1. Healthinc ©2010 RSMS Remote Site Management System RSMS Remote Site Management System Healthinc Teleradiology Management Solution

2. Healthinc ©2010 Established in 2002 Healthinc is an Australian owned and operated radiology solution provider. We provide radiologists with digital automation, communication and management tools to provide better service and more choice to their customers – Patients and Referrers. Healthinc provides a vehicle for our customers to empower and grow their radiology practice. Healthinc – connecting you to your referrers! Who is Healthinc Healthinc ©2010

3. The Challenge Many Radiology Centres Many Radiology Centres Not enough Radiologists Not enough Radiologists Remote locations across Australia Remote locations across Australia The Healthinc Solution RSMS – Remote Site Management System RSMS – Remote Site Management System Intelligent managed Teleradiology! Intelligent managed Teleradiology! RSMS - Teleradiology “The shortage of radiologists and radiographers presents real challenges in satisfying demand while ensuring quality service.” Prof Mark Khangure, recent President RANZCR February 2010

4. Healthinc ©2010 What is Healthinc RSMS? RSMS is Healthinc’s revolutionary software package designed to intelligently coordinate image transfer, radiology reporting, transcription and billing electronically over a wide area network or the Internet. RSMS automatically manages workload allocation and balancing, data transfer and priority processing. Communication is VPN secured, and the software robustly handles job queues and variable network conditions to ensure quality of service. The system scales to handle any volume of work effectively, whatever the application. RSMS is an ideal method to provide cost-effective, quality radiology reporting to remote locations.

5. Healthinc ©2010 RSMS automatically manages workload allocation and balancing RSMS automatically manages workload allocation and balancing Managed redirection of work (exams/typing) Managed redirection of work (exams/typing) Data transfer is a managed process. Your data does not disappear into the ether Data transfer is a managed process. Your data does not disappear into the ether RSMS robustly handles job queues RSMS robustly handles job queues RSMS scales to handle any volume of work RSMS scales to handle any volume of work Intelligence

6. Healthinc ©2010 Regardless of the amount of Reporting, Image Acquisition and Transcription sites you wish to include, RSMS will scale to suit any business requirements. Regardless of the amount of Reporting, Image Acquisition and Transcription sites you wish to include, RSMS will scale to suit any business requirements. RSMS is versatile enough to work with any number of network topologies. Each of which will be unique to your business requirements. RSMS is versatile enough to work with any number of network topologies. Each of which will be unique to your business requirements. RSMS – The Scalable Solution

7. Healthinc ©2010 RSMS is a secure and encrypted system RSMS is a secure and encrypted system Healthinc uses secure VPN technology to connect all sites Healthinc uses secure VPN technology to connect all sites RSMS was created with Data Redundancy in mind and is built deep within the system RSMS was created with Data Redundancy in mind and is built deep within the system Secure Teleradiology

8. Healthinc ©2010 Integration included within RSMS: Digital Dictation utilizing the renowned QuikScribe software Digital Dictation utilizing the renowned QuikScribe software Digital Report Authorisation and Retrieval Digital Report Authorisation and Retrieval Billing Integration Billing Integration RIS Integration (Healthinc OCCAM RIS) RIS Integration (Healthinc OCCAM RIS) HIC Online HIC Online DICOM Workstation Integration DICOM Workstation Integration Automatic Faxing and Emailing of Reports Automatic Faxing and Emailing of Reports Improve Your Workflow

9. Healthinc ©2010 There are 4 RSMS “Site Types”: Image Acquisition Site – Radiology Centre (Radiographer) Image Acquisition Site – Radiology Centre (Radiographer) Reporting Site – Used by Radiologists Reporting Site – Used by Radiologists Transcription Site – Typing pool Transcription Site – Typing pool Healthinc Server Site – Server used to co-ordinate all transactions between sites. Healthinc Server Site – Server used to co-ordinate all transactions between sites. RSMS Basics

10. Healthinc ©2010 Administration Transcriptionist Image AcquisitionRadiologist The RSMS Server intelligently manages all transactions between sites providing a high level of management, redundancy and security RSMS provides the medium and management for image, reporting, dictation, and billing information between all parties involved.

11. Healthinc ©2010 Image Acquisition Site (IAS) sends a message to server:Image Acquisition Site (IAS) sends a message to server: “Which radiologist site do I send this patient exam to?”  Service level requested  Priority Image Acquisition Sites Where do I send?

12. Healthinc ©2010 Radiographer takes imagesRadiographer takes images Image is digitized / CR / DICOMImage is digitized / CR / DICOM Examination information is enteredExamination information is entered The required Service Level and Priority are determinedThe required Service Level and Priority are determined Referral form scanned and added to DICOM imagesReferral form scanned and added to DICOM images How RSMS Works

13. Healthinc ©2010 Server chooses the most appropriate Reporting Station (radiologist) to handle this examination Server chooses the most appropriate Reporting Station (radiologist) to handle this examination  Availability  Workload balancing of radiologists  Modality preferences  Priority Server responds to Image Acquisition Site (IAS) Server responds to Image Acquisition Site (IAS)  Send exam to radiologist site “x” Server Response

14. Healthinc ©2010 IAS sends image to the Reporting Station selected by the RSMS software within the Server – Direct send from the IAS to the receiving site. IAS sends image to the Reporting Station selected by the RSMS software within the Server – Direct send from the IAS to the receiving site. All communications including Image Transfer is VPN Secured All communications including Image Transfer is VPN Secured Compression between sites is used to ensure efficient use of bandwidth. Compression between sites is used to ensure efficient use of bandwidth. Image Transfer

15. Healthinc ©2010 Radiologist receives image in background, does not impact on current work-flow Radiologist receives image in background, does not impact on current work-flow Radiologist receives DICOM image and scanned Dr. referral form Radiologist receives DICOM image and scanned Dr. referral form Dictates report – Integrated digital dictation or stand alone existing system Dictates report – Integrated digital dictation or stand alone existing system Click Image to Enlarge Study Received

16. Healthinc ©2010 The Radiologist has the ability to: On-send incoming exams to alternate site (eg: “Away tomorrow, send all exams to site x”) On-send incoming exams to alternate site (eg: “Away tomorrow, send all exams to site x”) Notify server that “No more exams after 3pm” Notify server that “No more exams after 3pm” Inform server: “Maximum of 40 exams per day” Inform server: “Maximum of 40 exams per day” Set Modality preference eg: send only MR exams Set Modality preference eg: send only MR exams Radiologist Customisation

17. Healthinc ©2010 Audio File Sent to Server The Reporting site can use Voice Recognition Dictation Complete

18. Healthinc ©2010 Transcribers Server selects an available transcriber based on:  Workload balancing  Radiologist preference  Transcriptionist availability Server sends voice file to selected transcriber More Intelligent Management

19. Healthinc ©2010 Patient is displayed in the Typists worklist signifying that the study is ready for transcription. Patient is displayed in the Typists worklist signifying that the study is ready for transcription. Transcriber types up report Transcriber types up report The system automatically: The system automatically:  Selects the appropriate template  Inserts patient information and  Inserts referrer information Click Image to Enlarge Transcription Site

20. Healthinc ©2010 Report sent back to Radiologist Report sent back to Radiologist  Verifies report transcription  Checks Billing details  Signs off on report or  Is able to resend report back to transcriptionist for correction Transcribers Reporting Stations Transcription Complete

21. Healthinc ©2010 Verified report is sent to originating IAS A fax/email is automatically generated to the referring physician if required Backup copy is kept on both the server and Radiologist workstation. Reporting Stations Image Acquisition Sites Verified Report Sent Back

22. Healthinc ©2010 Completed report appears on IAS Report Worklist Click Image to Enlarge Report Completed

23. Healthinc ©2010 Fully automated reporting: Fully automated reporting:  Administrator logs in  Prepares invoices for Image Acquisition Sites (IAS)  Prepares cheque for Radiologist  Management Statistics End of Month

24. Healthinc ©2010 Innovative cost-cutting technology for radiology centres Innovative cost-cutting technology for radiology centres Radiologists – greater productivity Radiologists – greater productivity Radiographers – outsource radiology reporting, increase business Radiographers – outsource radiology reporting, increase business On/Off site Radiologists and transcriptionists (home/office) On/Off site Radiologists and transcriptionists (home/office) Connects remote/rural sites Connects remote/rural sites Integration to RIS (OCCAM) – Patient Billing, HIC Online Integration to RIS (OCCAM) – Patient Billing, HIC Online Detailed management reporting Detailed management reporting Efficiency – with a few clicks, the systems handles the entire process on one computer. Efficiency – with a few clicks, the systems handles the entire process on one computer. Key Benefits Healthinc RSMS provides a cost effective utilisation of key resources.

25. Healthinc ©2010 Medibank Private (HSA) Over 100 Chiropractors across Australia Teleradiology Australia Teleradiology Australia MeasureUp MeasureUp Liverpool Diagnostics Just Some of Our Teleradiology Customers Healthinc RSMS has enabled our customers to report a total of 220,000+ exams per annum

26. Healthinc ©2010 Contact your Healthinc Sales Manager: sales@healthinc.com.au Phone (02) 9999 2998 For More Information