Microsoft Customer Solution: Healthcare Industry




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Microsoft Customer Solution:


Healthcare Industry






Solution Overview

Customer Profile

With 40 radiologists and 350 employees, and an annual throughput of about 500,000 patients, the Inland Imaging Centers comprise the most comprehensive outpatient diagnostic imaging facilities in the Inland Northwest.


Business Situation

Inland Imaging needed the ability to electronically store and distribute diagnostic images to radiologists, surgeons, and other physicians across 14 hospitals, and to provide secure access from physician offices and from home.


Solution

Deployed the Stentor Inc. iSite Enterprise, with a client created using Microsoft® Visual Studio® 6.0, and a back end based on Microsoft SQL Server™ 2000 running on Microsoft Windows® 2000 Advanced Server with Microsoft Clustering Service.


Benefits

  • 30% increase in productivity of radiologists.

  • Better patient care

  • Ease of use

  • 99.99% uptime


Software

Microsoft Windows 2000 Advanced Server with Internet Information Services 5.0 and with Microsoft Clustering Service

Microsoft SQL Server 2000

Microsoft Visual Studio 6.0





    Hardware

IBM servers



    Partner

Stentor, Inc.




Inland Imaging Boosts Productivity of its Radiologists by 30%

Published: June 2003

Inland Imaging Centers estimates productivity of its 40 radiologists increased by 30% after deploying a Stentor, Inc. iSite Enterprise digital imaging solution that lets clinicians at 14 area hospitals view images, such as CT scans, MRIs, ultrasounds, and X-Rays, online. The solution stores images and allows physicians to access diagnostic images from any PC connected to the regional hospital and clinic network. Instant access to images allows for more timely patient care, and the system lets multiple physicians view the same image from different locations for real-time distance consultations. Using Microsoft Clustering Service (MSCS) deployed with Microsoft Windows 2000 Advanced Server provides high availability. Inland Imaging has enjoyed 99.999% uptime for their data.

Situation


Medical imaging technology has long played a crucial role in the diagnosis of patients suffering from disease or trauma. But the output of Computed Tomography Imaging (CT) scans, magnetic resonance imaging (MRI), X-Ray, and other systems has traditionally been film-based images that could take from hours to days to deliver to physicians. Inland Imaging Centers, based in Spokane, WA, has 40 radiologists and 350 employees providing imaging services to 14 hospitals and clinics spread across eastern Washington and northern Idaho. Inland Imaging needed to find a way to more quickly deliver images to where they were needed, while reducing the costs associated with storing film-based diagnostic images, and paying couriers to deliver them to physicians. Inland Imaging needed an electronic storage and delivery system.

Solution


Inland Imaging chose the Stentor iSite Enterprise solution, which was integrated with an IDX Corporation IDXRad radiology information system– a combination that gives physicians immediate on-line access to the patient’s diagnostic quality images, and reports. . Stentor used Microsoft Visual Studio® 6.0 to develop iSite Enterprise, which serves as a Web-based client. On the server side, Microsoft® Clustering Service (MSCS) deployed with Microsoft Windows® 2000 Advanced Server provides high availability. The solution gives physicians the flexibility to access images and patient records from the clinic, office, home, or from any other place from which they can go online. Inland Imaging hosts its own data, and uses a Stentor hosting service for offsite disaster recovery.

Benefits

E
In the ER time is critical and imaging information is often essential for determining the right treatment. . . With Stentor, as soon as the CT scan is completed I have instant access to the images and can make the necessary decisions on the spot. Inland Imaging has provided a huge benefit to the community with this technology."

Dr. Randal DeFelice

ER physician

Holy Family Hospital



nhanced Productivity for Physicians


Jon Copeland, Chief Information Officer of Inland Imaging says radiologists are enthused about the increased productivity they’ve gained with the online system.

“We are able to deliver the diagnostic images directly to the radiologist now,” says Copeland. “We used to have to deliver the radiologist to the images. To service hospitals that took images but couldn’t justify a fulltime radiologist to read them, we had to have radiologists driving from one hospital to another, and then to another. Now we’re able to have the radiologist in one place and pull the images up to read them.”

Productivity is also enhanced by having images from earlier patient visits on line as well.

“In some cases the most important study in radiology is the previous study,” Copeland says. “Radiologists must be able to see whether something has changed between treatments. We can now keep all of our previous electronic images stored online so they can be pulled up instantly.”

The online storage also does away with another productivity buster: the lost film

“We don’t lose our previous films anymore,” says Copeland. “We used to loan films out to one physician who would loan them to another and so on. We had lots of lost films. When it came time to read the follow up study we had to spend half a day looking for the films or regenerating them. Overall we’re projecting about a 30% productivity gain for our radiologists, and probably even a greater productivity gain for the referring physician who now has instant access to images that might have taken from hours to days to arrive using our old system.”


Better Patient Care


Patient care is improved because physicians have faster access to diagnostic information that can guide their actions.

"In the ER time is critical and imaging information is often essential for determining the right treatment,” says Dr. Randal DeFelice, ER physician, Holy Family Hospital, Spokane. “In the case of stroke victims, we have a finite amount of time to administer appropriate drugs. With Stentor, as soon as the CT scan is completed I have instant access to the images and can make the necessary decisions on the spot. Inland Imaging has provided a huge benefit to the community with this technology."

Dr. Dean Martz, neurosurgeon, Inland Neurosurgery & Spine Associates, Spokane, agrees. "Physicians are no longer dependent upon an antiquated delivery system of critical patient information,” Dr. Martz says. “With just a click of a button, entry of a username & password, a physician can access his or her patient information in seconds, online, in real time, and on demand.”

Anytime, Anywhere Delivery


T
We’ve already amassed a store of five terabytes of imaging data. And we’ve done this on a single SQL Server cluster. The scalability of SQL Server and Windows Server 2000 is incredible. No crashes, no hiccups. The system has been fantastic.”

Jon Copeland

Chief Information Officer

Inland Imaging Centers



he anytime, anywhere delivery from the online system means that referring physicians and specialists such as orthopedic surgeons, neurosurgeons, or emergency room physicians can collaborate real-time, online - - viewing the same patient images concurrently from different locations. This would have been impossible in a traditional film based imaging center.

“A neurosurgeon recently told me about being paged one night at home about a 15-year-old boy who had fallen and injured his neck in a small town 100 miles away,” says Copeland. “The local hospital had performed a CT scan, found a neck fracture and was preparing to call a MEDIVAC helicopter to transport the boy to Spokane for treatment. The neurosurgeon went to his home computer, viewed the scans within two seconds, and a few minutes later was able to determine the injury was minor and would heal on its own. He saved the family a lot of anguish.”


Scalability


Inland Imaging is adding about 30,000 images a month to their Microsoft SQL Server™ database. Each image file is about 50 megabytes. “We’ve already amassed a store of five terabytes of imaging data,” Copeland says. “And we’ve done this on a single SQL Server cluster. The scalability of SQL Server and Windows Server 2000 is incredible. No crashes, no hiccups. The system has been fantastic.”


The Microsoft .NET Framework offers healthcare organizations the most flexible, cost-effective enterprise platform that empowers providers, payers, employers, suppliers, and consumers to collaborate across the healthcare continuum, turning the accelerating pace of change into competitive advantage.
For more information about Microsoft solutions for the healthcare industry, go to:
http://www.microsoft.com/healthcare/



For More Information


For more information about Microsoft products and services, call the Microsoft Sales Information Center at (800) 426-9400. In Canada, call the Microsoft Canada Information Centre at (877) 568-2495. Customers who are deaf or hard-of-hearing can reach Microsoft text telephone (TTY/TDD) services at (800) 892-5234 in the United States or (905) 568-9641 in Canada. Outside the 50 United States and Canada, please contact your local Microsoft subsidiary. To access information using the World Wide Web, go to:
http://www.microsoft.com/

For more information about Inland Imaging Centers, see http:// www.inland-imaging.com. For more information about Stentor products and services, see http://www.stentor.com.

© 2003 Microsoft Corporation. All rights reserved.

This case study is for informational purposes only. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS SUMMARY.



Microsoft, Visual Studio, Windows, and the Windows logo are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. The names of actual companies and products mentioned herein may be the trademarks of their respective owners.






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