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Improving the Efficiency and Quality of Care through Clinical Data Access ERIC MAURINCOMME VICE PRESIDENT MARKETING & BUSINESS DEVELOPMENT AGFA HEALTHCARE Agfa HealthCare – Who we are Agfa HealthCare, a part of the Agfa-Gevaert Group A leading provider of integrated IT solutions and state-of-theart diagnostic imaging for hospitals and other healthcare Centres • 5,600 employees • Sales offices in over 100 markets worldwide • 11 Global R&D Centres of Excellence Agfa HealthCare’s integrated solution portfolio Integrated access Integrated workflow Integrated knowledge Ability to access all necessary data about a patient, irrelevant of the systems that host it or the organization that owns it Ability to coordinate and synchronize processes about a particular patient across boundaries: organizational (departmental and hospital) as well as clinical (patient having multiplicity of clinical conditions at a time) Ability to utilize the most up-to-date clinical content and practice information generated in any point of care QUALITY ACCESS COST Agfa’s Vision Store all clinically relevant data across the continuum of care Enable each institution to contribute agreed upon data elements so clinical collaboration, continuity of care and patient safety and privacy can be realized. Fully enable the EHR A unified, ubiquitous view of all patients’ encounters and episodes of care, enhancing the patient experience and promote better communication between clinicians and optimally support the clinical process. Realities of Healthcare Today “We have multi media and relevant data from all departments, specialties, and disciplines from different vendors across our healthcare enterprise.” “The sheer number and size of images that have to be migrated has exploded.” “We need a new architecture to help our health organization keep up with imaging demands.” Enterprise Storage Needs History Physical Findings Hemo-dynamics ECG Waveforms & Reports Consults & Notes Review Image and multimedia storage needs broadening and increasing Ultrasound Images Cath Lab Images & Measurements Nuclear Radiology Multi-slice CT Lab IMPAX Data Centre – Multimedia DICOM Storage For All Departments Sound documents Video or disaster recovery archive Multi-facility DICOMPDF PACS as primary, long term Waveforms Nuclear medicine Cath Lab Images IMPAX Data Centre Hospital/PACS 2 Endoscopy ECG Waveforms Nuclear & Reports medicine Cardiology Hospital/PACS 1 CR Orthopaedics Ambulatory Care Facility 1 IMPAX Data Centre Pathology IMPAX Data Centre Radiology Internal medicine Ambulatory Facility 2 MRI/CT Ultrasound Images & Measurements Post Processing Connecting Facilities Together Radiology images Lab Results & Reports Care IMPAX Data Centre Solution National, Regional & Local access to clinical patient data IMPAX Data Centre IMPAX Data Centre Bulgarian National EHR IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre: Proven Agfa HealthCare awarded contract for two regions • • • • North East / East & East Midland 30 Entities 75 Hospitals 10,000,000 exams/year – Growing to 25,000,000 by year five • 300 Terabytes/year Departmental workflow, unified infrastructure RIS PACS Reporting CVIS PACS PACS EMR Portal Viewer presentation IMPAX for Radiology publish IMPAX Cardiovascular Suite publish retrieve May May 21 21 2036 IMPAX Women's Care publish 3rd Party PACS publish retrieve IMPAX Data Centre™ retrieve IMPAX Data Centre: Key benefits Clinical: Supports the reduction of medical errors • Reduce order duplication • Potentially lower the amount of radiation by eliminating redundant and medically un-needed procedures. • consolidates and enables distribution of relevant clinical data to the clinician at the point of care. Operational: Leverages existing or disparate systems across the enterprise • Connects key data elements at the point of care without modifications to the clinicians user interface. Financial: Saves money • Fosters interoperability and reduces costly migrations Technical: Adherence to standards • Transparency, integration, interoperability for data management • Distribution and archiving for all DICOM data across the enterprise no matter the source. Bioserveur : a Proven Solution Started as a regional project in France Connects Labs with GP’s Solves a real communication and inter-operability problem Figures: • • • • • • Operational since 1999 45 GP softwares 33 Lab softwares 600 labs 8500 GPs 300.000 files/month Vision: Integrated access to relevant clinical data A central infrastructure enabling e-Health This can but doesn’t need to imply that data is physically persisted in a central storage The bottom line: a user should have a consolidated and complete view on the clinical data of the patient research and care should be able to “connect” HIS Imaging publish publish retrieve May May 21 21 2036 Lab & Reference Lab publish retrieve Management retrieve presentation Enterprise Clinical Repository Document publish EMR Portal Viewer publish retrieve Data Warehousing publish retrieve Agfa HealthCare Clinical Data Centre™ retrieve Thank you’ Vision eHealth Slide... Leveraging eHealth to provide a seamless & inter-operable continuity of Care Imaging