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TELERADIOLOGY 2020 AND BEYOND

Keep pace with current and future demand with technology enablers that support unprecedented growth, automation, scalability and performance. DICOM SYSTEMS E-BOOK PAGE 1

TELERADIOLOGY 2020 VIRTUALLY INDISPENSABLE

Teleradiology has become a driver of value and an opportunity for growth. From necessity, to a possible threat, to partners – the perception of teleradiology has evolved considerably.

In its early days, teleradiology was a requisite solution for Teleradiology has become a hospitals that needed ‘nighthawk’ coverage – it solved resource to institutions striving overnight coverage challenges, ensuring a radiologist for a balance of operational, was always available to provide preliminary reads for the financial, and clinical excellence emergency department. When adoption began to grow • Supports high quality care: beyond after-hours coverage, the imaging community Diagnosis and care plans are debated the potential “predatory threat” teleradiology always informed by expert posed to groups, with many warning that it interpretations, regardless of the would lead to commoditization, lower fees, and disruption patient’s location to hospital contracts. • Improves the patient journey: More recently, teleradiology has been embraced in the Patients benefit from reduced wait pursuit of quality care, both by resource-constrained times and access to specialists hospitals and sophisticated delivery networks. As regardless of their location radiology groups across the board focus on becoming • Offers cost efficiency: a more visible partner in the care pathway, teleradiology Providers can outsource cases solutions can fill gaps, accelerate diagnosis, and provide to reading groups that have the unparalleled access to expertise. The cost efficiencies volume, staff, and resources to that were once viewed as a threat to the practice of keep professional fees competitive radiology are now part of a strategy to control imaging- relative to output related costs without compromising quality. For these reasons, and more, the demand for $11.5 BILLION teleradiology services is on the upswing. Estimates suggest the teleradiology market will reach $11.5 FORECASTED billion by 2026. There is opportunity for imaging service TELERADIOLOGY providers of all sizes and forms to capture a portion of the market or leverage teleradiology services to meet MARKET their goals. But, only if they are ready.

Teleradiology Market Size, Share & Trends Analysis Report By Product (Ultrasound, MRI, CT, X-ray), By Region (North America, Asia Pacific, Europe, Middle East & Africa, Latin America), And Segment Forecasts, 2019 - 2026 https://www.researchandmarkets.com/research/m5kx7k/global?w=5 DICOM SYSTEMS E-BOOK PAGE 2

TELERADIOLOGY 2020 TELERADIOLOGY HAS CHANGED HEALTHCARE

Evolving use cases for teleradiology have raised the stakes on performance and optimization. Use cases for teleradiology have expanded beyond traditional nighthawk coverage. Modern enterprise imaging strategies have embraced and embedded teleradiology within a variety of clinical workflows, in COMPETITIVE ADVANTAGE How are healthcare organizations addition to preliminary reads for overnight leveraging teleradiology? emergency cases.

Many of these workflows give remote radiologists higher visibility on the care team. As an extension of the providers • Sub 10-minute preliminary reads from they serve, they must be supported by a remote to neuroradiologists for emergent technology infrastructure that gives them stroke protocols the same, if not better, data access as a staff radiologist. • Interpretations by pediatric, MSK, oncology, and other sub-specialists who are typically only in large metro areas

• “Super stat” consultations on imaging protocols to ensure referring physicians provide appropriate and individualized care

• Second opinions and quality assurance overreads to support departmental training and quality measures

• Routine interpretations, where some portion of, or even all, exams are read by a remote radiologist DICOM SYSTEMS E-BOOK PAGE 3

TELERADIOLOGY 2020 INVEST IN AN IT INFRASTRUCTURE THAT ENABLES DISTRIBUTED RADIOLOGY

As teleradiology has become a more ingrained practice, its customers have come to expect more: faster turnaround times, high availability, and seamless integration. For organizations that want to launch or accelerate technology initiatives, the right technology approach is essential to meeting the needs, expectations, service level agreements, and preferences of their customers.

The importance of a teleradiology network’s environment cannot be understated. An organization’s checklist for adequate provisioning must include virtualization, network resources, load balancing, and storage. It is advantageous to partner with a resource that can check all of these boxes.

ACCESS FUNDAMENTALS OF CONTEXT Cost effective, easy to ENTERPRISE Rich reports with relevant implement data transfer IMAGING IT information gleaned from solutions INFRASTRUCTURE prior studies.

SCALABILITY SPEED WORKFLOW RELIABILITY Bring on more Lightning fast Rules-based Protect essential telerad transmitting sites transmission intelligence communications during and data on-demand of studies, that eliminates a power outage or without disrupting regardless of manual software failure performance data size intervention

Investment in teleradiology infrastructure was previously Technology supports the modeled against a total cost of ownership (TCO), but business of teleradiology with the growing requirements for clinical and operational • Adhere to contracted SLAs outcomes, the investment is now seen as tied to the overall • Add new customers with ease ROI. Adopting technology that enables countless technical • Keep operating costs low workflows can help teleradiology providers simultaneously provide excellent service to current customers and position their operations for rapid growth. DICOM SYSTEMS E-BOOK PAGE 4

TELERADIOLOGY 2020 MUST-HAVE TECHNOLOGY WORKFLOWS

Tools for a future-proof and viable teleradiology network.

Make it easy to establish connections source exams from disparate archives without Enable medical facilities to share images impacting turnaround times. quickly and securely with a network device that Develop, customize, and innovate with has built-in functionality and requires minimal configuration. Work with a technology partner professional tools that can provide new transmitting sites as Open source and freeware developer tools may much technical support as needed. Solve their create risky knowledge silos. Encourage your interoperability challenges, versus introducing developers and informatics team to devise solutions with centralized tools so that all current new ones. and future staff members are empowered to Champion intelligent data routing understand, troubleshoot, and update your custom Whether to/from a teleradiology service provider, workflows. or among sites in a geographically distributed Consolidate to a single enterprise-grade health care system, an imaging network must have optimized, finely-tuned routing workflows modality worklist that are based on DICOM, HL7 and/or FHIR Consolidating to a centralized, easy to manage across all its image acquisition sources and and support, single DICOM MWL that is enterprise- destinations. Focus expensive modalities on grade allows you to support all of your locations their intended purpose, and eliminate manual and imaging devices. Streamlining disparate intervention that is not scalable for a growing solutions removes complexity and ensures that you have a common source for patient teleradiology enterprise. demographics allowing for faster integrations Provide more patient context in results across new modalities or new locations. Radiologists can provide more comprehensive interpretations when they have quick and efficient access to the patient’s relevant imaging history. A PRIORITIZE IT teleradiology network should support prefetching Patient care ultimately benefits from relevant priors exams with an approach that efficiency and fast throughout leverages custom, rules-driven logic per site to DICOM SYSTEMS E-BOOK PAGE 5

TELERADIOLOGY 2020 CASE STUDY: VISION RADIOLOGY

National emergency teleradiology Strategy group finds the speed and workflow • Deployed Dicom Systems Enterprise Imaging efficiency they need to deliver quality Unifier platform patient care. • Intelligent data routing across multiple " The guiding principle behind Vision Radiology sites and systems is driven by a simple, singular question, ‘Is this how you want your family member treated?’ • Parallel threading accelerates data ingestion From that perspective, we make clinical, • Compression on the fly supports spikes in bandwidth business and technology decisions to support usage the best patient care. In the emergency • Dicom Systems 24/7/365 availability of technical setting, speed is essential and Dicom Systems support to partner with in-house team for successful helps us deliver results at much higher speeds deployment with near-zero downtimes.” Results – Dr. Gautam Agrawal, co-founder and CIO, Vision Radiology

Performance Benchmarking Before Unifier: 0.3 imgs/second, ~18 imgs/ minute = 401 imgs in 17.46 minutes After Unifier: 3 imgs/second, ~180 imgs/ minute = 538 imgs in 2.57 minutes

Founded in 2003, Vision Radiology is based on a ‘vision’ for what radiology could be. The group has 53 FTE radiologists serving over 140 hospitals. Vision’s core practice focuses on Emergency Teleradiology with a growing focus on non-emergent sub-specialty interpretations. DICOM SYSTEMS E-BOOK PAGE 6

TELERADIOLOGY 2020 DICOM SYSTEMS: A COMPLETE TELERADIOLOGY IT PORTFOLIO

Dicom System provides practice groups, hospitals, and integrated delivery networks with a complete teleradiology workflow solution that can drive revenue through optimized performance. We equip healthcare providers with a modular toolset to deploy any combination of desired features: managing relevant priors, DICOM modality worklist, load balancing, HL7 integration, VNA, de-identification, imaging QA tools, cloud gateways and more.

Why select Dicom Systems for Teleradiology Technology?

• Contract model makes it easy for teleradiology providers to grow—buy features you need, when you need it

• Flexible deployment options—on-premise, private and hybrid cloud

• Vendor-neutral, IHE compliant framework for seamless integration

• Access to granular level customization gives IT teams the power to build applications that match their environment, ensuring efficiency and ease of rollout throughout the imaging enterprise

• Guaranteed encryption of all outgoing traffic

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Contact [email protected] | 415-684-8790