NOVIUS® Radiology/SIENET® PACS Project Overview Donald Taylor RIS Product Manager May 2004

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Siemens Health Services Vision Drive Innovations Based on Our Understanding of Healthcare Needs, and Our Ability to Transform That Understanding Into Unique Information Solutions With Measurable Benefits.

Key Approach: Workflow / Process Optimization

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Complete Information Management

f int o o P f ro m

in Orig

to P

oint of N ee d

Clear Competitive Advantage in Information Management…We Own It…We Know It

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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What is NOVIUS Radiology? „ NOVIUS Radiology is Siemens industry-leading Radiology Information System (RIS). B United States and Canada B KLAS™ #1 RIS 2003

„ Major component of Siemens Integrated Radiology Suite B Integrates with Siemens SIENET® Picture Archiving Communication System (PACS) • Magic SIENET • COSMOS™

„ Provides efficient automated radiology solution by…. B Optimizing departmental resources B Streamlining workflow B Controlling costs

Leading RIS Solution For Enhancing Productivity ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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NOVIUS Radiology History „ 23+ years RIS Experience „ World Class Functionality „ Selected by leading healthcare institutions B Johns Hopkins B MD Anderson B Sloan Kettering B University of Wisconsin „ 400 + Customers Worldwide

Image/Data Knowledge and Experience ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Product Overview

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NOVIUS Radiology Functionality „ Order Entry/Registration

„ PACS Integration

„ Supply Tracking

B

Bi-Directional Communication

„ Event & Patient Tracking

„ Image Management

„ Coding

„ Mammography Application

„ Paperless Communication

„ Results Distribution (Web- based)

B Messaging

„ Management Reporting B On-line Management reporting

B Interactive Documents B On-line Order Requisition „ Reaction Tracking „ Technique Capture „ Peer Review „ Speech Recognition/Digital Dictation

„ Document Links „ HIPAA Auditing „ Quality Control „ DICOM Modality Work Listing „ Modality Performed Procedure Step

Functionality For Managing Your Business ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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NOVIUS Radiology Benefits „ Eliminates Manual Data Entry B Reduces Errors B Automates Matching of Images and Procedures

„ Reduces Study Turnaround Time B Results/Images Immediately Available and Accessible B Normals Processing Reduces Transcription Interaction

„ Provides Seamless Workflow B PACS, Dictation, Clinical Information

„ Improves Productivity B Provides Pre-fetching and Re-Routing of Images B Single Point of Access For Patient Information

Workflow Optimization ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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What Makes Our Solution Unique? „ Reduces Paperwork „ Streamlines Workflow „ Stores and Retrieves Patient / Departmental Information „ Monitors Workflow (Quality + Efficiency) B Air Traffic Control Concept

„ Facilitates Accurate Billing „ Delivers Information to the Point of Need „ Communicates Results to Other Systems B Open Architecture

Continuous Innovations in Technology ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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What Makes Our Solution Unique? „ Brokerless Image Integration B More Efficient Workflow B More Informed Hospital Staff to Make Better Decisions B Access to Information Anywhere Anytime B Dashboard & Browser Based Access B Positive Impact on Cost Reduction & Productivity

„ Intuitive User Interface B Efficient access to information B More efficient workflow B Decreased training time

Continuous Innovations in Technology

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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NOVIUS Radiology Differentiators „ SIENET Integrated Radiology Suite is the most integrated RIS/PACS in the marketplace B

Brokerless

B

Read Write relationship

B

Improved workflow for all

B

Single Server at Desktop • RIS/PACS/Voice Recognition

„ Paperless Workflow B

Interactive documents

B

On-Line Order Requisition

B

Document Management

„ Integrated Mammography module B

Access From Doctor Workstation

B

Chosen by leading Cancer Centers

B

Extensive Reporting and Letter Generator

Siemens Makes The Difference ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Best Practice Integration

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Why Siemens RIS/PACS? „ Only HIS, RIS, PACS, and Modalities Vendor B

100% Devices & Solutions Expertise

B

“We Know Healthcare”

„ Proven Outcomes B

Realized by Bethesda & 26 Additional Customers

B

15.5 Man Years to Develop “Brokerless Integration”

B

Immediate Return on Investment •

“Health Imaging & IT” – May 2004

„ Experience Counts B

20+ Years in the RIS Business

B

100+ Years in the Field of Radiology

„ Workflow Analysis Services

……We Know Healthcare….. ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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What Is RIS/PACS Integration? ƒ

RIS Driven Workflow

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RIS Maintains Index of Studies in PACS

Image Access and Report Display

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Provides Access To Other Important Patient Information

Management of Studies in PACS

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Launch Images From Single Point Of Access

Access to NOVIUS Radiology Reports From SIEMENS PACS Image Display From Within NOVIUS Radiology Using

Direct Back-end Integration

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No PACS Broker Required..Less Expense…Easier to Manage…Improved Communication

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Bi-directional Query

Integration Is the Key ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Siemens Integration Goals ƒ

Improve Workflow ƒ

Radiologists, Technologists, Transcriptionists, Referring Physicians, etc.

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Support Filmless and Paperless Operation

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Enable Easy Access to Images From Within the Context of Patient Electronic Medical Record

Provide The Right Information in the Right Place at The Right Time, Easily

Making Your Work Flow….. ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Direction and Approach ƒ ƒ

Integration & Interfacing...Two Different Worlds of Operation Integration Can Only Be Achieved With a RIS and a PACS From The Same Vendor...Not All Vendors Offer This Option

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NOVIUS Radiology & SIENET PACS Integration Stay Ahead of The Standards Curve to Deliver Improved Outcomes

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Interfacing Utilizes Existing and Future Industry Standards Such as DICOM & IHE

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Workflow May Be Impaired In An Interfaced Environment ƒ

Extra steps & poor communication between RIS & PACS

Integration Helps Drive Better Outcomes

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Workflow Without Integration Study is scheduled on RIS

Broker Drives Prefetch of Prior Studies 962 9

RIS Worklist RIS Paper Order

Tech Begins Study using MWL

(If Required) Tech Changes RIS order

Tech Changes PACS order Report sent to broker by RIS Referring MD reads study

Study sent to MagicWeb

Rad Dictates and signs-off on RIS Rad completes the study on PACS

Study read by RAD from PACS Worklist

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Workflow With Integration Study is scheduled on RIS

RIS Drives Prefetch of Prior Studies

RIS Worklist

Tech Begins Study using MWL

(If Required) Tech Changes RIS order

Referring MD reads study

Study sent to MagicWeb

Rad Dictates and signs-off on RIS

Study read by RAD from RIS Worklist

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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It’s all about workflow

©2001 Siemens Medical Solutions Health Services Corporation.

Siemens Confidential

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Siemens RIS/PACS Improving Technologist Workflow „ Technologist Benefits BView prior History and Images from one location BPaperless Workflow •On-line order requisition •Protocols •E-notes , messaging

BMWL and MPPS •Eliminates Redundant Data Entry •Automates Tracking Steps and Technique Capture

BAccess to Lab and Clinical Data •Reactions and Allergies

BException Reconciliation Real Time

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Siemens RIS/PACS Improving Radiologist Workflow „

Radiologist Benefits B

Integrated Desktop •

Single Point of Access



Images, Results, Prior Exams, Clinical Information, Voice Recognition

B

RIS Driven Worklist

B

Pre-Fetch and Route Images

B

Normals Processing

B

Browser Based Signoff and Image Access

B

Electronic Messaging, and Protocols

B

Ability to code exams





Tailored to each user

CPT, ICD, Modifiers

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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Siemens RIS/PACS Improving RIS Administrator Workflow „

RIS Administrator Benefits B

HIPAA Enabled •

Secure Access Levels, Password Protected, Password Change, Information Audits

B

Comprehensive Management Reporting •

Batch Reports



On-line Reports



Flexible Report Scheduling

B

Browser Based Access to Images and Results

B

Paperless Workflow

B

Image Integration

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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CIO and IT Staff „ Brokerless Integration B

Fewer interfaces

B

Less maintenance

B

Open communication

B

Less expense

„ Proven Stable Software „ Easy to use…Easy to Learn B

Less training needed

„ Streamlined Maintenance B

No Need for Database Administrator

B

Automated Back Up

„ Single Server – Three Environments B

Testing, Training, Production

©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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©2001 Siemens Medical Solutions Health Services Corporation. All rights reserved ©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

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