Challenge of a Best-Of-Breed VNA is Skillful System Integration and Dedicated Back-end SupportDan Trott

WW Strategy and Business Development Executive Dell Healthcare & Life Sciences – Unified Clinical Archive Solution

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Objectives

VNAChallenges & Choices

• Challenges in a Heterogeneous PACS Environment• Solutions for Data Management, Archive and Distribution • Architecture and Deployment – Issues and Options

Ideal

Solutio

n

• Considerations for Selecting a Solutions Partner• Ideal Solution• Requirements to Assure Success

Dell’s

Approach

• Dell Healthcare’s Approach to the Enterprise Image Archive

• Conclusion

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• The Silo Effect• Limited Choices• Proprietary Data Formats• Lack of Business Continuity• Costly Data Migrations• Data Sharing and

Collaboration

Problems

• Multiple Vendor Management• Non-DICOM Data• Lack of Information Lifecycle

Management• Inadequate Disaster

Recovery

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Solutions• Not all VNA Solutions are Created Equal

• Fundamental Requirements of the Neutral Archive Application– Bi-Directional Tag Morphing– Full DICOM conformance– Methodology for non-DICOM– Organize/Manage by Organization Node– Intelligent metadata driven ILM– Ability to create/associate Unique patient/study ID– Pre-fetching and Auto-Routing with Relevant prior Algorithm– Mirrored, dual-sited configuration– Virtualization– Data Integrity and Propagation of HL7 updates– Data Compression options (negotiating any DICOM-conformant Syntax)– Create/Maintain XDS-I Manifest– Transaction Logging and Reporting– Security– Comprehensive Pro-active 7/24/365 remote monitoring of all components

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Solutions

Fundamental Requirements of the UniViewer Application– Absolute Zero client

– Server-side Rendering

– Cache-less

– Virtualization

– Supports Multiple OS and Browsers

– URL-based Portal Interface

– EMR Authentication

– Auditable Transaction Logging

– Methodology for displaying non-DICOM

– Medium to Advanced Features/Functions

– Optional Web Services interface (to the VNA and/or Storage Solution)

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Solutions

• Mirrored configuration supports realistic Disaster Recovery

• Inclusion of the Viewer Application on both sides provides true Business Continuity

Datacenter LAN Datacenter LANWAN

Primary Data Center A Secondary Data Center BEMR

Univiewer VNA App

Local Storage

Univiewer VNA App

Local Storage

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Architecture and Deployment… Issues and OptionsThe Organization needs to focus inward in order to establish their position on these Key Considerations…

• IT Resources– Staffing level and skill set

• Second Data Center– Does it already exist? – Is co-location with a business-class provider an option?

• Storage Utilization– Can the organization achieve a just-in-time procurement model?

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Architecture and Deployment… Issues and OptionsThe Organization needs to focus inward in order to establish their position on these Key Considerations…

• Disaster Recovery Strategy– Proper Infrastructure and Professional Services must be

established to assure timely recovery of lost data

• Proximity Requirements for Business Continuity– True BC requires the Secondary Display Application and the

Secondary VNA Application in close proximity

• Funding– Is the Organization prepared to commit the Capital vs Operational

Funds?– Does the fee-per-study in a Software as a Service model make

sense?

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Architecture and Deployment… Issues and OptionsConsider the Variations on System Architecture

• Mirrored Configuration– Dual-sited– Geographic Separation

• Local Facility Cache Servers (multi-facility organizations)

• Virtualization– VNA application– UniViewer

• Direct Image Acquisition for imaging departments without PACS– DICOM – non-DICOM

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Architecture and Deployment… Issues and OptionsDecisions that determine the Deployment Options

• Economics– Own the system (Capitalize or Lease)?– Fee-per-Study or SaaS solution?– Are there sufficient funds to support single phase or multi-phase?

• System Management– Self-Management vs Contract Management depends on IT

Resources

• Storage utilization– Ability to create and execute an on-demand storage procurement

schedule

• On-Premise vs Off-Premise– Is organization willing and able to support the second data center?– Can the vendor be trusted to manage the data in their Cloud?

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Considerations for Selecting a Solutions Partner

• Expertise in professional services

• Expertise in Infrastructure management

• Expertise in Clinical applications and workflow

• Expertise in Data Management solutions

Consultants /Integrators

Hardware Vendors

Any one stakeholder typically lacks depth and breadth to be experts in all areas and have control of every one of the many options required to constitute the right VNA

VNA Vendors

PACS Vendors

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Stakeholders in an Ideal Solution

Professional Services

HardwareInfrastructure

- Ideal VNA Configuration comprised of

choices in all four major categories

- Choices derived from thorough and

unbiased analytical process /

consulting

- Components of solution

integrated, installed and

supported by a team with

experience with that specific configuration

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Requirements to Assure Success

Vendor would have to meet all of the following:

– Consulting…a substantive process not merely a consultative sales program

– System Design…matching the component options to the organization’s needs and resources

– Financial Modeling…compare projected total cost of ownership (TCO) of existing heterogeneous PACS environment with TCO for proposed custom VNA

– Flexible Financing…provide range of financing options from fully capitalized to fully operationalized

Healthcare and Life Sciences14 Confidential

Dell Unified Clinical Archive - Visit #3607Helping Healthcare providers efficiently store, manage and share medical image data

04/11/2023

Radiology Oncology Cardiology Women’s

healthPathology Medical

Record

Unified Clinical Archive

Dell On-Premise Clinical Archive

Object based storage platform

Dell Cloud Clinical Archive Managed Enterprise Archive

Dell Clinical Data ManagementData Consolidation and Information Life cycle Management

Dell Clinical Collaboration PortalCross Enterprise Data Access and Distribution

Unified Clinical Archive

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Conclusion

• If a single-vendor solution, or one of the limited option solutions doesn’t quite fit the Organization’s Requirements…

Don’t give up looking for a real Best-Breed Solution

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Questions & Answers