2007 Top 25 Connected Healthcare Facilities
Lessons to Learn from the Leaders
Wow. From the mountain of nominations we received this year, it’s clear that IT and technological advances have permeated a wide range of facility types rather than just a few large, comprehensive medical centers. This year the winners stretched from 25-bed Decatur County Memorial Hospital in Greensburg, Ind. to 2,000-bed Detroit Medical Center in Michigan, and include a children’s hospital, two large imaging groups and a variety of community hospitals and academic medical centers. Several were repeat winners, but most were not.
With so many qualified facilities, this year it was more difficult to select the Most Connected Healthcare Facilities than it was last year. According to last year’s criteria, our winners would have included 39 organizations. With tighter refinement, and a closer look at categories such as the number and diversity of imaging and IT systems integration, we narrowed the field to 25. The winners are presented here in alphabetical order (the order they are listed here in no way indicates a ranking).
Congratulations to the winners—you stand out among the rest!
Connections Make All the Difference in Healthcare
A seamless path for incoming and outgoing patient information is the goal for all the facilities nominated this year. More have succeeded than ever before. The majority of the Most Connected facilities use voice recognition (76 percent), computerized physician order entry (64 percent), clinical decision support (72 percent) and structured reporting (80 percent).
And there is no shortage of information systems installed at these facilities. One hundred percent have both a PACS and a RIS. The majority (96 percent) have both electronic medical records and a hospital information system. Eighty percent have a laboratory information system, 72 percent have a cardiovascular information system and 68 percent have a surgical information system. More than half (56 percent) tell us they have a RIS-PACS.
We asked facilities how many of 20 different systems (i.e. orthopedics, critical care, etc.) share images with PACS. Sixty-four percent have more than 15 different systems sharing images with PACS. Not surprisingly for a list of Most Connected Facilities, 88 percent of this select group are more than 90 percent filmless and 92 percent perform more than 90 percent of their imaging procedures digitally.
They also have seen significant increases in the annual number of imaging procedures performed over a year ago. Most (36 percent) have experienced growth in annual imaging procedures of 6 to 10 percent and another 20 percent saw growth in the range of 21 to 25 percent. One facility experienced an increase of 31 to 35 percent.
Report turn-around times are certainly impressive too, with the fastest radiology reports ready in less than two hours at Norton Healthcare in Louisville, Ken. Baylor University Medical Center took top honors of all the submitted survey ballots with just a 10-minute turn-around time for radiology and cardiology reports and only five minutes for emergency department reports. Jean Plummer, manager, informatics, attributes those impressive numbers to voice recognition and a lot of hard work over the past four years since the technology was implemented. Many other facilities can boast of rapid turn-around times of well under 30 minutes on a routine basis. Many ballots shared stories about how improved connectivity has cut turn-around times down by days.
Health Imaging & IT also would like to issue special recognition to Specialty Networks, a top performing RHIO in Tennessee that has developed its own software solution. Centers where Specialty Networks software has been implemented have enjoyed a reduction of 80 percent of transcriptionists and approximately 20 percent reduction of schedulers. The radiologists’ productivity has increased by 27 percent and the report turn-around time has decreased to less than an hour, down from an average of 24 hours.
U.S. healthcare organizations spent $19.1 billion on IT in 2006 and will spend $20.4 billion this year. By 2010, that number will increase by nearly 25 percent to $25.5 billion.
HIT investment is one of the few issues both Democrats and Republicans agree on, with President Bush, and presidential candidates Sen. Barack Obama and Sen. Hillary Clinton among others all calling for reduced expenditures and improving care through more electronic systems. Bipartisan bills on HIT are on the table in both the House and Senate.
While most facilities report an impressive return on investment, improved quality of care for patients is the biggest benefit of all.
| The Fine Print |
| This year’s online nominations were accepted from May 4th through June 8th, 2007. Some 600-plus healthcare facilities were represented in the balloting. The ballot included 45 questions. Among the factors differentiating the winners were percentage of facility that is filmless, percentage of procedures that are digital, the number of modalities and departments that share images, and the ability of in-network physicians and referring physicians to access electronic images. |
| Alegent Health System |
| Omaha, Neb. | alegent.com |
 Sponsored by Catholic Health Services and Immanuel Health Systems, Alegent Health includes nine acute-care hospitals and more than 100 sites of service. Dozens of sub-specialist physicians travel among the different campuses, so implementing an enterprise-wide digital imaging system cut time wasted for physicians to access the images they need from nearly any location. Since implementation, surgeons can collaborate from anywhere in the world. The ability to reformat image datasets and perform other advanced visualization techniques also helps physicians with diagnosis and treatment. |
| Facility |
Licensed Beds: 1,500 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0 % - 5% |
| Electronic radiology reports viewed each month: 28,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: 4 hours |
| Emergency turn-around time: < 30 minutes |
| Data stored online: >18 TB |
| Data archived: 50 TB |
| Percentage of data growth in last 12 months: 11% - 15% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, EHR, EMR, Emergency, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD |
| Baptist Health |
| Jacksonville, Fla. | e-baptisthealth.com |
 Baptist Health saved almost $1.5 million in fiscal year 2006 thanks to technology investments. All images are available online through a stand-alone PACS application or directly from patients' charts, saving time and reducing the need for duplicate tests. The dietary ordering, inventory management and medication administration all are performed online. The organization has experienced an 85 percent reduction in medication order turn-around time. The GetWell:) Network (GWN) provides internet access and communication technology to patients' hospital rooms through the television by using a special remote and a wireless computer keyboard. Patients can order movies, check email and watch educational videos about medical conditions. |
| Facility |
| Licensed Beds: 899 |
| Employees: 7,314 |
| Physicians: 1,377 |
| Annual Imaging Studies: 609,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 51,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 24 hours |
| Cardiology turn-around time: 48 hours |
| Emergency turn-around time: 30 minutes |
| Data stored online: 4-5 TB |
| Data archived: 16 TB |
| Percentage of data growth in last 12 months: 21% - 25% |
| Across the enterprise |
| Departments that share images with PACS: CPOE, Critical Care/ICU/CCU, EMR, Emergency, HIS, Nuclear Medicine, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, EMR |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Bassett Healthcare |
| Cooperstown, N.Y. | bassett.org |
 A regional health system of four hospitals and 25 community health centers serving residents of a nine-county region in rural, central New York, Bassett Healthcare went filmless in April 2007. Bassett has provided comprehensive patient-centered healthcare since the 1920s and has had a formal affiliation with Columbia University College of Physicians and Surgeons since 1947. Given its 5,000-square-mile coverage area, the ability of physicians to access images via PACS in minutes positively impacts clinical care. |
| Facility |
| Licensed Beds: 270 |
| Employees: 2,400 |
| Physicians: 270 |
| Annual Imaging Studies: 120,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: >10,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 2 hours |
| Cardiology turn-around time: 8 hours |
| Emergency turn-around time: 2 hours |
| Data stored online: 4 TB |
| Data archived: 7.5 TB |
| Percentage of data growth in last 12 months: 0% - 5% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, EHR, EMR, Emergency, HIS, Nuclear Medicine, Orthopedics, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Boca Raton Community Hospital |
| Boca Raton, Fla. | brch.com |
 Boca Raton Community Hospital offers a full array of healthcare services, along with a clinical research center and cardio/pulmonary rehabilitation center. A new $75 million, 98,000-square-foot facility to open in 2008 will house oncology imaging, radiation, chemotherapy, support services and clinical research. The hospital will become the Charles E. Schmidt Medical Center in 2011, the first new academic medical center to open in the U.S. in nearly 30 years. The 530-private room teaching hospital will become a standard for hospital safety by improving visibility of patients to staff, standardizing and automating certain tasks and procedures and minimizing physician fatigue. The new academic medical center will be the teaching hospital for the University of Miami, Miller School of Medicine. |
| Facility |
| Licensed Beds: 400 |
| Employees: 2,100 |
| Physicians: 365 |
| Annual Imaging Studies: 230,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 28,000 |
| Structured reporting: No |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: n/a |
| Emergency turn-around time: <1 hour |
| Data stored online: 4 TB |
| Data archived: 12 TB |
| Percentage of data growth in last 12 months: 6% - 10% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, EMR, Nuclear Medicine, Radiation Therapy, RIS, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Brigham and Women's Hospital |
| Boston, Mass. | brighamandwomens.com |
 This 755-bed, non-profit, teaching affiliate of Harvard University Medical School is a member of the Partners HealthCare System. The multi-institutional, multi-disciplinary BW/F Medical Imaging IT program includes CPOE with decision support, speech recognition and integration into the EMR. The facility has integrated process improvement, quality and patient safety programs into Medical Imaging IT for a combined approach to process redesign and technology deployment. The facility has implemented a paging portal to alert radiologists that reports are ready for review and signature and a protocoling portal for radiologists to review and specify imaging protocols to be used by technologists in imaging studies. |
| Facility |
| Licensed Beds: 747 |
| Employees: 15,000 |
| Physicians: 1,500 |
| Annual Imaging Studies: 600,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 120,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: n/a |
| Emergency turn-around time: <30 minutes |
| Data stored online: 24 TB |
| Data archived: 100 TB |
| Percentage of data growth in last 12 months: 11% - 15% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, CPOE, Critical Care/ICU/CCU, Dental, Dermatology, EMR, Emergency, Endoscopy/Gastroenterology, HIS, LIS, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, HIS, EMR |
| Types of storage utilized: NAS, SAN, GRID |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access |
| Clarian Health Partners |
| Indianapolis, Ind. | clarian.org |
 Clarian Health Partners is comprised of Methodist Hospital, Indiana University Hospital and Riley Hospital for Children and is an Indiana-based, private, non-profit organization, offering a broad base of tertiary services, specialized pediatric care and a Level 1 Trauma Center. Clarian is Indiana's largest and most comprehensive health system, and is partnered with Indiana Radiology Partners, one of the largest radiology practices in the nation. Nearly 80 percent of Indiana physicians ranked in America's Top Doctors are affiliated with CHP. The organization achieved Magnet status for nursing excellence in 2004. |
| Facility |
| Licensed Beds: 1,655 |
| Employees: 11,976 |
| Physicians: 8,189 |
| Annual Imaging Studies: 750,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 68,000 |
| Structured reporting: No |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: 8 hours |
| Emergency turn-around time: 30 minutes |
| Data stored online: 12 TB |
| Data archived: 100 TB |
| Percentage of data growth in last 12 months: 6% - 10% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, Dermatology, Emergency, Endoscopy/Gastroenterology, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN, ASP |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film, paper |
| Cook Children's Health Care System |
| Fort Worth, Texas | cookchildrens.org |
 Cook Children's Health Care System is one of the country's leading integrated pediatric healthcare delivery systems. Based in Fort Worth, the non-profit system has added more than $100 million in new facilities since 2000. They include a child development center, a four-floor patient pavilion and critical-care areas, fracture clinic, urgent-care center and heliport, and cardiac catheterization and cardiac surgery facilities. Due to investments in CR and DR, four radiologists can read 10,000 procedures a month. Implementation of digital imaging in the NICU resulted in procedure workflow decreasing by 50 percent with CR and 75 percent with DR. The organization achieved Magnet status for nursing excellence in 2006. |
| Facility |
| Licensed Beds: 285 |
| Employees: 5,000 |
| Physicians: 250 |
| Annual Imaging Studies: 115,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 15,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 15 hours |
| Cardiology turn-around time: 24 hours |
| Emergency turn-around time: >30 minutes |
| Data stored online: 2.5 TB |
| Data archived: 8 TB |
| Percentage of data growth in last 12 months: 16% - 20% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, EMR, HIS, Nuclear Medicine, Surgery/OR, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: web access, CD |
| Decatur County Memorial Hospital |
| Greensburg, Ind. | dcmh.net |
 Decatur County Memorial Hospital opened in 1922 as a memorial to the 800 men and women in the Decatur County area who served in World War I. This small, rural facility performs 30,000 imaging procedures a year with just one radiologist. A web-based RIS has increased the radiologist's productivity by about 30 percent and reduced film costs by 90 percent. The system also makes it easy to send certain studies off-site to sub-specialty radiologists for interpretation. Plus, an off-site x-ray facility sends images into PACS via fiber network. After implementing CR, report turn-around times decreased from eight hours to four hours. The hospital also recently installed a new digital mammography system and the radiologist can read everything on one diagnostic workstation. |
| Facility |
| Licensed Beds: 25 |
| Employees: 337 |
| Physicians: 77 |
| Annual Imaging Studies: 300,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 2,500 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 10.04 hours |
| Cardiology turn-around time: n/a |
| Emergency turn-around time: 3.75 hours |
| Data stored online: 330,000 MB |
| Data archived: 1,000,000 MB |
| Percentage of data growth in last 12 months: 0% - 5% |
| Across the enterprise |
| Departments that share images with PACS: Critical Care/ICU/CCU, EHR, EMR, Emergency, HIS, Nuclear Medicine, Oncology, Orthopedics, RIS, Surgery/OR |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, HIS, LIS, EMR |
| Types of storage utilized: SAN, ASP |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Detroit Medical Center |
| Detroit, Mich. | dmc.org |
 DMC is the largest healthcare provider in southeastern Michigan with 2,000 beds and 3,000 affiliated physicians. It also is the teaching and clinical research site for Wayne State University's School of Medicine. The facility has used health information technology to increase staff productivity, reduce costs and improve patient care experience. A recent upgrade to its wireless IT infrastructure was performed to support a full-scale EMR implementation. Less than eight months after project initiation, wireless capabilities now cover more than 4 million square feet through 900 separate access points. Wireless carts and scanners verify and deliver medications, wireless internet is available for patients and their families, and mobile robots enable doctors to make rounds and interact with patients from remote locations. |
| Facility |
| Licensed Beds: 2,000 |
| Employees: 14,500 |
| Physicians: 3,000 |
| Annual Imaging Studies: 627,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 52,250 |
| Structured reporting: No |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 48 hours |
| Cardiology turn-around time: 48 hours |
| Emergency turn-around time: 24 hours |
| Data stored online: 30 TB |
| Data archived: 115 TB |
| Percentage of data growth in last 12 months: 41% - 45% |
| Across the enterprise |
| Departments that share images with PACS: CPOE, Critical Care/ICU/CCU, EHR, EMR, Emergency, Endoscopy/Gastroenterology, HIS, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, RIS |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN, GRID |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Integris Health: Baptist Medical Center & Southwest Medical Center |
| Oklahoma City, Okla. | integrisok.com |
 Oklahoma's largest state-owned health system includes hospitals, rehabilitation centers, physician clinics, mental health facilities, independent living centers and home health agencies throughout much of the state. Integris Health Inc. is a not-for-profit corporation and has placed great emphasis on providing state residents the very best and latest technology available in healthcare delivery. Integris has a truly integrated radiology and cardiology PACS with 3D imaging, rapid reporting via voice recognition and structured reporting. The organization earned Magnet status for nursing excellence earlier this year. |
| Facility |
| Licensed Beds: 900 |
| Employees: 3,500 |
| Physicians: 720 |
| Annual Imaging Studies: 300,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 8,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 5.5 hours |
| Cardiology turn-around time: 24 hours |
| Emergency turn-around time: 18 hours |
| Data stored online: 14 TB |
| Data archived: 52 TB |
| Percentage of data growth in last 12 months: 11% - 15% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, CPOE, Critical Care/ICU/CCU, EMR, Emergency, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD |
| Maimonides Medical Center |
| Brooklyn, N.Y. | maimonidesmed.org |
 Maimonides Medical Center trains more than 400 residents and medical students each year and routinely contributes to the progress of medicine through its broad base of clinical and laboratory research. Its IT systems have allowed for a 20 percent higher volume of studies without increasing staff, 24/7 radiology coverage with two-thirds done remotely, and file room space reduced by 90 percent and staff by 75 percent. The facility can bill for 100 percent of its studies. Maimonides uses data mirroring and server clustering for effective redundancy and disaster recovery, and is currently in the process of upgrading the network backbone infrastructure to provide multi-gigabit bandwidth to accommodate increasing volume and distribution. |
| Facility |
| Licensed Beds: 705 |
| Employees: 5,600 |
| Physicians: 1,000 |
| Annual Imaging Studies: 300,000- 350,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 21% - 25% |
| Electronic radiology reports viewed each month: 75,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 18 hours |
| Cardiology turn-around time: < 24hours |
| Emergency turn-around time: 1 hour |
| Data stored online: 6 TB |
| Data archived: 80 TB |
| Percentage of data growth in last 12 months: 21% - 25% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Emergency, Endoscopy/Gastroenterology, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connections, web access, CD |
| Marshfield Clinic |
| Marshfield, Wis. | marshfieldclinic.org |
 Six Marshfield physicians pooled their medical expertise in 1916 to form Marshfield Clinic, now one of the largest private, multi-specialty group practices in the United States. Today, the organization has 730 physicians in 80 medical specialties and subspecialties located in more than 40 centers throughout northern, central and western Wisconsin. Its research division focuses on clinical research, rural and agricultural health and safety, human genetics, epidemiology and biomedical informatics. Its Outreach Services program, with more than 1,200 participants, provides off-site physician consultation in 45 specialties, 24-hour online EKG interpretation, mobile echocardiography, reference laboratory, regional blood banking, radiology, radiation physics, pulmonary function and bio-medical electronics. |
| Facility |
| Licensed Beds: 863 |
| Employees: 9,795 |
| Physicians: 1,700 |
| Annual Imaging Studies: 292,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 40,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: <6 hours |
| Cardiology turn-around time: <8 hours |
| Emergency turn-around time: <1 hour |
| Data stored online: 17 TB |
| Data archived: 48 TB |
| Percentage of data growth in last 12 months: 36% - 40% |
| Across the enterprise |
| Departments that share images with PACS: Critical Care/ICU/CCU, EHR, EMR, Emergency, Endoscopy/Gastroenterology, HIS, Nuclear Medicine, Oncology, Orthopedics, RIS, Surgery/OR, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, LIS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: CD, film |
| Massachusetts General Hospital |
| Boston, Mass. | massgeneral.org |
 MGH is the third-oldest general hospital in the United States and is the largest non-government employer in the city of Boston. The 898-bed, world-renowned medical center offers sophisticated diagnostic and therapeutic care in virtually every specialty and sub-specialty of medicine and surgery. MGH conducts the largest hospital-based research program in the United States with an annual research budget of nearly $463 million. MGH has been at the forefront of medical informatics for more than a decade. The advanced visualization team alone performs more than 50,000 imaging exams a year, which would not be possible without its strong IT imaging framework. |
| Facility |
| Licensed Beds: 898 |
| Employees: 38,000 |
| Physicians: 6,000 |
| Annual Imaging Studies: 615,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 21% - 25% |
| Electronic radiology reports viewed each month: 500,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 12 hours |
| Cardiology turn-around time: 12 hours |
| Emergency turn-around time: 1 hour |
| Data stored online: 50 TB |
| Data archived: 500 TB |
| Percentage of data growth in last 12 months: 16% - 20% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, Dental, Dermatology, Emergency, Endoscopy/Gastroenterology, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD |
| MeritCare Health System |
| Fargo, N.D. | meritcare.com |
 MeritCare encompasses the largest hospital in North Dakota and has 583 beds at two locations. With 30 satellite sites covering a 250-mile region across the state and Minnesota, MeritCare is the largest private employer in North Dakota. MeritCare has been designated as a Level II trauma center. The Fargo facility has undergone a $55 million addition and renovation to equip patient care areas for state-of-the art medical technologies and to corresponding changes in the way people do their work, and the new facilities are specially designed to support safety and improved coordination of care. |
| Facility |
| Licensed Beds: 583 |
| Employees: 5,802 |
| Physicians: 600 |
| Annual Imaging Studies: 375,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6%- 10% |
| Electronic radiology reports viewed each month: 31,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 48 hours |
| Cardiology turn-around time: 24 hours |
| Emergency turn-around time: 2 hours |
| Data stored online: 10 TB |
| Data archived: 20 TB |
| Percentage of data growth in last 12 months: 6 % - 10% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, Dental, EMR, Emergency, Nuclear Medicine, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, EMR |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: CD |
| Montefiore Medical Center |
| Bronx, N.Y. | montefiore.org |
 This academic teaching hospital is 96 percent filmless and has an enterprise PACS that is completely integrated into the CPOE CIS. Bi-located data centers provide seamless image replication and a business continuity model and high availability. Montefiore is so committed to IT that it created a wholly owned subsidiary known as Emerging Health Information Technology, which is a team of 375 clinical and IT specialists that bring state-of-the-art technology to Montefiore and other local hospitals who could not otherwise afford it. Rather than implementing vendor solutions, the hospital partners and collaborates, becoming a premium show site for all of its vendors. |
| Facility |
| Licensed Beds: 1,120 |
| Employees: 6,000 |
| Physicians: 2,500 |
| Annual Imaging Studies: 550,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 91% - 95% |
| Percentage increase in digital procedures since 2006: 31% - 35% |
| Electronic radiology reports viewed each month: 100,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 6 hours |
| Cardiology turn-around time: 36 hours |
| Emergency turn-around time: <2 hours |
| Data stored online: 12 TB |
| Data archived: 42 TB |
| Percentage of data growth in last 12 months: 11% - 15% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Emergency, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| National Orthopedic Imaging Associates (NOIA) |
| Greenbrae, Calif. | orthoimaging.com |
 This physician group practice has added more than 40 imaging centers, hospitals and tertiary care facilities to its roster of clients since 2003 for a total of more than 90 sites. The number of exams read per day has increased by 30 percent. NOIA is comprised of a team of sub-specialist sports medicine radiologists who are experts in musculoskeletal MRI. They all conduct their diagnostic work with state-of-the-art teleradiology technology. NOIA has contracts with several professional sports teams aside from its geographically and demographically diverse customer base. |
| Facility |
| Licensed Beds: n/a |
| Employees: 200 |
| Physicians: 75 |
| Annual Imaging Studies: 300,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 9,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 24 hours |
| Cardiology turn-around time: n/a |
| Emergency turn-around time: 1 hour |
| Data stored online: 8 TB |
| Data archived: 8 TB |
| Percentage of data growth in last 12 months: 6% - 10% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, EHR, EMR, HIS, RIS, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, HIS, EMR |
| Types of storage utilized: Not reported |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Norton Healthcare |
| Louisville, Ken. | nortonhealthcare.com |
 Norton Healthcare is the Louisville area's leading hospital and healthcare system and second-largest private employer. The not-for-profit system—the largest in Kentucky and rated one of the top 100 integrated healthcare delivery systems in the country—includes four large hospitals in Louisville, eight Norton Immediate Care Centers, 9,500 employees, more than 200 employed medical providers at some 50 locations, and nearly 2,000 total physicians on its medical staff. Norton Healthcare serves the greater Louisville metro area, including patients in Southern Indiana and throughout Kentucky. The organization recently announced plans to build the first new hospital in Louisville in more than 20 years. |
| Facility |
| Licensed Beds: 1,857 |
| Employees: 9,700 |
| Physicians: 2,000 |
| Annual Imaging Studies: 552,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 21% - 25% |
| Electronic radiology reports viewed each month: 60,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: <2 hours |
| Cardiology turn-around time: <8 hours |
| Emergency turn-around time: <1 hour |
| Data stored online: 20-25 TB |
| Data archived: 10-15 TB |
| Percentage of data growth in last 12 months: 46% - 50% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Dental, Dermatology, EHR, EMR, Emergency, Endoscopy/Gastroenterology, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film, paper |
| Radiology Consultants of Iowa |
| Cedar Rapids, Iowa | rciowa.com |
 Radiology Consultants of Iowa is the state's largest radiology group. The group practice with 25 physicians includes an Imaging Center, Vein & Interventional Clinic, and inpatient and outpatient care at hospital affiliates. Thanks to its imaging and network technologies, radiologist time on the road traveling to rural hospitals has been reduced by more than 50 percent. And, its client facilities now receive reports in minutes, rather than days and its sub-specialty radiologists can interpret exams from any location. The organization's RCINet service enables every hospital to cost-effectively create an all-digital imaging department by providing technical services for digital image reading, storage, and distribution along with professional reading services. |
| Facility |
| Licensed Beds: n/a |
| Employees: 100 |
| Physicians: 25 |
| Annual Imaging Studies: 450,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 21% - 25% |
| Electronic radiology reports viewed each month: 37,500 |
| Structured reporting: No |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 2 hours |
| Cardiology turn-around time: <24 hours |
| Emergency turn-around time: <30 minutes |
| Data stored online: 3 TB |
| Data archived: 20 TB |
| Percentage of data growth in last 12 months: 51% - 55% |
| Across the enterprise |
| Departments that share images with PACS: EHR, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, HIS, EMR |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film, paper |
| Roper Saint Francis Healthcare |
| Charleston, S.C. | ropersaintfrancis.com |
 Roper St. Francis Healthcare is the South Carolina Lowcountry's only non-governmental, not-for-profit healthcare organization. The 594-bed system comprises 20 facilities in four counties. Member hospitals include Bon Secours St. Francis Hospital and Roper Hospital, as well as freestanding centers for 24-hour emergency and urgent care, diagnostic laboratory and radiology, and outpatient surgery. With more than 3,800 employees, Roper St. Francis Healthcare is Charleston's largest non-governmental, private employer. The organization has experienced cost savings, increased productivity, improved report turn-around time and better patient satisfaction through the addition of PACS, CR and DR. |
| Facility |
| Licensed Beds: 594 |
| Employees: 3,800 |
| Physicians: 750 |
| Annual Imaging Studies: 235,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 10,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 5 hours |
| Cardiology turn-around time: <4 hours |
| Emergency turn-around time: 5 hours |
| Data stored online: 4 TB |
| Data archived: 12 TB |
| Percentage of data growth in last 12 months: 21% - 25% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, EHR, EMR, Emergency, HIS, Nuclear Medicine, Oncology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| Rush Health Systems |
| Meridian, Miss. | rushhealthsystems.org |
 Rush Health Systems began as Rush Infirmary in 1915 and today is a comprehensive healthcare network focused on making healthcare as accessible as possible for the citizens of East Central Mississippi and West Alabama. The organization continually invests in new and updated facilities and in the latest treatment and care. The system includes Rush Foundation Hospital, a 265-bed, acute-care facility; The Specialty Hospital of Meridian, a 49-bed, long-term, acute-care hospital which operates nine rural health clinics; Medical Foundation, Inc., a physician management company employing more than 40 providers; and Rush Home Care, a complete home healthcare agency. |
| Facility |
| Licensed Beds: 265 |
| Employees: 2,700 |
| Physicians: 96 |
| Annual Imaging Studies: 135,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96%- 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 25,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: <24 hours |
| Cardiology turn-around time: <24 hours |
| Emergency turn-around time: <3 hours |
| Data stored online: 1 TB |
| Data archived: 5 TB |
| Percentage of data growth in last 12 months: 11% - 15% |
| Across the enterprise |
| Departments that share images with PACS: CPOE, Critical Care/ICU/CCU, Emergency, Endoscopy/Gastroenterology, HIS, Nuclear Medicine, Oncology, Orthopedics, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, HIS, Surgery IS |
| Types of storage utilized: SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access |
| University Healthcare |
| Salt Lake City, Utah | healthcare.utah.edu |
 University Healthcare's University Hospital is a major regional referral hospital serving more than 5 million people in Utah and the surrounding states of Idaho, Nevada, Wyoming, Montana and New Mexico. Intermountain West's tertiary care referral center is known for numerous programs including orthopedics, stroke, cancer, cardiology, genetic related diseases and organ transplant. The hospital also is a nationally verified Level I Trauma Center. Within the past year, the organization has opened a new, $54 million, 210,000-square-foot eye center and the University of Utah School of Medicine was awarded a $2 million grant for medical treatment for the nation's growing elderly population. |
| Facility |
| Licensed Beds: 360 |
| Employees: 20,000 |
| Physicians: 5,000 |
| Annual Imaging Studies: 300,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 30,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 3 hours |
| Cardiology turn-around time: 24 hours |
| Emergency turn-around time: 6 hours |
| Data stored online: 8 TB |
| Data archived: 50 TB |
| Percentage of data growth in last 12 months: 6% - 10% |
| Across the enterprise |
| Departments that share images with PACS: Nuclear Medicine, Oncology, Opthalmology, Orthopedics, Radiation Therapy, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, HIS, LIS, Surgery IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD |
| University of Illinois Medical Center |
| Chicago, Ill. | uillinoismedcenter.org |
 UIC physicians' breadth of expertise coupled with the latest advances in technology help provide an integrated continuum of care, from preventive medicine to highly specialized surgeries and innovative treatments. The University of Illinois Medical Center is part of the largest health sciences center in the country and one of only four comprehensive health science centers in the United States. UIC is home to the nation's largest medical school, with 300 students matriculating annually. In 2005, the College of Medicine Research Building opened to provide 80 principal investigators and 700 researchers and students with 116 state-of-the-art laboratories for biomedical research. |
| Facility |
| Licensed Beds: 453 |
| Employees: 3,700 |
| Physicians: 700 |
| Annual Imaging Studies: 150,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 0% - 5% |
| Electronic radiology reports viewed each month: 12,500 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 15 hours |
| Cardiology turn-around time: 48 hours |
| Emergency turn-around time: 14 hours |
| Data stored online: 2 TB |
| Data archived: 14 TB |
| Percentage of data growth in last 12 months: 16% - 20% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, Emergency, Nuclear Medicine, Orthopedics, RIS, Surgery/OR |
| Types of information systems installed at the facility: PACS, RIS, HIS, LIS, Surgery IS, EMR |
| Types of storage utilized: NAS, SAN |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: web access, CD, film |
| University of Southern California, Health Sciences Campus |
| Los Angeles, Calif. | usc.edu |
 Founded in 1878, Los Angeles County+USC Medical Center (LAC+USC) is the nation's largest academic institution. It is one of the largest acute-care hospitals in America and has been the primary facility of the University of Southern California School of Medicine since 1885. Originally established as a 100-bed hospital with 47 patients, it now is licensed for 1,395 beds and budgeted to staff 745 beds. The hospital provides the community with more than 28 percent of its trauma care. More than 1,500 medical professionals per day, including more than 870 medical residents in nearly all medical specialties and 160 students of nursing, are trained at the facility. |
| Facility |
| Licensed Beds: 1,760 |
| Employees: 1,800 |
| Physicians: 487 |
| Annual Imaging Studies: 1,200,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 21% - 25% |
| Electronic radiology reports viewed each month: 80,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): Yes |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: 4 hours |
| Emergency turn-around time: 1 hour |
| Data stored online: 7 TB |
| Data archived: 40 TB |
| Percentage of data growth in last 12 months: 31% - 35% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, HIS, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology, Vascular |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN, GRID, ASP |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
| University of Texas M.D. Anderson Cancer Center |
| Houston, Texas | mdanderson.org |
 With annual imaging volume growing at 8 to 10 percent a year, this world-renowned cancer center has seen gross patient revenues increase to more than $500 million, while personnel expenses have dropped from 31 percent of revenue in 1999 to 25 percent of revenue this year. Each month, about 5,500 studies are imported to the PACS from outside facilities. The center also has created a custom radiology worklist engine, which has increased the availability of reports at the time of patient appointment from 80 percent to over 95 percent. Since about 70 percent of patients live outside of the Houston area, a wireless network is available for their use. |
| Facility |
| Licensed Beds: 480 |
| Employees: 17,000 |
| Physicians: 1,000 |
| Annual Imaging Studies: 450,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 600,000 |
| Structured reporting: No |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 4 hours |
| Cardiology turn-around time: < 24 hours |
| Emergency turn-around time: <1 hour |
| Data stored online: >50 TB |
| Data archived: 55 TB |
| Percentage of data growth in last 12 months: 16% - 20% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, Critical Care/ICU/CCU, Dental, Dermatology, EHR, EMR, Emergency, HIS, LIS, Nuclear Medicine, Oncology, Ophthalmology, Orthopedics, Radiation Therapy, RIS, Surgery/OR, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS, SAN, ASP |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: CD, film |
| Wellspan Health |
| York, Pa. | wellspan.org |
 WellSpan Health is a not-for-profit, community-based healthcare system comprised of Gettysburg Hospital, York Hospital and more than 40 other locations serving south central Pennsylvania and northern Maryland. Regional referral services include neonatology, behavioral health, trauma, cardiology, orthopedics, neurosurgery and cancer. The implementation of PACS realized some savings for film costs, but the main clinical benefit has been better consultative services by using geographically dispersed specialists. They also can better balance the workload to enable a higher level of subspecialty reading. The organization provides more than $18 million each year in uncompensated medical and outreach services, supplies and physician care. |
| Facility |
| Licensed Beds: 634 |
| Employees: 7,500 |
| Physicians: 1,000 |
| Annual Imaging Studies: 500,000 |
| Image access, reporting and data |
| Percentage of physicians in network with image access: 96% - 100% |
| Percentage of physicians with web image access: 96% - 100% |
| Percentage increase in digital procedures since 2006: 6% - 10% |
| Electronic radiology reports viewed each month: 100,000 |
| Structured reporting: Yes |
| Computerized Physician Order Entry (CPOE): No |
| Radiology turn-around time: 9 hours |
| Cardiology turn-around time: <24 hours |
| Emergency turn-around time: 45 minutes |
| Data stored online: 11 TB |
| Data archived: 19 TB |
| Percentage of data growth in last 12 months: 46% - 50% |
| Across the enterprise |
| Departments that share images with PACS: CVIS, EHR, EMR, Emergency, HIS, Nuclear Medicine, RIS, Teleradiology |
| Types of information systems installed at the facility: PACS, RIS, RIS-PACS, CVIS, HIS, LIS, Surgery IS, ICU IS, EMR |
| Types of storage utilized: NAS |
| Areas of the hospital where physicians have access to images: Radiology, Cardiology, Oncology, Surgery, Orthopedics, ED, ICU |
| How facility provides images to referring physicians: Secure network connection, web access, CD, film |
Beth Walsh,
Editor
Editor Beth earned a bachelor’s degree in journalism and master’s in health communication. She has worked in hospital, academic and publishing settings over the past 20 years. Beth joined TriMed in 2005, as editor of CMIO and Clinical Innovation + Technology. When not covering all things related to health IT, she spends time with her husband and three children.