Challenge of a Best-Of-Breed VNA is Skillful System Integration and Dedicated Back-end Support

Challenge of a Best-Of-Breed VNAis Skillful System Integration andDedicated Back-end SupportDan TrottWW Strategy and Business Development ExecutiveDell Healthcare & Life Sciences –Unified Clinical Archive Solution

Objectives • Challenges in a Heterogeneous PACS Environment • Solutions for Data Management, Archive and Distribution VNA • Architecture and Deployment – Issues and Options Challenges & Choices • Considerations for Selecting a Solutions Partner • Ideal Solution Ideal • Requirements to Assure Success Solution • Dell Healthcare’s Approach to the Enterprise Image Archive Dell’s • Conclusion Approach2

Problems• The Silo Effect • Multiple Vendor Management• Limited Choices • Non-DICOM Data• Proprietary Data Formats • Lack of Information Lifecycle• Lack of Business Continuity Management• Costly Data Migrations • Inadequate Disaster Recovery• Data Sharing and Collaboration3

Solutions• Not all VNA Solutions are Created Equal• Fundamental Requirements of the Neutral Archive Application – Bi-Directional Tag Morphing – Full DICOM conformance – Methodology for non-DICOM – Organize/Manage by Organization Node – Intelligent metadata driven ILM – Ability to create/associate Unique patient/study ID – Pre-fetching and Auto-Routing with Relevant prior Algorithm – Mirrored, dual-sited configuration – Virtualization – Data Integrity and Propagation of HL7 updates – Data Compression options (negotiating any DICOM-conformant Syntax) – Create/Maintain XDS-I Manifest – Transaction Logging and Reporting – Security – Comprehensive Pro-active 7/24/365 remote monitoring of all components4

SolutionsFundamental Requirements of the UniViewer Application – Absolute Zero client – Server-side Rendering – Cache-less – Virtualization – Supports Multiple OS and Browsers – URL-based Portal Interface – EMR Authentication – Auditable Transaction Logging – Methodology for displaying non-DICOM – Medium to Advanced Features/Functions – Optional Web Services interface (to the VNA and/or Storage Solution)5

Solutions • Mirrored configuration supports realistic Disaster Recovery • Inclusion of the Viewer Application on both sides provides true Business Continuity Primary Data Center A Secondary Data Center B EMR Datacenter LAN Datacenter LAN WAN Univiewer VNA App Univiewer VNA App Local Storage Local Storage6

Architecture and Deployment…Issues and OptionsThe Organization needs to focus inward in order to establish theirposition on these Key Considerations…• IT Resources – Staffing level and skill set• Second Data Center – Does it already exist? – Is co-location with a business-class provider an option?• Storage Utilization – Can the organization achieve a just-in-time procurement model?7

Architecture and Deployment…Issues and OptionsThe Organization needs to focus inward in order to establish theirposition on these Key Considerations…• Disaster Recovery Strategy – Proper Infrastructure and Professional Services must be established to assure timely recovery of lost data• Proximity Requirements for Business Continuity – True BC requires the Secondary Display Application and the Secondary VNA Application in close proximity• Funding – Is the Organization prepared to commit the Capital vs Operational Funds? – Does the fee-per-study in a Software as a Service model make sense?8

Architecture and Deployment…Issues and OptionsConsider the Variations on System Architecture• Mirrored Configuration – Dual-sited – Geographic Separation• Local Facility Cache Servers (multi-facility organizations)• Virtualization – VNA application – UniViewer• Direct Image Acquisition for imaging departments without PACS – DICOM – non-DICOM9

Architecture and Deployment…Issues and OptionsDecisions that determine the Deployment Options• Economics – Own the system (Capitalize or Lease)? – Fee-per-Study or SaaS solution? – Are there sufficient funds to support single phase or multi-phase?• System Management – Self-Management vs Contract Management depends on IT Resources• Storage utilization – Ability to create and execute an on-demand storage procurement schedule• On-Premise vs Off-Premise – Is organization willing and able to support the second data center? – Can the vendor be trusted to manage the data in their Cloud?10

Considerations for Selecting a SolutionsPartner • Expertise in • Expertise in professional Infrastructure services management Consultants Hardware /Integrators Vendors VNA PACS Vendors Vendors • Expertise in Data • Expertise in Clinical Management applications and solutions workflowAny one stakeholder typically lacks depth and breadth to be experts in all areasand have control of every one of the many options required to constitute the rightVNA11

Stakeholders in an Ideal Solution Professional Hardware Services Infrastructure - Ideal VNA Configuration comprised of choices in all four major categories - Choices derived from thorough and unbiased analytical process / consulting - Components of solution integrated, installed and supported by a team with experience with that specific configuration Imaging / Clinical Software Workflows (PACS)12

Requirements to Assure SuccessVendor would have to meet all of the following: – Consulting…a substantive process not merely a consultative sales program – System Design…matching the component options to the organization’s needs and resources – Financial Modeling…compare projected total cost of ownership (TCO) of existing heterogeneous PACS environment with TCO for proposed custom VNA – Flexible Financing…provide range of financing options from fully capitalized to fully operationalized13

Dell Unified Clinical Archive - Visit #3607Helping Healthcare providers efficiently store, manage and share medical image data Women’s Medical Radiology Oncology Cardiology Pathology health Record Unified Clinical Archive Unified Clinical Archive Dell Clinical Data Management Data Consolidation and Information Life cycle Management Dell On-Premise Clinical Archive Dell Cloud Clinical Archive Object based storage platform Managed Enterprise Archive Dell Clinical Collaboration Portal Cross Enterprise Data Access and Distribution14 Confidential 2/21/2012 Healthcare and Life Sciences

Conclusion• If a single-vendor solution, or one of the limited option solutions doesn’t quite fit the Organization’s Requirements… Don’t give up looking for a real Best-Breed Solution15

Questions & Answers16

Challenge of a Best-Of-Breed VNA is Skillful System Integration and Dedicated Back-end Support

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Challenge of a Best-Of-Breed VNA is Skillful System Integration and Dedicated Back-end Support Presentation Transcript