EMC Open Systems Archive Solution for Healthcare Organizations

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1 solution overview EMC Open Systems Archive Solution for Healthcare Organizations Adding intelligence transforms information into knowledge Forty percent of CIOs responding said that they expect to migrate information from or upgrade an inpatient clinical system during the next year. Thirty percent of healthcare CIOs are planning to connect their hospital with remote environments to share information. Nearly 40 percent of these CIOs, who are looking for a reduction in medical errors and corresponding improvement in patient safety, stated that they plan to implement an EMR in the near term. Source: 19th Annual HIMSS 2008 Leadership Survey EMC Open Systems Archive: A Modular Approach DICOM Migration Assessment Image Migration DICOM Archive Healthcare Repository Clinincal Policy Engine Business Challenges To deliver optimum patient care delivery, healthcare organizations are investing in clinical, administrative, and financial applications to improve efficiency and workflow. Deployment of clinical applications such as PACS, EMR, HIS, and CPOE help to capture, generate, and track patient information during an episode of care and then securely retain that information as part of the longitudinal patient record. Often, the information gathered and stored by these systems may not be easily shared among caregivers as many of these applications may have been acquired independently by a specific departmental or clinical service. In an application area such as PACS, a hospital or an Integrated Delivery Network (IDN) may have invested in separate departmental systems to manage medical images for radiology, cardiology, oncology, and pathology. The legacy archives from these systems may create stove-pipes of information and offer limited intelligence to identify and create data relationships needed for an informed care process. In addition, as healthcare organizations move to invest in new application features and technology, the often slow and costly migration process for these medical images can result in postponing the adoption of new technologies along with the associated benefits to be gained. The continued prevalence of paper documents within the healthcare continuum can also create bottlenecks for both clinical and administrative workflows, which can contribute to costly human errors. As a result, healthcare professionals must spend valuable time and scarce resources gathering the relevant patient data required for time-sensitive and accurate decision making. With such diverse and disconnected application topologies and the added complexity of paperdriven processes, healthcare organizations are challenged to deploy and manage comprehensive information retention and compliance policies. Solution Overview: a Modular Approach The EMC Open Systems Archive Solution for Healthcare Organizations redefines the role that technology can play in your information infrastructure. Based on a services-oriented architecture (SOA) and deployed in a modular fashion, this offering aggregates content from clinical, operational, and financial applications. Leveraging IT and healthcare industry standards, the solution provides an open, flexible, and highly scalable information repository. And it represents a complementary architecture to your traditional PACS allowing documents, patient records, prescriptions, invoices and other unstructured content to be easily accessed via a secure, virtual, and federated repository. The EMC Open Systems Archive Solution leverages medical image management software to facilitate a DICOM-compliant infrastructure that supports standards-based migration of medical images and infrastructure. It captures extensive meta-data from all content assets and collects this information into a virtual or physical repository. Now, using this repository, caregivers can quickly associate single or multiple orders, medical imaging, results and billing content, enabling more informed patient care decision making.

2 EMC Open Systems Archive Solution: Creating a DICOM-only Archive Your Application Partner Presentation Layer Clinical/Specialist Viewstations DICOM/HL7 Modality 1 Diagnostic Viewstation DICOM/HL7 DICOM Data Network Data Migration Capable DICOM Legacy PACS Modality N DICOM/HL7 HIS/RIS XDS-I Service Virtualize DICOM DICOM Your Future XDS Repository XDS Registry API COM Interface Virtualize the Filesystem NTFS Local/SAN/NAS/HSM Independence Anything Windows SQL HSM DICOM Storage EMC Documentum EMC Centera EMC Symmetrix EMC CLARiiON EMC Disk Library By delivering the painless migration of healthcare information from one or more clinical applications or storage platforms to another, and then providing transparency to both the application and infrastructure, the solution dramatically reduces costs. These savings are achieved by reducing time, cost, people, and risk required for future movement of images and other data across applications and storage platforms, enterprise-wide. Whether your first step is to simply assess your current environment for a migration or to establish an enterprise-wide, federated healthcare information repository integrated with your PACS, EMR, CPOE, and HIS applications, EMC and our partners can help you plan, deploy, and manage your environment. The EMC DICOM Migration Assessment provides an onsite review of your specific enterprise medical imaging environment summarized in a detailed report, describing vendor media and infrastructure requirements. If your goal is to implement a new PACS application or to consolidate multiple PACS systems by aggregating medical images, EMC DICOM Migration and Archive Services can help make the transition as smooth one.

3 Aggregating Content Across the Enterprise: The EMC Open System Archive Healthcare Information Repository Multiple Client Access Points EHR/PHR Web Portal PACS/CIS Medical Records/Legal Open Systems Archive Clinical Policy Engine Orders, Registration, Admission, Diagnostic,Therapeutic, Discharge, Financial Services, Legal All Content Types Documents Documents Speadsheets Presentations Notes Web HTML SGML WML XML Rich Media Images Flash Sound Video Fixed Paper Fax Images Reports Scanned Images Messaging Messages Instant Messages Chats Collaborative Discussions Instant Messages Notes Projects Additional modules can be deployed to capture electronic, scanned, or faxed paper-based patient information, integrating both clinical processes and content management into a complete patientcentric archive platform. And for those healthcare organizations that want a single patient-centric archive for paper and electronic content, including DICOM, the content management module transforms all relevant content data into patient-centric knowledge. By deploying critical EMC software technologies including storage management, security, audit logging, content management, coding databases, and business process automation, healthcare organizations gain EMC s unique solution value to keep pace with PACS and HIS information growth. Using the robust EMC Open Systems Archive Solution, your organization moves to a federated content management platform to aggregate information while eliminating application related dependencies and complexities.

4 The EMC Open Systems Archive Clinical Policy Engine The EMC Open Systems Clinical Policy Engine is purpose-built to integrate your organization s specific rules, clinical protocols, and business process requirements. It accelerates time-to-treatment by providing capabilities for data classification and then adds intelligence to patient information by creating clinical workflows with user-defined protocols. The solution brings together disparate sources of content, with their own set of data elements and attributes via a unique group of tools to form a unified meta data registry a patient-centric repository of healthcare information. The EMC Open Systems Archive Clinical Policy Engine leverages metadata from all of your content by applying user-defined rules to trigger routing paths, storage selection, and retention policies for reduced storage cost and enhanced compliance. The capture of clinical codes from orders, DICOM headers from diagnostic imaging procedures, impressions from diagnostic reports, relevant prior images, and other elements can be automated and the data leveraged to create knowledge and situational awareness. EMC Open Systems Archive Clinincal Policy Engine Workflow Pre-Visit Initiate Post-Visit Initiate Apply Lifecycle Link to Study (Procedure Code) Apply Prefetch Rule For relevant prior procedures Link to Order Prefetch Images Check procedure from diagnostic or text of billing report Finish Workflow Finish Check the reason for exam from order Update clinical code Apply customized storage policy-based on internal clinical protocols for normal and abnormal reports Flush Images SMTP Template (notification) Finish

5 EMC Service-Oriented Architecture for Healthcare Active Archiving for Protected Health Information (PHI) The EMC Open Systems Archive Solution offers a highly efficient and cost-effective approach to managing storage resources. EMC offers a complete family of tiered networked storage platforms, software, and services to provide flexible, scalable, and compatible technologies to meet your archive needs. EMC Centera, an IP network storage system is designed to store and provide fast, easy access to fixed content. This purpose-built active archiving platform features WORM (write once, read many) attributes of non-rewriteability and non-eraseability with performance and total cost of ownership superior to other archive approaches. EMC Centera simplifies the task of managing, sharing, and protecting all sizes of content repositories. To meet HIPAA, Joint Commission, and EU Data Directives for business continuity and disaster recovery, healthcare organizations can also leverage EMC Business Continuity Solutions for Healthcare Environments for the highest levels of availability and protection for patient information. Healthcare organizations are enabled to create and use local and remote replication to restore, restart, and resume healthcare IT operations. Patients Administrative/Legal Physicians/Nurse/Lab Imaging Paper/Fax Portal SAP Legacy PACS CPOE PHR DICOM Paper/Fax Captive (Captiva) EMR/PHR Siebel Oracle RIS/HIS View Stations CIS Others Connectors/Adapters for Specific Services HL7, DICOM, Custom Security Enterprise Service Bus: Normalized Messaging of Enterprise Data and Event Models Security Enterprise Scope with Single Integration Point OSA DICOM Module OSA Clinical Module Clinical Policy Module EMPI Module Process Module Clinical Policy Module XDS Registry Acuo XDS Repository Documentum ECM XDS Registry XDS Repository Documentum ECM Clinical Policy Engine PIX/PDQ Management (Initiate) Business Process Execution RAC Audit Business Rules Engine Automated Audit and Logging The EMC Open System Archive Solution provides a patient-centric infrastructure to content-enable PACS, HIS, and EMR applications for access to all relevant clinical, financial, and operational data. A Service-Oriented Architecture (SOA) Approach To meet departmental requirements, healthcare IT architectures may have been deployed through the addition, migration, or upgrade of one application at a time across the healthcare enterprise. Historically, this approach may have created business and clinical silos that largely operate independently from one another. Planning for the future, healthcare IT infrastructures will follow a fundamentally new approach a service-oriented architecture (SOA). The EMC Open Systems Archive Solution deploys a SOA architecture that supports both centralized and distributed models, is massively scalable, and can be deployed in a multi-phased, modular approach that best meets your specific healthcare organizational requirements. This approach can eliminate proprietary interfaces and achieve true federation of knowledge assets allowing your healthcare organization to transform data into valuable information with a positive impact on both IT costs and accelerated patient care delivery.

6 Solution Components Assess DICOM Migration Assessment: Provides an onsite review of enterprise medical imaging environment which results in a detailed report describing vendor media and infrastructure requirements to move forward a potential migration project. Capture EMC Captiva : Enables centralized and/or remote capture of information from all paper or electronic sources, transforms it into digital content, automatically classifies and indexes, and delivers it into back-end systems. By eliminating manual data entry, Captiva minimizes processing errors, improves data accuracy, and boosts productivity. Manage DICOM Image Management Software: Provides an enterprise-wide collaborative asset management solution for DICOM images, integrating islands of medical imaging content from all imaging producing departments into the EMC Open Systems Archive. DICOM Migration Services: Implement a new PACS application by physically transitioning from one application to another. DICOM Archive: Provides a vendor-neutral archive which separates applications and infrastructure with image management software to facilitate a DICOM infrastructure for any PACS environment. Offers brokered communication between single and multiple PACS vendors, modalities, and IT systems. EMC Documentum : Enables a rich set of content management, process management, and compliance services for the control of content and processes throughout distributed enterprises. EMC Captiva Data Products: Handles the most rigorous requirements and sets new standards for quality. EMC CodeLink : EMC Open Systems Archive leverages codes and features Linkage Libraries to cross-reference relationships between codes on a specialty-by-specialty basis. Archive EMC Active Archiving: EMC Centera delivers affordable WORM-compliant storage for your archived information including , electronic documents, and images. EMC Tiered Networked Storage Platforms: Provide the foundation of an efficient information infrastructure to store, protect, optimize, and leverage your healthcare information from a single patient record to your entire enterprise infrastructure. Display Presentation Software: IT support and administrative users are provided with interfaces and consent mechanisms that can be integrated into your healthcare applications. Using open systems standards, healthcare organizations can also leverage existing presentation software provided by your PACS or clinical application vendors. EMC Documentum TaskSpace: Provides an easy-to-use interface to quickly retrieve documents and perform high-volume transaction processing.

7 EMC Open Systems Archive Solution Value The EMC Open Systems Archive Solution for Healthcare Organizations captures electronic, scanned, or faxed paper-based patient information, integrating both clinical processes and content management into a complete patient-centric archive platform that: Provides an open archive software environment permitting the painless migration of healthcare content from one application to another and from one storage platform to another for the life of the information Maximizes and leverages meta data from healthcare information assets adds intelligence to transform patient data into actionable knowledge Delivers online availability that provides patient and related healthcare information from all disciplines across the health delivery enterprise for improved caregiver productivity Adheres to both IT and health industry IHE, DICOM, and HL-7 standards Captures and associates multiple medical imaging systems with other relevant paper-based and electronic content into a longitudinal patient record

8 EMC Corporation Hopkinton Massachusetts In North America Take the next step The EMC Open Systems Archive Solution for Healthcare Organizations transforms data into actionable knowledge to become the cornerstone of your healthcare enterprise content management strategy. For more information, please contact your local EMC account manager or visit EMC 2, EMC, EMC Centera, Captiva, Centera, CodeLink, Documentum, and where information lives are registered trademarks of EMC Corporation. All other trademarks used herein are the property of their respective owners. Copyright 2008 EMC Corporation. All rights reserved. Published in the USA. 08/08 Solution Overview H5630