In summary:Organisational Challenges• 38highly-specialiseddepartmentsspreadthroughoutthe

hospital

• Largeamountsofpatientdataheldinavarietyofformatsandlocations,includingpaper

Goal• Implementasolutiontoimproveaccesstodatathroughout

theenterprise

Actions• SelectCentricityClinicalArchivetopowerdepartmental

efficiencyandproductivity

• Migrateproprietaryscanneddocumentsarchivetoastandards-basedXDSDocumentRepository

Results• Cliniciansbenefitfromatimesavingofcirca30%4,helping

themtoseemorepatientsandtoincreasethetimetheycanspendwitheachpatient

• Accountingstafffindpatientdatatheyneedwithintwominutes,enablingrapidreimbursement

• ImprovedITworkflowwithenhanceduploadandtechnicalapplicationsthankstoinnovativeVNA

• Cross-departmentalcollaborationachievedhavingmovedfromsilosofdatatoasingle,unifiedsource

Hospital-wide access to patient documents helps to drive efficiency with Centricity™ Clinical Archive solution1

University Hospital Antwerp (UZA) is a university centre providing tertiary care, academic training and international scientific research. Approximately 600,000 patients visit its 38 departments every year, which all benefit from organisation-wide access to medical imaging and scanned documents using the Centricity Clinical Archive (CCA) solution from GE Healthcare.

UZA employs approximately 2,800 people including 400 doctors and 1,400 nurses. CCA provides vital support to over 1,350 professionals at the hospital in the roles of clinicians, administrators and accounting staff.

At UZA, CCA is deployed as a Level 32 Vendor-Neutral Archive (VNA) to store images and documents with full XDS standard support. XDS stands for cross-enterprise document sharing and is an integration profile for document based information sharing defined by Integrated Healthcare Enterprise. Clinicians and other staff regularly access the information in CCA via the Universal Viewer ZFP (Zero Footprint) from virtually anywhere3 and at any time, helping to improve departmental efficiency and access to data.

GE Healthcare

Benefits for clinicians: Increasing productivity Benefits for clinicians: Cross-departmental connectivity

ClinicalefficiencyhasbeenontherisesincetheimplementationofCentricityClinicalArchivesolutionatUniversityHospitalAntwerp.Workflowefficiencyimprovementshavebeenexperiencedbyclinicalstaffthatarerapidlyabletoaccesspatientreports,imagesandotherdatathroughtheUniversalViewer,Zero-footprint(ZFP).GEHealthcare’sCentricityClinicalArchiveenablescareprovidersatUZAtoaccessalongitudinalpatientrecordofclinicalinformationfromacrossthehospital,helpingpreventunnecessarypatienttransfer,duplicatedtestsorscansandlossofinformation.

“UsingtheUniversalViewerZFP,wecaneasilylocatedatafromwithinoroutsidethehospital,improvingworkflow.Thatcouldincludereportsneededforconsultations,orresultsfromexaminationssuchasultrasoundofthekidneysorurinarytract.Thisenableseffectivecaredecisionstobemadeasrapidlyaspossible,withouttheneedtorefertoaspecific,secludedworkstation,”statesProf.Dr.K.VanHoeck,HeadofClinicinthePaediatricDepartment,UZA.

Improvement in clinical workflow with rapid access to patient data5 “Previoussystemspreventedusfromworkingasrapidlyaswewouldhaveliked.WithCentricityClinicalArchive,wehaveseenasignificantimprovementandcanworkabout30%moreefficiently,givingustimetoseemorepatients.Productivityhasimprovedinthe

departmentwithCCAthankstothetimesavingsmade,butalsoduetothecomplexityandqualityofdataavailable.Thebenefitisexperiencedbydoctors,socialnurses,physiotherapists,speechtherapistsandothercareproviders.”

Dr. Sandra Kenis Senior Neurology Staff, UZA

“Cross-departmentalcollaborationiskeyasweoftenneedtoworkcloselywithotherdepartmentssuchasradiology,paediatricsandanumberofspecialistsub-departmentswithinpaediatrics.MultipledepartmentsandclinicianscanaccesstherequiredpatientinformationviaCCA,withonlyasimplephonecallneededifwewanttodiscusswithcolleaguesindetail.”

Dr. Sandra Kenis, Senior Neurology Staff, UZA

Connecting care across UZAWith38departmentsproducinganaverageof3,500patientdocumentsaday,collaborationandcross-departmentalconnectivityarekeytoenablingcliniciansandcareprovidersatUZAwithaccesstotherelevantinformation.CentricityClinicalArchiveconsolidatesclinicaldocumentsandimagesfrommultipledepartmentsintoasinglereliablesystem.UniversalViewerZeroFootprintinterfaceswiththeelectronicpatientrecordtoprovideasinglepointofaccesstopatientdata.

“Theabilitytoviewdocumentsandimagesthroughoutthehospitaliscriticalaswefrequentlyshareinformationwithotherdepartments.Iworkcloselywithpaediatricurologistsandwhendecidingwhethertooperateornot,it’svitaltheyhavefastaccesstoreliabledatasuchasscansofultrasoundimages.WhetherI’minmyowndepartment,withapaediatricurologistorworkingfromhome,IhavethereassurancethatCCAistherewhenIormycolleaguesneedit,”statesProf.Dr.K.VanHoeck.

Rapid access to the patient history WithCCA,UZAhasrapidaccesstoahistoryofpatientdocuments.Datacanbesharedbetweendepartments,butcliniciansalsobenefitfromenhancedaccesstoinformationfromsitesoutsidethehospitalaspaperreportsarescannedandaccessibleviaCCA.TheclinicalinformationviewerwithinCentricityClinicalArchiveisIHEXDScompatibleandoffersaweb-basedzerofootprintclient,offeringahighlyintuitivematrixviewofthepatient’shistory,alongwiththumbnailsforfastandeasyaccess.

Key metrics at UZA • NumberofpatientsintheXDSarchive:1,219,271

• Mostdocumentsforasinglepatient:2,673

• Averageamountofdocumentsperpatient:341

• DocumentsscannedperdayandregisteredintotheXDSarchive:5,000

Benefits for administrators: Enhancing workflow

CentricityPACSwithUniversalViewer,ZFP,tightlyconnectedwithUniversityHospitalAntwerp’sinformationsystem(HIS:C2M),providesadministrativepersonnelaccesstopatientrecordsinadigitalformat,consolidatedinasingleviewer.Thetimelineandfilteringfunctionalitiesenablerelevantdiagnosticdatatorapidlybeaccessedbyaccountingandadministrativestaff,enablingittobesmoothlyincorporatedintoaccountingprocesses.

“Wemustcorrectlyregisterapatient’sstayatthehospital.CCAenablesustofillanygapsininformationenablingdepartmentalrecordstobekeptuptodateandthecorrectbillingforservicesrendered.Whenweopenapatientfile,itisextremelysimpletoaccessthedataweneed.Previously,wewouldhavetospendlargeamountsoftimesearchingforinformation,whiledatacannowbeaccessedfromasinglesource.Typically,Icanlocateallinformationneededwithintwominutes,andthequalityofthatdataisalsoimprovedthankstoitsenhancedvisibility,”statesMariskaSel,MedicalSecretary,Accounting,UZA.

Administrative and accounting workflow streamlined – all information processed within two minutes6 “CCAgivesusaccesstorelevantpatientinformationtohelpensurewegettheappropriatereimbursementforcathlabwork.Thetechnologyisalotfasterandclearerthanprevioussystems.Wecanputdocumentssidebysidesotheyareeasytocross-reference,pluswecaneasilyfindinformationbydateandtypeusingthetimelineandfilteringfeatures.Previously,wehadtosearchandscrolltofinddata,slowingdownthereimbursementprocess,whilenowitjusttakesafewclicks.”

Vicky SomersMedical Secretary, Cardiology, UZA

“Previously,onlyourscanningfacilitywasconnectedtoadigitalmedicalarchiveviewer.WithCCA,alargenumberofmedicaldevicesareconnected,withimagesanddocumentsallaccessiblefromasinglesource.Theaveragepatienthasaround350documents–soitisimportanttherelevantdataiseasytoaccess.TheITdepartmenthasalsobenefitted,asnowweonlyneedtointegrateandmaintainasingleviewerascomparedtothreebefore.”

Katleen Smedts Project Leader, IT Department, UZA

Benefits for IT departments: A single data source

Streamlining IT processesUZAdigitisesallpaper-basedpatientrecordsviaaninternal‘scanningstreet’facility.TheinformationisthenequippedwithXDSmetadatabeforebeingsenttoCentricityClinicalArchive.ThisprocessmakesthepatientrecordavailabledigitallyinCCAandviewablewithUniversalViewerZFP.CentricityClinicalArchivesupportsITadministratorsbyofferingachoiceofvirtualserverdeploymenttosavedatacentrespace,enablingdisasterrecoverybyconnectingtocloudstorage,andenhancingreliabilitywithstandardisedconfigurations.

“Previously,patientreportsandotherdocumentswentintodifferentsystems,dependingonwhethertheywerescannedviaourcentral‘scanningstreet’orwithinthedepartmentitself.Thisresultedinsilosofdata,withcliniciansoradministratorsoftenunabletolocatedatathathadbeencreatedinanotherdepartment.Now,thosefilesareallregisteredintotheXDSRegistryofCCA,meaningtheycanbeviewedthroughCCAanditsUniversalViewer–reducinganygapsindatarecordsandallowingeverythingtobeviewedfromasingleterminal.Lookingtothefuture,UZAwillimportmoviesfromendoscopy,picturesfromdermatologyandophthalmology,digitalslidesfrompathologyandmuchmore,”statesKatleenSmedts.

Key metrics at UZA • DICOMArchive:1,382,816studies

• Non-DICOMArchive(XDS):4,161,337documents

• Newdocumentsperday:3,500onaverage

• DocumentsmigratedtoXDSbeforegolive:3.5million

• UniversalViewerZFPisopenedonaverage:260timesperday

Mariska Sel, Medical Secretary, Accounting, UZA

Benefitting from a Vendor-Neutral Archive (VNA)

Asdiagnosticcapabilitiesandavailabilityofmedicalimagingcontinuetoadvance,healthcareITexecutivesfacethedauntingtaskofmanagingvastamountsofdatacreatedbythemodalitiesanddevicesintheirfacilitiesacrossthenetwork.AtUZA,careproviderscontinuetorequiremorecomprehensivepatientinformation,notjustimagingbutmulti-ologydataatthepointofcare.Agrowingnumberof-ologiesisintroducingincreasinglycomplexstorageandmanagementrequirementsfromdifferenttechnologyvendors,formats,andstandards.

Theconceptofsiloeddatarunscountertothegeneralexpectationsof“integratedanywhere,anytime”dataaccess.Thereisagrowingurgencytomanageclinicalimagesandotherdocumentsattheenterpriselevelandmakemeaningfulconnectionsbetweenthedisparatedatasourcesandtheclinicianswhorequireaccesstothem.TheITdepartmentatUZAandatotherleadingmedicalcentresareincreasinglyseekingsolutionsthatofferaunifiedapproachcombiningbothflexibilityandahighdegreeofcontrolfortheinternalITteam.

Thiscomplexitymakesitdifficulttoprovideaccesstotherightimagesanddocumentsattherighttimethroughoutdifferentstagesofpatientcare.Thisiswhyforward-thinkinghospitalssuchasUniversityHospitalAntwerphavechosentomigratefrommultipleproprietarydepartmentalrepositoriestoasingleVendor-NeutralArchive,enablingtherapid,organisation-widesharingofdata.

“As a university hospital, it is important we make the best use of technology to remain innovative. With GE Healthcare’s VNA, Centricity Clinical Archive solution, in place, we have taken solid steps in preparing ourselves for the future. It integrates with everything we need.”

Katleen Smedts, Project Leader, IT Department, UZA

Centricity Clinical Archive solution – the journey to a Vendor Neutral ArchiveAVNAisacrucialplatformforconsolidatingandsharingimagingandotherclinicaldataefficiently.WhenselectingaVNA,itisimportantthesolutionislookedatholistically,keepinginmindenterprise-wideconsolidationandsharingofimaging(DICOM)aswellasotherclinicaldocumentformats(non-DICOM).

AnefficientVNAcomeswithbuilt-inflexibilityandadoptionofindustrystandardssuchasDICOM,HL-7,andIHE-XDS,alongwithITstandardssuchasHTTPS,webservices,andXML.Itshouldalsooffersecurityfeaturesforauthentication,encryption,auditingandloggingtoprotectdataanddocumentswithinthesystem.UniversityHospitalAntwerprequiredthistypeofflexibilityandsecurityinordertoconnectavarietyofdevices,meetevolvingdepartmentalneedsandhelpensureinformationwasaccessiblefromanywhereandatanytime.

“TheabilitytoaccessbothDICOMimagesandnon-DICOMinformationwithXDSsupportplacesusasapioneerintheadoptionofthistechnologyinBelgium.Wehopeotherhospitalswillfollowsuitandusethetechnologytoimproveefficiency,easeofuseandqualityofcare.Ourkeyadvicetoanyonegoingthroughasimilarimplementationistoprioritisemetadata–goodqualitymetadatawillensureyourVNAanditsfilteringfunctionalitiescanoperateasefficientlyaspossible,”concludesKatleenSmedts.

©2014GeneralElectricCompany–Allrightsreserved.

GeneralElectricCompanyreservestherighttomakechangesinspecificationsandfeaturesshownherein,ordiscontinuetheproductdescribedatanytimewithoutnoticeorobligation.Thisdoesnotconstitutearepresentationorwarrantyordocumentationregardingtheproductorservicefeatured.

Anydatahereinthatmaybeconstruedaspersonalinformationisfictitiousandintendedforinformationalpurposesonly

GE,theGEMonogram,CentricityandimaginationatworkaretrademarksofGeneralElectricCompany.Allthirdpartyproductsbelongtotheirrespectiveowners.

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1CentricityClinicalArchivesolutionincludesthefollowingproductcomponents:CentricityEnterpriseArchive,UniversalViewerZFP,Caradigm™eHIE,CentricityClinicalGateway,NextGateMatchMetrixEMPI,andPACSGEARPacsSCAN™.

2CentricityClinicalArchiveLevel3VNAisaDICOMandXDScapable,multi-departmentalarchive

3Whereaninternetconnectionisavailable

4AccordingtotheestimationofUZA

5Theresultsexpressedinthisdocumentmaynotbeapplicabletoaparticularsiteorinstallationandindividualresultsmayvary.Thisdocumentanditscontentsareprovidedtoyouforinformationalpurposesonlyanddonotconstitutearepresentation,warrantyorperformanceguarantee

6AccordingtotheestimationofUZAonaverage

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@GEHealthcare

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