Is the Image Data in your PACS growing

faster than your IT budget?

Dr. Mohammed Hussein

Healthcare Imaging and UCA Lead

Infrastructure & Cloud Computing – Dell Services (UK)

Services1984: Michael Dell starts PCs Limited

1985: Launch Turbo, featuring Intel 8088 processor

1988: Sell 3.5M shares at $8.50 each in IPO

1991: Introduce 1st notebook PC

1992: Join Fortune 500

1997: Ship 10-millionth system

2000: #1 WW & #1 in US servers

2002: Launch 1st server blade, handheld & projector

2003: Launch printers, consumer systems and becomes Dell Inc.

2004: Dell announces 3rd U.S. manufacturing facility in North Carolina

2005: Named Fortune’s Most Admired company in the US and #3 on the global most admired list

2006: Dell ships 10 million+ systems in a single quarter for the 1st time

2007: Dell acquires EqualLogic

2008: 50%+ revenue comes from outside the US for the 1st time

2009: Dell acquires Perot systems

Dell History 2010: Dell acquires Kace, Scalent, Exanet, Ocarina, Boomi, Insite One, and Compellent further expanding storage and services portfolios

Services

Supporting 30,000 physician groups

11,000 healthcare & life sciences professionals and Over 500

technology partners

Managing ITO services for more than 400 Hospitals in US

Managing over 5B Medical Images across 800 clinical sites in Cloud based Enterprise Archive

Employing more than

300 clinicians including many physicians

#1 Worldwide Healthcare IT Services Vendor - Gartner

Serving 6 of Top 10pharmaceutical companies

Serving more than 50%of U.S. hospitals

providing care to 90million Americans

Managing 400 revenue cycle engagements recovering billions of dollars for customers

Serving 15 of Top 25largest U.S. healthcare systems

Serving 100 insurance organizations supporting

65 million policy holders

Dell is Leading the

Way in Healthcare

and Life Sciences

Services

Today’s storage infrastructure isinefficient, inflexible, complex & growing

1Forrester Research, Inc., Controlling Storage Cost Amid High Growth, February 3, 2010

2 Src: IDC PACS and Storage Special Report, November 20103 IDC, Worldwide Enterprise Storage Systems 2011-2015 Forecast: “Emerging” Once Again is a Keyword in the Storage Market, #228255, May 2011

50% 20%Healthcare

IT budget

used for

storage1

Providers use expensive Fiber Channel,

SAS, iSCSI HDD for long term archive2

65% Providers retain images forever due to

challenges around image retention

policies2

2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

48% CAGR

forecast storage

PBs shipped,

2010-2015

WW Enterprise Storage Capacity Shipped

(Petabytes)3• 48% of storage capacity is dedicated to Medical

Imaging / PACS2

• Labor makes up 60% of the cost of storage

• PACS upgrades every 3-5 years adds to storage

acquisition and migration costs

40% Providers require Recovery Time

objective of 1 hour or less with no Data

Loss2

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Challenges in Imaging Data Management

Maturation in the adoption of PACS has resulted in:

Need a Consolidated

Patient Centric

Data Management System

that is

Intelligent, Scalable,

Compliant and Cost Effective.

1. Increasing higher resolution image content

2. More modalities generating more images

3. Lack of image retention policy management

4. Barriers to image sharing across enterprise

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0

5

10

15

20

25

30

35

40

45

2005 2006 2007 2008 2009 2010 2011 2012

Exa

byt

es

Unstructured Data

Structured Data

The data deluge continues…Need a storage solution that manages unstructured inactive data

Source: The Economic Impact of File Virtualization, IStorageNewsletter.com per IDC, May 2010

70+% of stored data is inactive

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Clinical and Operational Challenges

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Transformation of Medicine

Episode

based

Translational Medicine

HealthcareInformationExchange

Systems Efficiency

Non-specific Episode by Episode

Better Organized toReduce Duplicate Effort

Patient CentricDisease PreventionE

vo

luti

on

ary

Pra

cti

ce

s Decision SupportSystems

Information Correlation

Diagnosis

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What is the Issue? (Clinical Challenge)Currently healthcare IT deals with numerous silos of data found in a number of specialised ‘ology’ silos with different storage tiers and modalities as well as different care delivery sites, formats and systems (Images, PDF, Word documents, Excel sheets, etc…)

This results in a multitude of data formats often only accessible through the specific vendor who created it within the site it was acquired/created at.

These silos require the clinician to go to multiple sources to gather a holistic view of the patient condition.

PAS/EPR

Image / Clinical Documents SilosSystems

Locations

PACS

Labs

Hospital 1 Hospital 2 GP ??

??

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Data Locked in Silos (IT Challenge)

Radiology Oncology Cardiology Women’s health Pathology

• Clinical Information Silos• Expensive and redundant procedures are performed • Diagnostic collaboration among departments is

inefficient• EMR systems are incomplete and lack certain critical

patient information

• Painful vendor application migrations• Expensive and risky data migrations

– Lengthy scope of work negotiations– Months to prepare, inspect, and migrate

data• True…for every application silo in

your environment

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VNA = Dell

Unified Clinical

Archive (UCA)

-Consolidation-Standardisation

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Dell Unified Clinical ArchiveHelping Healthcare providers efficiently store, manage and share medical image data

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

•D

ell

Se

rvic

es

•D

ell

Se

cu

rity

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Dell Clinical Data Management

• Patient-centric approach with policy based information life cycle management

• Multi-media and multi-specialty image integration and workflow management

• Standards based approach: IHE framework, XDS compliant

• Strategy for Data Migration

• Cloud enable partner applications

Vendor-Neutral Archiving for standardisation, data consolidation and better information life-cycle management

Dell’s UCA offers an integrated solution from a single source that combines

interoperability with multiple best-of-breed partner products

• VNA Partners

• PACS / RIS Vendors

• Multi-specialty image management

• Migration Tools

• Data Cleansing and mapping

Whitepaper on Best of Breed VNA – Michael Gray

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Dell On-Premise Storage portfolio

Fluid Data management

Data management and optimization

Fluid Data foundationsCommitments to drive your success

Storage consolidation & virtualization

Data protection

Disaster recovery

Application optimization

Data retention& governance Cloud integration

Compellent EqualLogic PowerVault DX Object Storage

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Dell Cloud Clinical Archive

Managed enterprise archive services through a secure cloud platform

• Infrastructure Simplification

• Standards-based platform (IHE Framework)

• Data sharing and Exchange

• Increases physician data access and mobility

• Disaster Recovery for Business Continuance

• Security and Data Protection

• One Time Pay-Per-Study upon ingestion pricing model

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Dell Clinical Collaboration Portal

Medical Images

Clinical

Viewing

and Workflow

Secure

Image Share

Enterprise

Information

Sharing

• Enterprise Information Sharing: Gateway for Implementing XDS-i

• Portal for Telemedicine, Tele-consultation, Medical Education

• Electronic Medical Record (EMR) Integration

• Universal and Enterprise Viewing

• Clinical Workflow Tools

• Secure Image Sharing replacing the need for CD

• Image enable clinical

applications

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inFrame differentiators

Unrivaled medical imaging distribution/visualization

InDex provides a turnkey infrastructure that is image-enabled

empowering the sharing of patient centric informationUCA Clinical Collaboration: Dell Cloud Clinical WebAccess

• Integrated Web-based portal for viewing medical images

• True Zero-Footprint

• Multi-browser support

• Access to DICOM and HL7 updates

• User/group management controls

• Accesses documents across multiple institutions (XDSi)

• Enables image sharing with referring physicians

Dell Clinical

Collaboration

Portal

Services

UCA Clinical Collaboration:ResolutionMD Web Viewer (Calgary Scientific)

• Full Functionality Viewer for all major modalities 2D/MIP/MPR/3D without sacrificing quality or performance

• Web Based ANY Browser, ANY Operating System can be used

• Mobile Solutions are compatible with all iOS and Android Devices

• No software downloads, no data downloads on any device - Ensures security and privacy of the data

• Multi-PACS Access (Vendor Neutral Access)

• FDA CLEARANCE- 510K/Class 2 for diagnosis

• Facilitates live Collaboration between caregivers: Share results / images and control to discuss / consult with multiple parties

Dell Clinical

Collaboration

Portal

Services

Solution• Consolidation of the different data center silos using a UCA (Unified Clinical Archive)

with a web based viewer.

• Utilising the pay per study model of the Dell DCCA solution

• Allowing interoperability and seamless sharing using DICOM, XDS/XDS-I, HTTPS to facilitate building a national patient record based on a strong data sharing infrastructure.

Outcome

• No more migrations.

• Accepts from and Sends to all PACS Vendors.

• High availability, business continuity and fast Disaster Recovery.

• Better clinical workflow and better patient care.

• Sharing of information more quickly and effectively across clinicians and enterprise, especially in emergencies

• Reduce cost of care – reduce procedures, cross utilise resources, informed decision across boundaries

• Improve quality of care, reduce errors/duplication, improve clinical decisions and better patient satisfaction

• Critical patient information is safe and protected; clinical record is complete and longitudinal (all specialities)

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Dell’s UCA - Market Leadership

Leading provider of digital medical image archiving

• Providing digital medical archiving services for 11+ years

• 800 clinical sites generating 60 TB monthly

• Managing over 5 billion images and 80 million+ studies and growing daily

• Largest number of concurrent systems integrated into secure cloud based archive delivery model

• Over 30+ PACS and hundreds of modalities, DICOM versions and associated non-imaging data sources

• ISO 13485:2003 certification on quality systems within Dell Data Centers

Multiple configurations and deployment models

• Licensed software with capital / operational business models

• Includes long term storage, disaster recover, and business continuance

• Provides SLAs on access to your data and full support for automated IHE integrated workflow

Tight integration with a large Eco-System of partners, to meet diverse customer needs

– Mobility and Ease of Access

– Collaboration and Exchange

- Vendor Neutral Archive

- PACS and Workflow management

New standard of future patient care – truly effective, affordable healthcare

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Thank You