Oftalmico switches to MACS…

In the city of Turin, in north-western Italy, Ospedale Oftalmico Sperino is a public hospital specialising in the treatment of eye diseases. The hospital is the Piedmont regional centre of expertise in paediatric ophthalmology, plastic and reconstructive ophthalmology, traumatology, glaucoma, and diseases of the cornea. It also houses the university ophthalmological clinic. The hospital has had a Telemis PACS system  to serve the needs of its radiology department for several years, but more recently it wanted to extend its medical image archiving system to the other hospital's units.   What has this meant in practice? Patient identity management is an important aspect of a MACS (Multimedia Archiving Communication System) installation: the information system and biomedical teams and Telemis Project Managers work together to extend the worklist concept to cover the whole hospital, beyond radiology. The Telemis teams are working with the medical teams to conduct a complete inventory of non-radiology modalities and evaluate their connection capacities. This involves determining the priorities of each department and progressing towards an integrated operational system in every part of the hospital. Aside from technical monitoring, training users to look up and send images will account for a significant proportion of the budget.  User training will guarantee the highest possible satisfaction level thanks to the all-inclusive approach of the Telemis MACS: unlimited on-site training sessions and configurations is the best possible guarantee of the customer's ultimate satisfaction! For what purpose? Ospedale Oftalmico Sperino has several goals: To improve the quality of monitoring by providing an extended patient image archive to all departments in the hospital; To optimise and reuse the initial investment in the radiology department to serve the needs of the hospital's whole medical community and to favour the sharing of patient information; To contribute to scientific research thanks to the activation of knowledge-based database systems. “With the installation of the MACS solution, Oftalmico hospital is moving towards a paperless environment in all departments. The initiative started with the installation of the PACS as the sole primary archive for radiology imaging. This networked solution offers a centralised repository for all documents and studies for every patient, and will provide more interaction between departments and increase the quality of clinical monitoring,” says Dr Sardi, Director of Oftalmico.

Wounds, bed sores, skin conditions: everything in the PACS!

How do you objectively assess the changes in a wound? The requirements of radiology departments, in terms of storage and disease monitoring, are well-known and have been studied for many years.  But what about the needs of clinicians? How can you objectively assess the changes in a wound or bed sore, or prepare for complex surgery? How do you reproduce photos of knocks and injuries seen by the accident and emergency department...two years later? Did someone say DICOM? Most PACS use images in DICOM format because they are standardised and  combine the image with the patient's personal information: name, unique identification number, and date of birth. Telemis has been processing JPG images and videos in AVI format for over 10 years,. This widens the field of technological possibilities, moving towards a MACS system for all departments in the hospital. But there has always been the challenge of linking the JPG image to the right patient; this is a potential source of error, especially when it comes to identifying the wounds of various patients. The game of "Guess Who?"  could soon turn into a nightmare. Why is it difficult? The main challenge lies in trying to match the picture unambiguously with the corresponding patient. "Today, the vast majority of doctors use smartphones or tablets that can take high-quality photographs to illustrate and later compare medical facts," says Didier Cauchois, Information Systems and Operations Manager of the Oscar Lambret Regional Cancer Centre in Lille. The difficult thing is to import a list of patients onto those portable devices and match them, as soon as the picture is taken, with the right study or the correct image. To achieve this amazing feat, Telemis has used its TM-Worklist solution to provide a hospital worklist that is not connected to the RIS, which is by definition linked to radiology. Depending on the particular HIS partners and on the hospital's patient file, the TM-Worklist is able to provide one worklist per doctor or per department, or a global one for the institution. In parallel, Telemis has developed TM-Capture, a new solution able to retrieve investigation lists, create photos and send them to PACS/MACS, directly into the patient file, from an iOS or Android mobile device. This user-friendly solution requires no prior installation and the transfer takes place in just a few clicks. But in practice: what does the clinician need to do? The practitioner simply launches the TM-Capture tool on his/her smartphone or tablet, selects the patient from the personalised investigation list, and takes a picture of the condition that needs to be documented.  Once confirmed, the information entered is sent to PACS/MACS. The images generated and transferred in this way are placed in the patient file on the institutional Telemis system, just like a radiology study.  It is very easy to search, view, and compare images using the usual Telemis tools. An example? The Oscar Lambret Centre in Lille will be the first site to use this new solution. 

GSMN chooses Telemis multi-platform medical imaging technology for Swiss clinics

Secure solution enhances premium patient care at facilities in all three Swiss language regions Louvain-la-Neuve, (Belgium), 2. February 2015 – Genolier Swiss Medical Network (GSMN), Switzerland’s second largest network of private clinics, has chosen PACS (picture archiving and communication system) specialist Telemis to provide a multi-platform, multi-language medical imaging solution. The secure solution, which has been implemented at all fifteen of GSMN’s clinics, speeds the provision of quality care by allowing medical staff and patients to quickly and easily share and view medical images. GSMN - the only private medical company to operate in all three of the Swiss language regions - provides the highest possible levels of care to both Swiss and foreign patients. The company employs around 2300 people, of which around 1400 are doctors. The PACS solution that Telemis has implemented at the GSMN clinics provides advanced technology for the instant sharing of images across PC, Mac and mobile platforms. Image sharing takes place within the highest levels of security to ensure patient privacy and guarantee data confidentiality. An intuitive user interface is available in English, French, German and Italian. Using the new system, medical staff and GSMN patients themselves can see a variety of images just a few minutes after they are created. In addition to the radiological images traditionally associated with PACS implementations, the GSMN system will also cover images associated with surgery and dermatology as well as pictures of other conditions including bedsores. Dr Jean-Pascal Verdon, a radiology specialist working at the GSMN Institut d'Imagerie Médicale in Genolier, comments: “The Telemis solution is a high-end tool for our demanding Swiss and foreign patient base that helps GSMN doctors speed the care they provide. It also allows us to seek instantaneous second opinions from university hospital experts with just a few clicks. The system supports the delivery of the best possible patient management, including ensuring a prompt return home following treatment.” Telemis Group CEO Stephane Ketelaer adds: “Reduced waiting times, provision of the best possible medical expertise, and full respect for patient privacy and confidentiality are fundamental aspects of our ‘Extending Human Life’ mission. Offering secure support for multiple platforms, languages and locations, the new system delivers on all of these criteria and further enhances the premium care that GSMN can provide to patients.”  

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