Thank you for joining us.    The webcast will     begin shortly.
Questions ?    A live Q&A with the presenters    immediately follows the videopresentation. Submit your questions in the “...
Application Service Provider: ASP• Secure, scalable DICOM data archive with full  disaster recovery• Turnkey offsite solut...
Diagnostic Imaging Services - New Orleans• Survived Hurricane Katrina• Due to ASP, PACS and offsite archive  were secure• ...
University of Washington Medical Center - Seattle • 450-bed hospital • 9 neighborhood clinics • 100 outpatient facilities ...
Rush-Copley Medical Center – Aurora, Ill.• 183-bed community hospital• Implemented ASP when it went online  with PACS six ...
UW Medical Center:        Webcast Presenters• William Shuman, MD, FACR  Professor and Vice Chairman of  Radiology, and Dir...
Rush-Copley Medical Center:     Webcast Presenters• Dennis DeMasie  Vice President and CIO• Tom Markuszewski  Director of ...
Diagnostic Imaging Services:      Webcast Presenters• Anthony Gettys  CEO• Kathy Rabalais  Director of Clinical Services a...
Q & A Session  Please submit your questions bytyping them in the “Ask A Question”  box in the right of your console.
UW Medical Center: Facility Overview• Harborview Medical Center – trauma  and burn center• Children’s Hospital & Regional ...
UW Medical Center: Technology Portfolio  •   64-Slice CT  •   1.5 and 3 Tesla MR  •   Digital mammography  •   4D ultrasou...
Reasons for Going with ASP• Filmless for seven years• Gradually extended PACS into the  enterprise and expanded network• R...
UW Medical Center: ASP Benefits• Cost-effective savings• Factor of safety and disaster recovery• Data are backed up at sev...
UW Medical Center: PACS Archive• PACS archive = 30 Terabytes• Expected to reach 50 TB in a couple years• 25 TB online for ...
UW Medical Center: Disaster Recovery• Three copies of every exam are sent at  acquisition time:  - One copy of images goes...
UW Medical Center: Benefits of ASP• Ability to continue business even if the  entire hospital is destroyed in an  earthqua...
UW Medical Center: Choosing ASP• Decision driven by escalating data  sets – 64-slice CT• Started looking at ASP two years ...
Rush-Copley: Why ASP?• Driver: Avoid capital expense• ASP: Expense it as you use it• Don’t need hospital technical staff t...
Rush-Copley: ASP Lessons Learned • Maximize resources to focus on   strategic operations • Do a site visit prior to implem...
Rush-Copley: ASP Lessons Learned • Logical solution for disaster-recovery • Three layers of backup with ASP • Turnkey solu...
Rush-Copley: ASP Benefits• RAID – 4TB• Store 2-3 years of images in short-term  storage• ASP: Long-term storage is infinit...
Rush-Copley: User Experience• No data migration issues• No questions, because there are no  problems• User feedback: Out o...
Rush-Copley: User Experience• ASP means images and problems are  out of sight, out of mind• No hardware and software  obso...
DIS: Overview• 110,000 imaging procedures a year• 5 facilities located throughout the  metropolitan New Orleans area –  Me...
DIS: Benefits of ASP• Created numerous efficiencies from a  radiologist’s standpoint• Improved radiologist workflow• Bette...
DIS: Katrina and Beyond• When Katrina hit, the storage of images was  not a concern because ASP safely stored  information...
DIS: Katrina and Beyond• Once reopened, patients were happy to  get images they needed• Continuity of care for patients• R...
DIS: The Disaster Plan•   June 2005: Review disaster plan with personnel•   August 2005: Activated disaster plan•   Katrin...
DIS: After Katrina• After setting up a workstation, they were  able to read digital mammography exams  quickly• Patient da...
DIS: Factors to Consider for ASP • Strategic advantage – allowed us to recover   quickly from a disaster • Disaster Recove...
Webcast Presenters•   William Shuman, MD, FACR          • Anthony Gettys    Professor and Vice Chairman         CEO    of ...
Thank You    To view an archive of this  video webcast, please visit …www.HealthImaging.com/Webcasts
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Application Service Provider: ASP

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Secure, scalable DICOM data archive with full
disaster recovery

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Application Service Provider: ASP

  1. 1. Thank you for joining us. The webcast will begin shortly.
  2. 2. Questions ? A live Q&A with the presenters immediately follows the videopresentation. Submit your questions in the “Ask A Question” box on the bottom right of the console.
  3. 3. Application Service Provider: ASP• Secure, scalable DICOM data archive with full disaster recovery• Turnkey offsite solution• Price per procedure model• Obsolescence protection from hardware and software as an expendable cost• Data are redundantly backed up at several remote data centers• Images are immediately available to radiologists, specialists, and referring physicians
  4. 4. Diagnostic Imaging Services - New Orleans• Survived Hurricane Katrina• Due to ASP, PACS and offsite archive were secure• No electronic images were lost• Five free-standing radiology facilities• 115,000-120,000 imaging procedures each year
  5. 5. University of Washington Medical Center - Seattle • 450-bed hospital • 9 neighborhood clinics • 100 outpatient facilities • 210,000 imaging procedures annually • Top 10 medical centers in the U.S. — U.S. News and World Report • Teaching hospital for University of Washington School of Medicine
  6. 6. Rush-Copley Medical Center – Aurora, Ill.• 183-bed community hospital• Implemented ASP when it went online with PACS six years ago• Member of Rush-System for Health• 120,000 imaging procedures each year• Physician base of 500
  7. 7. UW Medical Center: Webcast Presenters• William Shuman, MD, FACR Professor and Vice Chairman of Radiology, and Director of Radiology• Gene Hoefling Administrative Director, Radiology• Andy Strickland Director of Imaging Informatics
  8. 8. Rush-Copley Medical Center: Webcast Presenters• Dennis DeMasie Vice President and CIO• Tom Markuszewski Director of Imaging• Bob Bruecker PACS Administrator
  9. 9. Diagnostic Imaging Services: Webcast Presenters• Anthony Gettys CEO• Kathy Rabalais Director of Clinical Services and IT• Andrew LeBlanc IT Consultant• Keith Robichaux PACS Administrator
  10. 10. Q & A Session Please submit your questions bytyping them in the “Ask A Question” box in the right of your console.
  11. 11. UW Medical Center: Facility Overview• Harborview Medical Center – trauma and burn center• Children’s Hospital & Regional Medical Center• Veteran’s Administration Puget Sound Health System• 13 primary care clinics around the city• 2 specialty clinics
  12. 12. UW Medical Center: Technology Portfolio • 64-Slice CT • 1.5 and 3 Tesla MR • Digital mammography • 4D ultrasound • Nuclear medicine • PET/CT • Interventional radiology • PET/CT and CT in radiation therapy for IMRT therapy planning
  13. 13. Reasons for Going with ASP• Filmless for seven years• Gradually extended PACS into the enterprise and expanded network• Required a better archiving solution• Prior to ASP, used optical disc and then migrated to content addressed storage
  14. 14. UW Medical Center: ASP Benefits• Cost-effective savings• Factor of safety and disaster recovery• Data are backed up at several offsite locations• UW located near: - Volcano: Mt. Rainier - Earthquake fault - Tsunami zone• Expense of having a safe backup system is a fraction of what a minimal disaster would cost
  15. 15. UW Medical Center: PACS Archive• PACS archive = 30 Terabytes• Expected to reach 50 TB in a couple years• 25 TB online for short-term storage• Previously used optical disc for disaster recovery, but it was too limited for growth• Went to spinning disc, RAID technology• Needed a third tier storage strategy• Looked into ASP solution
  16. 16. UW Medical Center: Disaster Recovery• Three copies of every exam are sent at acquisition time: - One copy of images goes to short-term, on-site storage - Second copy goes to server that sends images to ASP via VPN to Chicago where stored in another spinning RAID device - Third copy kept on other ASP site in California
  17. 17. UW Medical Center: Benefits of ASP• Ability to continue business even if the entire hospital is destroyed in an earthquake• Archive is online• Simple implementation – only need to provide a network connection to ASP center• Can run 150 MB per second over the internet through a VPN
  18. 18. UW Medical Center: Choosing ASP• Decision driven by escalating data sets – 64-slice CT• Started looking at ASP two years ago• Key as move into next-generation imaging systems with larger data volumes• Outgrew local archive
  19. 19. Rush-Copley: Why ASP?• Driver: Avoid capital expense• ASP: Expense it as you use it• Don’t need hospital technical staff to manage storage – vendor provides resources• Frees up CIO to focus on hospital’s business and clinical needs• Certified disaster recovery
  20. 20. Rush-Copley: ASP Lessons Learned • Maximize resources to focus on strategic operations • Do a site visit prior to implementing ASP • Be sure vendor is thorough • No HIPAA or JCAHO issues • No concern with upgrades • Looking to add cardiology ASP next
  21. 21. Rush-Copley: ASP Lessons Learned • Logical solution for disaster-recovery • Three layers of backup with ASP • Turnkey solution at 2 offsite locations • Invisible solution to the organization from a hardware cost and manpower cost • ASP vs. onsite storage – pick ASP
  22. 22. Rush-Copley: ASP Benefits• RAID – 4TB• Store 2-3 years of images in short-term storage• ASP: Long-term storage is infinite• Never run out of space• Pay only for storage that is used• Issue of storage is invisible, concerns and problems are in the background
  23. 23. Rush-Copley: User Experience• No data migration issues• No questions, because there are no problems• User feedback: Out of site, out of mind – the system always works• Images are always available under all circumstances
  24. 24. Rush-Copley: User Experience• ASP means images and problems are out of sight, out of mind• No hardware and software obsolescence• No change in platforms to worry about• No data migration costs
  25. 25. DIS: Overview• 110,000 imaging procedures a year• 5 facilities located throughout the metropolitan New Orleans area – Metairie and Marerro, La.• Women’s center performs 20,000- 25,000 mammography procedures per year• 100-150 open MRI procedures on a monthly basis
  26. 26. DIS: Benefits of ASP• Created numerous efficiencies from a radiologist’s standpoint• Improved radiologist workflow• Better use of radiologists’ time• Able to store images at an offsite location for a minimal fee
  27. 27. DIS: Katrina and Beyond• When Katrina hit, the storage of images was not a concern because ASP safely stored information offsite• After the storm, opened each clinic individually• Able to retrieve images and operate as normal, as if the storm had never happened• Within 6-7 months after reopening, DIS was back to pre-Katrina imaging volume
  28. 28. DIS: Katrina and Beyond• Once reopened, patients were happy to get images they needed• Continuity of care for patients• Referring physicians were glad too
  29. 29. DIS: The Disaster Plan• June 2005: Review disaster plan with personnel• August 2005: Activated disaster plan• Katrina was imminent, had to shut down• Before closing, made sure all modality-specific exams had gone to ASP• Images were stored offsite in Chicago and California, as well as in short-term storage in New Orleans• Went smoothly• Confident in double back-up• Able to retrieve data when they returned or wherever they set up a workstation to work from
  30. 30. DIS: After Katrina• After setting up a workstation, they were able to read digital mammography exams quickly• Patient data and reports were fully secure and safe through ASP• ASP allowed us ‘one less worry’
  31. 31. DIS: Factors to Consider for ASP • Strategic advantage – allowed us to recover quickly from a disaster • Disaster Recovery – data are maintained no matter what happens locally • Got PACS back online 3 weeks after Katrina • Gave referring physicians access via web • Convenience – technologists don’t have to retrieve tapes • Instant access to images • All data were maintained, nothing was lost
  32. 32. Webcast Presenters• William Shuman, MD, FACR • Anthony Gettys Professor and Vice Chairman CEO of Radiology, and Director of • Kathy Rabalais Radiology• Gene Hoefling Director of Clinical Services and IT Administrative Director, • Andrew LeBlanc Radiology• Andy Strickland IT Consultant Director of Imaging Informatics • Keith Robichaux• Dennis DeMasie PACS Administrator Vice President and CIO • Andy Vranesic• Tom Markuszewski GE Healthcare Director of Imaging • Vijay Tanjore• Bob Bruecker GE Healthcare PACS Administrator
  33. 33. Thank You To view an archive of this video webcast, please visit …www.HealthImaging.com/Webcasts

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