Teleradiology Building Networks. Dr. Marc Kämmerer.

Transcription

1 Teleradiology Building Networks 1 Dr. Marc Kämmerer kaemmerer@visus.com

2 VISUS Company Overview 2 Solution provider for medical image management Comprehensive communication and archiving platform 85+ employees 780+ installations worldwide in 40+ countries 200+ OEM OR solutions worldwide R&D projects for DICOM committee Active member of IHE Europe Enterprise PACS Solutions

3 VISUS Business Areas Comprehensive Image Management in Medicine 3

4 Teleradiology Networks Introduction 4 Home Office PACS DICOM Internet VPN/ dedicated lines DICOM Image Source https Internet Image Source Teleradiology Service Provider Mobile Office Web Viewer Internet VPN/ dedicated line Radiologist Image Source

5 Motivation 5 Vendor independent support of Radiology in the Ruhr Region.

6 Demands 6 Secure exchange of medical data. Provision of an extendable solution platform requiring a low technical profile. Using existing infrastructure. Workflow integrated, reliable, low-configuration and low-maintenance operation.

7 Challenges 7 Usability versus Security Communication Data Management Connection out of / into existing secure network(s). Vendor independent communication

8 Solution 8 Data exchange using an Internet accessible platform. Data exchange based on the Telemedicine Recommendation of the German Röntgen Society (DICOM ). Source: Providing a secure infrastructure Public Key Infrastructure Directory Service (Yellow Pages)

9 Solution 9 Data exchange using an Internet accessible platform. Data exchange based on the Telemedicine Recommendation of the German Röntgen Society (DICOM ). Source: Providing a secure infrastructure Public Key Infrastructure Directory Service (Yellow Pages)

10 Directory Service 10 Central management tasks Network Participants Management Keeping Data up-to-date (internal and external) Communication data (e.g. addresses) Encryption keys Personal data (e.g. postal addresses) server user management and monitoring Yello Pages Service

11 Platform Structure 11 VISUS Support Management Internet DC

12 Example Connection Clinic to Health Care Center Directory Service DICOM PACS Teleradiology Workstation Health Care Center server Internet Teleradiology Gateway DICOM Hospital Workstation

13 Realization Finding partners Establishing a neutral operating company Prospective Participants Enquiry Demands Expectations

14 Pilot Description 14 Pilot originally planned with 30 participants Providing a DICOM Gateway, including project management, configuration and support. Providing the communication platform No fees during the pilot phase (until ) Routine operation with further participants starting January 2012

15 Pilot Targets 15 Usage for time independent communication (e.g. second opinion, research, teaching, mail replacement for providing DICOM objects) Establishment of a Public Key Infrastructure.

16 Pilot Current Status 16 Online 34 Gateways 11 DICOM Mail Clients

17 Gateway Roll Out 17 GWs Kick Off

18 Pilot Usage rd User Meeting nd User Meeting st User Meeting Kick Off

19 Routine Operation Targets 19 Extending the network for all providers in the public-health sector. Financially self supplying platform without the need for additional funding Fees for basic and advanced services Provision of the platform Emergency Teleradiology Resource management (modalities, human resources)

20 Upcoming Targets 20 Granted funding of Scientific Projects by TeBiCom Ruhr using the Teleradiology Network Ruhr Platform Teaching- and Research Archives Improvement of medical networking Stroke, Cardiology, Oncology, Traumatology Research Gender specific Workflow Quality Assurance

21 Pilot Résumé 21 High acceptance of the project with no animosities among the participants. Instant integration into the existing workflows (mail replacement, second opinion, replacement of existing VPN connections). Relatively work intensive pre-installation phase. Almost no need for support after the installation. Robust technical platform.

22 Summary 22 There is an obvious need for collaborative networking among participants of the publichealth sector even for competitors. Providing an extendible technical platform can be the missing initiator for fulfilling this need. For being successful a critical mass of initial participants is essential.

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