Regional expansion and intensive R&D see record PACS revenues for Telemis

Eleventh consecutive year of profitability follows introduction of new technologies and expansion of business in France, Italy and Switzerland Telemis, the medical imaging company specialising in PACS (Picture Archiving and Communication System) solutions, is celebrating a record 12 months of trading and its 11th consecutive year of profitability. The latest results saw revenues grow by a further 4% and net profitability rise to almost 15% following a year of significant R&D investment, the creation of a new subsidiary, major PACS business wins in France, and the successful migration of 10 Italian hospitals to the latest Telemis technology. Audited accounts for the year to 31st March 2013 show that Telemis annual revenues rose from €7,515,194 to €7,839,853 and net profit increased to €1,098,674. This growth, combined with a healthy €8,338,699 balance sheet, will allow the company to continue to fund its intensive 5-year research and development budget that currently runs at 11% of total sales (€862,070). The R&D-led strategy is designed to ensure Telemis is well positioned to take advantage of significant global growth opportunities for both new PACS installations and the migration of older systems to the latest PACS technologies. Growth during the 2012 - 2013 financial year was fuelled by a combination of new product introductions, local office expansion and major European projects. In October the company launched the latest version of its PACS software and in January opened a new subsidiary in Switzerland to address the country's growing demand for PACS technologies in public and private sector medical facilities. Major business wins included CHU teaching hospitals in Limoges and Rennes France, while the successful migration of hospitals in Piedmont, Lombardy and Lazio from systems provided by PACS vendor Micromedica (which was bought by Telemis in 2011) contributed to a 28% increase in Italian revenues. Telemis Group CEO Stephane Ketelaer, who announced the results at the annual shareholder meeting, says: "The last year of trading was the most successful in the company's history and the results illustrate the success of our R&D and regional expansion strategies. Telemis is in an excellent position to take advantage of strong growth opportunities for both primary and replacement equipment in all of the markets where we currently operate. What's more, as healthcare budgets continue to be squeezed we see additional opportunities for Telemis, as a lean and cost-competitive supplier of leading-edge solutions, to take market share from the less competitive and slower moving multinationals that have traditionally dominated the market. (July 22, 2013)

Telemis completes PACS update across 10 Italian sites

New picture archiving and communication system enhances collaborative working and interaction between specialists Telemis, the medical imaging company specialising in PACS (Picture Archiving and Communication System) solutions, has successfully migrated 10 Italian hospitals to the latest version of its Telemis-Medical PACS technology. Specialists at these locations - which include some of northern Italy's largest public hospitals - can now take full advantage of the latest generation of the Telemis-Medical software, including built-in tools that enhance collaboration and communication. All 10 locations, which were spread across the regions of Piedmont, Lombardy and Lazio, were migrated successfully with no service interruption whatsoever. The sites were migrated from a system provided by PACS vendor Micromedica, which was bought by Telemis in 2011. Migration at one of the sites proved particularly challenging, as the Molinette hospital in Turin had over 10 years of archived data. In order to migrate the data to Telemis-Medical Version 4.4 PACS, a new software tool, the TM-Link PACS Migration, had to be specifically developed. Changing to the latest PACS using the tool ensures the latest technological advances are made available quickly and safely, without compromising the complete recovery of history. First, the migration tool performed a complete analysis of the data contained in the old system, before automating the data recovery process at pre-determined times that would avoid disturbing patient service. Any part of the data that could not be recovered was then clearly flagged so that medical specialists could identify the original data from backups and load it into the new system. After the recovery was complete, a full, automated audit was performed to ensure that all tests had been successfully migrated to the new PACS. Each hospital will run the two PACS in parallel for a few weeks, allowing users to familiarize themselves with the new tools, features and processes. During that period, Telemis will train users to take full advantage of the PACS tool, which includes collaboration functions - such as shared cursors, notes and "chat" on the image - that facilitate interaction between specialists. The company is also training clinicians to upload non-DICOM images obtained with digital cameras to enhance the value of the data store. (June 28, 2013)

Teleradiology and 24/7 care: a reality in Deauville and Lisieux

In order to ensure complete 24/7 healthcare coverage, in the Pays d'Auge, Côte Fleurie Hospital and Lisieux Hospital have implemented teleradiology technology, whereby each location is equipped with its own administrative system and its own RIS. What does this mean? Radiological emergency services and, in recent months, some teleradiology services are provided jointly by Deauville and Lisieux. The scan is conducted in Deauville, based on the instructions issued by the teleradiologist under the supervision of an anaesthetist, and the images can be accessed from the hospital in Lisieux for reporting purposes. In a matter of seconds, the imaging study is made accessible to the radiologist on duty in Lisieux. The teleradiologist deals with the incoming imaging request and the patient in his/her RIS and is able to use his/her usual tools such as voice recognition, PACS console, and so on. As the investigation request is essential for diagnosis, it is also available and archived. Once the report is drawn up in the RIS of Lisieux Hospital, it is sent again via secure email to the requesting location. The verdict ? As Dr. J. Albisetti confirms: "The driving force behind this achievement has been primarily medical. Likewise, the use of Telemis has met a practical need at a lower cost to institutions, and offers easy access to images in our usual working interface. Our whole medical group has endorsed the system unanimously." (May 30, 2013)

A regional, or rather, a cantonal archive !

The outsourced imaging archive in Neuchâtel In 2011, the hospitals of the Neuchâtel canton in Switzerland chose to install a Telemis PACS, and to connect all 7 facilities within the same image network. The project entailed the recovery of an existing PACS archive, and the installation of a cantonal archive, to store all medical imaging produced since 2004 in a single safe and decentralised place. Over 9 years of radiology, nuclear medicine and radiotherapy images (DICOM-RT) are now held entirely outside the infrastructure of any hospital, within the Centre Electronique de Gestion de Neuchâtel, and are instantly accessible by all public hospitals in the canton area. The Centre Electronique de Gestion de Neuchâtel (CEG) "The Centre Electronique de Gestion (CEG) is the IT headquarters of Neuchâtel", reports Mr Daniel Crevoisier, Head of CEG. "Its activity ranges from technical installation project management to the maintenance of implemented systems. The canton of Neuchâtel has a network that connects all the buildings housing the local public authorities via highspeed broadband (1Gb/s)". For the last 2 years, the CEG has hosted the canton's entire archive of medical images. A copy of this archive is also made outside the building on a daily basis, in order to guarantee that data held in archival storage is permanently safe. The CEG also hosts the TM-Publisher Web server, which makes images available for use by all GPs, and extending the idea of filmless hospital to the whole region. So why have both a centralised and an outsourced archive? The main reason was to spread the risks in terms of archiving and to facilitate the maintenance of the systems at peripheral locations. This explains the existence of an architecture that is both centralised within the CEG and distributed locally in the form of temporary storage of the most recent archives. If one of the three servers is unavailable, the user thus has two further possibilities for accessing the images. As Christian Isch, Head of the PACS project in Neuchâtel, confirms: "Having such security available means that physical and networkrelated maintenance operations can be transparent. The effects of the rare planned outages that are needed as we develop our infrastructure have not even been felt by users!" The overall appraisal Mr Fabrizio De Biase, PACS technical project manager at the CEG, concludes: "The overall appraisal is excellent. The architecture that has been used, which is designed to be both simple and effective, meets all our expectations". (March 29, 2013)

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