Improving the Efficiency and Quality of Care through Clinical Data Access

1. Improving the Efficiency and Quality of Care through Clinical Data Access ERIC MAURINCOMME VICE PRESIDENT MARKETING & BUSINESS DEVELOPMENT AGFA HEALTHCARE

2. Agfa HealthCare – Who we are • Agfa HealthCare, a part of the Agfa-Gevaert Group • A leading provider of integrated IT solutions and state-of-the-art diagnostic imaging for hospitals and other healthcare Centres • 5,600 employees • Sales offices in over 100 markets worldwide • 11 Global R&D Centres of Excellence

3. QUALITY ACCESS COST Agfa HealthCare’s integrated solution portfolio Integrated access Ability to access all necessary data about a patient, irrelevant of the systems that host it or the organization that owns it Integrated workflow Ability to coordinate and synchronize processes about a particular patient across boundaries: organizational (departmental and hospital) as well as clinical (patient having multiplicity of clinical conditions at a time) Integrated knowledge Ability to utilize the most up-to-date clinical content and practice information generated in any point of care

4. Agfa’s Vision • Store all clinically relevant data across the continuum of care • Enable each institution to contribute agreed upon data elements so clinical collaboration, continuity of care and patient safety and privacy can be realized. • Fully enable the EHR • A unified, ubiquitous view of all patients’ encounters and episodes of care, enhancing the patient experience and promote better communication between clinicians and optimally support the clinical process.

5. “We have multi media and relevant data from all departments, specialties, and disciplines from different vendors across our healthcare enterprise.” “The sheer number and size of images that have to be migrated has exploded.” Realities of Healthcare Today “We need a new architecture to help our health organization keep up with imaging demands.”

6. History Physical Findings Hemo-dynamics Review ECG Waveforms& Reports Consults& Notes Image and multimedia storage needs broadening and increasing Ultrasound Images & Measurements Lab Cath Lab Images Nuclear Radiology Multi-slice CT Enterprise Storage Needs

7. IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre –Multimedia DICOM Storage For All Departments Sound PDF documents Multi-facility DICOM PACS as primary, long term or disaster recovery archive Video Waveforms Cath Lab Images Nuclear medicine Hospital/PACS 1 Hospital/PACS 2 Endoscopy Nuclear medicine ECG Waveforms& Reports Cardiology Orthopaedics CR Pathology Lab Results & Reports Radiology Ambulatory Care Facility 2 Ambulatory Care Facility 1 Internal medicine MRI/CT Post Processing Ultrasound Images & Measurements Connecting Facilities Together Radiology images

8. IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre IMPAX Data Centre Solution National, Regional & Local access to clinical patient data IMPAX Data Centre Bulgarian National EHR

9. IMPAX Data Centre: Proven • Agfa HealthCare awarded contract for two regions - • North East / East & East Midland • 30 Entities • 75 Hospitals • 10,000,000 exams/year • Growing to 25,000,000 by year five • 300 Terabytes/year

10. May May 21 2036 21 Departmental workflow, unified infrastructure EMR Portal Viewer RIS PACS Reporting CVIS PACS PACS presentation IMPAX for Radiology IMPAX Cardiovascular Suite IMPAX Women's Care 3rd Party PACS publish publish publish publish retrieve retrieve retrieve IMPAX Data Centre™

11. IMPAX Data Centre: Key benefits • Clinical: Supports the reduction of medical errors • Reduce order duplication • Potentially lower the amount of radiation by eliminating redundant and medically un-needed procedures. • consolidates and enables distribution of relevant clinical data to the clinician at the point of care. • Operational: Leverages existing or disparate systems across the enterprise • Connects key data elements at the point of care without modifications to the clinicians user interface. • Financial: Saves money • Fosters interoperability and reduces costly migrations • Technical: Adherence to standards • Transparency, integration, interoperability for data management • Distribution and archiving for all DICOM data across the enterprise no matter the source.

13. Bioserveur : aProven Solution • Started as a regional project in France • Connects Labs with GP’s • Solves a real communication and inter-operability problem • Figures: • Operational since 1999 • 45 GP softwares • 33 Lab softwares • 600 labs • 8500 GPs • 300.000 files/month

14. May May 21 2036 21 Vision: Integrated access to relevant clinical data A central infrastructure enabling e-Health This can but doesn’t need to imply that data is physically persisted in a central storage The bottom line: a user should have a consolidated and complete view on the clinical data of the patient research and care should be able to “connect” EMR Portal Viewer presentation Imaging HIS Lab & Reference Lab Document Management Enterprise Clinical Repository Data Warehousing publish publish publish publish publish publish retrieve retrieve retrieve retrieve retrieve retrieve Agfa HealthCare Clinical Data Centre™

15. Imaging Thank you’ Vision eHealth Slide... Leveraging eHealth to provide a seamless & inter-operable continuity of Care