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Category Archives: diagnostic imaging center

Assess the Usage of a Tele-Cardiology platform

Dr Sunita Maheswari.

Bangalore, India

Aim and Objective: To assess the usage of a Tele-Cardiology platform for Tele- Electrocardiograms (tele-ECG), tele-Echocardiography reporting and tele consultations.

Material and Methods: A new Tele-Cardiology web based technology (CARDIOSpa ) was tested locally within a clinic in Bangalore and long distance between Assam and Karnataka, two states in India.  At the Bangalore clinic a DICOM compatible echocardiography machine was integrated with CARDIOSpa in order to transmit echoes and provisional reports done by the sonographer were reported later by a cardiologist. Tele-ECGs uploaded from Assam through CARDIOSpa were viewed and reported by cardiologists in Karnataka. Video teleconsultations with a digital stethoscope were done in cases that needed it.

Results: In six months from January 2015 to July 2015, 1047 echocardiograms and 316 ECG’s were uploaded to CARDIOSpa and successfully reported by specialist Cardiologists.  The Cardiologists were able to review the cases with adequate resolution from their laptops with downloads occurring within 2-4 minutes per echo with a bandwidth of 2mbps. Although the video consulting was successful, the quality of the heart sounds transmitted by the digital stethoscope varied according to bandwidth availability and background noise.

Conclusion: Trained sonographers and ECG technicians at centers that lack cardiologists can be supported by specialist Cardiologists located in other locations using currently available tele-cardiology platforms. Addition of video consultations with a digital stethoscope to tele ECG and tele echo reporting completes the cardiac assessment.

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What is Teleradiology and its Benefits

Keyword 1: Benefits of Teleradiology

Keyword 2 : What you need to know about Teleradiology

Keyword 3: The Basics of Teleradiology

Telemedicine is the application of information technology and telecommunications networks for the purpose of medical diagnosis and therapy from remote locations. A host of recent technology innovations have made it possible for telemedicine to expand its reach across every medical speciality– its usage in radiology is called “teleradiology.”

Radiology incorporates the diverse methods used in medical science to capture images of the internal body structure and function (eg. x-rays, MRIs, ultrasounds), to assist in the process of medical diagnosis or treatment.

Teleradiology is the capability to acquire these medical images in one location and facilitate their transmission over a range so that they can be viewed and interpreted for diagnostic or consultative purposes by a radiologist.

This practice is becoming widely adopted by hospitals, urgent care clinics, and diagnostic imaging centers. The factor responsible for its rapidly growing implementation is due to the fact that it addresses the inadequacy of appropriately skilled personnel to provide radiological analysis and the lack of practitioners of this specialty.

The process of teleradiology, in essence, is based on a fundamental triad; an image sending station, a transmission network, and a image retrieval station that should have a high-quality display screen. Additional more recent technology innovations include the incorporation of cloud for redundancy and cost reduction, mobile technologies for greater access and sophisticated teleradiology workflow that enhances radiologist productivity, provide performance metrics and track quality. .

Teleradiology improves client care by enabling radiologists to supply their expertise without necessarily being at the same location as the patient. This is especially essential when radiologist subspecialists (e.g. MRI radiologists, pediatric radiologists, neuro-radiologists) are required, because these specialists are few in number and typically located in metropolitan cities. Teleradiology therefore enhances the quality of radiology reporting by bringing the images of a patient in a small town to the most specialized radiologist who is best qualified to interpret the particular radiologic scan..

On the other hand, smaller sized healthcare facilities in rural areas might use only one radiologist or none at all. In such situations, it is virtually impossible for the radiologist to be available 24 x7 x 365. Having the support of a teleradiology reporting service can both improve the quality of life of the solo radiologist as well as improve the quality of care that might be potentially diminished by radiologist overwork..

Teleradiology can be a means through which physicians can collaborate when they are not in direct contact. For example an emergency doctor at a rural urgent care center can gain obtain a radiology consultation from a specialist urban radiologist and discuss the case telephonically while simultaneously viewing his or her patient’s images. (e.g. they are in remote places). This can be extremely valuable from the perspective of enhancing patient care and improving outcomes.

Using the services of outsourcing companies or radiology groups to supply and maintain the needed radiology coverage, smaller medical facilities are able to make better usage of their own on-site specialists and enable them to maintain their regular working hours.

This can likewise be economical for the medical facility as the outsourcing institution need only spend based on utilization, and is spared the significant fixed cost of having a radiologist on site at a small institution where they may not be fully utilized . The arrangement of these expert services to manage inpatients at small hospitals without experts on site has been revealed to be a reliable way of providing high quality care that would otherwise be unavailable.

In summary, the benefits of teleradiology are related to affording access to specialist radiologist expertise where or when none exists, to the appropriate utilization of radiologist time and energy, and to the overall enhancement of patient care, while at the same time reducing healthcare costs!

The technologies today are mature and evolved, and the outsourced model wherein images are routed to a teleradiology reporting service is an established and tested one which affords significant value, especially to small rural and community hospitals. Startup costs as well as running costs are reasonable and affordable and the process is smooth and streamlined.

 

Sounds like a pretty compelling value proposition? Try it and find out for yourself!!.

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Telemedicine for Foundations

Socially motivated foundations and CSR agencies are battling with the challenge of establishing low cost platforms that withstand the scrutiny regulatory conditions of the industry.

Foundations which regularly work together with governing powers, such as its Board of Directors and external Donor agencies. These foundations set high-emphasized pressure in the contribution procedures and following the region’s government guidelines.

Foundations have various avenues to optimize their service, however, they are usually constrained by investment levels in technology and functional support that can potentially accelerate their efforts in social change and intervention.

At TRS telehealth solutions, we help in the following ways:

Highly Adaptive Intelligent Systems

Our functionality is easily configurable for a variety of environments and the long run, improves the overall affinity of social healthcare programs to the target segments.

Real Time Data

We offer critical business data on a timely basis, which empowers foundations to make course corrections in transformation programs.

Comprehensive Suite

Our comprehensive suite of solutions and products help foundations gain access to execute their healthcare delivery programs across various governing disciplines for primary or secondary level care or tertiary level education.

Our innovative platform brings about extraordinary transformations to healthcare deliverables. Our unique insight in key variables of interaction can lead programs to successful positions.

Enhance Cost Management
Our global expertise ensures greater operational excellence and substantial improvement in valued investments; automatically lowering the cost of delivering the care.

Regulatory Mechanisms and Compliance

We are globally operational company; our processes are internationally benchmarked and accredited at the highest level of compliance for security and robust processes. Healthcare being a knowledge intensive sector, our professionals and practitioners have fundamental experience with internal regulatory controls and peer review mechanisms to ensure the highest SLAs (Service Level Agreement) in healthcare delivery.

Collaborative and Traceable Platforms

Our global friendly platform captures various data on the care continuum that gives deeper insights for adjustable management initiatives, enabling agent modification with measurable data.

The Teleradiology Foundation works together with Government Agencies, and other foundations who envision public private partnerships in public health initiatives. For more info please visit

www.teleradfoundation.org or download our brochure here.. [ hyper link to teleradfoundation site ]

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Telemedicine for Healthcare

The ever-changing dynamics of the business and economic world, has led the healthcare industry to adjust to the rising costs of medical treatment and professional protocol by transforming its fiscal models. The traditional healthcare system is no longer able to create sustainable models as ROI continues to lead time extending to 3- 5 years.

The equitable delivery of high quality healthcare to the stakeholders is a concern. No longer is the healthcare industry an isolated point of delivery but instead become an integral player in the socio – economic fabric of the nation with the factors of accessibility and foreign competition in effect.

The standardization of high quality and timely healthcare is blatantly skewed to benefit higher income groups which ultimately leads to the industries’ experts to look for newer, innovative ways to service the under reached demographics. In such a scenario, there will be a need for a highly efficient model that will position the hospitals and providers to take advantage of the new changes in the healthcare services and potentially create operational efficiencies to iron out the redundant system.

TRS Telehealth creates configurable and easily adaptive delivery models that will enable healthcare organisations to aggressively move from a doctor centric to patient driven delivery model.

In this modern digital age, vast information is available to the public’s finger tips and the options are endless.

So now the question arises – Can we create a viable, scalable model that will enable operational efficiency, while at the same time, deliver significant cost savings and a high satisfactory patient outcomes.

To tread this carefully, requires a highly responsive agile system that will address patient feedback accordingly. Importantly, depicting and improving complaints before it becomes a point of concern and broadcasting complements as a marketing tool to attract more potential patients.

TRS Telehealth Solutions reduces the burden of managing multiple partners and stakeholders through its unique built organizational features. In the end, TRS will help carry out the daily operations with great efficiency. As well as, helping you reduce the spend on IT infrastructure by adopting new technology while integrating the existing system. TRS aims to employ cloud and mobility solutions that will reduce dependency on legacy enterprise systems which has proven to be costly in terms of training, user adoption and arraying obsolete technology in the long run.

TRS’ system will safeguard you from the pitfalls of heavy capital expenditure as newer technologies make the existing ones outdated.

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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.

2. 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.

3. The diagnostic imaging center has started receiving injury cases at night that need immediate reporting.
Emergency/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!

4. 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.

5. 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.

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

7. 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.

Dr Arjun Kalyanpur
Chief Pusher, Teleradiology Solutions

The author is Frost and Sullivan’s Healthcare Entrepreneur of the Year 2015 and Father of Tele-radiology in India . You can reach out to him at info@telradsol.com .

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