Dell s Unified Clinical Archive Solution

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1 Securely store and share data with multiple caregivers. Dell s Unified Clinical Archive Solution

2 Dell s Unified Clinical Archive (UCA) offers a single-source, end-to-end solution for your medical imaging collaboration and storage needs. The healthcare industry has made huge advances in the science of medical imaging. From radiology and cardiology to nuclear medicine and digital pathology, the ability to diagnose and treat patients by looking deep within the human body has saved lives and led to a greater understanding of injury and disease. Medical imaging is the largest source of data within healthcare and makes up for 33% 1 of data generated. Trends show it is growing rapidly, with a Compounded Annual Growth Rate (CAGR) of 42% 1 from , but it is also governed by strict regulatory and compliance requirements around how long the data is retained and how it is accessed and shared. Sharing of clinical data is critical for improving quality of care and controlling costs, but it should be done in a manner that assures security and privacy of the information. As the medical community moves toward clinical collaboration with a new standard of patient care, medical imaging must move toward a new model of data management. With the growth in digital imaging technologies demanding more storage on multiple systems, the medical community requires technology solutions that can do more than simply store electronic patient data. It requires long-term archiving solutions that help manage the data based on industry standards into a patient-centric record, ensure regulatory compliance, mitigate risk of data loss, enable easy search and retrieval, and make the data available to all healthcare providers at the point of patient care.

3 Today s hospital CIOs and PACS (Picture Archiving and Communication Systems) administrators need to expand storage capacity while simplifying infrastructure. Important challenges include: Clinical challenges Technology adoption and organization agility When customers need to replace their clinical applications or incorporate new imaging technology, they are faced with compatibility issues leading to costly data migrations and potential disruptions to clinical workflows. Future healthcare requirements Meaningful Use II and accountable care organizations are putting additional pressure on providers to integrate images within electronic health records and share images across the continuum of care. Integration of clinical imaging into electronic medical records is cumbersome and faces security challenges. Operational inefficiencies Infrastructure scalability and management overheads Customers historically have stored images on direct attached storage devices tied to their PACS systems. Most PACS Applications generate data in a proprietary format that is not compatible across other similar applications. As a result volumes of medical imaging data has grown in application specific silos that need to be managed and backed up on a regular basis, adding to the IT maintenance overheads. Data availability and protection With growing volumes of imaging data scattered in multiple repositories, it becomes difficult to ensure clinicians have instant access to both new images and relevant priors. Securing the information in the event of natural disasters and/or unauthorized access, as mandated by HIPAA regulations also becomes challenging. Financial burden Total Cost of Ownership (TCO) Healthcare providers today are faced with a downward pressure on revenue due to declining reimbursements, while continuing to focus capital investments on meeting Meaningful Use. Acquisition and management of storage infrastructure takes up nearly 20% 2 of the Healthcare IT budget. In such a scenario there is a definite need to take advantage of the rapidly changing technology that allows for multiple financial and operational models with a lower total cost of ownership.

4 Imagine a scalable data management and archiving solution that makes every diagnostic image for a patient available to multiple caregivers at the point of care. Imagine if you could search for images because systems talk to each other and work undisrupted even when maintenance, costly PACS migration, storage growth or natural disasters are needed because everything just works. Deploy a solution to all these needs and challenges at your facility with Dell s UCA solution powered by Intel Xeon processors enabling energy efficiency and high performance for more sophisticated storage capabilities. Dell s UCA solution improves data access and sharing capabilities for the clinician, while simplifying management and maintenance overhead for IT. With the ability to integrate with leading PACS applications and provide application-neutral onsite and offsite storage options, Dell s UCA solution is a flexible, end-to-end solution for hospitals and practices of all sizes.

5 Best-of-breed components in a customized end-to-end solution. Dell s UCA solution is focused on delivering an end-to-end solution from a single vendor. This means Dell takes ownership of all the elements, including any 3 rd party components and delivers them under contract with service level agreements. For many years, a wide range of healthcare customers have put their trust in Dell. Our UCA solution is a tested and proven framework that includes a portfolio of tools that address various aspects of the enterprise image management. It includes vendor-neutral archive software for data management, a cloud-enabled clinical archival platform and a range of collaborative toolsets that drive secure image sharing and integration. The three components include: 1. Clinical Data Management Consolidates data for each patient from multiple PACS, health information system (HIS), radiology information system (RIS) and other specialized imaging applications into a vendor-neutral archive (VNA). 2. Clinical Archive Includes Dell On-Premise Clinical Archive and Dell Cloud Clinical Archive platform that can be used independently or as a hybrid, ensuring disaster recovery and instant scalability. 3. Clinical Collaboration Portal Allows easy access, secure sharing and integration of clinical data across a variety of platforms. The solution provides options to include multiple web-based viewers, easy integration with electronic medical records (EMRs) and other clinical applications, and facilitates the exchange of imaging data through a Health Information Exchange (HIE). Dell s Unified Clinical Archive Helping healthcare providers efficiently store, manage and share medical image data. Radiology Oncology Cardiology Women s health Pathology Medical records Dell services Unified Clinical Archive Dell Clinical Data Management Data consolidation and information life cycle management Dell On-Premise Clinical Archive Dell storage platform Dell Cloud Clinical Archive Managed enterprise archive Dell security Dell Clinical Collaboration Portal Cross enterprise data access and distribution

6 This end-to-end enterprise image management solution delivers all three components in a manner that is flexible enough to meet your short-term and long-term needs. Each component can be customized to include best-of-breed solutions from Dell or its partners. Dell validates the overall solution and provides a single point of contact for the entire deployment, integration and support. As the proud recipient of the Frost and Sullivan 2012 North American Company of the Year Award in Enterprise Imaging Informatics 3, Dell sets the standard for cloud-based enterprise-wide management of medical images. Dell has the industry s largest vendor-neutral hybrid cloud for medical imaging. Dell has over 12 years experience in medical imaging. We manage over 6 billion medical imaging objects across 800 clinical sites. Visit for the most up-to-date count of images and studies managed by Dell. A wide range of healthcare customers have put their trust in Dell. Dell delivers an end-to-end solution in a customized best-of-breed approach. We deliver enterprise image management that includes multiple choices of toolsets for data management, clinical archival, data sharing and collaboration. We offer on-premise, cloud and/or hybrid deployment models. We ensure the overall solution is secure, compliant and cost-effective. Dell offers a broad partner eco-system. We integrate with all major PACS systems and VNA vendors. We adhere to industry standards ensuring data interoperability and exchange.

7 Dell s UCA solution addresses your medical imaging challenges. Clinically relevant UCA s application-neutral enterprise archive will help you avoid vendor lock-in and quickly adopt new imaging technology. We offer improved clinical collaboration through image integration with other applications as required under Meaningful Use II. This allows a more complete view of a patient s longitudinal medical record and assists in diagnosis and better quality of care. The solution also makes it possible to share clinical information with all of the patient s healthcare delivery constituents either through a HIE or through various image sharing and referral management tools. This helps in setting up accountable care organizations and delivers better care coordination. Operationally efficient The Dell UCA solution allows you to consolidate archives across multiple applications into one centralized application-neutral repository. With the Dell Cloud Clinical Archive we offer a managed service model that simplifies your infrastructure and significantly reduces maintenance overheads. Our processes meet regulatory requirements for medical devices quality management systems, ISO13485:2003 certified 4. The archiving platform complies with IT needs, as well, by providing automated and secure policy-based retention, replication, distribution and recovery, so IT staff will spend less time on routine maintenance. Dell s UCA solution integrates a wide variety of imaging content across multiple departments and applications to provide a single patient centric view, available to clinicians at the point of care on any web-enabled platform. It supports Digital Imaging and Communications in Medicine (DICOM) and non-dicom file formats and is fully compliant with Integrating the Healthcare Enterprise (IHE) profiles and Cross Enterprise Document Sharing for Images (XDS-I), providing ease of access, sharing and exchange in an application-neutral enterprise archive. The Dell On-Premise Clinical Archive can be paired with the Dell Cloud Clinical Archive for off-site disaster recovery. Two copies of every image are stored in separate locations, providing robust and secure disaster recovery. Also, security services from Dell SecureWorks is a standard offering within the Dell Cloud Clinical Archive, providing 24/7 5 protection against security threats. Financially attractive Dell s UCA solution can control total expense of data management with a secure hybrid-cloud solution that uses a utility pricing model to reduce TCO with no recurring costs and maintenance overheads. We implement a one-time fee per study pricing model to enable you to better forecast your storage requirements.

8 The solution you need. Designed around your needs Delivers a true enterprise image archive that includes data management, clinical archive, and data sharing and collaboration. Pure vendor-neutral archiving to fully-managed UCA solutions leveraging the cloud. Multiple choices and flexibility for both deployment and purchase options. Cost effective and reliable disaster recovery strategy. Offers on-premise, cloud or hybrid deployment models. Predict and forecast your requirements with a one-time fee per study. Easy to use Standards-based solution that is scalable, efficient and future ready. Provides ease of data sharing across the system. Patient-centric, PACS friendly DICOM format standardizes archived images and ties to patients, no matter the PACS system that generates it. Integrates with all major PACS systems and VNA vendors. Integrated with best-of-breed toolsets for collaboration. Ability to handle multiple data formats and workflow beyond traditional DICOM imaging. Large PACS ISVs resell Dell solution. Scalable End-to-end image archiving with future-proof technology that lets you avoid rip-and-replace upgrades and costly migrations. Secured collaboration Dell data centers have advanced security and monitoring services from Dell SecureWorks. The solution follows ISO13485:2003 certified 4 processes for secure storage and retrieval of medical imaging data. It meets the quality requirements for a medical grade device. Proven We ve been providing digital medical archiving services for over 12 years. Over 800 clinical sites are plugged into the Dell Cloud Clinical Archive (growing at a rate of 60 TB/month). Dell currently manages one of the largest medical image archives with over 6 billion medical imaging objects and over 85 million studies across 800 clinical facilities. Visit for the most up-to-date count of images and studies managed by Dell. Frost and Sullivan 2012 North American Company of the Year in Enterprise Imaging Informatics 3. Industry leading Gartner Rankings #1 in IT Services for Healthcare Providers 6 Healthcare Informatics (HCI) Rankings #2 in Healthcare overall 7 Dell SecureWorks Industry-leading 24/75 managed security services

9 Dell s UCA solution Our competition How Dell is different Industry leadership End-to-end solution from a single vendor Secure hybrid-cloud dedicated for healthcare Advanced security and data protection Beyond single product recognition, does not have the depth and breadth to bring experience across healthcare IT to clients. Requires multiple players to implement some of which may have little healthcare experience. Attempts to integrate point solutions from a number of vendors, creating challenges for the customer around implementation,support and multivendor management. Public cloud infrastructure shared across multiple industries, financial viability of smaller cloud providers puts data access at risk. Does not offer real-time security monitoring services for advanced intrusion detection. Dell is ranked #1 Worldwide IT Services for Healthcare Providers, based on 2012 revenue 6 with over 13,000 dedicated team members, including 300+ clinicians dedicated to serving healthcare customers. We serve more than 50% of U.S. hospitals providing care to 90 million Americans. Dell currently manages the industry s largest vendor-neutral hybrid cloud for medical imaging. Dell s UCA includes multiple VNA software choices for data management, a cloud-enabled clinical archival platform and a range of collaborative toolsets that drive secure image sharing and integration, all from a single source with validated reference architectures. No other vendor can offer such flexibility to meet the unique needs of each healthcare client. The Dell Cloud Clinical Archive is a healthcareonly cloud and has ISO13485:2003 certified 4 processes for secure storage and retrieval of medical imaging data. Dell SecureWorks provides 24/7 5 protection and reporting services for Dell Cloud Clinical Archive, enhancing HIPAA compliance for our customers and ensuring data protection for cloud services. Service Level Agreements (SLAs) and Business Associated Agreements (BAA) Broad and integrated partner eco-system Ability to offer flexible configurations and pricing based on customer needs SLAs and exit clauses are not well defined and few, if any, will sign a BAA. Lacks the depth of organization and focus on healthcare to offer support beyond the core offering to deliver longterm flexibility integrated into a single solution. Offers limited multi-vendor flexibility on available configurations and financial models. Well defined SLAs on data access create confidence and address customer concerns for cloud data management. Dell will sign a BAA guaranteeing data security and protection, sharing risk with our end-users. Beyond just integrating with PACS vendors, major vendors have chosen Dell to offer data management from the Cloud. VNA vendors have chosen Dell for cloud enablement for their VNA offerings. Dell offers a suite of partners for image viewing, image sharing and multi-media imaging management supported as an integrated solution from Dell. Only Dell has the ability to integrate overall hardware and software technology management into a cohesive Dell led infrastructure as a service (IaaS) or software as a service (SaaS) financial model to address the flexibility demanded by a dynamic market for healthcare providers. 1 ESG North American Health Care Provider Information Market Size & Forecast, (January 2011) 2 IDC Storage and the Medical Record: PACS and Storage Special End User Report, doc #226238, (December 2010) 3 Frost & Sullivan, North American Company of the Year Award in Enterprise Imaging Informatics, (September 2012) 4 For more information about our ISO certificates please visit: 5 Availability and terms of Dell Services vary by region. For more information please visit: 6 Gartner, Inc., Market Share: IT Services, 2012, Kathryn Hale et al, March 29, The 2012 Healthcare Informatics 100 Rankings ( ) Intel and Intel Xeon are trademarks of Intel Corporation in the U.S. and/or other countries. Pictures are for illustration only. Color and design may vary.

10 By consolidating medical images onto a single archive, Maine healthcare providers will save an estimated $6 million over seven years through a reduction of distributed image storage and transport costs. Todd Rogow, Chief Technology Officer, HealthInfoNet We gain control over storage costs and avoid future data migration expenses by centralizing our data in the cloud with the Dell Unified Clinical Archive. David Tomlinson, Chief Information Officer, Centegra Health System I think most importantly what the archive from Dell and Siemens does, is provide the ability for lots of clinicians to access medical images from wherever they might be. Marc Probst, CIO and VP, Intermountain Healthcare Learn more at

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