Adaptable Clinical Imaging Model for Sustainable Vision

Dharmendra Ghai (CPHIMS):

Dharmendra Ghai (CPHIMS) Hamad Medical Corporation Doha, Qatar Adaptable Digital Imaging Strategy

Paradigm Shift:

Healthcare Regenerative Medicine Diagnostic to Wellness Patient Centric More Regulations Best Practice Compliance Evidence Based Care Home Health & Long-term Informatics Analytics Patient Empowerment Cost!! Information Technology Silos to Consolidation Virtualization & Cloud Green IT Social Media & Mobility Narrowing Digital Divide Business Intelligence Information Aesthetics Silos to SOA Paradigm Shift

Not only Radiology………….:

Not only Radiology…………. Source :- http://campar.in.tum.de/Chair/TeachingWs08MISeminar

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Building a Adaptable Model

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Public Private Sharing Platform

IHE XDS-I:

IHE XDS-I

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13 Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network PACS B PACS A Radiology-to-radiology Radiology-to- Physicians

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14 Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Query for Documents Register Imaging Information for sharing Prior imaging Reports & Studies Cross-Enterprise Registry Register Imaging Information for sharing Patient Id= 3547F45 Report 5/21/1998 : CT Head B Study 5/21/1998 : CT Head B

Physicians and Systems within a Regional Health Network - Routine Imaging Referral :

June 28-29, 2005 IHE Interoperability Workshop 15 Physicians and Systems within a Regional Health Network - Routine Imaging Referral Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Register Imaging Information for sharing Cross-Enterprise Registry Notification of Doc Availability Register Imaging Information for sharing

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Emerging ROI Models

Service delivery model vs. capital purchase:

Service delivery model vs. capital purchase All server side SW & HW upgrades Maintenance for term of contract API integration toolkit – facilitates EMR and other user integrations 99.99% uptime guarantee with financial penalties Continuous remote HW & SW proactive system check by vendor Online & on-site training Unlimited number of user licenses SW loaded onto unlimited number of workstations Limited server side SW upgrades. Customer responsible for HW. Additional annual maintenance fee Additional charge for uptime guarantees Customer responsible for some HW & SW maintenance Additional fee for online and on-site training Restricted pricing based on seat licenses Restricted workstation licenses Traditional PACS Vendors Service Delivery Model Capital Purchase Service Purchase

Q& A:

Q& A Hamad Medical Corporation Doha, Qatar dghai@hmc.org.qa Dharmendra Ghai (CPHIMS)