IMAGE SHARING AND ARCHIVING IN AN ENTERPRISE ENVIRONMENT Shad W. Lappe, Medical Imaging Archive Administrator, Dignity Health Tuesday, August 28, 2012 2012 Merge Healthcare
Agenda Profile of Dignity Health Current Hospital PACS Deployment Archiving Challenges Dignity Health Imaging Volumes Enterprise Archive Hardware Interoperability Solutions Imaging Integration Questions and Answers 2
Dignity Health HQ: San Francisco Net Operating Revenue: (FY11) $10.6 Billion Hospitals: 40 Clinics/Ancillary Care Centers: 150 Medical Foundations: 11 Employees: 55,000 Physicians:10,000 Acute Care Beds: 8,800 Skilled Nursing Beds: 800 Received team award for excellence and outstanding achievement for EMR and CPOE at three of its hospitals AMDIS, 2007 Background: Dignity Health, headquartered in San Francisco, Calif., provides integrated, patient and family centered care to more than six million people annually. It is the fifth largest health system in the nation with 10,000 physicians and 55,000 employees across Arizona, California, and Nevada. Dignity Health is committed to delivering compassionate, high-quality, affordable health care services with special attention to the poor and underserved. Mission: Dignity Health is committed to furthering the healing ministry of Jesus. We dedicate our resources to delivering compassionate, high-quality, affordable health services; serving and advocating for our sisters and brothers who are poor and disenfranchised; and partnering with others in the community to improve the quality of life. Vision A vibrant, national health care system known for service, chosen for clinical excellence, standing in partnership with patients, employees and physicians to improve the health of all communities served. Community Activity: In 2011, Dignity Health provided more than $1.4 billion in charity care, community benefit, and unreimbursed patient care. FY11: Awarded more than $4.1M in grants to non-profit organizations across Arizona, California, and Nevada. Total grants from 1991-2011: $43M 3
Current Hospital Radiology PACS Deployment CALIFORNIA North State Mt. Shasta: MMC-MS Redding: MMC-R Red Bluff: SECH Sacramento SSA------------------------------------ Mercy General: MGH Medical Foundation Methodist: MET Grass valley: SNMH Folsom: MFH Woodland: WHC Carmichael: MSJH Bay Area Central CA San Francisco: SMMC San Andreas: MTSJ San Francisco: SFMC Stockton: SJMC Redwood City: SEQ Merced: MMCM Santa Cruz: DSCH Central Coast----------------------------------- San Luis Obispo: FR Oxnard: SJRMC Arroyo Grande: AG Camarillo: SJPVH Santa Maria: MMC-SM Bakersfield Bakersfield Memorial Hospital: BMH Mercy Hospital Bakersfield: MHB Mercy Southwest Hospital: MSH Vendor End of FY12 Merge (standard) 14 DR Systems (standard) 12 McKesson (standard) 8 GE (grandfathered) 3 Carestream 1 NEVADA Henderson SRDH, SRDH-SM SRDH-S ARIZONA Phoenix Metro Phoenix: SJHMC Chandler: CRH Gilbert: MGMC EDC Southern CA - West Northridge: NHMC Glendale: GHMMC Los Angeles: CHMC Long beach: SMMC-LB Southern CA - East San Bernardino: SBMC Redlands: CHSB 4
Archiving Challenges Distributed Storage Costs Availability of Archived Studies DICOM Conformance Image Data Ownership Data Integrity Management Demographic Updates Study Sizes Increasing Sheer Number of Studies 5
Dignity Health Study Volumes (Aug 2011 July 2012) Site/Region Study Count Study Volume (GB) Arizona / Nevada Region 891,030 24,702 Sacramento Region 611,603 19,110 Southern California Region 352,162 9,555 Central California 412,483 7,880 Central Coast 332,812 7,401 San Francisco Region 213,622 4,937 North State Region 157,420 3,938 Inland Empire 195,324 1,680 Site/Region Study Count Study Volume (GB) Dignity Health Total Volumes 3,170,611 78,992 6
Dignity Health Study Volumes 7
Dignity Health Study Volumes (Annual) Sacramento 8
Dignity Health Study Volumes (Annual) Sacramento 9
Archiving Solutions Gone Wrong 10
Archiving Solutions Facility Image Caches Regional Image Caches Enterprise Vendor Neutral Archive with IPID Level Data Segregation Network Reliability and Throughput Improvements (MPLS) 10Gb Network Connectivity at our Enterprise Data Center Business Continuity with Merge s RCM 11
Enterprise Archive Footprint 12
Enterprise Archive Hardware 13
Interoperability Solutions iconnect Access Enterprise Multiple Platform Access Local Image Sharing Systems/Services DR Systems emix BEAM iconnect Share Siemens MobileMD 14
Imaging Integration Users can already view radiology interpretations in our private HIE. iconnect Access integration with MobileMD allows the user to also launch the associated imaging study (in context) from our Medical Imaging Long-Term Archive (LTA). Rad Report with Image Hyperlink iconnect Access - Image Viewer 15
Customer Feedback In response to integrating iconnect Access with Dignity Health s HIE; MobileMD: iconnect has given Mercy Imaging Centers a tremendous competitive advantage by offering referring physicians online access to their reports and images quickly and conveniently regardless of where the patient received health services within Mercy! This gives us another resource that will help us reach our goal of becoming the leader in outpatient imaging Tracy Kugel - Manager of Sales and Business Development Mercy Imaging Centers, Sacramento We love that all you have to do is click the link on the report! This saves lots of time of not having to log onto another program and it s great to have it as one unit! Laura Langhorst, Practice manager for Pulmonary Medicine Associates 16
Imaging Exchange Workflow Physician Image Viewing iconnect Access Server iconnect Enterprise Archive Siemens MobileMD iconnect Share or BEAM or DR emix or other solution Diagnostic Hospital Clinic 17
Where Do We Go From Here? What other services can be aggregated internally to provide better service, reliability and lower maintenance costs for the enterprise? What additional services need to be available outside of the hard walls of the company? What additional information can be made available to medical professionals in line with the patient s continuum of care? How do we make services available to a remote radiologist so that the tools available are the same as a radiologist that is on-site? 18
QUESTIONS? Shad W. Lappe, Medical Imaging Archive Administrator, Dignity Health shad.lappe@dignityhealth.org