May 30, 2010

R2 MEDSCAN SOLUTIONS PVT LTDPUNE _ INDIA

PRESENTATION ON TELERADIOLOGY

• ABOUT R2 MEDSCAN SOLUTIONS

• ECONOMICS OF TELE RADIOLOGY

• WORKFLOW

• QUALITY

• SWOT ANALYSIS

• DISASTER RECOVERY MANAGEMENT

• Q&A

INDEX

Cost Cost ArbitrageArbitrage

SERVICESERVICEQUALITYQUALITY

BEST IN CLASSBEST IN CLASS

LOW SET UP SOST

COMPETITIVE RATES

VOLUME PRICING

SECOND OPINION

PATIENT SAFETY

HIPPA COMPLIANCE

JC STANDARDS NON-

DISCLOSURE IT SECURITY

STANDARDS SUB-

SPECIALITY RADIOLOGISTS

SERVICE QUALITY

HIGHER PRODUCTIVITY PER READ

24/7 SEAMLESSCOVERAGE

ON-LINE TECH SUPPORT

What is it for the Customer……What is it for the Customer……

Come for Cost….STAY for QUALITY!!

ECONOMICS OF TELERADIOLOGY

Volume

Price per Study

Transition Consolidation Value Growth

Costs Quality Efficiency

Ramp-up attaining basic service levels

Faster turnaround times, Management information, Controls

Systems Re-engineering, Unit Transaction Pricing based billing

Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Vol

umes

Jan’10 to Dec’11

10

20

30

40

50

60

70

Pric

e P

er S

tudy

The Cost per study comes down by 2.5% for every 100 studies of Volume increase!

Per Study Price

SETUP

COST

SAVINGS CASE STUDY FOR CLIENT IN TRINIDAD

MODALITY R2 MEDSCANRATE

TRINIDAD MARKET

RATE

BENEFITS OF R2 MEDSCAN

MRI TT $ 200 TT $ 450 – 600 AVL IN REPORTS IN 72 Hrs

CT TT $ 250 TT $ 400 - 425 US TRAINED – SUB SPECIALITY

US TT $ 200 TT $ 300- 350 STRONG PEER REVIEW

CURRENT SOLUTION

BENEFITS FOR OUTSOURCING TO R2 MEDSCAN SOLUTIONS

• TT$ 450 x 15 x 22 days = TT$ 148,500 PM x 12 = TT$ 1,782,000

• CYCLE TIME TAKEN TO GET THE MRI REPORTS = 4-6 WEEKS

• TECHNOLOGY USED TO SEND STUDIES TO MRI RAD = CDs / DVDS

• WITHIN TRINIDAD – LIABILITY

• TT$ 200 x 15 x 22 days = TT$ 66,000 PM x 12 = TT$ 792,000 (SAVINGS -990,000 ~~~~~~~~~ 55.55%

• CYCLE TIME TAKEN TO GET THE MRI REPORTS = 24 - 72 HRS

• TECHNOLOGY USED TO SEND STUDIES TO MRI RAD = eRAD PACS (10 mins Flat)

• US TRAINED RADIOLOGISTS

• PEER REVIEW DONE BY AMERICAN BOARD CERTIFIED RADIOLOGIST

Annual Savings 990,000@55.55%

Total Read Spend

Compliance – HIPPA / Others

IT – Data / Voice / Security

Skills – RAD / NC / FT / P2P

PACS – Workflow Software

Business Dev / Customer Service

Malpractice Insurance

Hospital Credentialing / MoH

Due-Diligence

Building BlocksBuilding Blocks

FRONT ENDOPERATION

S

BACK-ENDOPERATION

S

WORKFLOW

eRAD PACS

R2 RADIOLOGIST

R2 RADIOLOGIST

R2 RADIOLOGIST

SOUTH CAROLINA DATA CENTRE

R2 READING CENTRE IN PUNE

R2 SERVERS

WORFLOW

COORDINATION

REAL TIME MONITORING OF READS STUDY/hr

VOLUME & CYCLE TIME - MODALITYWISE

Discrepancy reportedBy the hospital

The report is reviewed by the chiefRadiologist.

Informs the reporting radiologist.Demands an explanation.

Reporting Radiologist reviews the Study again.

Confirmsdiscrepancy?

Submits a written explanation to the Chief Radiologist

Chief radiologist providesa written explanation

To the hospital

Chief Radiologist reviewsStudy once again.

Anydiscrepancy?

Open Discussion betweenChief Rad & reporting Rad

Conclusion

DISCREPANCY HANDLING PROCEDURE

DISASTER RECOVERY MANAGEMENT

Teleradiology Project Transition Methodology

Process mapping

Planning & Contracting

2-4 weeks

TransitionOngoing

Post-Transition

Scanner & Req

InternetStatic IP Address

eRAD PACS Server

ConfigureNetwork Links

GO LIVE

(initial batch)

CO

MP

LET

E T

RA

NS

ITIO

N

Pro

cess

and

Sof

twa

re I

mpr

ovem

ents

FURTHER SAVINGS

$$$

8-16 weeks

Preparation

FACT FINDING BEFORE A READING SERVICE

Hospital Name(s): Address: Phone: Estimated Volume Coverage Hours (weekends / holidays): TATS Preliminary vs. Final PRICING IT Connection / Day time Support: Access to Facility PACS systems: Yes No

ON-SITE CONTACT(S) Radiology Group Name or Chief Rad. Phone and

Email QA Operational Issues

Radiology Director Name, Phone, & Email Admin Contact / Credentialing Coordinator IT Contact / Network / PACS ADMIN

Daytime Night Time

DAY TIME CONTACTS, PHONE & FAX CT : US MRI ER

FAX # TO SEND REPORTS Billing information & type

Operations: Process MapHospital Site / Night Coordinator / First Touch / P2PHospital Site / Night Coordinator / First Touch / P2P

Hospital Site RADIOLOGISTWorkflow Coordinator

Start

NC Co-ordinates with Hosp Site Tech or ER Nurse and ensures that Images / Req is sent. Repeated Follow ups & escalation

Req. Printed (RIS) of the Hospital

Tech hits ‘SEND’ : Images go to eRAD

(PACS)

P2P Staff access the RAD Ureach VAL + eRAD + P2P server

Patient is Sick / Met with Accident

ER Doctor orders study

Patient Goes to Scan – CT / DX / MRI / MRA /

US / VQ SCAN

Tech does SCAN - Faxes the Req to eFax

server

P2P staff Matches the Request (REQ) & Images based on foll Parameters:2.Patient Name3.Modality4.Patient ID

Radiologist reads the report

FT (FIRST TOUCH)

FT Staff puts the •Three letter Inst Code• Study Count• Body Partand allots to specialties & converts the status in e-RAD to VIEWED. Then they set the priorities according to WCs

Wait for 10 mins for• Req comes w/o image

• Image w/o Req• Both Image & Req

•w/o Image count

If any of the above condition /s arises, then the respective C/F have to be sent to the hospital site .

Yes

NO Keep monitoring the image count , reconcile periodically & change the status based on full download from VIEWED to READ.

STOP

Overall role is as follows:2.Prioritize the hospital 3.Critical TAT monitoring and flag off cases which needs immediate attention.4.Shift In-charge: Overall Supervision & escalation

Please contact

R2 MEDSCAN SOLUTIOND PVT LTDEmail: raj@r2medscan.com6th Flr, A Snehal Classique,Behind Hotel Pride Executive,Shivajinagar, Pune-411 005Cell: +91 9730704462