1. 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.

2. RSNA 2015

3. 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

4. Split PACS into VNA vs. Worklist / Viewer

5. Single Department - Radiology

6. Multiple Departments

7. Multi-Site and Multi-Departments

8. Multi-Site and Multi-Departments

9. 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

10. Multi-Site and Multi-Departments

11. Multi-Site and Multi-Departments

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.
“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

13. 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

14. Questions? Thank You, Jon T. DeVries
VP Solutions Management, Interoperability
Merge Healthcare, Inc.