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Standards Based VNA Concepts Taking the “A” out of PACS.

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Presentation on theme: "Standards Based VNA Concepts Taking the “A” out of PACS."— Presentation transcript:

1 Standards Based VNA Concepts Taking the “A” out of PACS

2 Agenda  Current State  Market Research The “next” PACS Vendors considered for VNA Reasons for Considering a VNA  Vendor Neutral Archiving Requirements for a VNA Providers of VNA Architecture of a VNA Next Generation VNA Strategy for deploying a VNA Acuo Technologies® Proprietary and Confidential

3 3 Current State

4 Tsunami of Data Source: UC Berkeley, School of Information Management and Systems. 0 C.E ,000 BCE cave paintings bone tools 3500 writing paper printing 1870 electricity, telephone transistor 1947 computing The Web Digital Cardiology Electronic Medical Record E-Health Initiatives/Linkages Digital Radiology 1999 Late 1960s Internet P e t a b y t e s Digital Pathology 2012 Acuo Technologies® Proprietary and Confidential

5 What are the drivers for Healthcare IT  Growth of Data Size of Studies Increasing  CT – Cath – Path Number of Studies Increasing  Access to Data Number of Users Requesting Data  Big data sets moving across the wire Complex Business Models  Association and integrations of healthcare providers  EMR enablement – images critical  Requirements Are Constantly Changing  Government Mandates Compliance with Current and Future Rulings  Dynamic Vendor Environment  Standards Become More Important Acuo Technologies® Proprietary and Confidential

6 What is Current Situation in Imaging? Applications Own The Data PACS control Data Format and often the Storage Hardware, OS, and Networks PACS Proprietary Format Makes It Difficult To: o Replace a PACS o Add New Applications To Existing Storage System o Share Data Between Applications o Add New HW or IT Strategies, i.e. Business Continuity o Integrate with HIS, EMR and other IS systems Data Migration Is Required When: o Selecting A New Vendor o Upgrading - Either Replacing Storage or PACS SW Upgrade Adds Cost, Reduces Flexibility and Increases Complexity Acuo Technologies® Proprietary and Confidential

7 7 Market Research

8 8

9 9 Gray Consulting P.O. Box 972 Novato, CA Phone: Cell: Fax:

10 10

11 11 Vendor Neutral Archiving

12 What a VNA MUST Do  BREAK the Proprietary Link to YOUR data  Eliminate Custom Engineering Integrate via Configuration Must be GUI driven by the customer  Require full Standards-based Interoperability  Manage Storage as an Enterprise Resource  Enable PACS as Applications, Not Storage Systems  Provide Efficient Access and Administration 12 Results: Higher Quality of Service - BC – Dedicated Viewer Streamlined Operations/Improved Productivity Effectively Lower TCO In All Areas 2012 Acuo Technologies® Proprietary and Confidential

13 Vendor Neutral Archiving  A True Vendor Neutral Archive solution is a single set of software tools to centralize all medical imaging systems into one perpetual repository.  Simpler management  Seamless migrations  Independent of PACS deployment  Scales to meet all your capacity needs Before After Acuo Technologies® Proprietary and Confidential

14 Any-ology Radiology – CT, MRI, PET, Diagnostic Radiology, Fluoroscopy, Ultrasound, Nuclear Medicine, Breast Imaging, Interventional Radiology, DEXA Dermatology - Visible Light Imaging Cardiology – Cardiac Cath, Echocardiology, Nuclear GI LabOphthalmology PathologyWound Care Otorhinolaryngology NeurosurgeryOncology Acuo Technologies® Proprietary and Confidential What is expected now

15 How are non-DICOM objects handled? 15 A BC File System Interface Normally existing integration through CIFS/NFS EnterpriseStoragePlatform DICOM Wrapping Standardized Information Model for store / retrieve / display Can facilitate ILM Uniform Image Viewer Portability Established use in healthcare Additional DICOM SOP’s being added all the time Does not easily support non-image content types Normally lower cost integration Proprietary file format Proprietary Information Model Doesn’t solve data mobility issues Many systems store content in database directly Native Content Management Web Services Integration Costs associated with integration Adapter development Portability (compatibility with other systems) Accessibility challenges Increases migration liability D XDS Standards based – IHE driven Standardized Information Model for store / retrieve / display Can facilitate ILM Requires deployment across entire enterprise Expected to emerge in HIE projects Application Neutral Middleware Direct Application Read/Write Custom API XDS CONSIDER: If this route is chosen use an XDS information model 2012 Acuo Technologies® Proprietary and Confidential

16 Additional Expectations of a VNA  Enables a Clinical viewer for the EMR that allows viewing of all images Provide one integration point for images Move to a rendering viewer strategy with no image cache  End of Migrations It is a replacement market in PACS  Robust support of next generation storage Business continuity Cloud Hosting Acuo Technologies® Proprietary and Confidential

17 Who provides VNA  Pure Play VNA Vendors Software only – smaller - innovative No Diagnostic Viewer  Infrastructure Providers Often already providing enterprise storage solution Often use Pure Play VNA Vendors for software  Solution Providers Combine software, hardware, network and service Offer “one-throat-to-choke”  PACS Providers Send us everything, we can manage it. Many deployments, few if any without their PACS Will require future migration Acuo Technologies® Proprietary and Confidential

18 Enterprise Archive Strategy Choice MAIN FACILITY DISASTER RECOVERY SITE DICOM HL7 Radiology PACS Cardiology PACS EMR Storage Management Software TAPE Enterprise Image Archive (VNA) OTHER SATA CIFS, NFS, API SAN CAS SCSI 18 RIS / HIS / EMPI DICOM / WADO Custom Interfaces Proprietary File Access CIFS, NFS, API HTTP/ REST Future Imaging ??????? Cloud based iSCSI Image Enabled

19  Multiple Patient ID’s PIX (Patient Identifier Cross Referencing)  Universal Viewer Provide one integration point for images Separate the PACS viewer from EMR viewer Ensure that the clinical viewer is robust  XDS Registry and Repository XDS provides standards support for management of non-DICOM without locking customers into vendor proprietary technology VNA’s should provide simplified Web Services for ease of non-DICOM compliancy the create XDS context automatically within the VNA Acuo Technologies® Proprietary and Confidential Next Generation VNA’s

20 Build a Plan to Gain Control Sever the Proprietary Link Between Applications (PACS, CPACS) and Storage  Require Applications to Interoperate in a High Performance, Standards-based Format  Identify PACS as a Valuable Departmental Workflow Application, NOT Storage Systems Decide on an Infrastructure Solution  Storage/Network  Business Continuance Strategy Bring DICOM Skills into IT Come to Terms With the Inevitable Migration Commit to Make it Your Last Migration! Develop the Strategy 2012 Acuo Technologies® Proprietary and Confidential

21 The Solution! There are a number of strategic approaches to building a Vendor-Neutral Enterprise Archive Take the “A” out of PACS Migrate to VNA platform BEFORE PACS replacement Put out RFP for the non-archiving portion of PACS Connect new PACS directly to VNA Shut Down Legacy PACS quickly after new PACS is up PACS A Lifetime VNA Lifetime PACS B Lifetime Data Migration phase Acuo Technologies® Proprietary and Confidential

22 22 Questions?

23 Thank you Gillian Ryan – Director of Sales (773) 368 – 6899


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