Facilitating Health Information Exchange in Hospitals and Networks Next Generation Archiving Solutions

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1 Facilitating Health Information Exchange in Hospitals and Networks Next Generation Archiving Solutions

2 Today s Agenda Health IT Setting JiveX Medical Cross-Institutional Networks Discussion & Questions

3 Data Analytics Medical Vender Neutral IHE Enterprise PACS PACS 2.0 Health Information Exchange Standards Population Health Management PACS 3.0 3

4 Setting up a Hospital/Practices Network Cross-Institutional Data Sharing Hospital B HIS / EHR Hospital A JiveX Med. Printer Practice n PACS Dep. & Sub. Systems VNA Longtime Scanned File Paper File XDS Consumer XDS Registry Hospital n 4

5 Today s Agenda Health IT Setting JiveX Medical Cross-Institutional Networks Discussion & Questions

6 Situation in most Hospitals at the Moment Various IT Solutions for Findings, Archiving and Diagnosing FINDINGS EHR Documents Paper / Scan Documents Images Videos Bio Signals ARCHIVE EHR / HIS Document / VNA Image Video Bio Signal VIEWER 6

7 Deconstructed PACS / Universal Viewer Currently discussed in the US FINDINGS EHR Documents Paper / Scan Documents Images Videos Bio Signals ARCHIVE EHR / HIS Document / VNA Image Video Bio Signal UNIVERSAL VIEWER 7

8 Deconstructed PACS / Universal Viewer Open issues, remaining uncertainties Easy to use Roles and permissions Single point of entry to all data Performance issues Individually configurable cockpit (e. g. categories, department) Fully integrated into existing IT infrastructure (incl. HL7 notify) Availability to / accessibility of all medical data Integration of non-dicom modalities Workflow support (e. g. hanging protocols, measurement tools) One secure long-term archive for all medical data Case & patient view Consolidated data (IHE, DICOM) Data exchange Data exchange Doctor Jones CIO Adams 8

9 JiveX Medical Hospital-Wide Data Consolidation FINDINGS EHR Documents Paper / Scan Documents Images Videos Bio Signals ARCHIVE EHR / HIS Document / VNA Image Video Bio Signal MEDICAL ARCHIVE All medical Information in one Vendor neutral and IHE compliant (VNA) MULTIMODALITY VIEWER 9

10 JiveX Medical The Domains X-ray, CT/MRI, Angio, Mammo Ultrasonic, Endoscopy, ECG Surgery Documentation Image Documentation Printed only Medical Findings (Hearing Test, EEG, ) Dental Medicine Ophthalmology Histology DICOM! External / Internal Findings on Hard Copy External / Internal Findings on Paper JiveX Medical 10 Findings of External Systems (Philips, GE, Olympus,...) Multi-Modality Viewer

11 At a Glance Input DICOM and Non-DICOM Sources DICOM Sources PDF Print Gateway File Import Service Analogue Modality Gateway Analogue Modality Gateway AV ECG Modality Gateway DICOM Worklist 11 Scanner Printer Digital Camera Non-DICOM Video Signals Bio Signals / Non-DICOM

12 JiveX Medical All Medical Data fully integrated into the Health IT Infrastructure Easy to use Roles and permissions Single point of entry to all data Performance issues Individually configurable cockpit (e. g. categories, department) Fully integrated into existing IT infrastructure (incl. HL7 notify) Availability to / accessibility of all medical data Integration of non-dicom modalities Workflow support (e. g. hanging protocols, measurement tools) One secure long-term archive for all medical data Case & patient view Consolidated data (IHE, DICOM) Data exchange Data exchange Doctor Jones CIO Adams 12

13 JiveX Medical The VISUS Approach First Overview Category Manager Search function and results Preview Invoke Image Display 13

14 JiveX Medical Advantages Inside the Hospital One viewer, one archive All medical data accessible throughout the hospital Rapid retrieval of all patient data through one multi-modality viewer (like a paper-based file) Centralized file structure for all data through a central rule generator with access to own application tools Case reference and case information is established so that it is possible to view individual cases Own application tools to include all medical data Own DICOM work list broker Revision-secured and IHE compliant archiving Favorite sub-system could be maintained by staff 14

15 JiveX Medical Advantages Across Hospitals Health Information Exchange and cross-hospital communication scenarios All medical data accessible throughout the network All medical data is organized in a clean structure and is consolidated in an IHE compliant way in the hospitals Through the consistent usage of standards (DICOM/HL7) health information exchange is simplified All data can be send to another PACS by standard DICOM communication Through IHE XDS / XDS-I structures healthcare actors can exchange medical data 15

16 Today s Agenda Health IT Setting JiveX Medical Cross-Institutional Networks Discussion & Questions

17 Cross-Institutional Communication Medical as XDS Repository HOSPITAL B XDS Consumer Step 1 Query document CROSS- INSTITUTIONAL External XDS Registry Step 2 Retrieve document Registers document HOSPITAL A HIS / EHR = XDS Source JiveX Medical = XDS Repository JiveX Medical Viewer 17

18 Cross-Institutional Communication Medical as XDS Consumer HOSPITAL B XDS Consumer XDS Repository CROSS- INSTITUTIONAL Step 2 Retrieve document Step 1 Query document Registers document External XDS Registry Registers document Step 1 Query document Step 2 Retrieve document HOSPITAL A HIS / EHR = XDS Source JiveX Medical = XDS Repository JiveX JiveX Medical Medical Viewer Viewer = XDS Consumer 18

19 Setting up a Hospital/Practices Network Cross-Institutional Data Sharing Hospital B HIS / EHR Hospital A JiveX Med. Printer Practice n PACS Dep. & Sub. Systems VNA Longtime Scanned File Paper File XDS Consumer XDS Registry Hospital n 19

20 Maasstad Hospital in Rotterdam, NL Reaching EMRAM Stage 6 with JiveX Dep. & Sub. Systems HIS MRI CT HL7 DICOM HL7 Notify MDM Scanned File Printer Paper File X- RAY JiveX Enterprise PACS JiveX Integrated Imaging JiveX Medical Images and data are inextricably linked to each other; good and complete integration is a condition for a mature EHR. Simon Vermeer, ICT Manager at Maasstad 20

21 Today s Agenda Health IT Setting JiveX Medical Cross-Institutional Networks Discussion & Questions

22 Contact Details Guido Bötticher Managing Director & CSO - Chief Sales Officer E boetticher@visus.com M Monika Rimmele Manager Governmental & International Affairs E rimmele@visus.com M VISUS Technology Transfer GmbH Universitätsstraße Bochum Germany W P E info@visus.com

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