Author: Telerad Tech

13 Oct 2020
Transforming Radiology Technology

The Transformation of Radiology using Technology

Radiology has indeed come a long way since 1895, the year of the spectacular discovery of X-rays by German physicist Wilhelm Roentgen. It now plays an inherently crucial role in improved and better diagnosis and patient care.

The past few decades have seen the limits of imaging informatics being pushed beyond traditional boundaries thanks to several major changes in computer and communication technology. With the advent of new technologies, such as the World Wide Web, wireless connectivity, and, now, the ever-present social networks, momentous advancement has been made in the way radiological services can be delivered. The Internet has become a crucial gateway for electronic transmission and sharing of health-related data, something we today know as “e-Health”. Many types of e-Health are currently becoming available. In many hospitals, the electronic health record (EHR) is being introduced, which allows a complete electronic record of the patient’s health information. This EHR should not only automate and streamline the physician’s workflow but also allow patients to gain control over their health data through online portals.

The move from an analog to a digital working milieu put the radiologists at the front line of producing and distributing digital images. New dedicated software products were developed. One of the most important shifts being adopted by many healthcare institutions across the globe is a paper-free environment and the Picture Archive and Communication System (PACS) and Radiology Information System (RIS). These are truly remarkable steps in this direction. Radiologists employ the PACS to store myriads of image files which can be easily retrieved at any time in the patient management. Making lives extremely convenient, the entire database of images of all patients across all modalities is just a click away. It not just saves time but with the help of software solutions like RIS, it is now possible to keep a track record of every patient from scheduling appointments to diagnosis and treatment.

Transformative new technologies, many powered by cloud-based RIS-PACS, Artificial Intelligence (AI) and machine learning, promise to redefine the practice of radiology in ways that will considerably improve productivity, diagnostic quality, and medical treatment. Today, cloud-based computing in the imaging market has evolved from a service that provided cost-effective disaster recovery for archived data to fully featured PACS. It’s vendor neutral archiving services can address the needs of healthcare providers of all sizes, on the go.

Taking a look at AI, we need to identify AI’s strengths in analyzing visual images. Researchers train the algorithms to better detect potentially dangerous abnormalities, generating faster and more accurate insights to help guide clinicians’ treatment decisions. AI adoption is sure to ease the overwhelming workloads impeding the profession, facilitating radiologists to do what they’re best at and perform them better.

Going further ahead, we can examine Workflow orchestration technology too. This promises to boost efficiency and alleviate bottlenecks. By directing cases to the right recipient in the correct order, this technology optimizes the effectiveness of the read, especially in teleradiology settings. With the profession’s ever-increasing need for solutions that match demand with supply, a lot of organizations provide solutions that facilitate better collaboration across facilities for effective workflow orchestration.

Teleradiology is another field that is assisting well where streamlining workloads is concerned. Remote radiologic coverage and reliable telecom infrastructures means more radiologic analysis is being performed online to take care of workloads between hospitals. And as the field becomes progressively digitized, apprehensions regarding the security of radiology data accentuate the need for robust solutions that will not just prevent breaches but at the same time also safeguard patient information while complying with regulatory requirements.

Diagnostic images captured at the right place and at the right time give physicians, surgeons, and care centers an important tool to help provide better patient care and at a reasonable cost. For this reason, Telerad Tech has been building out solutions since 2009.

Telerad Tech was established with the goal of optimizing radiology productivity and improving patient outcome delivery through transformational medical imaging software solutions. Today, it is amongst the market leaders in providing integrated RIS-PACS software solutions for teleradiology, medical imaging centres, and hospitals of all sizes globally. Telerad Tech’s solutions cater to workflows needs across departments, including Radiology, Cardiology, Podiatry, Orthopedic, Chiropractic, Oncology and Veterinary.

We are today amongst the market leaders in providing RIS with integrated PACS with significant installations in both cloud and enterprise environment across 1500 facilities in 24 countries.

Our software solutions suite has been incubated, tested and perfected in a radiology ecosystem and are designed to address the unique needs of multiple care pathways across departments, including radiology, cardiology, dentistry, oncology, and veterinary. Our software has customizable workflow features, intelligent productivity tools & analytics and Vendor-Neutral Archive technology. It has strong patient security framework and integrates seamlessly with other systems for exchange and retrieval of electronic health information.

To enable physicians to consistently deliver optimal patient management and to augment the precious time of radiologists, Telerad Tech has also leveraged Artificial Intelligence (AI), for various radiology diagnostics.

We truly believe that the future is here

Technological development has undoubtedly prompted some anxiety among radiologists. But while tech adoption will inevitably alter the way radiologists work, technology’s clinical value will be in supplementing and adding to and not replacing or even displacing the professionals. Radiologists empowered by AI will only encounter a new, more efficient stage of radiology, helping to focus their time and attention on the most crucial elements of their job.

Also, we need to remember that image analysis is just one of the aspects of a radiologist’s job, other tasks, including discrepancy reviews, diagnostic reasoning, and patient-facing work such as invasive radiology, will still be performed by humans. Those tasks will simply be supported and enhanced by advancing technology.

The future of radiology is here, and the prediction clearly states that it will not only better health care but also the lives of all the stakeholders.

24 Sep 2020

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

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 requirements

  • 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 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 a 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 the 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 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!

09 Sep 2020

Unlock productivity, quality and communication with radiology workflow orchestration

Radiology exams are typically categorized as Stroke Cases, STAT cases, Trauma cases, Emergency Radiology, Inpatient, Outpatient and ICU cases etc. A radiologist’s workflow dashboard therefore must be organized in a manner that s/he has access to all vital information with the click of a button. But, it is easier said than done!

With increased accessibility and affordability of imaging modality machines and also due to incessant endeavors of modality manufacturers and PACS companies to provide precise imaging solution, there has been a quantum jump in the number of exams to be read. Further, the advent and availability of newer modality machines has also created the need for subspecialists readings.  A radiologist dashboard is now no less than a cross-word puzzle. What is most affected are the radiologist’s productivity, quality of work, communication between different stakeholders and the overall viability of running an imaging facility.

To overcome these challenges, companies are creating workflow orchestrators. Workflow Orchestrator is a mechanism for automatically matching imaging scans with a radiologist profile in the radiologist service provider environment. So, instead of radiologists spending their precious time figuring out which scan to read, the scans look for a perfect radiologist to read them.  Workflow Orchestrator further mines for exams in terms of priority or SLA (service level agreement), right sub-specialty and the best relationships and accordingly populates them in the worklist of the relevant radiologists for their appropriate response.

RIS-PACS with Workflow Orchestration lends itself in enhancing productivity, quality and communication.  With the implementation of intelligent tools such as Workflow Orchestration, the exams are exposed to a broader audience as time goes by. To begin with, the exams are exposed to the most suited radiologists, ones that have the best expertise and the best relationship to read that exam.

The Workflow Orchestrator also ensures that all available subspecialists are taken into the fold if a particular exam is not read or taken up quickly enough. The orchestrator delivers incalculable augmentation where quality KPI is concerned. The software also organizes exams not just by clinical but also by business priorities. The most crucial exams can be seen on top followed by the emergency and STAT exams, right after that comes inpatient exams, and then outpatient exams. Each exam is tagged by the intelligent software by the SLA so the time remaining to read each exam can be seen easily.

The productivity of the radiologists can be seen clearly from the personal radiologist dashboard. Apart from other features, there is also a break glass mechanism so that if a radiologist chooses to read out of order, the system will ask for a reason to do so. With integrated communication tools such as chat or instant messaging and more, the orchestrator’s software allows radiologists and referring physicians to easily share context of exams with each other and even ask for a specific exam to be reviewed.  The workflow orchestrator lets radiologists have the right tools to manage inaccurate exams and enhance productivity.

The Workflow Orchestrator helps direct imaging exams first to suitable clinical subspecialists, and then it makes sure that the exams are made available to other radiologists as needed to satisfy desired turnaround times. Exams also can be allocated to specific radiologists according to a referring physician’s preference and existing affiliations with hospitals or healthcare facilities. The platform’s workload balancing function can optimize reporting times.

RADSpa’s Workflow Orchestrator is one such value-added capability in the ever-evolving healthcare delivery paradigm.

  • It takes care of enhanced productivity by aligning demand with supply.Dynamic assignment automatically accelerates and assigns studies to the most appropriate, available radiologists. There is better communication through associated tools and automated notifications.

 

  • With a universal worklist, the orchestrator incorporates quality and interpretations tasks in one place. Efficiency is improved by contributing to quicker turnaround times and reduced length of stay.

When a study was conducted to see the impact of RADSpa’s Workflow Orchestrator feature, the results were overwhelmingly positive.

  • Almost 85% of the radiologists agreed that RADSpa’s Workflow Orchestrator helped them to reduce the TATs and increase productivity.
  • Statistical analysis of 180 days of logs before and after automation indicated 35% improvement in overall TAT for emergency cases.
  • Radiologist productivity per case improved by 25% as every case is auto-validated for images prior it is assigned.
  • Exam Coordinators or the Assigners reported a massive 98% reduction in effort which used to go in manually eliminating errors, and thereby more time in hand for handling greater workloads.

Radiology Workflow Automation has positively impacted timely patient care specifically in Reporting Emergency cases and thereby saving lives.

  • Manual errors and allocation time is reduced by 98%, TAT is improved 35% and RAD’s productivity by 25%.
  • Zero error in case assignment to radiologists by the coordinators (assigners).
  • Radiologists receiving advance alert regarding their work list.
  • Notification to assigners regarding un-attended cases. This helped assigners to follow-up with the respective Radiologists or re-assign them to equivalent Radiologists.

This value-based care has helped radiologists achieve more and do much more. This increased cooperation between healthcare providers as well as professionals benefits all participants in the care continuum. Workflow Orchestrator is therefore a great productivity and quality boosting tool and promises to be an excellent tool for collaboration and communication.

  • It takes care of enhanced productivity by aligning demand with supplyDynamic assignment automatically accelerates and assigns studies to the most appropriate, available radiologists. There is better communication through associated tools and automated notifications.
  • With a universal worklist, the orchestrator incorporates quality and interpretations tasks in one place. Efficiency is improved by contributing to quicker turnaround times and reduced length of stay.

When a study was conducted to see the impact of RADSpa’s Concierge Automation feature, the results were overwhelmingly positive.

  • Almost 85% of the radiologists agreed that RADSpa’s Concierge Workflow automation helped them to reduce the TATs and increase productivity.
  • Statistical analysis of 180 days of logs before and after automation indicated 35% improvement in overall TAT for emergency cases.
  • Radiologist productivity per case improved by 25% as every case is auto-validated for images prior it is assigned.
  • Exam Coordinators or the Assigners reported a massive 98% reduction in effort which used to go in manually eliminating errors, and thereby more time in hand for handling greater workloads.

Radiology Workflow Automation has positively impacted timely patient care specifically in Reporting Emergency cases and thereby saving lives.

  • Manual errors and allocation time is reduced by 98%, TAT is improved 35% and RAD’s productivity by 25%.
  • Zero error in case assignment to radiologists by the coordinators (assigners).
  • Radiologists receiving advance alert regarding their work list.
  • Notification to assigners regarding un-attended cases. This helped assigners to follow-up with the respective Radiologists or re-assign them to equivalent Radiologists.

This value-based care has helped radiologists achieve more and do much more. This increased cooperation between healthcare providers as well as professionals benefits all participants in the care continuum. Workflow Orchestrator is therefore a great productivity and quality boosting tool and promises to be an excellent tool for collaboration and communication.

07 Sep 2020

7 Signs That Diagnostic Centers Should Invest In Tele-Radiology

In today’s competitive healthcare environment, running a diagnostic imaging center is not easy. Apart from the high equipment cost at startup, operational and ongoing financial challenges abound. A technology innovation that can assist owners of diagnostic centers in optimizing their center’s performance is teleradiology. This article lists the typical scenarios in which owners of diagnostic centers can benefit from this pathbreaking healthcare innovation.

  1. A chain of new diagnostic imaging centers is being opened.

The best time to invest in teleradiology is at the time of expansion from a single center facility (either a diagnostic center or a nursing home or hospital) to a multicenter practice setup. This is when teleradiology will bring you maximum benefits, as it will allow you to utilize your existing radiologist staffing more efficiently. One radiologist at one of the sites can potentially report Xray and CT/MRI scans for all the centers. An onsite radiologist will be required at each site for performing ultrasounds and procedures.

  1. Scans are not getting reported on time and the patients and referring doctors are complaining.

Implementing teleradiology is a highly effective way to improve your report turnaround time. It brings the images to your radiologist and allows him/her to report them instantly, instead of your having to wait for the radiologist to show up at work. Furthermore, using an efficient teleradiology workflow platform (Radspa developed by TeleradTech is one such example) can significantly improve your radiologists’ reporting efficiency and thereby further shorten the reporting times.

  1. The diagnostic imaging center has started receiving injury cases at night that need immediate reporting.

Emergency Nighthawk/urgent care is where teleradiology makes its greatest impact. If your hospital or diagnostic center is open 24 hours and scans are being performed through the night then you can greatly benefit from teleradiology, either by allowing your own radiologist to report from his or her own home at night or if that is too taxing for them, by outsourcing your reporting to a teleradiology reporting center that provides 24 x 7 services. Remember though to check reporting quality standards and accreditations!

  1. The center is unable to find a radiologist to report the scans.

In the current scenario of radiologist shortages, this is not an uncommon situation and the radiologist staffing at any site can suddenly become a problem. Teleradiology can help by either allowing your radiologist to report the scans from wherever he or she may be, or by allowing you to outsource your radiology reporting to a teleradiology reporting center.

  1. The reporting radiologist is getting frustrated and burnt out with the increasing workload.

As your diagnostic center volumes increase it may become more difficult for your radiologist to cope with the workload. In such situations, teleradiology can be a helpful backup to direct your excess case workload to a teleradiology reporting service.

  1. The radiologist is excellent with reporting xrays and ultrasounds but not comfortable with CT and MRI.

Advanced imaging techniques such as CT and MRI are rapidly evolving and becoming more and more complex, not all radiologists may be comfortable reporting all types of exams especially pediatric, musculoskeletal or cardiovascular. In such cases, referring such complex examinations to a teleradiology reporting center can improve the quality of reporting by gaining access to a subspecialist radiologist with expertise in the specific type of examination.

  1. The center requires a backup of all the scans done without the hassle of maintaining it on site.

Using teleradiology allows one to maintain a remote archive of all of one’s scans and reports, on the cloud, with complete security. This can be a valuable backup archive for an imaging center, so that there is never any loss of patient information or images.

The above points are a brief synopsis of the many benefits that teleradiology can afford to the promoters of a diagnostic imaging center. To help unleash the full potential of an imaging center, teleradiology holds the key today.

05 Sep 2020
Teleradiology software for practice

How To Pick The Best Teleradiology Solution For Your Practice?

With a plethora of vendors offering a RIS/PACS solution and claiming to do everything under the sun, it is not surprising that most buyers are confused and overwhelmed. Even for a discerning user, it is difficult to separate the wheat from the chaff and arrive at a short list of vendors who meet both the technical and the financial criteria. If you are managing a radiology imaging facility, then you are probably walking a tightrope between investing in technology for your radiologists and improving the bottom line for the organization. This has become a lot easier with the advent of cloud technology. The right Teleradiology software for you depends on your needs and the size of your practice. It is the 80/20 rule. 80% of the features are nice to have, but the 20% features impact the bottom line and should be considered as must haves.

Some Teleradiology providers offer an extensive range of Teleradiology software solutions with many extra features that you might not need – and will end up paying more than you actually need. Do you really want an integrated billing system? Marketing services? Do you need a Teleradiology solution bundled with contracted radiologists?

On the other hand, if you are based in a bigger health ecosystem and you need a wide range of services, you will prefer a Teleradiology software that offers an all-in-one solution.

Minimal set-up

When it comes to adopting a new Teleradiology software and then training the staff it will require a ton of resources and time. If possible, look for a web-based solution, or opt for a user-friendly Teleradiology software and simple implementation. Consider a product which has no capital investments, no maintenance costs and you can still keep your Radiology reading team excited and productive!

RIS and EMR integration

If you want to archive any transmitted medical images and radiology consults, how will you? How will these files be incorporated into your patient records? Check with the teleradiology software provider whether they offer EMR integration or compatible radiology information systems (RIS). If you are looking to archive the studies and the reports you need to make sure that they are stored in a VNA. You must be able to get out of the relationship with the vendor and move out with all your data and take it elsewhere. You need to be assured that the data is not stored in any proprietary format and is stored in standard DICOM. Check if the vendor complies with HL7 standards and HIPAA guidelines.

Patient portal

Will you be sharing medical images with your patients? Check if the Teleradiology solution provides a patient portal that allows them to share images with the patients in a hassle free manner without the printing, and couriering the media costs.

Mobile solutions

Based on your need for mobile devices, in your practice, you may want to explore teleradiology software that is mobile compatible.

That way, providers can retrieve and enhance medical images and radiology consults on their devices while on the go.

Cost

A Teleradiology solution can be an effective way to expand radiology services while saving money. However, one has to evaluate all the associated costs. Ask the Teleradiology software provider for a detailed pricing quote, in writing. Consider the below questions when doing the ROI.

How can operational efficiency and the productivity of my team improve? Can I shoot for a goal of 30% improvement or more?

How can I reduce the maintenance cost of my system that I purchase?
How can I spend more time on my business rather than on the system related stuff?
How reliable and stable is the company who is offering this product?
Can I have a full feature trial of the system before I decide to buy?
What is my monthly cash outflow with this system?
Can I get an obligation free consultancy with an expert and discuss my needs?
How can my team benefit from the use of the system?
Support: This is one of the important criteria for selection. Question to be asked are

Does your company provide 24x7x365 support?
Can I see your Service Level Agreement (SLA)?
Do you support multiple languages in your software?
Do you have local support people?
What happens when a feature of the system does not work? How soon can I expect a response? Is there a way to replace the system? If so how quickly can it be replaced? (This is a challenge especially in an ONSITE solution and a cloud-based solution has advantages here!)
Security

Teleradiology software needs to be HIPAA compliant. If you don’t have the IT resources to configure a secure virtual private network (VPN) and set-up a DICOM router, you may want to ask a Teleradiology provider if they will help get you set-up.

While the vendors are constantly working to improve their product offerings, the end user also has to do their due diligence before the purchase. All this happens all the time in the industry but it helps to have a check-list and go through it so you don’t lose track of any specific item! Teleradiology Solution can be an effective way for small to large health systems to expand their radiology services and offer 24/7 access. Find the right Teleradiology solution now.