Extending The Enterprise Through Telehealth Programs

“A Total Imaging Strategy – PACS, RIS, VNA & Storage” A Complimentary Webinar From healthsystemCIO.com Sponsored by Dell Your Line Will Be Silent Until Our Event Begins

Thank You!

Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Housekeeping • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com • Ask A Question • We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

• Download the Deck • Go to: http://healthsystemcio.com/presentation/totalimaging-webinar.pdf • Shortened link below appears on all slides.

• View the Archive • You will receive an email when our archive recording is ready. • Separate registration is required. Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Agenda — 45 Minutes • 20 minutes: Becki Weber, SVP/CIO, Meridian Health • 5 minutes: A Word From Our Sponsor — Dan Trott, Worldwide Sales & Business Development Director, Unified Clinical Archive, Dell • 20 minutes: Q&A w/Becki Weber


“A Total Imaging Strategy – PACS, RIS, VNA & Storage”


About Meridian Health • Meridian Health is a leading not-for-profit health care organization in New Jersey, comprising Jersey Shore University Medical Center and K. Hovnanian Children's Hospital in Neptune, Ocean Medical Center in Brick, Riverview Medical Center in Red Bank, Southern Ocean Medical Center in Manahawkin and Bayshore Community Hospital in Holmdel. Meridian Partner Companies include home health services, skilled nursing and rehabilitation centers, ambulatory care, ambulance services, and outpatient centers. Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Imaging Challenges Today • Migration Issues • Costs • Proprietary PACS Vendors and Integration Compatibility • User Performance Demands • Access to Old Studies from Long Term Archive (Prior Historical Patient Images for Comparison) • Dispersed Diagnostic Reading Stations • Improving workflow in a complex imaging environment • Inter-institution Image Sharing and Image Access Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Brief Imaging History @ Meridian • 2005 3 hospital system • All Analog Radiology Environment • Multiple mini PACS Cardiology Environment

• 2006 Enterprise PACS Implementation • Radiology PACS • Cardiology PACS

• 2008 Dark Fiber Implementation • 2009 New Hospital Mergers • 2011 VNA Cloud Long Term Archive Storage & Migration Planning & Implementation Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Imaging @ Meridian Today • Centralized Enterprise HIS System • Image Enabled Utilizing Zero Footprint Technology

• Radiology • 1 Centralized Enterprise RIS System • 3 PACS Vendors • 2 TIER Environment

• Cardiology • Centralized HIS for Orders • 2 PACS Vendors • 2 TIER Environment

• Centralized VNA Cloud Based Long Term Archive Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237

Radiology Imaging Data Flow Today PACS @ Each Hospital

Cloud DR Site 1

Cloud DR Site 2

Cardiology Imaging Data Flow Today PACS @ Each Hospital

Cloud DR Site 1

Cloud DR Site 2

Meridian Future State Imaging Goals • Standardize & Centralize the PACS Architecture • Virtualized Environment

• Implement Vendor Neutral Long Term Archiving to all “ologies” • Expand utilization of Zero Footprint PACS access • Complete All PACS Migrations to VNA Long Term Archive


Radiology Imaging Data Flow Future State PACS @ Each Hospital

Cloud DR Site 1

Cloud DR Site 2

Cardiology Imaging Data Flow Future State Cloud DR Site 1

Cloud DR Site 2

VNA as a Holistic Approach to Imaging • Integration Made Easier • Ancillary and other Imaging Systems • Modalities

• Flexibility • Choosing a Diagnostic PACS Viewer Application • Allows for RIS or PACS Driven Workflow • Future PACS Migrations

• Reduced Storage Constraints


Using VNA to Standardize Storage Radiology

Cardiology

Surgery

VNA Long Term Archive Oncology Pathology

Perinatology

Best Practices to Approaching Storage Issues • Implement a robust, diverse network • Plan for a VNA solution as a foundation • Front end (Short Term Archive) and Deep (Long Term) Archive

• Implement disaster redundancy (hot/warm) • Utilize all avenues to share knowledge and network with other healthcare institutions • Implement facility-wide standardized image storage policies and procedures


Stage 2 Meaningful Use and Imaging • Stage 2 to Begin in 2014 • 30% of radiology orders must be physician entered (CPOE) • 10% of imaging results must be available through EHR • Prepare for the “right technology” • Clinical Web access image viewer from anywhere • Web-based report viewing


“A Total Imaging Strategy – PACS, RIS, VNA & Storage” Dan Trott Worldwide Sales & Business Development Director Unified Clinical Archive, Dell

Medical Imaging Industry Challenges Increasing reliance on information technology compounds complexity for clinical teams Massive growth in healthcare data Clinical data sharing across care givers in ACOs Consolidation of provider organizations

Patient centric data management simplifies integration risk Increased organizational agility to adapt and report

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Dell’s Strategic Objective

Agility demands a consolidated patient centric Data Management System that is intelligent, scalable, compliant and cost effective.

Do more with information-driven healthcare

Dell Unified Clinical Archive (UCA) – An Enabling Long-Term Informatics Strategy Enabling Healthcare providers efficiently store, manage and share medical imaging data • Uniquely Vendor-Neutral Archive – –

VNA Software options for data management Industry leading portfolio of partners to augment core solution

• End-to-end services – – –

Security –internal and BYOD Data protection and restoration Clinical business continuance

• Flexible deployment options: – –

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On-Premise and Hybrid Cloud CAPEX/OPEX models


Market Leadership in Medical Imaging Industry’s largest vendor-neutral hybrid cloud for medical imaging Market Leadership:

Securing over

Medical Grade:

14+ years providing digital medical archiving services

- 6.8 billion+ images - 96 million+ studies - Across 1,050 clinical sites - For over 24M Patients

ISO 13485:2003 certification on quality systems within Dell Data Centers, Listed with FDA

Standards Compliant:

Recognition: Frost & Sullivan 2012

Track Record:

Tested and validated at IHE Connectathons and HIMSS Interoperability showcases

NA Company of the Year in Enterprise Imaging Informatics 2013 #1 KLAS Image Archive Performance Ranking*

Never Lost a study or had a Breach with 6.8 billion+ (Ticker) images secured

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ISO13485 Certification: http://i.dell.com/sites/content/corporate/corpcomm/en/Documents/dell-insiteone-ct-iso13485.pdf

*KLAS Research “Image Archive Performance Study”, September 2013. ©2013 KLAS Enterprises, LLC. with All rights Do more information-driven healthcare reserved. www.KLASresearch.com

Why Dell’s Unified Clinical Archive? Professional Services: - #1 Healthcare IT Services provider

Hardware Infrastructure: - Broad portfolio of enterprise solutions for healthcare

Dell’s Unified Clinical Archive Software: - 14+ Years experience in cloud-based clinical archiving services

Partner Eco-System: - Integrations with leading PACS, workflow and image viewing tools

Only Dell provides an end-to-end solution illustrated above with all the value components from a single vendor solution reducing cost and risk to UCA customers 22

See UCA Webinar and Whitepaper by Michael Gray



Q&A Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”


Thank You! • You will receive an email when our archive recording is ready. (Separate registration is required) • Thanks to our sponsor: Dell • Don’t Forget To Claim Your CHIME CHCIO Credits – Attending healthsystemCIO.com Webinars = 1 CEU • Questions/Comments – Anthony Guerra [email protected]

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events. Slide Deck: http://goo.gl/WCv6Mt Webex Support 1-866-223-3239 Event # 664 157 237