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R2 Medscan Ppt

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R2 Medscan Ppt

  1. 1. May 30, 2010 R2 MEDSCAN SOLUTIONS PVT LTD PUNE _ INDIA PRESENTATION ON TELERADIOLOGY
  2. 2. <ul><li>ABOUT R2 MEDSCAN SOLUTIONS </li></ul><ul><li>ECONOMICS OF TELE RADIOLOGY </li></ul><ul><li>WORKFLOW </li></ul><ul><li>QUALITY </li></ul><ul><li>SWOT ANALYSIS </li></ul><ul><li>DISASTER RECOVERY MANAGEMENT </li></ul><ul><li>Q&A </li></ul>INDEX
  3. 3. Cost Arbitrage SERVICE QUALITY BEST IN CLASS <ul><li>LOW SET UP SOST </li></ul><ul><li>COMPETITIVE RATES </li></ul><ul><li>VOLUME PRICING </li></ul><ul><li>SECOND OPINION </li></ul><ul><li>PATIENT SAFETY </li></ul><ul><li>HIPPA COMPLIANCE </li></ul><ul><li>JC STANDARDS </li></ul><ul><li>NON-DISCLOSURE </li></ul><ul><li>IT SECURITY STANDARDS </li></ul><ul><li>SUB-SPECIALITY RADIOLOGISTS </li></ul><ul><li>SERVICE QUALITY </li></ul><ul><li>HIGHER PRODUCTIVITY PER READ </li></ul><ul><li>24/7 SEAMLESS COVERAGE </li></ul><ul><li>ON-LINE TECH SUPPORT </li></ul>What is it for the Customer…… Come for Cost….STAY for QUALITY!!
  4. 4. ECONOMICS OF TELERADIOLOGY The Cost per study comes down by 2.5% for every 100 studies of Volume increase! Per Study Price SETUP COST Volume Price per Study Transition Consolidation Value Growth Costs Quality Efficiency Ramp-up attaining basic service levels Faster turnaround times, Management information, Controls Systems Re-engineering, Unit Transaction Pricing based billing Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- 5,000 10,000 15,000 20,000 25,000 30,000 35,000 Volumes Jan’10 to Dec’11 10 20 30 40 50 60 70 Price Per Study
  5. 5. SAVINGS CASE STUDY FOR CLIENT IN TRINIDAD CURRENT SOLUTION BENEFITS FOR OUTSOURCING TO R2 MEDSCAN SOLUTIONS <ul><li>TT$ 450 x 15 x 22 days = TT$ 148,500 PM x 12 = TT$ 1,782,000 </li></ul><ul><li>CYCLE TIME TAKEN TO GET THE MRI REPORTS = 4-6 WEEKS </li></ul><ul><li>TECHNOLOGY USED TO SEND STUDIES TO MRI RAD = CDs / DVDS </li></ul><ul><li>WITHIN TRINIDAD – LIABILITY </li></ul><ul><li>TT$ 200 x 15 x 22 days = TT$ 66,000 PM x 12 = TT$ 792,000 (SAVINGS -  990,000 ~~~~~~~~~ 55.55% </li></ul><ul><li>CYCLE TIME TAKEN TO GET THE MRI REPORTS = 24 - 72 HRS </li></ul><ul><li>TECHNOLOGY USED TO SEND STUDIES TO MRI RAD = eRAD PACS (10 mins Flat) </li></ul><ul><li>US TRAINED RADIOLOGISTS </li></ul><ul><li>PEER REVIEW DONE BY AMERICAN BOARD CERTIFIED RADIOLOGIST </li></ul>Annual Savings 990,000 @55.55% Total Read Spend MODALITY R2 MEDSCAN RATE TRINIDAD MARKET RATE BENEFITS OF R2 MEDSCAN MRI TT $ 200 TT $ 450 – 600 AVL IN REPORTS IN 72 Hrs CT TT $ 250 TT $ 400 - 425 US TRAINED – SUB SPECIALITY US TT $ 200 TT $ 300- 350 STRONG PEER REVIEW
  6. 6. Compliance – HIPPA / Others IT – Data / Voice / Security Skills – RAD / NC / FT / P2P PACS – Workflow Software Business Dev / Customer Service Malpractice Insurance Hospital Credentialing / MoH Due-Diligence Building Blocks FRONT END OPERATIONS BACK-END OPERATIONS
  7. 7. WORKFLOW eRAD PACS R2 RADIOLOGIST R2 RADIOLOGIST R2 RADIOLOGIST SOUTH CAROLINA DATA CENTRE R2 READING CENTRE IN PUNE R2 SERVERS WORFLOW COORDINATION
  8. 8. REAL TIME MONITORING OF READS STUDY/hr
  9. 9. VOLUME & CYCLE TIME - MODALITYWISE
  10. 10. Discrepancy reported By the hospital The report is reviewed by the chief Radiologist. Informs the reporting radiologist. Demands an explanation. Reporting Radiologist reviews the Study again. Confirms discrepancy? Submits a written explanation to the Chief Radiologist Chief radiologist provides a written explanation To the hospital Chief Radiologist reviews Study once again. Any discrepancy? Open Discussion between Chief Rad & reporting Rad Conclusion DISCREPANCY HANDLING PROCEDURE
  11. 11. DISASTER RECOVERY MANAGEMENT
  12. 12. Teleradiology Project Transition Methodology Process mapping Planning & Contracting 2-4 weeks Transition Ongoing Post-Transition Scanner & Req Internet Static IP Address eRAD PACS Server Configure Network Links GO LIVE (initial batch) COMPLETE TRANSITION Process and Software Improvements FURTHER SAVINGS $$$ 8-16 weeks Preparation
  13. 13. FACT FINDING BEFORE A READING SERVICE <ul><li>Hospital Name(s): </li></ul><ul><li>Address: </li></ul><ul><li>Phone: </li></ul><ul><li>Estimated Volume </li></ul><ul><li>Coverage Hours (weekends / holidays): </li></ul><ul><li>TATS </li></ul><ul><li>Preliminary vs. Final </li></ul><ul><li>PRICING </li></ul><ul><li>IT Connection / Day time Support: </li></ul><ul><li>Access to Facility PACS systems: Yes No </li></ul><ul><ul><ul><li>ON-SITE CONTACT(S) </li></ul></ul></ul><ul><li>Radiology Group Name or Chief Rad. Phone and Email </li></ul><ul><ul><ul><li>QA </li></ul></ul></ul><ul><ul><ul><li>Operational Issues </li></ul></ul></ul><ul><li>Radiology Director Name, Phone, & Email </li></ul><ul><li>Admin Contact / Credentialing Coordinator </li></ul><ul><li>IT Contact / Network / PACS ADMIN </li></ul><ul><ul><ul><li>Daytime </li></ul></ul></ul><ul><ul><ul><li>Night Time </li></ul></ul></ul><ul><li>DAY TIME CONTACTS, PHONE & FAX </li></ul><ul><ul><ul><li>CT : </li></ul></ul></ul><ul><ul><ul><li>US </li></ul></ul></ul><ul><ul><ul><li>MRI </li></ul></ul></ul><ul><ul><ul><li>ER </li></ul></ul></ul><ul><li>FAX # TO SEND REPORTS </li></ul><ul><li>Billing information & type </li></ul>
  14. 14. Operations: Process Map Hospital Site / Night Coordinator / First Touch / P2P Hospital Site RADIOLOGIST Workflow Coordinator Start NC Co-ordinates with Hosp Site Tech or ER Nurse and ensures that Images / Req is sent. Repeated Follow ups & escalation Req. Printed (RIS) of the Hospital Tech hits ‘SEND’ : Images go to eRAD (PACS) P2P Staff access the RAD Ureach VAL + eRAD + P2P server Patient is Sick / Met with Accident ER Doctor orders study Patient Goes to Scan – CT / DX / MRI / MRA / US / VQ SCAN Tech does SCAN - Faxes the Req to eFax server <ul><li>P2P staff Matches the Request (REQ) & Images based on foll Parameters: </li></ul><ul><li>Patient Name </li></ul><ul><li>Modality </li></ul><ul><li>Patient ID </li></ul>Radiologist reads the report FT (FIRST TOUCH) <ul><li>FT Staff puts the </li></ul><ul><li>Three letter Inst Code </li></ul><ul><li>Study Count </li></ul><ul><li>Body Part </li></ul><ul><li>and allots to specialties & converts the status in e-RAD to VIEWED. Then they set the priorities according to WCs </li></ul><ul><li>Wait for 10 mins for </li></ul><ul><li>Req comes w/o image </li></ul><ul><li>Image w/o Req </li></ul><ul><li>Both Image & Req </li></ul><ul><li>w/o Image count </li></ul>If any of the above condition /s arises, then the respective C/F have to be sent to the hospital site . Yes NO Keep monitoring the image count , reconcile periodically & change the status based on full download from VIEWED to READ . STOP <ul><li>Overall role is as follows: </li></ul><ul><li>Prioritize the hospital </li></ul><ul><li>Critical TAT monitoring and flag off cases which needs immediate attention. </li></ul><ul><li>Shift In-charge: Overall Supervision & escalation </li></ul>
  15. 15. Please contact <ul><li>R2 MEDSCAN SOLUTIOND PVT LTD </li></ul><ul><li>Email: [email_address] </li></ul><ul><li>6 th Flr, A Snehal Classique, </li></ul><ul><li>Behind Hotel Pride Executive, </li></ul><ul><li>Shivajinagar, Pune-411 005 </li></ul><ul><li>Cell: +91 9730704462 </li></ul>

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