Enterprise Imaging in a Deconstructed World Presented by: Jon DeVries VP Solutions Management Merge Healthcare DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

RSNA 2015

The battle over PACS goes back to the 90s Depts. Corp IT Worklist and Viewer vs Storage, Bandwidth, Security Clinical / Department Workflow EHR Image Enablement One Department / Multi-Sites Multiple Departments / Multi-Sites VNA first developed at the University of Alabama 2015 Deconstructed PACS Trend Gains Momentum

Split PACS into VNA vs. Worklist / Viewer

Single Department - Radiology

Multiple Departments

Multi-Site and Multi-Departments

Multi-Site and Multi-Departments

New Trend: National Telerad Companies Some of the national telerad companies are for profit, venture backed firms These firms are reading for multiple hospitals in many locations In order to achieve financial goals, and deliver economic value to their hospital clients, the firms are providing the workflow solutions to optimize the radiologists efficiency when reading across many sites

Multi-Site and Multi-Departments

Multi-Site and Multi-Departments

What is a VNA?1 “Platform” that provides long-term flexibility, disaster recovery, lifecycle management Ability to easily share medical (data) by communicating with different PACS Central repository for medical imaging data and other patient data based on open architecture for multiple departments of multiple hospitals. Accepts data irrespective of the originating PACS or other viewing, acquisition and workflow management system Makes originating sources changeable without having to change the data formats or interface of the archive. “Platform” that provides long-term, disaster recovery, lifecycle management, and the ability to easily share medical (data) by communicating with different PACS. Central repository for medical imaging data and other patient data based on open architecture for multiple departments, of multiple hospitals. It should accept data irrespective of the originating PACS or other viewing, acquisition and workflow management system, making these originating sources changeable without having to change the data formats or interface of the archive. 1 InMedica Research – Data Storage – Vendor Neutral Architecture – 2012 Edition 12

What is a VNA?1 “Platform” that provides long-term flexibility, disaster recovery, lifecycle management Ability to easily share medical (data) by communicating with different PACS Central repository for medical imaging data and other patient data based on open architecture for multiple departments of multiple hospitals. Accepts data irrespective of the originating PACS or other viewing, acquisition and workflow management system Makes originating sources changeable without having to change the data formats or interface of the archive. DICOM HL7 IHE / XDS Migration Tools ILM / PBD DR / BC “Platform” that provides long-term, disaster recovery, lifecycle management, and the ability to easily share medical (data) by communicating with different PACS. Central repository for medical imaging data and other patient data based on open architecture for multiple departments, of multiple hospitals. It should accept data irrespective of the originating PACS or other viewing, acquisition and workflow management system, making these originating sources changeable without having to change the data formats or interface of the archive. 1 InMedica Research – Data Storage – Vendor Neutral Architecture – 2012 Edition 13

Questions? Thank You, Jon T. DeVries VP Solutions Management, Interoperability Merge Healthcare, Inc. jdevries@merge.com