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Road to Healthcare Content Management Integrate, Standardise, Consolidate, Communicate

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Page 1: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Road to Healthcare Content Management Integrate, Standardise, Consolidate, Communicate

Page 2: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2000Creation

of VISUS

2001JiveX products release

2003JiveX Integrated Imaging

First project in NL

2005JiveX

Mammographie

2009JiveX ECG

2011Creation of

Westdeutscher

Teleradiologieverbund

2013JiveX Mobile

2014JiveX Medical

Archive

2015Creation of

VISUS IT

Solutions AG

Switzerland

2016JiveX 5.0

reddot award

2017Move to its own

building and new

naming

VISUS in Numbers

Page 3: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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1300+ Customers World Wide

in 50+ Countries

160+ Employees

45% Development

40% Service

15% Administration & Sales

VISUS in NumbersEmployees / Customers / Turnover

Year 2000

Year 2018

German certificate of

excellent credit quality

Page 4: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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JiveX Product Lines

JiveX PACS Enterprise PACS

JiveX HCM Healthcare Content

Managementsystem

Management of images in

radiology. Simple and efficient

All medical information at a glance

Page 5: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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A short journey through the pastDutch projects from 2005 to 2015

Page 6: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Every journey begins with the first step ...Máxima Medisch Centrum, Veldhoven

▪ First PACS II Customer

in the Netherlands

▪ Directly supported

by VISUS

▪ Digitization of endo-

scopic examinations

(JiveX AMG/AV)

Page 7: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Find the right partner for the trip …Reinier de Graaf Ziekenhuis, Delft

2006First Alphatron

Customer for JiveX

▪ First Alphatron Customer

for JiveX

▪ Replacement of local

IVACS system at the

ENT department

▪ Archiving moved from

proprietary solution to

standard

Page 8: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Develop the proven …Instituut Verbeeten, Tilburg

2006First Alphatron

Customer for JiveX

2009First Steps in

Dutch Radiology

▪ Managing and Display of Radiotherapy

Objects for Nuclear Medicine and

Radiotherapy in JiveX Review Client

Page 9: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Provide Experiences …Elkerliek Ziekenhuis, Helmond

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

▪ Connecting Pathology

Department (microscopic

and macroscopic images).

▪ Integration of JiveX Viewer

in the National Pathology

Database (Palga UDPS)

▪ Development of

Thumbnail Viewer2009Image Integration

Page 10: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Don‘t be afraid of big things …Maastad Ziekenhuis, Rotterdam & Reinier de Graaf Ziekenhuis, Delft

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

▪ Hospital moved to a new

building

▪ Goal was to get rid of all paper

processes in the hospital

▪ Start: Connecting more than

150 modalities and several

department systems to JiveX

Page 11: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Try to make it better …Maastad Ziekenhuis, Rotterdam

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

▪ Migration of KOVIS Medical

Archive and connection of

scanners

▪ Development of Navigation

Tree for improved navigation

Page 12: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Take pictures during your journey …Reinier de Graaf Ziekenhuis, Delft

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

▪ Migration of Research

Assistant

▪ Development of

classification in JiveX

AMG for Medical

Photography

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2005First PACS II

Customer

Or make some movies …Catharina Ziekenhuis, Eindhoven

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

2012PACS II Video

Workflows

▪ Development of High

Definition recording

with JiveX AMG at

Gastro-Enterology

Department

Page 14: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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2005First PACS II

Customer

Let‘s talk about it …Maastad Ziekenhuis, Rotterdam

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

2012PACS II Video

Workflows

2013First Full

Radiology

Project

▪ First JiveX Radiology

Project in the

Netherlands.

▪ Development of PACS

Driven Workflow with

G2 Speech Recognition.

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2005First PACS II

Customer

Share experiences with others …Elisabeth Tweesteden Ziekenhuis, Tilburg

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

2012PACS II Video

Workflows

2013First Full

Radiology

Project

2014XDS

▪ Implementation of JiveX

Viewer as XDS

Consumer

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2005First PACS II

Customer

Leave impressions, no footprints …Groene Hart Ziekenhuis, Gouda

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

2012PACS II Video

Workflows

2013First Full

Radiology

Project

2014XDS

2015First Zero Footprint

Viewer Installation

▪ First Customer using

JiveX Zero Footprint

HTML viewer

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2005First PACS II

Customer

A long, successful journey.But this is not the end ...

2006First Alphatron

Customer for JiveX

2009First Dutch

Radiology Project

2009Image Integration

2009Connecting

multiple

modalities

2010Supporting paperless

workflows

2011PACS II Imaging

Workflows

2012PACS II Video

Workflows

2013First Full

Radiology

Project

2014XDS

2015First Zero Footprint

Viewer Installation

Page 18: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Go the next step.

Page 19: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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But what is it?Time for a brief explanation.

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Organization of Work ProcessesWorkflows & Tasks related to data

Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Create

Report

Share

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Inhouse

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Archive

Referrer

Analyze

Access

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Create

Document

Share

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Inhouse

Save

Archive

Analyze

Access

Display

Page 21: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Organization of Work ProcessesGrown historically…

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Create

Report

Share

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Inhouse

Save

Archive

Referrer

Analyze

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Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Page 22: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Organization of Work ProcessesThere are very specific workflows …

Create

Report

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Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

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Referrer

Analyze

Access

Display

Create

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Inhouse

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Archive

Referrer

Analyze

Access

Display

Create

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Share

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Inhouse

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Analyze

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Create

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Analyze

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Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Page 23: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Organization of Work Processes

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Create

Report

Share

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Inhouse

Save

Archive

Referrer

Analyze

Access

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Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Is distribution or access control the same in all departments?

Page 24: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Healthcare Content ManagementThis is Healthcare Content Management.

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Create

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Analyze

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Analyze

Access

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Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Page 25: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Healthcare Content ManagementThis is Healthcare Content Management.

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Create

Report

Share

Distribute

Inhouse

Save

Archive

Referrer

Analyze

Access

Display

Create

Document

Share

Distribute

Inhouse

Save

Archive

Analyze

Access

Display

Radiology Cardiology Neurology Gastroenterol. … Personnel Dept. Administration

Page 26: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Classification

Data

Management

& Lifecycle

Access Control

Format

Harmonization

Integration Share

Vie

wA

rchiv

e

A HCM System should …

▪ … collect all Data,

▪ … harmonize Formats,

▪ … classify Data,

▪ … handle Life Cycle,

▪ … preserve Data

to …

▪ … support view on all data,

▪ … enable team work,

▪ … enable patient access,

▪ … increase value based

healthcare

Page 27: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Healthcare Content ManagementThis is Healthcare Content Management.

Page 28: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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JiveX HCM in ActionReference Projects

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Merian Iselin, BaselSome facts about the hospital

▪ Hospital specialized on Orthopedics and Surgery

▪ More than 5.500 orthopedic surgeries / year

▪ 25 physicians, 134 attending physicians

associated to the hospital

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Merian Iselin, BaselSome facts about the hospital

▪ Hospital specialized on Orthopedics and Surgery

▪ More than 5.500 orthopedic surgeries / year

▪ 25 physicians, 134 attending physicians

associated to the hospital

▪ Physicians have own doctor‘s office

▪ Physicians have bed contigents for their

patients in the hospital

Challenges:

➢Access Speciality Viewer from web based cockpit.

➢Make patient data available in doctor‘s office for attending physicians.

▪ Hospital offers digital services for associated attending physicians.

Page 31: Road to Healthcare Content Management · IVACS system at the ENT department Archiving moved from proprietary solution to standard. 10,59 00,00 10,59 ... Supporting paperless workflows

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Growing with JiveXPACS

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Growing with JiveXPACS PACS II

MSQ

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Growing with JiveXPACS PACS II HCM

MSQ

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Live PresentationHCM View as Cockpit

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Live PresentationPatient Level integration call

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Live PresentationCase Level integration call

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Live PresentationExamination Level integration call

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Live PresentationHCM View as cockpit for other applications

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Live PresentationReferring Physician access

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Some more tasks solvedConnect to PGO of Switzerland

Every region (Kanton) has …

▪ 1 XDS Registry

▪ 1 XDS Repository

▪ Hospitals register and upload data

With JiveX hospitals are enabled:

▪ Open an PGO for patients

▪ Data registration and upload

▪ Display of content of PGO for

physicians

▪ Usage of nationwide metadata

structure (Value Sets)

▪ Mapping of metadata

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edia.con, Leipzig Some facts about the foundation

▪ 5 Hospitals

▪ More than 15 medical supply centers

▪ 925 beds, 36779 stationary, 56213 ambulatory

visits

▪ Hospitals uses virtualized HIS systems, hosted

in Berlin (Cerner)

Tasks:

➢Create one central HCM system for all hospitals

and centers.

➢Enable local as well as on-demand group-wide

view on patient data.

➢Enhance paper digitalization workflows.

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Growing with JiveXPACS

PACS

PACS

PACS

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Growing with JiveXPACS PACS II

PACS

PACS

PACS

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Growing with JiveXPACS PACS II One HCM for all

PACS

PACS

PACS

Data

Data Data

Patient Demographics

Master Patient Index

HIS

Pat-IDs:

123, Hospital A

456, Hospital B

123, Hospital C

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Live PresentationHCM View with MPI Button

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Live presentationHCM View with MPI Integration

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Live PresentationScan processes with Scan Import Gateway

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Live PresentationScan processes with Scan Import Gateway

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We are not afraid of REALLY big things …A project on the horizon

Project Key Points:

▪ Hospital group in a european capital city

▪ > 10.750 employees, including 1450 physicians

▪ 40+ PACS to connect

▪ More than 200 sub systems to connect

▪ Number of modalities not fixed yet,

definitely more than 1000

▪ All kind of medical departments

▪ Current data volume: 4.79 Peta Bytes

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The journey continues ……. As Partners.

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Thank you very much for your attention.