Setting up Radiology Diagnostic Centers

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  • Raphael currently based in the US, but looking forward to start a Radiology Department business in Ivory Coast(Abidjan) West Africa. A prosperous business-man (Investor) will be much appreciated to assist me in this innovation. If you are interested contact me raphaelatse@yahoo.com.Best regards.R.A.
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  • @BIKEJIANI99 I am curious to know how your project in Nigeria is shaping up. I know of a public health graduate student who is very interested in the Nigerian processes.
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  • Thanks. It is amazingly good and useful.
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  • thank you very much it was much informative
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  • Thank you very much for the information. I am planning on developing
    a standard diagnostic center in Nigeria which ultimately will develop into a franchise. I have already secured a land to sep up the first diagnostic center and now looking for partners for the project. Thanks.
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Setting up Radiology Diagnostic Centers

  1. 1. Building a Modern Diagnostic Center Chain - Dr Vas Metupalle Clarity Radiology Pte Ltd www.clarityradiology.com  
  2. 2. Contents Introduction..................................................................3 Location........................................................................4 Layout...........................................................................5, 6, 7, 8 Infrastructure...............................................................9, 10, 11, 12 Equipment....................................................................13, 14, 15 Staffing.........................................................................16 Training........................................................................17 Digital radiology..........................................................18, 19,20 Projections....................................................................21, 22,23 Franchise Model...........................................................24, 25
  3. 3. INTRO This presentation aims to detail the components of a central diagnostic center with several satellite imaging centers. Xray, Ultrasound, Mammo, CT , MR Xray, Ultrasound, Mammo, Xray, Ultrasound, Mammo, Xray, Ultrasound, Mammo,
  4. 4. Location Central advanced diagnostic center - City - good transport links - Building with adequate floor loading / frontage /space, carpark space - Nearby Hospitals with service lacking - Outpatient specialists in vicinity Sattelite diagnostic centers - Well Populated, self contained neighbourhoods - GP groups in vicinity
  5. 5. Layout Components: 1. Advanced Diagnostic center - Waiting area x2 (outer, inner) ‏ - Reception - Admin / Marketing / Accounting Room - Pantry - Meeting / Training Room - Radiologist reporting room - rest room - Changing rooms - Technician Work area - Xray Room - Mammo Room - Ultrasound Room - CT Room - MR Room - CT/MR control room Likely 4000sq feet
  6. 6. Possible Advanced center Layout 4000 sq feet
  7. 7. Layout Components: 2. Satellite Radiology Center - Waiting area - Reception - Changing rooms - Technician Work area - Xray Room - Mammo Room - Ultrasound Room Likely 1500sq feet
  8. 8. Proposed Sattelite center Layout 1250sq ft
  9. 9. INFRASTRUCTURE 1) Floor Loading MRI area – 12kN CT area - 5KN Rest - 3 KN Specialists required: - Specialist contractor -Professional Engineer - Radiation safety adviser - MR / CT installation +commissioning engineers  
  10. 10. 2) Radiation Protection , RF insulation - RF insulation for MR room - 3mm thickness lead rooms for xray, mammo, CT rooms. - Lead doors, lead glass - specialist contractors needed to consult with local contractors  
  11. 11. 3) Power - Uninterrupted Power Supply vital to preserve medical equipment circuit boards from damage. UPS machines tested for medical equipment eg. Caterpillar , Toshiba UPS. Advanced Center - 200 to 300kVA Satellite Center - 60 to 100kVA - Generator supply important for business to run in developing countries.
  12. 12. 4) Network - Internet , ADSL / VSAT broadband 2MB/sec Download , 1MB/sec upload - LAN network, Gigabit ethernet within each center - 1x server , with 4x windows professional PCs satellite center - 2x Server, 9 x Windows XP pro advanced center
  13. 13. Equipment New Vendors : GE , Phillips, Toshiba, Siemens , Hitachi Recommendation is to get all equipment form single vendor for good price and servicing agreement. Refurbished Suppliers: 1) Amber Dignostics : http://www.amberusa.com/ , http://www.amberafrica.com (Located in Cameroon) 2) Block Imaging : http://www.blockimaging.com
  14. 14. Comparison Pricing Equipment                       New                              Refurbished (5 yr old) ‏ 1.5T MRI (closed MR)  US$ 1.2mil                            US$ 300 to 400k Open MRI                      US$ 600k                             US $ 250k 16 Slice CT                        US$ 650k                        US $ 200k Maintenance 1.5T MRI - US$ 70k / year Open MRI - US $ 25k / year CT 16 slice - US $15k / year
  15. 15. <ul><li>Equipment – Advanced Center </li></ul><ul><ul><li>Open MRI , 0.4 Tesla </li></ul></ul><ul><ul><li>16 Slice CT </li></ul></ul><ul><ul><li>Xray Machine </li></ul></ul><ul><ul><li>Ultrasound machine </li></ul></ul><ul><ul><li>Mammogram machine </li></ul></ul><ul><ul><li>BMD </li></ul></ul><ul><li>Equipment – Sattelite Clinic </li></ul><ul><li>Xray Machine </li></ul><ul><ul><li>Ultrasound machine </li></ul></ul><ul><ul><li>Mammogram machine </li></ul></ul>
  16. 16. Staffing Advanced diagnostic center <ul><ul><li>2 principle radiologists </li></ul></ul><ul><ul><li>6 Radiographers </li></ul></ul><ul><ul><li>1 nurse </li></ul></ul><ul><ul><li>2 front desk staff </li></ul></ul><ul><ul><li>3 admin staff </li></ul></ul><ul><li>Satellite center </li></ul><ul><ul><li>3 radiographers </li></ul></ul><ul><ul><li>2 front desk staff </li></ul></ul><ul><ul><li>1 admin </li></ul></ul>
  17. 17. Training <ul><ul><li>Advanced modalities- CT/ MR/PETCT </li></ul></ul><ul><ul><li>IT, training of PACs, Telerad </li></ul></ul><ul><ul><li>Customer support </li></ul></ul><ul><ul><li>Specialist Marketing </li></ul></ul>
  18. 18. <ul><li>All centers would have DIGITAL SOLUTION- Fast , Secure, Scalable </li></ul><ul><ul><li>Fast & Efficient - When its needed </li></ul></ul><ul><ul><li>Geographically limitless – accessible from anywhere </li></ul></ul><ul><ul><li>Secure – Ensuring absolute information privacy </li></ul></ul><ul><ul><li>High quality - transmitting demonstrably perfect images </li></ul></ul><ul><ul><li>Easy to use – minimal training and barriers to use = rapid adoption </li></ul></ul><ul><ul><li>Cost Effective – In time and money. </li></ul></ul><ul><ul><li>Highly Scalable – robust for large volume </li></ul></ul>
  19. 19. PACS/ RIS/ TeleRadiology The TELE-RADIOLOGY Hub model provides entire workflow for an online diagnosis and reporting allowing radiologists to remain in central diagnostic center. MiniPACs at Sattelite Imaging centers MiniPACs at Sattelite Imaging centers Advanced Center
  20. 20. Teleradiologist Load Balancing a breeze with teleradiology Teleradiologists for Load balancing
  21. 21. Projections for 1xAdvanced Center , and 3xSattelite centers -SAMPLE-
  22. 22. Projections have to suit local conditions and prices. -SAMPLE-
  23. 23. ROI Calculator for Single Modality -SAMPLE-
  24. 24. Franchise Model <ul><ul><li>Establish model center locally </li></ul></ul><ul><ul><li>Legal documentation </li></ul></ul><ul><ul><ul><li>Letter of intent, Area agreement, Master agreement </li></ul></ul></ul><ul><ul><li>Creating corporate identity </li></ul></ul><ul><ul><ul><li>Trademark, Namecards, Letterhead, envlopes, signpost, Uniforms </li></ul></ul></ul><ul><ul><li>New Center Setup </li></ul></ul><ul><ul><ul><li>Process, Pre renovation consult, Renovation details, Final preparation, checklists </li></ul></ul></ul><ul><ul><li>Operational Info </li></ul></ul><ul><ul><ul><li>Organisational structure, IT linkups, operational matters </li></ul></ul></ul><ul><ul><li>Service Quality </li></ul></ul><ul><ul><ul><li>Philosophy, attire, Customer relations, Complaints structure </li></ul></ul></ul><ul><ul><li>Human Resources </li></ul></ul><ul><ul><ul><li>Recruitment procedure, appraisal, application/ acceptance forms, employee handbook. </li></ul></ul></ul>
  25. 25. Franchise Process 1. A Prospect expresses interest 2. Confidential meeting &offfer No yes 3. Sign Letter of intent 4. Survey of premise 5. Proposal No yes 6. Sign agreement 7. Set-Up 8. Training 9. Marketing 10. Opening

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