CIOTechOutlook >> Magazine >> October - 2015 issue

Challenge for Implementing Tele Radiology on Cloud

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Headquartered in Faridabad, AIMS is a Super specialty tertiary care hospital that provides preventive, diagnostic, therapeutic, rehabilitative, palliative and support services.


The question that arises is that with so many benefits in the offering, what is holding back the growth of this sector? Why is it that we have only been able to scratch the surface, where tele radiology's true potential is concerned? Well, it is attributed to varied reasons. The reason for this is 'costing'. “Unless tele radiology is used as an in-house service, there is very little money to be made and the margins are wafer-thin.”

“The main challenge is infrastructure, as it is difficult to set up a critical medical service that has zero tolerance for downtime, in an environment where there are frequent power outages, unreliable net connectivity, traffic issues and bands preventing staff from reaching work in time. These same challenges result in an increased cost of doing business as redundancy measures need to be planned at every stage of a tele radiology operation. Lack of awareness about tele radiology is another constraint to its growth. Finally, a lack of respect for contracts and focus on price as opposed to quality of reporting is an issue that affects the atmosphere in which tele radiology is practiced.” The main benefit that tele radiology offers, namely to provide immediate reporting in the emergency setting, is yet to be realised as emergency medical services in India are yet not matured enough to derive the full benefit of such radiology support services”.

Why tele radiology is not picking up pace in India
“On the infrastructure side, definitely bandwidth and continuous power is needed. On the delivery side, the government needs to play a more active role, at least at the State level, to sponsor the adoption of tele radiology where its needed most.”

“The lack of awareness on availability of such services, lack of standards and the inherent fear of losing their jobs on the part of local radiologists have hindered the progress. The demand for quality radiologists have skyrocketed the cost of hiring them, making their utilisation challenging.”

Drawing inferences from these varied sources, it can be concluded that India has to battle several challenges like lack of awareness, low-quality, pricing, lack of infrastructure, unfavorable regulatory environments and narrow mindsets before tele radiology can become really successful in India. As of now, it has played a very limited role in India's healthcare delivery.

Medical Imaging and Archival Solution (Tele Radiology) is a central component of a fully integrated enterprise solution, which is designed to expand image and information management strategies beyond Radiology. Authorized users have access from inside the hospital and web-enabled access to past studies and radiological reports from across devices.

Medical Imaging and Archival Solution is ideal for large, complex facilities. It is designed to match the exact needs of all the individuals using the system: hospital administrators, clinicians, IT managers, radiologists, PACS administrators, technicians, and enterprise users. The Medical Imaging and Archival Solution provides modular, scalable storage management and automated rapid access to images and reports via the PACS on Network.

The Medical Imaging and Archival Solution is configured as a platform, keeping in mind the agility and scalability factor as needed according to workflow and patient volume. The
Medical Imaging and Archival Solution integrates with HIS and PACS software’s and maintains a record of all studies and radiological reports stored within the HIS and /or PACS solution. This service allows for scalable storage which can be expanded to very high capacity using Cloud & HealthCare’s ICIS ARCHIVE. ICIS ARCHIVE is a secure, scalable and high-performance medical imaging repository designed for:
• Regional initiatives that require a central diagnostic imaging repository to consolidate and to collaborate using emerging healthcare standards making it a key component in any EMR project
• Large hospitals or hospital groups wanting to consolidate data of disparate storage systems from multiple departments and thereby creating enterprise viewing by integration in the EMR system
• Archive is uniquely designed to be vendor neutral allowing seamless distribution of relevant clinical data to the clinician at the point of care. Thereby, Archive preserves the clients existing solutions and actually enhances those systems
• Strictly adhering to and evolving with healthcare standards such as DICOM, HL7 and the IHE XDS framework, ICIS Archive consolidates and allows distribution of relevant clinical data to the clinician for a more efficient and better informed care
• Online access of radiological reports and studies to Patients.


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