Road to Healthcare Content Management Integrate, Standardise, Consolidate, Communicate

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1 Road to Healthcare Content Management Integrate, Standardise, Consolidate, Communicate

2 VISUS in Numbers 2000 Creation 2003 of VISUS JiveX Integrated Imaging First project in NL JiveX ECG 2013 JiveX Mobile 2015 Creation of VISUS IT Solutions AG Switzerland 2017 Move to its own building and new naming 2001 JiveX products release 2005 JiveX Mammographie 2011 Creation of Westdeutscher Teleradiologieverbund 2014 JiveX Medical 2016 JiveX 5.0 reddot award

3 VISUS in Numbers Employees / Customers / Turnover Year Employees 45% Development 40% Service 15% Administration & Sales Customers World Wide in 50+ Countries German certificate of excellent credit quality Year 2000

4 JiveX Product Lines JiveX PACS Enterprise PACS JiveX HCM Healthcare Content Managementsystem Management of images in radiology. Simple and efficient All medical information at a glance

5 A short journey through the past Dutch projects from 2005 to 2015

6 Every journey begins with the first step... Máxima Medisch Centrum, Veldhoven 2005 First PACS II Customer First PACS II Customer in the Netherlands Directly supported by VISUS Digitization of endoscopic examinations (JiveX AMG/AV)

7 Find the right partner for the trip Reinier de Graaf Ziekenhuis, Delft 2005 First PACS II Customer First Alphatron Customer for JiveX Replacement of local IVACS system at the ENT department 2006 First Alphatron Customer for JiveX Archiving moved from proprietary solution to standard

8 Develop the proven Instituut Verbeeten, Tilburg 2005 First PACS II Customer First Steps in Dutch Radiology Managing and of Radiotherapy Objects for Nuclear Medicine and Radiotherapy in JiveX Review Client 2006 First Alphatron Customer for JiveX

9 Provide Experiences Elkerliek Ziekenhuis, Helmond 2005 First PACS II Customer First Dutch Radiology Project Connecting Pathology Department (microscopic and macroscopic images). Integration of JiveX Viewer in the National Pathology Database (Palga UDPS) 2006 First Alphatron Customer for JiveX Image Integration Development of Thumbnail Viewer

10 Don t be afraid of big things Maastad Ziekenhuis, Rotterdam & Reinier de Graaf Ziekenhuis, Delft 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities Hospital moved to a new building Goal was to get rid of all paper processes in the hospital 2006 First Alphatron Customer for JiveX Image Integration Start: Connecting more than 150 modalities and several department systems to JiveX

11 Try to make it better Maastad Ziekenhuis, Rotterdam 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities Migration of KOVIS Medical and connection of scanners Development of Navigation Tree for improved navigation 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows

12 Take pictures during your journey Reinier de Graaf Ziekenhuis, Delft 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities 2011 PACS II Imaging Workflows Migration of Research Assistant Development of classification in JiveX AMG for Medical Photography 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows

13 Or make some movies Catharina Ziekenhuis, Eindhoven 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities Development of High Definition recording with JiveX AMG at Gastro-Enterology Department 2011 PACS II Imaging Workflows 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows 2012 PACS II Video Workflows

14 Let s talk about it Maastad Ziekenhuis, Rotterdam 2005 First PACS II Customer First Dutch Radiology Project 2011 First Connecting JiveX Radiology Project multiple in the modalities Netherlands. PACS II Imaging Workflows 2013 First Full Radiology Project Development of PACS Driven Workflow with G2 Speech Recognition First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows 2012 PACS II Video Workflows

15 experiences with others Elisabeth Tweesteden Ziekenhuis, Tilburg 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities 2011 Implementation PACS II Imaging of JiveX Workflows Viewer as XDS Consumer 2013 First Full Radiology Project 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows 2012 PACS II Video Workflows 2014 XDS

16 Leave impressions, no footprints Groene Hart Ziekenhuis, Gouda 2005 First PACS II Customer First Dutch Radiology Project Connecting multiple modalities 2011 PACS II Imaging Workflows 2013 First Full Radiology Project First Customer using JiveX Zero Footprint HTML viewer 2015 First Zero Footprint Viewer Installation 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows 2012 PACS II Video Workflows 2014 XDS

17 A long, successful journey. But this is not the end First PACS II Customer First Dutch Radiology Project Connecting multiple modalities 2011 PACS II Imaging Workflows 2013 First Full Radiology Project 2015 First Zero Footprint Viewer Installation 2006 First Alphatron Customer for JiveX Image Integration 2010 Supporting paperless workflows 2012 PACS II Video Workflows 2014 XDS

18 Go the next step.

19 But what is it? Time for a brief explanation.

20 Organization of Work Processes Workflows & Tasks related to data Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

21 Organization of Work Processes Grown historically Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

22 Organization of Work Processes There are very specific workflows Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

23 Organization of Work Processes Is distribution or access control the same in all departments? Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

24 Healthcare Content Management This is Healthcare Content Management. Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

25 Healthcare Content Management This is Healthcare Content Management. Radiology Cardiology Neurology Gastroenterol. Personnel Dept. Administration Report Report Report Report Document Document Referrer Referrer Referrer Referrer

26 View A HCM System should collect all Data, harmonize Formats, classify Data, handle Life Cycle, preserve Data Format Harmonization Classification to Integration Control Data Management & Lifecycle support view on all data, enable team work, enable patient access, increase value based healthcare

27 Healthcare Content Management This is Healthcare Content Management.

28 JiveX HCM in Action Reference Projects

29 Merian Iselin, Basel Some facts about the hospital Hospital specialized on Orthopedics and Surgery More than orthopedic surgeries / year 25 physicians, 134 attending physicians associated to the hospital

30 Merian Iselin, Basel Some facts about the hospital Hospital specialized on Orthopedics and Surgery More than orthopedic surgeries / year 25 physicians, 134 attending physicians associated to the hospital Physicians have own doctor s office Physicians have bed contigents for their patients in the hospital Hospital offers digital services for associated attending physicians. Challenges: Speciality Viewer from web based cockpit. Make patient data available in doctor s office for attending physicians.

31 Growing with JiveX PACS

32 Growing with JiveX PACS PACS II MSQ

33 Growing with JiveX PACS PACS II HCM MSQ

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35 Live Presentation HCM View as Cockpit

36 Live Presentation Patient Level integration call

37 Live Presentation Case Level integration call

38 Live Presentation Examination Level integration call

39 Live Presentation HCM View as cockpit for other applications

40 Live Presentation Referring Physician access

41 Some more tasks solved Connect to PGO of Switzerland Every region (Kanton) has 1 XDS Registry 1 XDS Repository Hospitals register and upload data With JiveX hospitals are enabled: Open an PGO for patients Data registration and upload of content of PGO for physicians Usage of nationwide metadata structure (Value Sets) Mapping of metadata

42 edia.con, Leipzig Some facts about the foundation 5 Hospitals More than 15 medical supply centers 925 beds, stationary, ambulatory visits Hospitals uses virtualized HIS systems, hosted in Berlin (Cerner) Tasks: one central HCM system for all hospitals and centers. Enable local as well as on-demand group-wide view on patient data. Enhance paper digitalization workflows.

43 Growing with JiveX PACS PACS PACS PACS

44 Growing with JiveX PACS PACS II PACS PACS PACS

45 Growing with JiveX PACS PACS II One HCM for all PACS Data Patient Demographics HIS Pat-IDs: 123, Hospital A 456, Hospital B 123, Hospital C Master Patient Index PACS Data Data PACS

46

47 Live Presentation HCM View with MPI Button

48 Live presentation HCM View with MPI Integration

49 Live Presentation Scan processes with Scan Import Gateway

50 Live Presentation Scan processes with Scan Import Gateway

51 We are not afraid of REALLY big things A project on the horizon Project Key Points: Hospital group in a european capital city > employees, including 1450 physicians 40+ PACS to connect More than 200 sub systems to connect Number of modalities not fixed yet, definitely more than 1000 All kind of medical departments Current data volume: 4.79 Peta Bytes

52 The journey continues. As Partners.

53 Thank you very much for your attention.