Author Archives Telerad Tech

About Telerad Tech

Telerad Tech® has been founded by a group of technology innovators and eminent radiologists with the focus to develop products and solutions to address the gaps and needs of Healthcare IT in general, and radiology automation systems in particular. Having partnered with leading a tele-radiology institute and led by technologists with background in developing and deploying automated solutions, Telerad Tech® has the best mix of domain understanding and technology process to implement technology solutions to solve the radiology workflow problems. The products are developed, tested and piloted in the radiology eco-system and hence equipped with providing the most efficient, radiologist friendly work-flow.
May 26, 2017

RADSpa to Enable TRS–GE Partnership for Remote Radiology Reporting Accessibility in India

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RADSpa to act as a backbone for Teleradiology Solutions (TRS) and Wipro GE Healthcare partnership and will enable remote radiology reporting services accessibility in Tier 2 and beyond markets with low internet bandwidths in India. RADSpa is a unique and revolutionary teleradiology platform with fully integrated Radiology Information System (RIS) and Picture Archival Communication Systems (PACS) built to work in low bandwidth conditions; it is suitable for countries with emerging infrastructures. This platform is designed to meet the needs of small diagnostic centers/hospitals, large-scale multi-site multi-geography hospitals and chain of diagnostic centers.

RADSpa RIS/PACS system once implemented will not only solve the existing challenges of the radiology image management but will also improve productivity and efficiency in the radiology department. In addition, it enables remote radiology across centers seamlessly.

The partnership will combine Wipro GE Healthcare’s medical technology leadership and wide reach across the country with RADSpa to make remote radiology reporting services accessible 365/24/7 in Tier 2 markets.

About Telerad Tech

Telerad Tech® has been founded by a group of technology innovators and eminent radiologists with the focus to develop products and solutions to address the gaps and needs of Healthcare IT in general, and radiology automation systems in particular. Having partnered with leading a Teleradiology Institute and led by technologists with background in developing and deploying automated solutions, Telerad Tech™ has the best mix of domain understanding and technology process to implement technology solutions to solve the radiology workflow problems. The products are developed, tested and piloted in the radiology eco-system and hence equipped with providing the most efficient, radiologist friendly workflow.

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November 21, 2016

What do you look for in a RIS/PACS for a Tele-radiology application

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Let’s face it. Today a PACS is a commodity …has been for quite a while.
Most PACS and for that matter RIS on the market can do most everything………..at least that is what the brochures claim!
For a Tele-radiology application, these are some of the important requirments:
 What are the workflow features it supports?
 How easy is it for a Radiologist to set up a practice for himself or herself?
 How many reports can the Radiologist dictate in a day?
 What is the cost of ownership?
Let’s take the last one first!

Today, reducing reimbursements from insurance companies, increasing competition across the globe, and the need to provide quality care in spite of all the above - are forcing owners of imaging centers to question the cost of ownership.
This is where the cloud based solution brings value to the table. With a cloud based solution, the vendor is responsible for the high end redundant servers housed in a class III or similar data center, disaster management solutions, archiving studies and reports for 7 years or more. This solution provides a very low or practically nil cost of ownership.
The Radiologist or the owner can focus on building the business, signing up new hospitals, and bringing the bacon home! The cloud based solution gives him lot more flexibility and freedom to go after new prospects even if they are not in the same state or even the same country.
The number of reports a Radiologist can generate in a day translates to profits. The system must be simple to use and the reporting engine and viewer must allow him to dictate as quickly as possible. Interface with a Voice recognition system, easy content (text and audio) exchange between the Radiologist and transcriptionist, peer review with ABR codes, QA, real time collaboration between different stakeholders are some of the features to look for in a system. The Radiologist must be the last link in the chain and studies / images must reach him only when they are complete in all respects, thereby saving his valuable time. Some systems have the reconciliation feature that handles this part of the assignment. The system must support all DICOM modalities which can be added any time later with ease and also support non DICOM for use with legacy modalities.
The system must be simple to use and more importantly easy to install. The Radiologist must be able to start his business or add a new hospital within hours thereby generating confidence in his business. If the hospital or clinic that is sending studies provides a VPN -then the issue of encrypting, security, and safe transmission are taken care of and there is no need for any hardware purchase by the Radiologist. If not, a simple PC that can house the DICOM router software and route the studies fast and efficiently to the central server, is sufficient. The system must also be universal such that it should not need any proprietary hardware for viewing and should be able to log in from any browser. Viewing and distributing images on a mobile device is becoming ubiquitous today and helps the Radiologist to take instant decisions from an airport or a coffee shop!
Last but not least the workflow features are very important. It is indeed an irony that when you mention workflow, most people have the “deer caught in the headlights look”. The workflow is the most important factor which contributes to the productivity and thereby to the bottom line of the enterprise. Some systems provide a “soup to nuts” solution for workflow from capture to archive while some provide certain modules. Here it is important to get a standard off-the-shelf software that can be customized -rather than develop one from scratch and make it proprietary , finding it difficult to change in the future. The workflow defines many conditions that improve the overall efficiency.
For example:
 Assignment of studies to a Radiologist depending upon various conditions
 Workflow parameters like TAT, number of reads, work load, QA score for Radiologist
 Auto assignment or through manual intervention by an Administrator
 Monitoring TAT (Turn Around Time) and reassigning studies if TAT is not met
 Collaboration between various stakeholders through work-list
 Customizable work-list which enables the user to see what they want to see and hide the extraneous information.
 Monitoring QA, reconciliation, Peer review to help improve the quality of care to the patient
 Integration with existing front end or back end solutions using HL7 or web links
 Accessing PRIORS and showing patient demographics to the Radiologist while reporting to enable faster and more accurate reporting
 Enabling the patient to get hold of the report and studies through a secure patient portal.
 Use of mobile devices and maybe a QR code to make it easy for the patient to receive the information.
These are just some of the important workflow features to look for. It is best to ask the vendor what they provide - to help you improve the productivity of the Tele-radiology center. An important characteristic the software should provide is the flexibility to customize the features to get the best bang for your buck.
Many vendors who are in this business should be getting constant feedback from their valued users and keep improving their product.
Make sure they provide 24x7x365 support otherwise all the above is not as attractive as it sounds!

ABOUT THE AUTHOR

Mr. Mohan Mysore

VP Sales & Marketing for USA, European Operations at Telerad Tech Pvt. Ltd. He's a strategic thinker with a tenacious commitment to achieving planned results in highly competitive environments. Proven ability to look at the bigger picture, analyze key business drivers, and create short and long term strategies to improve the bottom line.
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November 21, 2016

Patient portal- why a hospital or clinic must provide this access

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Over the last few years the end user is getting more and more informed and intelligent. The ever pervasive internet and the explosion of the knowledge base have helped spur this transition to a savvier user.

Two more factors are driving this revolution.

1) The compliance needs of certain governments to ensure every citizen is on an electronic patient portal
2) The pressure on the bottom line for hospitals and clinics forces them to find ways to educate the patient, and reduce his visits to the hospital which have become a huge burden to the Governments.

While most of the patient portal solutions in the last few years mainly dealt with patient reports and information relating to the visits of the patient, of late solutions are emerging whereby the patient has access to even radiology images.

The spin off benefit for the patient is that he has access to his clinical reports, lab test results, and sometimes images which he can share with another doctor for a second opinion.
In the good old days when a patient walked into an imaging center or an outpatient facility in a hospital and had a XRAY procedure done, he would be receiving a XRAY film immediately or in a few days. This later was replaced by CD’s which had a nice picture of the facility on top and images and reports inside. There was also a low end viewer which opened the images automatically.
While this saved the enterprise hundreds and thousands of dollars (you could now add multiple images from CT or MRI) and was a great marketing tool, it still meant the patient had to have the CD on him all the time if he wanted to share the information. The enterprise also had to invest in automated CD solutions which were mechanical devices and prone to failures.
All the pressures mentioned at the beginning of this article forced vendors to find a more practical and useful solution for the patient.
Today a patient can walk away with nothing but still have access to everything!
He can log into his secure private patient portal and
 View images with a powerful viewer
 View reports of the doctor
 Upload his own documents
 Share information with his family
 Share reports and images with another specialist for a second opinion
All this can be done from anywhere and at any time using any browser on his computer or mobile device.
He could get relocated to say Indiana from Arizona and still meet his doctor and have all the information at his fingertips. He does not have to carry any documents or CD’s or films.
From an enterprise point of view this provides a better quality of patient care. The RIS/PACS they invested in would be archiving the images and reports anyway and all they need to do now is to find a cost effective way of sharing this with the patient.
The recent patient portals provide this facility and with the falling prices of hardware and software these features are becoming lot more affordable now than before.
The hospital and clinics win because they have reduced their costs and provided more benefits to the patient. The patient wins because he or she now feels they received their money’s worth and the access to their information at any time makes them more secure.
Everyone is happy!

ABOUT THE AUTHOR

Mr. Mohan Mysore

VP Sales & Marketing for USA, European Operations at Telerad Tech Pvt. Ltd. He's a strategic thinker with a tenacious commitment to achieving planned results in highly competitive environments. Proven ability to look at the bigger picture, analyze key business drivers, and create short and long term strategies to improve the bottom line.
Read More