Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Sectra AB, Linköping, Sweden.
J Digit Imaging. 2019 Apr;32(2):211-220. doi: 10.1007/s10278-018-0142-3.
The use of digital imaging has substantially grown in recent decades, in traditional services, new specialties, and departments. The need to share these data among departments and caregivers necessitated central archiving systems that are able to communicate with various viewing applications and electronic medical records. This promoted the development of modern vendor neutral archive (VNA) systems. The need to aggregate and share imaging data from various departments promoted the development of enterprise-imaging (EI) solutions that replace departmental silos of data with central healthcare enterprise databases. To describe the implementation process of a VNA-EI solution in a large health system and its outcomes. We review the background of VNA and EI solutions development and describe the characteristics and advantages of such systems. We then describe our experience in implementation of these solutions in a large integrated healthcare delivery network in northeast Ohio. We then present the process, challenges, costs, advantages, and outcomes of such implementation. The VNA and EI solution was launched in December 2015 and is still ongoing. It currently includes 54 radiology and 26 cardiology sites affiliated with the University Hospitals health system. This process was associated with more than 10% cost savings, 30% reduction in storage costs, superior support for disaster recovery, and 80% decrease in unscheduled outages. All these were achieved despite a 120% increase in archive retrieval needs and a 40% growth in image production. Implementation of a VNA and EI solution was successful and resulted in numerous measurable and qualitative improvements in a large and growing health system.
在最近几十年，数字成像技术在传统服务、新专业和科室中得到了广泛应用。由于需要在科室和医护人员之间共享这些数据，因此需要能够与各种查看应用程序和电子病历进行通信的中央归档系统。这促进了现代供应商中立存档（VNA）系统的发展。聚合和共享来自不同科室的成像数据的需求推动了企业成像（EI）解决方案的发展，这些解决方案用中央医疗保健企业数据库取代了部门数据孤岛。描述在大型卫生系统中实施 VNA-EI 解决方案及其结果的过程。我们回顾了 VNA 和 EI 解决方案开发的背景，并描述了这些系统的特点和优势。然后，我们描述了在俄亥俄州东北部的一个大型综合医疗服务网络中实施这些解决方案的经验。然后，我们介绍了实施这些解决方案的过程、挑战、成本、优势和结果。VNA 和 EI 解决方案于 2015 年 12 月推出，目前仍在进行中。它目前包括与大学医院卫生系统相关的 54 个放射科和 26 个心脏病科。这一过程带来了超过 10%的成本节约、30%的存储成本降低、更好的灾难恢复支持以及 80%的非计划停机时间减少。尽管存档检索需求增加了 120%，图像产量增长了 40%，但仍实现了所有这些目标。VNA 和 EI 解决方案的实施取得了成功，并在一个大型且不断发展的医疗系统中带来了许多可衡量和定性的改进。
