Académique Documents
Professionnel Documents
Culture Documents
2
Introduction
Development of hospitals in Germany
20
15
10
0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
beds per 1.000 inhabitants number patients per 100 inhabitants average duration of stay in days
Number of
Beds per 100,000 inhabitants in 2013 Inhabitants
facilities
9000 Germany 80,767,463 1,996
7790 Baden-Wurttemberg 10,631,278 272
8000 7252 7498
6989 6847 Bavaria 12,604,244 366
7000 6497 6352 6453 6506
6024 5906 6202 5995 Berlin 3,421,829 81
5434 5680
6000 5351 Brandenburg 2,449,193 55
5000 Bremen 657,391 14
4000 Hamburg 1,746,342 52
Hesse 6,045,425 172
3000
Mecklenburg Western
2000
1,596,505 39
Pomerania
1000 Lower Saxony 7,790,559 197
North Rhine-Westphalia 17,571,856 370
0
Rhineland-Palatinate 3,994,366 91
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990,718 21
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Saarland
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an stph
Sa Sax
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Saxony 4,046,385 79
Pa
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2,815,955 95
Ba
Schleswig-Holstein
Rh
No
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Thuringia 2,160,840 44
nb
kle
ec
147
Berlin, Bremen, Hamburg
9 Hospitals in Germany
Hamburg Hamburg
Berlin Berlin
Bochum NRW
Halle Sachsen-Anhalt
Duisburg NRW
Frankfurt/Main Hessen
Ludwigshafen Rheinland-Pfalz
Tübingen Baden-Württemberg
Murnau Bayern
5
Introduction
DACS - Example
LZ-Archiv 1 Hospital 1
Hamburg
Hospital 2 LZ-Archiv 2
Berlin
LZ-Archiv 3 Hospital 3
Bochum
Hospital 4 LZ-Archiv 4
Duisburg
LZ-Archiv 5 Hospital 5
Halle
Hospital 6 LZ-Archiv 6
Frankfurt
LZ-Archiv 7 Hospital 7
Ludwigshafen
Hospital 8 LZ-Archiv 8
Tübingen
LZ-Archiv 9 Hospital 9
Murnau
Central-Archive
6
X-Ray
7
X-Ray
Computed Tomography
1. Single scan
+ Good quality
- Slow
- Reconstructing difficult
8
MR
9
Angiography
10
Angiography
Data: 1980 / 40 slices
11
Angiography
Data: 1990 / 160 slices
12
Angiography
Data: Late 1990‘s / 560 slices
13
Angiography
Data: 2005 / 2240 slices
14
Angiography
Data: 2006 / 4000 slices
15
What is to come?
„Volume Scanner“
16
Analysis of Processes
Sub-process Sub-process
Core process 1. Hierarchy levels 2. Hierarchy levels
IT-Structure
KIS
RIS
PACS
PDMS
LIS
Etc.
17
Challenges
Local
a) Number of patients Will increase drastically
b) Highly specialized
Interdisciplinary Number of hospitals required
c)
approach decreases drastically
Non-Local
d) Regional networks Will increase drastically
18
Image Acquisition and Distribution
Status Quo
HIS
MIS
RIS/PACS
DACS
PDMS, LIS Radiology (example)
Order
Indication
Report
Demonstration
Archiving/Distribution
19
Image Acquisition and Distribution
What is the problem?
Site details
Site name BG Klinik Bergmannstrost IMPAX Version IMPAX 6.5.5-SU3
City Halle Dbase Server PACSDB01
Country Germany SNDB id DEU_HALLE_BERGMANNST
Region EMEA DCA analysis performed on 11.01.2016
20
Image Acquisition and Distribution
Data management
21
Image Acquisition and Distribution
Data history
22
Image Acquisition and Distribution
CT Reimbursement 2013
25-30%
Payment
January February March April May June July August September October November December
23
Image Acquisition and Distribution
MR Reimbursement 2013
25-30%
Payment
January February March April May June July August September October November December
24
Enterprise-wide solution
DACS ®
Data Archiving and Communication Services ®
Archiving
Communication
25
Summary I
meaning
Local is Social
26
Summary II
Local concept
including
Global possibilities
27
Iran Sectors
By geography, politics and cultural differences
28
Storage improvement
Extrapolation for
current year (based on
previous 6 months)
Start of production
29
Growth
30
Thank you for your attention.