Selandiaklinikken - Radiology DIS (Digital Improvement Study)

Selandiaklinikken - Facts Private Hospital Allergy Physiotherapy Lunge disease Health check Headache Neurology Endocrinology Chiropractic Radiology Patient groups Private Insurance Public hospitals Employees Fixed employees 35 Consultants 15 Turnover in total Turnover last year [MDKK] 30 Expected turnover next year [MDKK] 38 (Radiology in %) 55 %

Radiology - Details and Jobs Employees (Using XMO, Modality Apps. Phone & PACS) Secretary 3 Radiographer 2 Radiographer consult 3-4 Radiologists consult 3 (4 remote) Examinations / year MR: 7.500 X-Ray: 2.000 Ultrasound: 2.500 Data Usages: PACS (TBytes/year): xyz Price per examination [DKK]: xyz (MR, X-Ray, Ultrasound) Administrative System XMO, Patient Journal System for General Practitioners (GP’s) Supplier: CGM Modalities MR: 1x Magnetom AERA (Siemens) X-Ray: 1x Ysio S (Siemens) Ultrasound: 2x GE logic S8 (GE) PACS SECTRA: 1x Sectra IDS7 (v. 17.1.10.3493)

Radiology - Digital Landscape Today Jacob, can you validate the setup I made ? XMO: Patient Journal System for General Practitioners (GP’s) Patient Scheduling Finance Admin EDIFACT Statistic Help Journal Overview Remote VPN Admin VPN Internet LAN Radiologist FW PACS On Demand Clinicians VPN 5 year storage/ backup Radiologist MR APP XMO APP XR APP XMO APP US APP XMO APP On-Site PACS APP PACS APP PACS APP 1 year storage SECTRA MR SIEMENS XR SIEMENS US GE PACS SECTRA Tech Tech Tech Snail Mail

Radiology - Digital Pains of Today Jacob, do you agree in the described pains OPEX costs for XMO (xx/year) and PACS (xx/year) are high Integration/adaptation requests between systems (XMO/PACS) extremely costly / impossible XMO and PACS runs as totally separate systems No data flows between XMO and PACS and between XMO and imaging modalities Patient data such as CPR and name is manually typed into the modality application Radiologists copy/past patient data such as CPR and name from XMO to PACS Images are stored in PACS but interpretation/diagnosis is typed into XMO Workflow cumbersome and slow No automated correlation between patient, CPR, images and diagnoses is a severe route course for mistakes No automated compilation of patient journal, diagnoses and images available Difficult to share patient data, images and descriptions/images with other external stake holders Very limited ways to exchange data electronically with external partners Burning DVD’s with patient journals from XMO and images from PACS very old fashion Sending examination details (incl. DVD’s) with post mail is insecure, slow and expensive

Radiology - Digital Gains of Tomorrow Jacob, do you agree in the described whishes for tomorrow ? Lower OPEX costs on Patient Journal System (-x%) and PACS (-y%) Modern Patient Journal System (PJS) Integration between phone system and PJS SMS service for patient reminders Patients are requested to type CPR number in cue before phone is answered Patient Journal is automatically shown when answering phone calls Medical referrals received electronically (also fax as PDF) in PJS – no printing and scanning Open PJS architecture and ready for future integrations Much better digital integration between PJS, Modality application software and PACS No manually typing and or copy/paste between the individual applications and systems Patient journals, records, images and diagnosis can be combined electronically Better options for digital sharing of patient related information with external stakeholders Only very limited need for burning DVD’s and sending information via regular post mail

Optimization Idea for open Discussions Today Tomorrow Selandiaklinikken Selandiaklinikken Customer XMO XMO  Diagnostic imaging referral Description with link to images  EDI/XML Viewer DICOM PROXY Viewer MR App MR App Link to Images XR App PACS PonD XR App PACS Cloud Conn. US App US App Cloud Storage Work lists manually typed into modalities EDI/XML queries converted to DICOM work lists which floods into modalities automatically

Now’s our time to inspire the future of healthcare together Engineering success. Pioneering healthcare.