RSNA » Mr Christian Reinaudo, President of Agfa HealthCare Dirk Debusscher, Vice President Imaging Agfa HealthCare - PDF

Healthcare transformation, we ll take you Dortmund Germany Faster throughput with 40% dose reduction achieved 28 South Dakota USA Cardio pacs links sites to quickly address heart conditions RSNA

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Healthcare transformation, we ll take you Dortmund Germany Faster throughput with 40% dose reduction achieved 28 South Dakota USA Cardio pacs links sites to quickly address heart conditions RSNA 2009 Hong Kong PRC Cluster PACS helps 26 serve 1.1 million people interviews inside with:» Michael Green, President, Agfa HealthCare North America» Dr. William G. Bradley, Jr., M.D., Ph.D., F.A.C.R. Chairman, Department of Radiology; Professor, School of Medicine University of California, San Diego (UCSD)» Mr Christian Reinaudo, President of Agfa HealthCare Dirk Debusscher, Vice President Imaging Agfa HealthCare Image Enable the EHR Image Capture Image Management Image Distribution As an established supplier of innovative healthcare solutions, Agfa HealthCare is ideally positioned to address today s radiologists productivity challenges. Our Digital Radiography and Imaging Informatics solutions are designed to optimize information exchange in real-life, heterogeneous environments. We merge our clinical expertise with our commitment to interoperability and open IT standards developing efficient diagnostic workflow and image management solutions that advance the longitudinal view of patient imaging records. By extending the concept of the electronic health record, or EHR, to include support for all medical images and related information, both an organization s clinical and operational efficiencies are better addressed. Copyright 2009, Agfa HealthCare NV. All rights reserved. Agfa healthcare Editorial Team Eric Maurincomme, Editor-in-Chief Frederique Depraetere, Managing Editor Birgitte Baten, Senior Editor Content & distribution Agfa HealthCare NV Septestraat Mortsel Belgium Concept, content & design Belgium Printing Drukkerij Artoos NV Oudestraat Kampenhout Belgium The Agfa HealthCare editorial team would like to thank its customers, staff members and interview partners for their contribution to this publication. Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium, or its affiliates. DRYSTAR, DX-S, IMPAX, IMPAX SmartSeek and MUSICA are trademarks of Agfa HealthCare NV, Belgium. All other trademarks are held by their respective owners and are used in an editorial fashion with no intention of infringement. The data in this publication are for illustration purposes only and do not necessarily represent standards or specifications, which must be met by Agfa HealthCare. All information contained herein is intended for guidance purposes only, and characteristics of the products and services described in this publication can be changed at any time without notice. Products and services may not be available for your local area. Please contact your local sales representative for availability information. Agfa HealthCare diligently strives to provide as accurate information as possible, but shall not be responsible for any typographical error. 4 Interview Michael Green Healthcare transformation in North America 6 Oregon USA Medical university relies on pacs to expedite care 8 Côte d Azur France PACS gives multi-site teaching hospital fast data access 10 Interview Dr. William G. Bradley, Jr. M.D., Ph.D., F.A.C.R. 12 Florida USA Pediatric x-ray dose reduced up to 20% 14 St. Pölten Austria Digital radiography enhances critical care 16 Kansas USA Mammography report turnaround improved 120% 18 Interview Christian Reinaudo and Dirk Debusscher Combined benefits of CR and DR 20 Dortmund Germany Faster throughput with 40% dose reduction achieved 22 Worcester South Africa Digital workflow in fight against TB and HIV/AIDS 25 Thonon AND Evian France Improved ergonomics, dose reduction and excellent image quality 26 Hong Kong PRC Cluster pacs helps serve 1.1 million people 28 South Dakota USA Cardio pacs links sites to quickly address heart conditions 30 Cornwall Canada Long waits for x-ray results dramatically cut 33 News from Agfa HealthCare 34 Le Mans France Radiology group optimizes processes to improve care Dear reader, A warm welcome to the 5 th edition of THERE magazine, our global customer publication. This latest edition of our customer magazine will be issued at RSNA 2009 in Chicago as well as being distributed to our subscribers and readers across the globe. Physicians today depend on medical imaging as a tool to help diagnose disease rapidly and treat it in an effective manner. As digital technologies make images easier and faster to capture, to access, to distribute and to store, the importance of imaging to healthcare and disease management continues to increase. Medical imaging is a growing need, not only driven by radiologists, but also by a number of medical specializations. This is, in turn, drives a growing requirement for integrated, quickly and easily accessible standardsbased solutions. The early steps taken by radiology to drive integrated digital record keeping has taken on new dimensions and Electronic Health Records (EHRs) have become an integral part of a global healthcare transformation that we are witnessing and accompanying. As the demand for integrated care records continues to increase however, care must be taken that we are not blinded by the value of patient record keeping, and lose sight of the components which will make or break EHRs in the future. After all, a final product is only as good as its components. In diagnostic imaging, that means that we need to ensure we can continue to provide the highest quality and fastest outcomes to support the value which EHRs will bring. After all, a health record without images will be of little benefit to treating physicians and that means that this is as much about image capturing, as it is about image management. Diagnostic images have always been an integral part of the health record story and Image enable the EHR! is therefore our call to arms for this year s edition of RSNA in Chicago. We look forward to discussing this topic with you and the different aspects this involves, at the event, or in the near future. Happy reading Eric Maurincomme Chief Strategy and Marketing Officer Editor-in-Chief THERE, Agfa HealthCare Chicago inspiring art in a moving city Throughout history, communities around the world have built monuments to recognize their achievements and leaders. Today, the purpose of art in public places has an extra dimension: to be an integral part of city beautification and enhancement. Bringing art closer to a city s residents and visitors has also given it an increasingly functional purpose, with bridges, parks, boulevards and public structures created to meet artistic needs as much as practical ones. Chicago is no exception. Since the 1960 s, the city has been a leader in proving how art can benefit the different communities within, and beyond its city limits. Chicago erected its first monuments in 1837, and introduced its first non-commemorative monument as early as 1967 (a sculpture commonly known as The Picasso ), when Mayor Richard J. Daley ordered its installation. In 1978, the Chicago City Council passed a law mandating that a percentage of monies to build or renovate public buildings be set aside for art. Today, the city offers residents and visitors a wealth of art, from sculptures and murals to entire public spaces, developed by both young and established artists worldwide. THERE magazine, in co-operation with the Department of Cultural Affairs of the City of Chicago, has selected a handful of these public art works for this issue. For a more comprehensive overview, please visit: THERE 3 Healthcare transformation in North America Meeting the common need: improved efficiency of care, reduced costs, and the enhanced patient safety Interview with Michael Green, President, Agfa HealthCare North America Talk of healthcare reforms in the United States and Canada has reached audiences around the world on an almost daily basis. The drive in those markets to deliver quality care through improved efficiencies, enhanced patient safety, and reduced cost has found both supporters and critics within those countries and beyond. THERE magazine caught up with Michael Green, President of Agfa HealthCare North America, to explore the challenges and opportunities both markets face in the near future. We hear a lot of talk about healthcare transformation. What is your take on its significance and purpose in North America? The concept of healthcare transformation is very much on the public mind in North America. Like many other regions around the world, North America is facing significant pressures on its healthcare system. Among the major contributing factors to this are growing elderly population with growing needs for healthcare services, and the exponential growth of medical data that our diagnostic technologies provide. The United States has the highest cost per capita in the world and its economy cannot keep pace with the rising costs. On top of this, a significant proportion of the population is uninsured and has no access to healthcare other than the emergency room when health problems become critical. President Barack Obama made an election commitment to reform healthcare delivery the US and this is a highly publicized and controversial policy. What is important is that both markets have clearly understood that they need to tackle their current approach to healthcare, and that a transformation of their systems is required to achieve this. In Canada, the government has resolutely chosen to use IT as a cornerstone of their solution. Healthcare is publicly provided and the Government has an objective for all Canadians to have an electronic health record (EHR). This initiative has been lead by an agency, Canada Health Infoway, and has been underway for several years. To date, nearly all hospitals have eliminated film and use PACS. Within the Provinces, data repositories for sharing patient information are underway and Agfa HealthCare is a major player across the country. The challenge now is to create a longitudinal health record that can be shared by all clinicians and Agfa HealthCare is working on solutions that enable the sharing and viewing of images and other information in a secure environment. On February 17, 2009, President Barack Obama signed into law the American Recovery and Reinvestment Act of 2009 (ARRA). This act aims to stimulate the US economy through investments in infrastructure, unemployment benefits, transportation, education, and healthcare. Of the $787 billion stimulus package, $150 billion is earmarked for healthcare, with $20 billion dedicated to healthcare IT. ARRA, specifically the Health Information Technology for Economic and Clinical Health (HITECH) Act portion, may have more impact on the US healthcare community than any other single initiative. This direct funding will significantly shift focus to quality measures, clinical outcomes, and interoperability standards. Funds will be awarded to improve the quality of medical care, reduce medical errors, and slow the rising healthcare costs. One of the ways this will be achieved is through the goal of 90% EMR adoption rate for physicians and 70% for hospitals by As it stands today, medical imaging is not formally an integral component to ARRA-HITECH. While there is a general recognition of the importance medical imaging has in a complete patient US and Canada have clearly understood that they need to tackle their current approach to healthcare, and that a transformation of their systems is required to achieve this. Michael Green, President, Agfa HealthCare North America record, it has not been identified in any of the ARRA-HITECH or Meaningful Use language. I believe, however, that the efforts of professional organizations and industry groups will result in technologies such as CR and PACS being included in the definition. What role do you see standards playing in healthcare transformation? Are there clinical and financial benefits? Absolutely, standards are a key driver toward improved quality of care delivery. Standards facilitate interoperability, making patient-centric communication possible throughout the enterprise and at all points of care. I believe that our interoperability and standards work is a critical focus. Standards such as DICOM, HL7, and the IHE technical framework initiative deliver the cost-effective strategic platform for managing the ever-expanding volume and diversity of medical imaging data. Agfa HealthCare merges clinical know-how with our commitment to interoperability and open IT standards. Together, these capabilities have helped us develop a comprehensive portfolio focused on delivering vendor-neutral solutions to enable connectivity across healthcare stakeholders. Improved consensus across the industry will assist adoption of technology offerings and contribute further to reduced errors and enhanced efficiencies. 4 THERE You are launching both a Direct Radiography (DR) solution to the North American market and a new Computed Radiography (CR) system. Why move toward DR at this time? Agfa HealthCare is a major player in the CR market and also in PACS. We have a large customer base and our customers have told us clearly that they want to use DR for high volume applications and they want us to provide the solution. In many cases, both DR and CR will be used side-by-side for complementary purposes. The new DX-G, a CR system, offers multi-plate versatility with exceptionally high image quality. We are able to extend the benefits of our imaging processing software Musica 2 to a DR platform and also provide a common user interface and tools when the systems are used with our PACS. This combination of systems provides unparalleled efficiency, ease of use, and image quality that can be standardized across a large hospital system. The US and Canada are markets with a high saturation rate for RIS/PACS. How is Agfa HealthCare keeping this business fresh? We are growing existing business and adding new customers every day. Our strategy has three focus areas. Firstly, we are moving outside of radiology with our cardiology PACS and reporting solutions, IMPAX Cardiovascular. Secondly, we are continually working on the breadth and depth of our radiology IT portfolio. Our goal is to further improve the efficiency and effectiveness of the radiologist, adding new tools and applications as IMPAX evolves. At RSNA 2009, for example, we are showcasing functionality and workflow enhancements that provide a rich toolkit of advanced clinical applications, display, reporting, and communication solutions. With this strategy we have been quite successful in winning new customers by replacing existing and legacy PACS. Thirdly, we are concentrating on images enabling the healthcare enterprise. Images are a vital and significant part of the EMR/EHR. With IMPAX Data Center and our portfolio of viewers, including zero-download and Web 2.0 technology viewers, we have a strong and expanding solution. Speaking of IMPAX Data Center, how does this Medical Imaging Repository and Enterprise Visualization solution contribute to improved healthcare delivery? Physicians depend on medical imaging as a tool to help diagnose rapidly and treat diseases effectively, which results in enhanced delivery of patient care and a more efficient and cost-effective healthcare system. As digital technologies make medical images easier and faster to obtain, access, read and store, the importance of imaging to healthcare and disease management continues to increase. By extending the concept of the electronic health record, or EHR, both an organization s clinical and IT infrastructure requirements are better addressed. Michael Green, President, Agfa HealthCare North America The prevalence of medical imaging extends far beyond the radiology department. Patient images and associated data are generated in cardiology, surgery, dermatology, ophthalmology, gastroenterology, pathology, surgery, dentistry, nursing, and other clinical departments in various formats. Agfa HealthCare understands that healthcare today is increasingly reliant upon access to a longitudinal view of patient records. By extending the concept of the electronic health record, or EHR, to include support for all medical images and related information, both an organization s clinical and IT infrastructure requirements are better addressed. Our Imaging and Imaging Informatics solutions are designed to maximize information exchange in heterogeneous environments, delivering point-of-care access to consolidated imaging data. That is our core strength, and one we will be driving forward over the next years. THERE 5 Oregon Health & Science University, Portland, Oregon USA Medical university and teaching hospital relies on PACS to expedite care Linking over a dozen on- and off-campus sites, a single PACS supports prompt patient care, permitting most radiologist reports to be completed within 24 hours INTERVIEWEES Jon Hanada, PACS Administrator Erwin Schwarz, Director, Diagnostic Imaging Services DID YOU KNOW...» OHSU operates an aerial tram linking its Marquam Hill campus with Portland s South Waterfront, home to future campus expansion. It s the only public transport of its kind in the world and Portland s most visible link.» With roots back to 1887, OHSU today has Schools of Medicine, Nursing, Dentistry, Science and Pharmacy.» In 2007, OHSU earned $307 million (USD) in research funding and serves as a catalyst for the region s bioscience industry. As the state s only health and research facility, Oregon Health & Science University (OHSU) brings together education, research, patient care and community service to improve the well being of Oregonians. Performing approximately 250,000 radiology procedures annually using 12 terabytes of data, OHSU radiology is spread across 15 locations and eight separate buildings, with reading rooms in nine different areas. Shrinking the OHSU Campus With locations in and around downtown Portland, OHSU is a huge enterprise that requires the most advanced technologies to keep pace with its many activities in patient care, medical research and education. The university recently installed Agfa HealthCare s IMPAX 6 PACS to better accommodate increased demand for its services. Says Jon Hanada, PACS Administrator at OHSU: With this upgrade, we re able to distribute PACS applications throughout the hospital and beyond, allowing clinicians and radiologists to work from one database. Before IMPAX 6, we had Agfa HealthCare s Web 1000 and two separate databases, but keeping them in sync was a challenge. Now everyone is on the same page with identical information from a single source. With radiology performed all over campus as well as off-site, IMPAX 6 essentially shrinks OHSU, letting users be productive from anywhere. According to Erwin Schwarz, OHSU s Director of Diagnostic Imaging Services, that means more efficient workflow for everyone: Not only does this help our radiologists, it has a huge impact on referring physicians workflow. With IMPAX 6, they have access to patient images on campus, off-site or even at home. For trauma cases, it enables them to review the images and plan treatment before they even get to the hospital. We also have five facilities that are connected to IMPAX via a virtual private network, so we can import images from institutions around the state to our physicians. It greatly enhances communication and the delivery of patient care, he continued. Integrate vs. Interface Part of Agfa HealthCare s success in PACS comes from its long-time focus on integration through vendor-neutral architecture. The company s solutions can receive image data from a wide range of modalities and sources. Specially engineered connections and interoperability between components eliminate compatibility issues and extensive integration chores typical of multi-vendor solutions. Most vendors can interface patient name, medical record number, study, etc., but with IMPAX integrated RIS/ PACS, we can pull information suc
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