Improving the Efficiency and Quality of Care through Clinical Data Access

ERIC MAURINCOMME

VICE PRESIDENT MARKETING & BUSINESS DEVELOPMENT AGFA HEALTHCARE

Agfa HealthCare – Who we are

Agfa HealthCare, a part of the Agfa-Gevaert Group A leading provider of integrated IT solutions and state-of-the art diagnostic imaging for hospitals and other healthcare Centres • • • 5,600 employees Sales offices in over 100 markets worldwide 11 Global R&D Centres of Excellence

Agfa HealthCare’s integrated solution portfolio

Integrated access

Ability to access all necessary data about a patient, irrelevant of the systems that host it or the organization that owns it

Integrated workflow

Ability to coordinate and synchronize processes about a particular patient across boundaries: organizational (departmental and hospital) as well as clinical (patient having multiplicity of clinical conditions at a time)

Integrated knowledge

Ability to utilize the most up-to-date clinical content and practice information generated in any point of care

QUALITY ACCESS COST

Agfa’s Vision

Store all clinically relevant data across the continuum of care Enable each institution to contribute agreed upon data elements so clinical collaboration, continuity of care and patient safety and privacy can be realized. Fully enable the EHR A unified, ubiquitous view of all patients’ encounters and episodes of care , enhancing the patient experience and promote better communication between clinicians and optimally support the clinical process.

Realities of Healthcare Today

“ We have multi media and relevant data from all departments, specialties, and disciplines from different vendors across our healthcare enterprise.” “The sheer number and size of images that have to be migrated has exploded.” “We need a new architecture to help our health organization keep up with imaging demands.”

Enterprise Storage Needs

History Physical Findings Hemo-dynamics ECG Waveforms & Reports Consults & Notes Review Image and multimedia storage needs broadening and increasing Cath Lab Images Ultrasound Images & Measurements Nuclear Radiology Multi-slice CT Lab

IMPAX Data Centre –

Multimedia DICOM Storage For All Departments PDF documents Sound

Multi-facility DICOM PACS as primary, long term or disaster recovery archive

Waveforms Cath Lab Images CR Ambulatory Care Facility 1 MRI/CT

IMPAX Data Centre

Endoscopy Nuclear medicine Hospital/PACS 2 Cardiology ECG Waveforms & Reports Orthopaedics

IMPAX Data Centre

Pathology Internal medicine Lab Results Ambulatory Care Facility 2 & Reports Ultrasound Images & Measurements Post Processing Connecting Facilities Together Radiology images

IMPAX Data Centre Solution

National, Regional & Local access to clinical patient data

IMPAX Data Centre

Bulgarian National EHR IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre

IMPAX Data Centre: Proven

Agfa HealthCare awarded contract for two regions • • • • North East / East & East Midland 30 Entities 75 Hospitals 10,000,000 exams/year – Growing to 25,000,000 by year five •

300

Terabytes/year

Departmental workflow, unified infrastructure

RIS PACS Reporting CVIS PACS PACS

EMR Portal Viewer

presentation publish

IMPAX for Radiology

retrieve publish

IMPAX Cardiovascular Suite Women's Care

publish

IMPAX

retrieve

IMPAX Data Centre™

3rd Party PACS

publish retrieve

IMPAX Data Centre: Key benefits

Clinical: • • Supports the reduction of medical errors Reduce order duplication Potentially lower the amount of radiation by eliminating redundant and medically un-needed procedures. • consolidates and enables distribution of relevant clinical data to the clinician at the point of care.

Operational: Leverages existing or disparate systems across the enterprise • Connects key data elements at the point of care without modifications to the clinicians user interface.

Financial: • Saves money Fosters interoperability and reduces costly migrations Technical: • • Adherence to standards Transparency, integration, interoperability for data management Distribution and archiving for all DICOM data across the enterprise no matter the source.

Bioserveur : a Proven Solution

Started as a regional project in France Connects Labs with GP’s Solves a real communication and inter-operability problem Figures: • • • • • • Operational since 1999 45 GP softwares 33 Lab softwares 600 labs 8500 GPs 300.000 files/month

Vision: Integrated access to relevant clinical data

A central infrastructure enabling e-Health This can but doesn’t need to imply that data is physically persisted in a central storage

The bottom line

: a user should have a consolidated and complete view on the clinical data of the patient research and care should be able to “connect” EMR Portal Viewer

presentation publish

HIS Imaging

publish retrieve

Lab & Reference Lab

publish retrieve

Document Management

publish retrieve retrieve

Enterprise Clinical Repository

publish

Data Warehousing

publish retrieve retrieve Agfa HealthCare Clinical Data Centre™

Thank you’ Vision eHealth Slide...

Leveraging eHealth to provide a seamless & inter-operable continuity of Care Imaging