1 / 20

Enhancing Radiological Exam Portability in Europe: The Path Forward

This presentation outlines the vision for making radiological exams accessible across Europe, allowing physicians to retrieve important medical imaging regardless of location. Key benefits include the elimination of redundant exams, cost savings, reduced hospital visits, and enhanced collaboration between radiologists. With successful national projects in Scotland and Finland as examples, the outlook for Portugal’s exam portability is promising, given its strong infrastructure and political support. The call to action emphasizes the need for legislation and commitment from European authorities for effective implementation.

quant
Télécharger la présentation

Enhancing Radiological Exam Portability in Europe: The Path Forward

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ExamsPortability inEurope: firststeps Antonio Fernandes CHLC – Lisbon, Portugal Tiago Baptista CHLC – Lisbon, Portugal XIX SymposiumNeuroradiologicum Bologna, 5 October 2010

  2. Outline • The idea • Benefits • National Projects • The Situation in Portugal • Implementation Issues • Conclusion

  3. The idea • Radiological Exams available everywhere in Europe whenever they are needed • An Italian physician in Rome could easily access the CT scan done by a Portuguese physician, in Lisbon. of a portuguese a patient spending his holidays in Italy. This patient hadn’t brought his CD or film.

  4. X  X X X

  5.     

  6. Benefits

  7. Benefits • Eliminationofrepeatedexams • Costsavings for thepatientand/ortheHealthcareSystem • Lessvisits to hospitals • Lessexposure to radiation • Colaborationbetweenradiologists, evenbetweencountries • Facilitatesinternationaltelerradiology • Uniqueopportunities for research

  8. NationalProjects Scotland • 5M citizens • 3,8M radiological studies per year • 20.000 authorized doctors • 2PB managed storage

  9. NationalProjects • 2 data centers in different locations • Workstations installed in hospitals, with a common user interface. Access from home is also possible through VPN • Data downloaded in a fast and smart way • Primary identification through the Community Health Index (CHI)

  10. NationalProjects Finland • 5,3M citizens • 300.000 authorized professionals • 500PB in the next decade • Valued at 20M€

  11. NationalProjects • eArchive • Storage of citizen’s health records, including radiology images • ePrescriptions • Electronic prescriptions to be accessed directly at the pharmacies • eAccess • Access of citizens over 18 to their own health records, to set permissions and monitor access

  12. TheSituationin Portugal • Sharing of exams in sites belonging to the same enterprise • Lack of exams portability in remaining cases • Citizen Card with chip and digital certificates • Very good internet infrastructures • Political support for projects that use new technologies to facilitate peoples lives • It has the conditions for following onScotland and Finland’s footsteps

  13. Integration of different hospitals

  14. Document Repository • Imaging Document Source • Document Registry • Document Consumer • Imaging Consumer Basic workflow of IHE XDS-I.b profile Query Registry Register Retrieve Document Provide and Register Retrieve Images

  15. Storage of images

  16. PatientIdentification Ease of implementation and use Required Commitment level • Creation of a European Health Number • Creation of National Health Numbers • Citizen ID/Phone Number/Bank Account • IHE PIX/PDQ or PID protocol

  17. Privacy • Privacyshouldbeofhighconcern • Countries have different privacy and data protection laws • A European archive would have to comply with the stricter of those laws • A system like the Finnish should however be enough to comply with these laws

  18. Legislation • Legislation is needed for successful implementation • The use of the system must be mandatory for both public and private radiology facilities

  19. Conclusion • It is technically possible to implement exams portability in Europe • Great commitment of European Authorities to tackle the implementation issues is needed • Legislation should be put into place • A Taskforce should be constituted • Participation of the European Society of Neuroradiology would be important

  20. Pleasesendyourideas/comments to jointhisworkgroup:antoniojlfernandes@gmail.com Disclosure: Antonio Fernandes, bordmember ,S24 Group

More Related