Challenges

• Demographic Updates

• Study Sizes Increasing

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Dignity Health Study Volumes (Aug 2011 – July 2012)

Site/Region

Study Count

Study Volume (GB)

Arizona / Nevada Region

891,030

24,702

Sacramento Region

611,603

19,110

Southern California Region

352,162

9,555

Central California

412,483

7,880

Central Coast

332,812

7,401

Central Coast

332,812

7,401

San Francisco Region

213,622

4,937

North State Region

157,420

3,938

Inland Empire

195,324

1,680

Site/Region

Study Count

Study Volume (GB)

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• Facility Image Caches

• Regional Image Caches

• Enterprise Vendor Neutral Archive

with IPID Level Data Segregation

• Network Reliability and

Throughput Improvements (MPLS)

Archiving Solutions

Throughput Improvements (MPLS)

• 10Gb Network Connectivity at our

Enterprise Data Center

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• iConnect Access®

–

Enterprise

–

Local

• Image Sharing Systems/Services

–

DR Systems eMix

Interoperability Solutions

Multiple Platform Access

–

BEAM

–

iConnect® Share

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Users can already view radiology interpretations in our private HIE. iConnect

Access integration with MobileMD allows the user to also launch the associated

imaging study (in context) from our Medical Imaging Long-Term Archive (LTA).

Imaging Integration

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Customer Feedback

“iConnect has given Mercy Imaging Centers a tremendous

competitive advantage by offering referring physicians

online access to their reports and images quickly and

conveniently regardless of where the patient received

health services within Mercy! This gives us another

resource that will help us reach our goal of becoming the

leader in outpatient imaging”

In response to integrating iConnect Access with Dignity Health’s HIE; MobileMD:

“We love that all you have to do is click the link on the

report! This saves lots of time of not having to log onto

another program and it’s great to have it as one unit!”

Tracy Kugel - Manager of Sales and Business Development Mercy Imaging Centers , Sacramento

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Imaging Exchange Workflow

Physician

iConnect Access Server iConnect Enterprise Archive Image Viewing Hospital Diagnostic Clinic iConnect Share or BEAM or DR eMix or other solution Siemens MobileMD