1. Selandiaklinikken - Radiology
DIS (Digital Improvement Study)

2. 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
Turnover in total
Turnover last year [MDKK] 30
Expected turnover next year [MDKK] 38
(Radiology in %) %

3. Radiology - Details and Jobs
Employees (Using XMO, Modality Apps. Phone & PACS)
Secretary 3 Radiographer 2 Radiographer consult Radiologists consult 3 (4 remote)
Examinations / year
MR:
X-Ray:
Ultrasound:
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 )

4. 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

5. 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

6. 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

7. 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

8. Now’s our time to inspire
the future of healthcare together
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