1. Image consolidation: Helping transform department silos with vendor neutral solutions April 29, 2015

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3. Brian J Kolowitz DSc, MSc, MBA University of Pittsburgh Medical Center (UPMC) Technology Development Center Principal Architect Next Generation Imaging and Contextualization University of Pittsburgh Adjunct Professor Information Science California University of Pennsylvania Math, Computer Science, and Information Systems Advisory Board 3

4. 4 Why consolidate? 4 Patient centered healthcare Consolidated patient view Cross-ology workflows Inter-ology communication Operational efficiencies IT standardization … the list goes on Enterology Ophthalmology Cardiology Pathology Radiology Genomics & many more Patient

5. Our Value Model Clinical quality Full association with the patient’s encounter Operational efficiencies Capture at the point-of-care Business viability Recovered reimbursements through documentation Technical quality Standardization on DICOM & XDS Clinical quality Operational efficiencies Technical quality Business viability Value 5

6. Consolidation approaches Consolidation Priorities Hospital Acquisitions Tomo Retirement Cardiology Consolidation Operationally focused Cardiology consolidation Cost driven Retirement of proprietary breast tomography storage Business driven Hospital acquisitions New opportunities Wound care management Consolidation priorities 6

7. Consolidated access PACS, Advanced Workstations, File Shares, Video… Enterprise view of data Single query source Universally viewable 1 Web, mobile, desktop Break the glass access Universally accessible, but restricted 1- Where there is an internet connection available. Departmental access Enterprise access VNA 7

8. Consolidated management Data Management User Access Auditing Data management Image Lifecycle Management Storage Tiers Image Prefetch, Routing, and Tag Morphing Compliance & auditing IHE Audit Trail and Node Authentication (ATNA) 8

9. Consolidated integrations Standard API access DICOM, XDS, HL7, PIX/PDQ Single repository Single point of integration for all consumers Virtual archive flexibility Segregation of data by business need VNA PACS Advanced Workstations File shares Still images Motion video Proprietary API’s 9

10. Questions? 10