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Inside the Top 25 Connected Healthcare Facilities
Health Imaging & IT | September 1, 2006 | Cover Story
By Beth Walsh   
Top 25 Connected Healthcare FacilitiesIt’s that time — we present our annual selection of the most connected healthcare facilities. Since health IT and interconnectivity are booming, this year we’ve upped the list from 10 organizations to 25. The winners include large IDNs, community hospitals, academic medical centers, an imaging center and an orthopedic center. They are presented in alphabetical order as they collectively share the designation as one of Health Imaging & IT’s Top 25 Connected Healthcare Facilities.

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. All are more than 90 percent digital and the majority have wireless access throughout their facilities. Business is booming as most have seen a significant increase in the annual number of imaging procedures performed over a year ago. All but one have the ability to access images via the web.

Recent studies predict that spending on wireless technology applications will reach $1.5 billion by 2010, the total IT spending for the electronic health record market will increase to $4.8 billion by 2015, and the U.S. health IT market will hit $47.9 billion this year. This year’s Health Imaging & IT Top 25 Connected Facilities have no doubt contributed to those figures but also have experienced impressive benefits. They have implemented digital imaging and electronic records, installed necessary infrastructure components, and provided the training needed by staff and physicians. Most report they have far exceeded their return on investment. A benefit, for sure, but better, faster patient care is the ultimate end result we all cheer.


The Fine Print

Healthcare organizations that included academic/teaching hospitals, city/county/government-owned hospitals, community hospitals, corporate/for-profit hospitals, integrated delivery networks (IDNs), regional health information organizations (RHIOs), freestanding imaging centers, specialty imaging facilities and physician group practices were invited to submit online nominations for the Top 25 Connected Healthcare Facilities from June 27th through July 21st. Some 575-plus healthcare facilities were represented in the balloting. The ballot included 24 questions which were submitted electronically. Nominations were not considered if required fields were omitted. If certain fields were missing, an automatically generated email was sent to the party nominating the facility.

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 send and utilize images from PACS and the ability of in-network physicians and referring physicians to access electronic images. 


Health Imaging & IT’s 2006 Top 25 Connected Facilities
Alegent Health System Omaha, Neb.
Brigham and Women’s Hospital Boston, Mass.
Centra Health Lynchburgh, Va.
Clarian Health Partners Indianapolis, Ind.
Deaconess Health System Evansville, Ind.
Decatur County Memorial Hospital Greensburg, Ind.
Delnor-Community Hospital Geneva, Ill.
Desert Orthopaedic Center Las Vegas, Nev.
INTEGRIS Baptist Medical Center Oklahoma City, Okla.
Lehigh Valley Hospital and Health Network Allentown, Pa.
Main Line Health System Bryn Mawr, Pa.
Maimonides Medical Center Brooklyn, N.Y.
Massachusetts General Hospital Boston, Mass.
MeritCare Health System Fargo, N.D.
Merle West Medical Center Klamath Falls, Ore.
Pella Regional Health Center Pella, Iowa
Queens Health Network Elmhurst, N.Y.
Radiology, Ltd. Tucson, Ariz.
Robert Wood Johnson University Hospital New Brunswick, N.J.
Sentara Healthcare Chesapeake, Va.
Springhill Medical Center Mobile, Ala.
Univ. of Texas-MD Andersen Cancer Center Houston, Texas
Univ. of Maryland Medical Center Baltimore, Md.
Univ. of Utah-University Health Care Salt Lake City, Utah
Wellspan Health York, Pa.
Honorable Mentions
Akron General Medical Center Akron, Ohio
BJC Healthcare St. Louis, Mo.
Boswell & Del Webb Hospitals Sun City, Ariz.
Cassia Regional Medical Center Burley, Idaho
Cook Children’s Health Care System Fort Worth, Texas
Eastern Radiologists Inc. Greenville, N.C.
Inland Imaging LLC Spokane, Wash.
Providence Saint Joseph and Holy Cross Medical Centers Burbank and Mission Hills, Calif.
Slocum Dickson Medical Group New Hartford, N.Y.
Temple University Children’s Medical Center Philadelphia
The Orthopedic Clinic Association Phoeniz, Ariz.
Dept. of Veterans Affairs Washington, D.C.





Alegent Health System
Omaha, Neb. | alegent.com
Alegent Health includes nine acute care hospitals, more than 100 sites providing healthcare services, over 1,200 physicians on its medical staff and roughly 8,400 employees. Alegent Health is sponsored by Catholic Health Initiatives and Immanuel Health Systems. The high rate of physician rotation among the facilities required an enterprise-wide image distribution system. Alegent also has enterprise-wide HIS, EMR and RIS. The newest facility, Lakeside Hospital, opened in 2004. It is filmless, paperless and has all wireless technology and an all-digital diagnostic center.
Facility Stats
Licensed Beds: 900-999
Annual Imaging Studies: 300,000-399,999
Employees: 7,000-7,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 10-20 million
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online and CD
Monthly images viewed by clinicians: 400,000-499,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• Advanced Visualization - Terarecon
• C-Arm - Siemens
• Cardiac Cath Lab - Siemens
• CR - Fuji
• CT - Siemens
• CAD - R2
• Data Storage - EMC, Siemens
• Digital Mammography - Siemens
• DR - Siemens
• Echocardiography - Siemens
• MRI - Siemens
• PET/CT - Siemens
• Ultrasound - Siemens
• Workstation (Diagnostic) - Siemens
• Workstation (PACS) - Siemens
• Voice/Speech Recognition - Dolbey
• X-ray (Portable) - Fuji
Information Systems that share images with PACS
• CVIS - Lumedx
• EHR - Siemens
• EMR - Siemens
• HIS - Siemens
• Nuclear Medicine - Siemens
• Radiation Therapy - Siemens
• RIS - Siemens
• Teleradiology - Merge
• Vascular - Siemens
Brigham and Women’s Hospital
Boston, Mass. | brighamandwomens.org
This 755-bed non-profit teaching affiliate of Harvard Medical School is a member of the Partners HealthCare System. The multi-institutional, multi-disciplinary BW/F Medical Imaging IT program includes computerized physician order entry with decision support, speech recognition and integration into the EMR. The facility’s mission is to use systems thinking and design to implement seamlessly integrated information technology tools capable of knowledge delivery at the point of care to create a safe, high quality and efficient practice environment. Brigham and Women’s has seen clinical care improvements attributable to having ‘any image, anywhere, anytime,’ cost reductions and productivity gains.
Facility Stats
Licensed Beds: 800-899
Annual Imaging Studies: 500,000-999,999
Employees: 10,000-14,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 100 mil. and up
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 2 - 2.5 million
Monthly electronic radiology reports: 100,000-199,999
Technologies that exchange images with PACS
• Advanced Visualization
• C-Arm - GE
• Cardiac Cath Lab - Philips, GE
• Clinical Decision Support - Medicalis
• CR - Kodak, Agfa, Konica, Fuji
• CT - Siemens
• CAD - R2
• Data Storage - EMC
• Digital Mammography - GE
• DR - GE, Swissray
• Echocardiography - GE, Siemens, Philips
• MRI - GE, Siemens
• PET/CT - GE, Siemens
• SPECT - Siemens
• Ultrasound - Siemens
• Workstation (Diagnostic) - Agfa, GE
• Workstation (PACS) - Agfa, GE
• Voice/Speech Recognition - Dictaphone
• X-ray (Portable)
Information Systems that share images with PACS
• CVIS - GE, Philips, Medicalis, Agfa
• CPOE - Medicalis, Partners Information Systems
• EMR - Partners Information Systems
• HIS - Partners Information Systems
• Nuclear Medicine - Siemens, GE
• RIS - IDX, Meditech
• Teleradiology - Philips, Medicalis, Amicas
• Vascular - Siemens
Centra Health
Lynchburg, Va. | centrahealth.com
Centra Health is a regional, not-for-profit healthcare system located in the heart of Central Virginia. More than 4,000 employees care for patients in a variety of settings. Centra boasts patient satisfaction levels in the 93rd percentile and ED physician satisfaction in the 97th percentile. That’s partly due to digital imaging which has allowed for an increase in imaging procedures of 10 to 12 percent a year with no increase in staff. A link to the city of Lynchburg’s metroLAN has allowed Centra to link physician offices in the area to a high bandwidth connection for immediate access to images.
Facility Stats
Licensed Beds: 600-699
Annual Imaging Studies: 200,000-299,999
Employees: 4,000-4,999
Physicians: 200-299
How much of the facility is filmless: 90% and up
Increase in digital procedures: 10%-15%
Total images archived: 500,000-999,999
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: 10,000-24,999
Technologies that exchange images with PACS
• Cardiac Cath Lab - Camtronics
• Clinical Decision Support - McKesson
• Data Storage - IBM
• Digital Mammography - McKesson
• DR - McKesson
• Echocardiography - Pyramis
• MRI - Siemens
• PET - Siemens
• Workstation (Diagnostic) - McKesson, Camtronics
• Workstation (PACS) - McKesson, Camtronics
• Voice/Speech Recognition - Lanier
Information Systems that share images with PACS
• CVIS - Camtronics
• CPOE - McKesson
• Critical Care/ICU/CCU - McKesson
• EHR - McKesson
• EMR - McKesson
• Emergency - McKesson
• Endoscopy/Gastroenterology - Provation
• HIS - McKesson
• LIS - Misys
• Nuclear Medicine - McKesson, Lumedix
• Oncology - Varian
• Orthopedics - McKesson
• Radiation Therapy - Varian
• RIS - McKesson
• Surgery/OR - McKesson
• Teleradiology - McKesson
• Vascular - Witt
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, comprised of 17 hospitals and health centers. Clarian employs more than 1,400 physicians, admits more than 53,000 in-patients and almost one million outpatient each year. CHP is partnered with Indiana Radiology Partners (IRP), which is one of the largest radiology practices in the nation with more than 75 physicians and expertise in more than a dozen sub-specialties.
Facility Stats
Licensed Beds: 1,000-1,999
Annual Imaging Studies: 500,000-999,999
Employees: 10,000-14,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 10%-15%
Total images archived: 100 mil. and up
How many locations offer imaging services: 11-15
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 1-1.5 million
Monthly electronic radiology reports: 25,000-49,999
Technologies that exchange images with PACS
• Advanced Visualization - Siemens, Philips
• C-Arm - Siemens
• Cardiac Cath Lab - Siemens
• CR - Agfa, Kodak, Fuji
• CT - Philips, GE
• CAD - R2
• Data Storage - EMC
• Digital Mammography - Hologic
• DR - Kodak, Siemens
• MRI - Siemens, GE
• PET/CT - Siemens
• SPECT - Siemens, Marconi, Philips
• Ultrasound - Philips
• Workstation (Diagnostic) - GE
• Workstation (PACS) - GE
• Voice/Speech Recognition - Nuance
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - GE
• Critical Care/ICU/CCU - GE
• Dermatology - GE
• EMR - GE
• Emergency - GE
• Endoscopy/Gastroenterology - GE
• Nuclear Medicine - GE
• Oncology - GE
• Ophthalmology - GE
• Orthopedics - GE
• Radiation Therapy - GE
• RIS - GE
• Surgery/OR - GE
• Teleradiology - GE
• Vascular - GE
Deaconess Health System
Evansville, Ind. | deaconess.com
Deaconess Health System covers the population of 26 counties in Indiana, Kentucky and Illinois. The system consists of five hospitals, a freestanding cancer center, a physician practice group with 14 ambulatory sites, two urgent care facilities, a preferred provider organization, and multiple partnerships with other healthcare providers. A physician portal allows clinicians to remotely access computer applications including PACS and EMR. Deaconess considers IT vital to all aspects of its business, including efficiency, safety and physician convenience.
Facility Stats
Licensed Beds: 500-599
Annual Imaging Studies: 200,000-299,999
Employees: 3,000-3,999
Physicians: 750-999
How much of the facility is filmless: 90% and up
Increase in digital procedures: less than 5%
Total images archived: 500,000-1,000,000
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• C-Arm - GE
• CR - Kodak
• CT - GE
• CAD - Confirma
• Data Storage
• DR - GE
• MRI - GE, Philips
• PET/CT - GE
• Ultrasound - GE, Philips
• Workstation (Diagnostic) - GE
• Workstation (PACS) - GE
• Voice/Speech Recognition - Dictaphone
• X-ray (Portable) - GE
Information Systems that share images with PACS
• EMR
• HIS
• Nuclear Medicine - GE
• RIS - GE
• Surgery/OR - GE
• Vascular
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. As a small, rural facility with just one radiologist, digital technology takes on a new importance at a facility that performs 25,000 to 30,000 imaging procedures a year. 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.
Facility Stats
Licensed Beds: Less than 100
Annual Imaging Studies: 25,000-49,000
Employees: 300-399
Physicians: 25-49
How much of the facility is filmless: 80%-89%
Increase in digital procedures: less than 5%
Total images archived: 100,000-250,000
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• CR - Agfa
• CT - Siemens
• Data Storage - Agfa
• MRI - GE
• PET/CT - GE
• SPECT - Siemens
• Ultrasound - Philips
• Workstation (Diagnostic) - Agfa
• Workstation (PACS) - Agfa
Information Systems that share images with PACS
• RIS - Evolved Digital
• Teleradiology
Delnor-Community Hospital
Geneva, Ill. | delnor.com
Delnor-Community Hospital focuses on combining a personal touch and state-of-the-art medical technology. It is one of the 3 percent of U.S. hospitals with Magnet Nursing Designation and has topped physician satisfaction surveys. A multi-disciplinary IT Strategic Council drives the facility’s commitment to new systems such as emergency department information system, portals, and single sign on, which are all interfaced with the PACS. Implementation of CR and digital mammography makes Delnor 100 percent filmless, and document scanning makes the facility essentially paperless.
Facility Stats
Licensed Beds: 100-199
Annual Imaging Studies: 100,000-199,999
Employees: 1,000-1,999
Physicians: 400-499
How much of the facility is filmless: 90% and up
Increase in digital procedures: less than 5%
Total images archived: 10-20 million
How many locations offer imaging services: 1
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 24,999-49,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• Advanced Visualization - Terarecon
• C-Arm - OEC
• Cardiac Cath Lab - Philips
• CR - Konica
• CT - Toshiba
• CAD - GE
• Data Storage - EMC
• Digital Mammography - Hologic
• DR - Hologic
• Echocardiography - Siemens
• MRI - GE
• PET/CT - GE
• Ultrasound - Toshiba
• Workstation (Diagnostic) - HP
• Workstation (PACS) - HP
• Voice/Speech Recognition - Dictaphone
• X-ray (Portable) - GE
Information Systems that share images with PACS
• HIS - Meditech
• Nuclear Medicine - ADAC, Siemens
• RIS - Meditech
• Teleradiology - Images-On-Call
Desert Orthopaedic Center
Las Vegas, Nev. | doclv.com
Founded in 1970, Desert Orthopaedic Center has grown to 17 certified/eligible board-certified orthopaedic surgeons. This physician group practice is the largest in the Las Vegas area and provides care for every subspecialty area of orthopaedics including sports medicine, total joint replacement and revision, arthroscopic reconstruction of the knee and shoulder, microscopic hand surgery, pediatric orthopaedics, scoliosis and spinal deformities, spinal surgery and foot and ankle reconstruction. Aside from significant reductions in equipment and supply costs, Desert’s clinicians can provide better patient care since more information is available and they have more options available for pre-operative planning.
Facility Stats
Licensed Beds: N/A
Annual Imaging Studies: 100,000-249,999
Employees: 50-99
Physicians: Less than 25
How much of the facility is filmless: 90% and up
Increase in digital procedures: 10% - 15%
Total images archived: 100,000-250,000
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online or CD
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• Advanced Visualization - Sectra
• CR - Konica
• CT - Sectra
• Data Storage - Sectra
• MRI - Sectra
• Workstation (Diagnostic) - Sectra
• Workstation (PACS) - Sectra
Information Systems that share images with PACS
• Orthopedics - Sectra
• RIS - Sectra
• Surgery/OR - Sectra
• Teleradiology - Sectra
INTEGRIS Baptist & Southwest Medical Centers
Oklahoma City, Okla. | integris-health.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. From digital radiology and cardiology imaging coupled with powerful patient information systems, to the latest in networking and remote access by means of infrastructure investments that include high speed LAN and wireless access, INTEGRIS has placed great value in giving physicians the tools they need to provide high-quality patient care.
Facility Stats
Licensed Beds: 900-999
Annual Imaging Studies: 300,000-399,999
Employees: 5,000-5,999
Physicians: 500-749
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5% - 10%
Total images archived: 30-40 million
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 300,000-399,999
Monthly electronic radiology reports: 10,000-24,999
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images
• C-Arm - OEC
• Cardiac Cath Lab - GE
• CR - Agfa
• CT - GE
• CAD - R2
• Data Storage - StorageTek
• Digital Mammography - GE, Hologic, Fischer
• DR - Kodak
• Echocardiography - Acuson, GE
• MRI - GE, Siemens
• PET/CT - GE
• Ultrasound - Acuson, GE
• Workstation (Diagnostic) - Agfa
• Workstation (PACS) - Agfa
• Voice/Speech Recognition - Dictaphone
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - Heartlab, Camtronics
• CPOE - Cerner
• Critical Care/ICU/CCU - Agfa
• EHR - Cerner
• EMR - Cerner
• Emergency - Agfa
• HIS - Siemens
• Nuclear Medicine - ADAC
• Oncology - GE
• Orthopedics - Agfa
• Radiation Therapy - Agfa
• RIS - Cerner
• Surgery/OR - Agfa
• Teleradiology - Agfa
• Vascular - Agfa
Lehigh Valley Hospital and Health Network
Allentown, Pa. | lvhhn.org
Lehigh Valley Hospital and Health Network (LVHHN) is a major clinical campus for Penn State University’s College of Medicine at the Milton S. Hershey Medical Center. The network has served the Lehigh Valley for 100 years and was Pennsylvania’s first Level I Trauma Center. LVHHN treats more than 43,000 inpatients a year and more than 100,000 emergency department cases. With a president and CEO who is a national patient safety advocate, LVHHN’s investments in digital imaging and information management systems are investments in patient safety, diagnostic accuracy and physician convenience and communication.
Facility Stats
Licensed Beds: 800-899
Annual Imaging Studies: 500,000-999,999
Employees: 7,000-7,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 20% - 25%
Total images archived: 500,000-1,000,000
How many locations offer imaging services: 11-15
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 3 mil. and up
Monthly electronic radiology reports: 10,000-24,999
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images
• C-Arm - Siemens, GE
• CR - Kodak
• CT - Toshiba, GE
• CAD - Cadstream
• Data Storage - IBM
• Digital Mammography - Fischer, Hologic
• DR - Canon
• MRI - GE
• PET - GE
• PET/CT - GE
• SPECT - Philips, GE
• SPECT/CT - Philips, GE
• Ultrasound - Philips
• Workstation (Diagnostic) - Richardson
• Workstation (PACS) - Dell
• Voice/Speech Recognition - Dictaphone
Information Systems that share images with PACS
• CPOE
• Critical Care/ICU/CCU
• Dental
• EHR
• EMR
• Emergency
• Endoscopy/Gastroenterology
• HIS
• LIS
• Nuclear Medicine
• Oncology
• Radiation Therapy
• RIS - GE
• Surgery/OR
• Teleradiology
• Vascular
Main Line Health System
Bryn Mawr, Pa. | mainlinehealth.org
Main Line Health is comprised of three of suburban Philadelphia’s most respected acute-care hospitals as well as one of the nation’s premiere facilities for rehabilitative medicine. Each year Main Line Health trains more than 100 interns, residents and fellows. Main Line Health implemented the Enterprise Imaging System three years ago to develop a highly redundant imaging and distribution system which eliminated the need to print film. Enterprise images are available to clinicians on any in-house PC as well as 100 dedicated viewing PCs located in the ORs, critical care units, and high volume areas. Over 1,000 clinicians have been trained to date on the PACS.
Facility Stats
Licensed Beds: 800-899
Annual Imaging Studies: 400,000-499,999
Employees: 7,000-7,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 15% - 20%
Total images archived: 30-40 million
How many locations offer imaging services: 5-10
Physicians with online access to images: 80% - 89%
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 1 - 1.5 million
Monthly electronic radiology reports: 50,000-74,999
Technologies that exchange images with PACS
• Advanced Visualization - GE
• C-Arm - OEC, Siemens
• Cardiac Cath Lab - GE, Toshiba, Fischer
• CR - Kodak
• CT - GE
• Data Storage - McKesson, GE
• Digital Mammography - GE
• DR - GE
• Echocardiography - GE, Acuson, HP
• MRI - GE, Siemens, Philips
• PET - ADAC
• PET/CT - Philips
• Ultrasound - GE, Acuson
• Workstation (Diagnostic) - McKesson
• Workstation (PACS) - McKesson
• Voice/Speech Recognition - Dictaphone
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - Camtronics
• Nuclear Medicine - Philips
• Radiation Therapy - Varian
• Surgery/OR - GE
• Teleradiology - Kodak
Maimonides Medical Center
Brooklyn, N.Y. | maimonidesmed.org
At almost 100 years old, 705-bed Maimonides Medical Center has pioneered many healthcare innovations, from the first human heart transplant to already having eight years of filmless imaging under its belt. It is the pre-eminent treatment facility and academic medical center in Brooklyn. Maimonides 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 remote, file room space reduced by 90 percent and staff by 75 percent.
Facility Stats
Licensed Beds: 700-799
Annual Imaging Studies: 300,000-399,999
Employees: 4,000-4,999
Physicians: 750-999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 20%-25%
Total images archived: 50-100 million
How many locations offer imaging services: 21-25
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 500,000-999,999
Monthly electronic radiology reports: 75,000-99,999
Technologies that exchange images with PACS
• Advanced Visualization - GE
• C-Arm - GE
• Cardiac Cath Lab - Philips
• CR - Fuji
• CT - Siemens
• CAD - iCAD
• Data Storage - Datacorp
• MRI - Siemens
• PET/CT - Siemens
• Ultrasound - ATL
• Workstation (Diagnostic) - Aspyra
• Workstation (PACS) - Aspyra
• X-ray (Portable) - GE
Information Systems that share images with PACS
• Emergency - A4 HealthMatics
• HIS - Eclipsys
• Oncology - Impac
• Radiation Therapy - Varian
• RIS - IDX
• Surgery/OR - GE
• Teleradiology - Aspyra
Massachusetts General Hospital
Boston, Mass. | partners.org
MGH is the third oldest general hospital in the United States and the oldest and largest in New England. The 898-bed world-renowned medical center offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. Each year the MGH admits approximately 45,000 inpatients and handles almost 1.5 million visits. MGH has an internally run radiology IT consulting group, The RCG, the largest in the industry, provides direct assistance to any hospital’s and imaging center’s IT needs. Their new center for Genetics and Genomics is set to show the industry how imaging and image mining will play a vital role in the next generation of information-based medicine.
Facility Stats
Licensed Beds: 800-899
Annual Imaging Studies: 500,000-999,999
Employees: 15,000-19,999
Physicians: 4,000-4,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5% - 10%
Total images archived: 100 mil. and up
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 3 mil. and up
Monthly electronic radiology reports: 300,000-399,999
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images
• C-Arm - GE
• Cardiac Cath Lab - Siemens
• Clinical Decision Support - Commissure
• CR - Agfa
• CT - GE, Siemens
• CAD - R2
• Data Storage - ASM
• Digital Mammography - GE, Hologic
• DR - GE
• Echocardiography - Siemens
• MRI - GE, Siemens
• PET - GE
• PET/CT - GE
• SPECT - Siemens
• SPECT/CT - GE
• Ultrasound - GE
• Workstation (Diagnostic) - Agfa, Amicas, Terarecon
• Workstation, Workstation (PACS) - Agfa, Amicas
• Voice/Speech Recognition - Commissure
• X-ray (Portable) - Agfa
Information Systems that share images with PACS
• CVIS - Siemens
• CPOE
• Critical Care/ICU/CCU - Agfa
• Dental
• Dermatology
• EHR
• EMR
• Emergency - Agfa
• Endoscopy/Gastroenterology - C-More
• HIS
• LIS
• Nuclear Medicine - Agfa
• Oncology
• Ophthalmology
• Orthopedics - Agfa
• Radiation Therapy
• RIS - GE
• Surgery/OR
• Teleradiology
• Vascular
MeritCare Health System
Fargo, N.D. | meritcare.com
MeritCare emcompasses the largest hospital in North Dakota and has 583 beds at two locations. Each year, it manages more than 21,000 hospital admissions, more than 43,000 visits to the Emergency Center (Level II trauma), 2,000 births, and more than 17,000 surgical cases. MeritCare uses digital imaging in all facets of its care continuum. Each provider is required to be trained in the digital tools for radiology and cardiology, which reduces costs and enhances patient visits by minimizing lost films and retakes. MeritCare’s website offers patients an extensive library of health information plus the ability to pay hospital and clinic bills online. The digital cardiology system means tests are consolidated onto one information network.
Facility Stats
Licensed Beds: 500-599
Annual Imaging Studies: 300,000-399,999
Employees: 6,000-6,999
Physicians: 300-399
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 20-30 million
How many locations offer imaging services: 25 and up
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 50,000-74,999
Monthly electronic radiology reports: 25,000-49,999
Technologies that exchange images with PACS
• Advanced Visualization - Voxar
• C-Arm - OEC, GE, Siemens, Philips
• Cardiac Cath Lab - GE
• CR - Kodak, Agfa, Philips
• CT - GE, Siemens, Philips
• CAD - R2
• Data Storage - IBM
• DR - Kodak
• Echocardiography - Philips
• MRI - Philips
• PET/CT - GE
• SPECT - Philips, Marconi, Picker, ADAC
• Ultrasound - GE, Philips
• Workstation (Diagnostic) - Philips
• Workstation (PACS) - Philips
• X-ray (Portable) - Siemens
Information Systems that share images with PACS
• CVIS - GE
• Dental - Siemens
• EMR - GE
• Nuclear Medicine - Philips, Marconi, Picker, ADAC
• Orthopedics - GE
• Radiation Therapy - ADAC
• RIS - IDX
• Surgery/OR - Kodak
• Teleradiology - VRC
• Vascular - Parks
Merle West Medical Center
Klamath Falls, Ore. | mwmc.org
This 176-bed, community-owned facility covers the healthcare needs of a 10,000-square-mile area in Oregon and northern California. Since installing PACS in 2001, Merle West Medical Center has reduced its film costs by 97 percent and improved the efficiency of its imaging procedures. The radiologists utilize CR, which is installed in each exam room. Both physician and patient can see images as they are taken, saving time by ensuring the image is clear and correct. Since 2005, $47 million has been spent to modernize the facility, including installation of several media centers and an electronic records system that staff can access through wireless, portable devices.
Facility Stats
Licensed Beds: 100-199
Annual Imaging Studies: 50,000-74,999
Employees: 1,000-1,999
Physicians: 100-199
How much of the facility is filmless: 90% and up
Increase in digital procedures: 10%-15%
Total images archived: 100,000-250,000
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: 10,000-24,999
Technologies that exchange images with PACS
• Advanced Visualization - GE
• C-Arm - GE
• Cardiac Cath Lab - Philips
• CR - Fuji
• CT - Philips
• CAD - R2
• Data Storage - HP
• Echocardiography - GE
• MRI - Philips
• PET - Siemens
• Ultrasound - GE
• Workstation (PACS) - DR Systems
• Voice/Speech Recognition - DR Systems
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - Philips
• CPOE - Meditech
• Critical Care/ICU/CCU - DR Systems
• EHR - Meditech
• EMR - Meditech
• Emergency - DR Systems
• Endoscopy/Gastroenterology - DR Systems
• HIS - Meditech
• Nuclear Medicine - DR Systems
• Oncology - DR Systems
• Orthopedics - DR Systems
• Radiation Therapy - DR Systems
• RIS - Meditech
• Surgery/OR - DR Systems
• Teleradiology - DR Systems
Pella Regional Health Center
Pella, Iowa | pellahealth.org
This critical access hospital in Iowa has fewer than 50 physicians but has made great strides toward a filmless environment. The installation of PACS has led to numerous cost savings, image availability for all physicians, no lost studies, improved report turnaround time, and improved staff efficiency. The PACS is integrated with the facility’s electronic medical record system, allowing physicians to view all images directly from the EMR application. Once digital mammography is implemented this fall, the facility will be completely filmless. Construction underway this year will result in a new Medical Imaging Center designed and located to provide maximum productivity of radiologists and technologists.
Facility Stats
Licensed Beds: Less than 100
Annual Imaging Studies: 10,000-24,999
Employees: 750-999
Physicians: 25-49
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 1-5 million
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD
Monthly images viewed by clinicians: 50,000-74,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• C-Arm - GE
• CR - Fuji
• CT - Siemens
• MRI - Siemens
• Ultrasound - Siemens
• Workstation (Diagnostic) - Siemens
• Workstation (PACS) - Siemens
• Voice/Speech Recognition - Agfa
Information Systems that share images with PACS
• EMR - Meditech
• HIS - Meditech
• RIS - Meditech
Queens Health Network
Elmhurst, N.Y. | nyc.gov/html/hhc/qhn/
The Queens Health Network (QHN) is the largest healthcare provider in the borough of Queens, providing over a million ambulatory care visits annually. QHN consists of two leading acute care facilities, Elmhurst and Queens Hospital Centers, 15 community-based medical centers and practices, and six school-based health centers. QHN offers 27 residency programs and its hospital-based services are ranked among the top in the nation and have become the borough’s major resource for specialized care. In 2002, Queens and Elmhurst were the first public hospitals to receive the Davies Award for computer-based patient record systems. They also have implemented e-prescribing, which fewer than 1 percent of U.S. hospitals can claim.
Facility Stats
Licensed Beds: 800-899
Annual Imaging Studies: 200,000-299,999
Employees: 4,000-4,999
Physicians: 750-999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 30-40 million
How many locations offer imaging services: 2-4
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film, paper
Monthly images viewed by clinicians: 100,000-199,999
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• Advanced Visualization - GE
• C-Arm - GE
• Cardiac Cath Lab - Philips
• CR - GE
• CT - GE
• Data Storage - EMC
• Digital Mammography - GE
• DR - GE
• Echocardiography - Philips, GE
• MRI - Philips
• SPECT - SMV
• Ultrasound - ATL, Siemens, GE
• Workstation (Diagnostic) - GE
• Voice/Speech Recognition - Agfa
• X-ray (Portable) - GE, Picker
Information Systems that share images with PACS
• CVIS - Misys
• CPOE - Misys
• EHR - Misys
• EMR - Misys
• Emergency - Misys
• HIS - Misys
• LIS - Misys
• Nuclear Medicine - Misys
• RIS - Misys
Radiology, Ltd.
Tucson, Ariz. | radltd.com
A freestanding imaging center, Radiology Ltd. has 10 locations in the Tucson area, and has been providing diagnostic imaging services for over 60 years. Services include MRI and CT imaging, PET/nuclear medicine, bone and joint imaging, women’s imaging, interventional treatment and diagnostic and interventional neuroradiology. Currently there are more than 45 radiologists in the practice and more than 450 technical, clerical, and administrative personnel. Radiology Ltd.’s commitment to technology integration has positively impacted patient care as well as business processes. Moving to a paperless workflow has resulted in a 40 percent increase in efficiency, allowing radiologists to expand their services to two new outpatient locations.
Facility Stats
Licensed Beds: N/A
Annual Imaging Studies: 500,000-999,999
Employees: 400-499
Physicians: 25-49
How much of the facility is filmless: 90% and up
Increase in digital procedures: 10%-15%
Total images archived: 10-20 million
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film, paper
Monthly images viewed by clinicians: 10,000-24,999
Monthly electronic radiology reports: 25,000-49,999
Technologies that exchange images with PACS
• Advanced Visualization - Terarecon
• CR - Fuji, Konica
• CT - Toshiba, Siemens
• CAD
• Data Storage - EMC
• Digital Mammography - Hologic
• DR - Siemens, Toshiba
• MRI - Hitachi, Toshiba, Siemens
• PET - GE
• PET/CT - GE
• SPECT - Siemens
• Ultrasound - Philips, Toshiba, Siemens
• Workstation (Diagnostic)
• Workstation
• Workstation (PACS)
• Voice/Speech Recognition - Fusion
Information Systems that share images with PACS
Not applicable
Robert Wood Johnson University Hospital
New Brunswick, N.J. | rwjuh.edu
This principal hospital for the University of Medicine and Dentistry of New Jersey’s Robert Wood Johnson Medical School and a member of the Robert Wood Johnson Health System & Network treats more than 100,000 patients annually. The hospital’s many Centers of Excellence include the Heart Center of New Jersey, the Center for Kidney and Pancreas Transplantation, and the Level 1 Trauma Center. The facility has earned the Nursing Magnet designation three consecutive times. With imaging technologies as a core component of the overall clinical IT strategy, RWJUH has saved an average of $350,000 per year for the last five years in supplies, and labor costs of at least $200,000 a year.
Facility Stats
Licensed Beds: 500-599
Annual Imaging Studies: 300,000-399,999
Employees: 6,000-6,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 20-30 million
How many locations offer imaging services: 1
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, paper
Monthly images viewed by clinicians: 500,000-999,999
Monthly electronic radiology reports: 25,000-49,999
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images
• C-Arm - Agfa
• Cardiac Cath Lab - Philips
• CT - Agfa
• Data Storage - EMC, StorageTek
• Digital Mammography - Agfa
• DR - Agfa
• Echocardiography - Philips
• MRI - Agfa
• PET - Agfa
• PET/CT - Agfa
• Ultrasound - Agfa
• Workstation (Diagnostic) - Agfa
• Workstation (PACS) - Agfa
• Voice/Speech Recognition
• X-ray (Portable) - Agfa
Information Systems that share images with PACS
• CPOE - Eclipsys
• EMR - Eclipsys
• Endoscopy/Gastroenterology - Philips
• HIS - Eclipsys
• Nuclear Medicine - Agfa
• RIS - Cerner
• Vascular - Philips
Sentara Healthcare
Chesapeake, Va. | sentara.com
Sentara Healthcare is the largest integrated healthcare provider in south­eastern Virginia and northeastern North Carolina. It operates six acute-care hospitals, one extended stay hospital and more than 70 sites of care, 43 primary care practices and six imaging centers. In less than 14 months, the PACS team transformed the radiology departments at five hospitals by implementing RIS, PACS and voice recognition. Every measure of success exceeded the goals established. Ultimately, 185 PCs and 114 PACS workstations were installed throughout the facilities, resulting in dramatically enhanced delivery of Sentara’s imaging services.
Facility Stats
Licensed Beds: 1,000-1,999
Annual Imaging Studies: 500,000-999,999
Employees: 15,000-19,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 20%-25%
Total images archived: 1-5 million
How many locations offer imaging services: 11-15
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film, paper
Monthly images viewed by clinicians: 100,000-199,999
Monthly electronic radiology reports: 50,000-74,999
Technologies that exchange images with PACS
• Advanced Visualization - GE, Terarecon
• C-Arm - GE, Philips
• Cardiac Cath Lab - Philips
• CR - Agfa
• CT - Siemens, GE, Philips
• Data Storage - EMC, StorageTek
• DR - GE, Philips
• MRI - GE, Philips, Siemens
• PET/CT - GE
• Ultrasound - Philips, Acuson, GE, Siemens
• Workstation (Diagnostic) - Agfa
• Workstation (PACS) - Agfa
• Voice/Speech Recognition - Agfa
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - ProSolv
• Emergency - Philips, GE
• Nuclear Medicine - GE
• Radiation Therapy - IMPAC
• Surgery/OR - Stryker
• Vascular - Philips
Springhill Medical Center
Mobile, Ala. | springhillmedicalcenter.com
Since opening in 1975, Springhill Memorial Hospital has doubled its physical size, quadrupled its staff and increased the bed count more than fivefold. As a corporate/for-profit hospital, Springhill is the area’s only tax-paying hospital, supporting the community with more than $2 million dollars in tax revenues annually. Once Springhill Medical Center decided to implement a PACS and become a filmless hospital, the system was activated in just 90 days. Less than three months after going live, the hospital was more than 99 percent filmless. The installation reduced its file room staff, saved more than $700,000 on film alone, and improved patient care.
Facility Stats
Licensed Beds: 200-299
Annual Imaging Studies: 75,000-99,999
Employees: 1,000-1,999
Physicians: 500-749
How much of the facility is filmless: 90% and up
Increase in digital procedures: less than 5%
Total images archived: 250,000-500,000
How many locations offer imaging services: 1
Physicians with online access to images: 70%-79%
How referring physicians access images: online, CD
Monthly images viewed by clinicians: less than 10,000
Monthly electronic radiology reports: less than 10,000
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images
• C-Arm - GE
• CR - Konica
• CT - Toshiba
• CAD - Vital Images
• Digital Mammography - GE
• DR - GE
• Echocardiography - Toshiba
• MRI - GE
• Ultrasound - Toshiba
• Workstation (Diagnostic) - Sectra
• Workstation (PACS) - Sectra
Information Systems that share images with PACS
• CPOE - Eclipsys
• EMR - Eclipsys
• Emergency - Eclipsys
• HIS - Eclipsys
University of Texas - MD Anderson Cancer Center
Houston, Texas | mdanderson.org
This world-renowned cancer center has added a research building, ambulatory clinical building, cancer prevention center, research building and soon a proton therapy center, all since the beginning of 2005. The institution is the leading facility for grants awarded by the National Cancer Institute. Since November 2000, every imaging study created is stored on spinning media. Any of the 200 million images in the archive can be accessed and displayed in two seconds or less. The organization’s informatics group has taken PACS to the next level by integrating the EMR, customized interpretation worklists, patient arm bands integrated with DICOM work lists, and image CD-ROM importation.
Facility Stats
Licensed Beds: 400-499
Annual Imaging Studies: 400,000-499,999
Employees: 15,000-19,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 100 mil. and up
How many locations offer imaging services: 1
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film
Monthly images viewed by clinicians: 3 mil. and up
Monthly electronic radiology reports: 500,000-999,999
Technologies that exchange images with PACS
• Advanced Visualization - Vital Images, GE
• C-Arm - Siemens, OEC
• CR - Fuji
• CT - GE
• CAD - R2
• Data Storage - IBM, Compaq
• Digital Mammography - Hologic
• DR - GE
• MRI - GE, Siemens
• PET - GE
• PET/CT - GE
• SPECT - Siemens
• SPECT/CT - Siemens
• Ultrasound - Philips, Siemens, GE
• Workstation (Diagnostic) - Philips
• Workstation (PACS) - Philips
• X-ray (Portable) - GE
Information Systems that share images with PACS
• CVIS - Philips
• CPOE
• Critical Care/ICU/CCU - PICIS
• Dental - ClinicStation
• Dermatology - ClinicStation
• EHR - ClinicStation
• EMR - ClinicStation
• Emergency - ClinicStation
• HIS - Siemens
• LIS - Cerner, Tamtron
• Nuclear Medicine - Siemens
• Oncology - ClinicStation
• Ophthalmology - ClinicStation
• Orthopedics - ClinicStation
• Radiation Therapy - IMPAC
• RIS - Siemens
• Surgery/OR - PICIS
• Teleradiology - Philips
University of Maryland Medical Center
Baltimore, Md. | umm.edu
University of Maryland Medical Center is the academic centerpiece of the University of Maryland Medical System, a regional, non-profit network that also includes two community hospitals and three specialty hospitals. UMMC provides comprehensive care for 300,000 patients a year. It was the first to be certified to perform nuchal translucency screening, a non-invasive ultrasound to detect genetic abnormalities, and stroke specialists on the Brain Attack Team were the first to use telemedicine to examine stroke patients from a distance. Meanwhile, the imaging team has built a low-cost, effective and highly scalable storage strategy to accommodate both thin slice archiving and enterprise archiving for specialties other than radiology.
Facility Stats
Licensed Beds: 1,000-1,999
Annual Imaging Studies: 500,000-999,999
Employees: 6,000-6,999
Physicians: 1,000-1,999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 1-5 million
How many locations offer imaging services: 5-10
Physicians with online access to images: 90% and up
How referring physicians access images: online, CD, film, paper
Monthly images viewed by clinicians: 50,000-74,999
Monthly electronic radiology reports: 75,000-99,999
Technologies that exchange images with PACS
• Advanced Visualization
• C-Arm
• Cardiac Cath Lab
• CR
• CT
• CAD
• Data Storage
• DR
• Echocardiography
• MRI
• PET
• PET/CT
• SPECT
• SPECT/CT
• Ultrasound
• Workstation (Diagnostic)
• Workstation (PACS)
• Voice/Speech Recognition
• X-ray (Portable)
Information Systems that share images with PACS
• CVIS
• CPOE
• Critical Care/ICU/CCU
• EHR
• EMR
• Emergency
• HIS
• Nuclear Medicine
• Oncology
• Orthopedics
• RIS
• Surgery/OR
• Teleradiology
• Vascular
University of Utah - University Health Care
Salt Lake City, Utah | uuhsc.utah.edu
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. Its burn center is the only burn treatment facility in the region, and has more than 5,000 clinic visits and more than 300 admissions a year. The AirMed patient-transport service completes more than 1,800 missions a year. The facility has been named one of the nation’s best hospitals by U.S. News & World Report for 13 years. The move to filmless imaging has dramatically reduced radiology report turnaround time, saved almost $3 per exam and increased technologist productivity.
Facility Stats
Licensed Beds: 400-499
Annual Imaging Studies: 200,000-299,999
Employees: 4,000-4,999
Physicians: 750-999
How much of the facility is filmless: 90% and up
Increase in digital procedures: 5%-10%
Total images archived: 20-30 million
How many locations offer imaging services: 16-20
Physicians with online access to images: