Ideal Approach to Radiology IT - Best-of-Breed vs. Single-Source. Freemium

Transcription

1 Ideal Approach to Radiology IT - Best-of-Breed vs. Single-Source Freemium

2 Introduction The rumors of PACS death have been greatly exaggerated. PACS has been, and still is, very much the hub of the radiology department. Radiology continues to be the early adopter of technology in most hospitals. Efficiency is key. Many trends have emerged over time - some have faded quickly while others have take hold and had a long-lasting impact. One of the latest is the notion of Deconstructed PACS which at its core is a best-of-breed approach. So in essence, use different solutions (PACS, VNA, Viewers) from multiple vendors than go with a single-source vendor approach. There s been a lot of buzz about this new model but is it one that will be applied across the industry or is it ideal for a specific type of healthcare institution? To answer this critical question we deployed our Research Cloud to quickly (over a 3 week period) gather feedback from nearly 300 radiology and medical imaging leaders and decision makers. This is their story... Who they are using for PACS, VNA, and viewer. What they think of their PACS vendor and why. Annual study volume. The participant s current approach to imaging (one stop shop or best of breed) and what their ideal configuration would be. If they re planning on switching, who are they considering, what technologies they think will have the biggest impact on imaging. Our methodology: Over a 15 business day period we extended several invitations to radiology and imaging decision makers from almost every hospital in the USA to participate in this study. While nearly 300 participants is large enough to be considered significant, we do not claim the vendors covered in this research are an exact representation of the entire market or of their respective market share. Ideal Approach to Radiology IT - 1

3 Demographics Participant Titles N=297 Director of Radiology 32% PACS Admin 27% Imaging Director 11% Radiology Manager 9% Radiology Director 5% Radiologist 4% Chief of Radiology 3% Physician 2% Imaging Manager 1% Clinical Informatics Manager 1% Other* 5% *Operations Manager, PACS Manager, Director of Operations, Professor, Vice President of Radiology, Finance Manager, Clinical Manager, Chief of Imaging, Annual Study Volume 25% 100, ,000 18% 50, ,000 18% 5,000-25,000 13% 250, ,000 9% 25,000-50,000 7% 1,000,000-2,000,000 4% 2,000, % 500, ,000 2% 750,000-2,000,000 In terms of volume, the sweet spot appears to be in the 100,000 to 250,000 range, with a quarter of the participants achieving that output. Still, almost one-fifth of respondents indicated they are doing between five and twenty-five thousand. About 15% are throwing up huge numbers with over 500,000 annual studies. Ideal Approach to Radiology IT - 2

4 Current Imaging Approach Current Approach to Medical Imaging 33% 67% More and more providers are moving away from the best-of-breed approach for their imaging. This is further confirmed as those who have participated in previous years are also planting a flag for a single-source PACS, VNA, and viewer solution. An oddity is that some of the vendors with the most share of the PACS market, have less of a presence in the viewer space, according to our data. Single-Source Best-of-Breed Trended Imaging Approach 70% 60% 50% 54% 64% 67% 40% 30% 46% 36% 33% Ideal Approach to Radiology IT - 3

5 Vendors Being Used Overall PACS Usage From Data Pool GE Healthcare 20% Change Healthcare (McKesson) 20% IBM (Merge) 10% Fuji 9% Agfa 8% Philips 7% Sectra 6% Siemens 4% NovaRad 3% Carestream 3% Intelerad 3% Visage 1% ASPYRA 1% Other * 5% * INFINITT, Cerner, erad, VistARad, Mach7, Homegrown, MedWeb, Scimage, CPSI, Hyland VNA Hyland (Lexmark-Acuo) 24% GE Healthcare 23% IBM (Merge) 13% Philips 10% Fuji 6% Mach7 5% Dell EMC 3% Agfa 3% Other* 10% * PACS Harmony, Cerner, Change Healthcare (McKesson), Sectra, Vital Images, Carestream, Siemens, CoActiv. As single-source seems to be what radiology departments are moving toward, it s no surprise that GE hovers around the 20% mark, the same percentage they have in the PACS space. Viewer GE Healthcare 22% Carestream 5% IBM (Merge) 19% Fuji 5% Change Healthcare (McKesson) 11% Siemens 5% Hyland (Lexmark-Claron) 6% Visage 3% Philips 6% Sectra 3% Client Outlook (eunity) 6% Other* 4% Agfa 6% * Hologic, Intelerad, Vital Ideal Approach to Radiology IT - 4

6 Net Promoter Scores For those unfamiliar with the Net Promoter Score methodology: A customer base is asked how likely they are to recommend said company, and given a 0-10 scale. 0-6 are detractors, 7-8 are neutral, and 9-10 promoters. The score is made by taking the percentage of detractors, and subtracting it from the percentage of promoters. The Net Promoter Score for the radiology IT industry presently sits at 5. This is a tepid result. 5 Facility Type Total NPS N Academic Medical Center Critical Access Hospital Hospital IDN Imaging Center Specialty Clinic Others not included in this table: cancer hospitals, childrens hospitals, rehabilitation centers and long-term care facilities. This page contains the overall NPS score. Those who have a license to Reaction s SmartData are able to view each individual vendor s score. You can also break those scores out by organization type, title, etc. so that you can drill down and see where the happiest customers are coming from. If you re interested in a license, please Jeremy Bikman, our CEO, at jeremy.bikman@reactiondata.com Ideal Approach to Radiology IT - 5

7 Direct Commentary Commentary Tone 23% N=343 15% 62% Agfa Have been with AGFA for approximately 12 years and they area a great PACS group/system. Fixing to upgrade to their EI platform and cannot wait. - Radiology Director Overall they are pretty good. Service has suffered the last couple months - PACS Admin Change Healthcare Excellent service and support. Excellent integration with Epic and PS360. Good 3rd party integrations as well for post processing. - PACS Admin The system itself is high functioning but not always meets up to date software necessities and interface ability. Positive Neutral Negative Fuji Their support services are excellent and the product is easy to use. - Director of Radiology Commentary Grouped by Topics 13% 25% 19% 23% 21% Support Functionality Stability Ease of Use Other Not fond of Fuji. They do not stay up with the times. - Director of Radiology GE Very good system and GE is very responsive to our needs. - Director of Radiology Dated technology with limited capabilities. - Director of Radiology IBM We have always been able to get an issues dealt with in a timely manner. Overall easy to use for the technologist and anything I have to do on the PACS admin side is an easy process as well. -Operations Manager Implementation of the PACS was extremely difficult. The vendor did not meet our support needs regarding capabilities and training. In addition, the system is more cumbersome to use than other vendor solutions. - Director of Radiology Philips The system is very dependable, great uptime record, support is excellent, very user friendly. - PACS Admin It's stable and delivers on its core mission. On the other hand, it lacks functionality in terms of filters, work distribution and communication. - Radiologist Sectra Everything works like it's supposed to. It's very easy to use. I have no issues. Recent updates have made it even easier. - PACS Admin We have had some issues with this system. The measurement tools are less than Ideal and integration with the EMR has been rough and slow to occur. To be fair the integration problems have been on both sides. - Chief of Radiology Ideal Approach to Radiology IT - 6

8 Conclusion Radiology has always been the canary in the coal mine, so to speak, in adopting new technologies and automating anywhere it can. It s also been the department most focused on efficiency. It comes as no surprise then that it is also a department which is unafraid to try something new, even if it means trying different configurations and replacing incumbent vendors. While there is a certain segment of the market that prefers the best-of-breed approach (namely high-end academic hospitals and research institutions with large budgets), the preferences of the majority of organizations reveal a steady march towards singe-source. This makes some practical sense since a large percentage of these organizations have already headed the single-vendor path across their enterprise with Cerner, Epic, MEDITECH, and CPSI. However, radiology has always been a bit of a maverick willing to go its own way, so it very well could be that five years down the road the pendulum could swing back towards best-of-breed. But for now, single-source is winning the day. Trended Imaging Approach 70% 64% 67% Single-Source 60% 54% Best-of-Breed 50% 40% 30% 46% 36% 33% Once again, this report contains a small fraction of the data we collected for this study. Click here to login and view the full report. This will allow you access to vendors Net Promoter Scores (customer satisfaction), replacement rates, vendors winning business, and hundreds of direct customer commentary. If you re not a customer and would like more information on how to obtain a license to Reaction s SmartData, please our CEO Jeremy Bikman at jeremy.bikman@reactiondata.com Ideal Approach to Radiology IT - 7