Shands–Jacksonville Successfully Uses IHE to

Achieve its Goals

Shands–Jacksonville Successfully Uses IHE to

Achieve its Goals

IHE at RSNA 2002IHE at RSNA 2002

Shands PACS challengesShands PACS challenges Large 650 bed

community teaching hospital with a three-building campus

Challenging budget 28 legacy modalities from

10 vendors, connected to all DICOM and HBOC

10 BaseT network Unpredictable routing

environment

Large 650 bed community teaching hospital with a three-building campus

Challenging budget 28 legacy modalities from

10 vendors, connected to all DICOM and HBOC

10 BaseT network Unpredictable routing

environment

Shands PACS Goals Shands PACS Goals

Communication w/ Siemens Specials PACS, ADAC nuclear and AGFA CR

Cost effective communication to 260 eFilm viewing PC’s

Accuracy through MWL and MPPS Teaching conference image availability

Communication w/ Siemens Specials PACS, ADAC nuclear and AGFA CR

Cost effective communication to 260 eFilm viewing PC’s

Accuracy through MWL and MPPS Teaching conference image availability

Shands–Jacksonville GoalsShands–Jacksonville Goals

Implement an IHE-based open-architecture PACS that would: Improve report turnaround for referring MD’s Eliminate the incompatibility of multiple image

transmission systems Make relevant prior images readily available Improve productivity and stakeholder

satisfaction Maximize Shand’s prior investments in

modalities and information systems

Implement an IHE-based open-architecture PACS that would: Improve report turnaround for referring MD’s Eliminate the incompatibility of multiple image

transmission systems Make relevant prior images readily available Improve productivity and stakeholder

satisfaction Maximize Shand’s prior investments in

modalities and information systems

Shands–Jacksonville’s IHE-based Solution

Shands–Jacksonville’s IHE-based Solution

Partnering with Merge eFilm to implement an IHE-based integrated solution that includes multiple IHE “actors”: Department System Scheduler/Order Filler

HBOC RIS - integrated by Merge eFilm Acquisition Modality

Over 2 dozen imaging modalities - integrated by Merge eFilm

Provided by Merge eFilm Image Archive Image Manager Image Display

Partnering with Merge eFilm to implement an IHE-based integrated solution that includes multiple IHE “actors”: Department System Scheduler/Order Filler

HBOC RIS - integrated by Merge eFilm Acquisition Modality

Over 2 dozen imaging modalities - integrated by Merge eFilm

Provided by Merge eFilm Image Archive Image Manager Image Display

Shands–Jacksonville’s IHE-based Solution

Shands–Jacksonville’s IHE-based Solution

Integration Profiles implemented include: Scheduled Workflow Patient Information Reconciliation Access to Radiology Information

Solution operational since Q1 2002

Integration Profiles implemented include: Scheduled Workflow Patient Information Reconciliation Access to Radiology Information

Solution operational since Q1 2002

Shands Jacksonville Medical Center Phase A: Integration of HL7 Data From HIS/RIS with Images, Short-Term Archiving, Rapid Image

Distribution Across The Enterprise For Softcopy Viewing

mAPS

HIS/RIS

mMerge eFilm

EW-V

mEW-V

mEW-V

mEW-V

mEW-V

mEW-V

mEW+

mMVP+Bundle

mMVP+Bundle

mEW+

mEW+

mEW+

mEW+

mEW-V

mEW-V

mEW-V

m

mAPS

mEW+

EW-V

mEW-V

mEW-V

mEW+

mEW+

m

mAPS

mAPS

EW+

mMVP+Bundle

mEW-V

m

mAPS

Merge eFilm Workstations

Merge eFilm

m m

Desktop PCs With Merge eFilm Access via VPNMerge eFilm

Workstations

Merge eFilmWorkstation

Pavillion Towers

Clinical CenterAcuson

U/SSonosite

U/SAcuson

U/SAcuson

U/SAcuson

U/SSonosite

U/SPhilips

CTPhilips

CTSiemens

CTPhilips

MRIAdacNM

AdacNM

GENM

OECC-ARM

OECC-ARM

OECC-ARM

DryViewLaser Camera

DryViewLaser Camera

AGFACR

ATLU/S

AcusonU/S

GECT

AdacNM

GENM

DryViewLaser Camera

DryViewLaser Camera

GEMRI

SiemensCT

GECT

AgfaLaser Camera

Shands Jacksonville Medical Center Phase B: Establish Scalable, Long Term Archive

DryViewLaser Camera

mAPS

HIS/RIS

mMergePort

EW-V

m

AcusonU/S

EW-V

m

SonositeU/S

EW-V

m

AcusonU/S

EW-V

m

AcusonU/S

EW-V

m

AcusonU/S

EW-V

m

SonositeU/S

EW+

m

PhilipsCT

MVP+Bundle

m

PhilipsCT

MVP+Bundle

m

SiemensCT

EW+

m

PhilipsMRI

EW+

m

AdacNM

EW+

m

AdacNM

EW+

m

GENM

DryViewLaser Camera

mAPS

AGFACR

mEW+

EW-V

m

ATLU/S

EW-V

m

AcusonU/S

EW-V

m

GECT

EW+

m

AdacNM

EW+

m

GENM

DryViewLaser Camera

mAPS

DryViewLaser Camera

mAPS

EW+

m

GEMRI

MVP+Bundle

m

SiemensCT

EW-V

m

GECT

AgfaLaser Camera

mAPS

2ViewWorkstations

2View

m2View

m2Store

m

Desktop PCs With 2View Access via VPN2View

Workstations

2ViewWorkstation

Pavillion Towers

Clinical Center

EW-V

m

OECC-ARM

EW-V

m

OECC-ARM

EW-V

m

OECC-ARM

Shands Jacksonville Medical Center Future: Scaling up capacity and functional capabilities

DryViewLaser Camera

mAPS

HIS/RIS

mMergePort

EW-V

m

AcusonU/S

EW-V

m

SonositeU/S

EW-V

m

AcusonU/S

EW-V

m

AcusonU/S

EW-V

m

AcusonU/S

EW-V

m

SonositeU/S

EW+

m

PhilipsCT

MVP+Bundle

m

PhilipsCT

MVP+Bundle

m

SiemensCT

EW+

m

PhilipsMRI

EW+

m

AdacNM

EW+

m

AdacNM

EW+

m

GENM

DryViewLaser Camera

mAPS

AGFACR

mEW+

EW-V

m

ATLU/S

EW-V

m

AcusonU/S

EW-V

m

GECT

EW+

m

AdacNM

EW+

m

GENM

DryViewLaser Camera

mAPS

DryViewLaser Camera

mAPS

EW+

m

GEMRI

MVP+Bundle

m

SiemensCT

EW-V

m

GECT

AgfaLaser Camera

mAPS

2Report with 2View

Workstations

2View

m2View

m2Store

m

Desktop PCs With 2View Access via VPN or

Remote Access To Integrated Reports and Images via The Web

2Report with 2View

Workstations

2Report with 2View

Workstation

Pavillion Towers

Clinical Center

2Web

m

EW-V

m

OECC-ARM

EW-V

m

OECC-ARM

EW-V

m

OECC-ARM

Large Teaching HospitalLarge Teaching Hospital

ResultsResults

Filmless workflow throughout the enterprise Report turnaround time reduced from 3 days to 1 day Accurate storage and locatable images Fast viewing and image distribution across 260

PC-based workstations Transition toward less paper-based environment Access to better patient care via improved image

availability for effective consulting Images readily available for teaching conferences Implementation on IHE Platform for future growth and

functionality

Filmless workflow throughout the enterprise Report turnaround time reduced from 3 days to 1 day Accurate storage and locatable images Fast viewing and image distribution across 260

PC-based workstations Transition toward less paper-based environment Access to better patient care via improved image

availability for effective consulting Images readily available for teaching conferences Implementation on IHE Platform for future growth and

functionality