FOR
IMMEDIATE RELEASE:
RIS Provides Complete Diagnostic
Imaging Business Management
Sugar Land, Texas (PRWEB) April 6, 2004 – The benefits of Radiology
Information Systems (RIS) are now affordable for smaller hospitals,
imaging centers, and radiology call centers. A proven, mature system
now delivers the sophisticated features available in more costly
solutions with the flexibility required by smaller facilities. Well
suited to facilities with limited computer staff, RIS can be
installed on a remote basis with little or no local equipment
required.
In a small town 40 miles from the imaging center, a family doctor
checks his patient’s images from a magnetic resonance (MR) study of
the neck that was completed 3 minutes ago. Before the installation
of the new system, he waited 2-3 days for films to be delivered.
Today, if there is a problem with the study, he can call the
technologist and discuss the study before the patient gets up from
the table. In the doctor’s office, his office manager schedules 3
more studies over the Internet in 2 minutes, easily reviewing the
schedule and selecting available times when the patient can be
there. The fact that the ultrasound technologist has to attend a PTA
meeting at 3:30 this afternoon is displayed on the schedule and
presents no conflict.
In a major hospital 65 miles from the imaging center, a skilled
radiologist opens the same study and immediately sees 5 prior
studies done on the same patient over the last 4 years. He reviews
the last study and then compares the growth of a small tumor in the
patient’s spine. From the prior studies, it is evident that the size
of the tumor is of concern and the growth rate will require that
something be done within the next few months. The radiologist
selects a report template, attaches key images to the report,
dictates an extra paragraph and begins his next study in less than
one minute. In Boston, a transcriptionist opens the study and uses
foot pedals to listen to the dictation while typing the text into
the report. About 40 minutes later, the radiologist reviews the
transcribed text and marks the report as final. A signed radiology
report discharges from the family doctor’s fax machine 30 seconds
later.
In the imaging center, the computed tomography (CT) technologist
sits down in front of the control console. With a single command,
she loads all the patient information for today’s studies: name, ID,
age, sex, address and any special instructions required for each
study. On a computer to her left, she sees that the first two
patients are in the waiting room. Looking again to the computer
screen on her left, the technologist confirms that Mr. Johnson was
called yesterday and reminded of his appointment and the special
instructions required for his exam. She calls in the patient and
begins reviewing the procedure. A week before his exams were
scheduled, Mr. Johnson received a written notice that describes the
procedure, how it will be done, and any special instructions. He
confirms that he followed the instructions and has not eaten
anything since midnight last night. Less than 30 seconds after the
exam is completed, the images are available to the radiologist and
referring physician while the billing system begins to
electronically process the claim for payment by the insurance
company.
Ms. Smith’s mammogram is complete. She received an automatically
generated letter last week saying she needs another exam and
scheduled her study today. In 20 minutes after she arrived, the
study is finished and she is now on her way to her car. Before
leaving, she checks in with the discharge desk. The office manager
pulls up her patient eligibility and payment history in real time,
finds that her secondary insurance has lapsed and that her
co-payment for her last study was incorrect. She explains to Ms.
Smith that her last insurance payment was adjusted and asks for a
check for today’s co-payment and the outstanding balance for her
last exam.
In the reception office, the receptionist quickly scans the written
diagnostic orders from the doctor, two laboratory reports and a
radiology report for a new patient and sends the document images to
archival. After entering the patient’s information, she checks
Medicare payment eligibility and verifies that the patient is a
Medicare recipient, the requested study can be compensated by
Medicare and the patient must make a $20.00 co-payment. The new
patient medical record is immediately transmitted to scheduling, the
X-Ray department and billing without ever re-tying the patient
information. Since patient information is keyed in only once, the
billing department no longer spends days chasing down orphaned
records where the patient name is misspelled and Medicare payments
have not been received for months.
In the billing office, the complexities of primary, secondary and
tertiary insurance coverage with varying levels of co-payments are
handled automatically. Each transaction is recorded and reported as
most insurance company claims are submitted, tracked and received
electronically. Last year, these functions were handled by a large
billing company that took a percentage of each claim with a total
cost over $225,000.00. This year, all those functions have been
moved in-house while the required billing staff was reduced. The net
savings were more than the payments made to the billing company last
year.
In South Florida, the business manager for a large physician group
checks the status of the 5 imaging centers they own in Oklahoma.
Running a few custom reports, he quickly sees that 2 of the centers
are operating well above average and the number of exams in 1 of the
centers have dropped off sharply. The managers for the above average
centers both get emails thanking them for their good work and
reminding them that their annual bonus should be impressive. The
manager for the problem center gets a phone call inquiring about the
drop in productivity. He will make his 11:30 tee time without a
problem.
In South Texas, just outside of Houston, a systems engineer finishes
checking the tape backups for his servers then studies and approves
changes made to the disaster recovery program for the network head
end. His manager never stops repeating the phrase “What happens if
the creek rises?” It sounds silly until he remembers that a small
tropical storm in Houston became the most destructive storm in US
history by flooding major hospitals, some as high as the third
floor, and destroying years of critical patient and research data.
With all the systems and data for many hospitals and imaging centers
stored and maintained here, the disaster recovery program is taken
as seriously as security.
The dream of an efficiency engineer on steroids? Hardly. This is the
daily business of an imaging center using a remote radiology
information system (RIS) integrated with a remote picture archival
system (PACS). The intimate coordination of hundreds of individuals
moving in thousands of different directions at different times is
the job of a sophisticated software system located in a remote city.
Each of the players accesses the system using a secure connection
over the Internet while each of the sub-systems is connected using
an encrypted virtual network that also operates over the Internet.
Michael Miner is VP Operations for Miner Miracles LTD, a leader in
the growing field of digital imaging management. “We specialize in
the science of managing digital imaging facilities. The RIS manages
all aspects of workflow, from scheduling to billing. The PACS system
manages all aspects of digital image handling - transmission,
display, manipulation, archival and retrieval. Working together,
RIS/PACS provides a complete management solution for modern
diagnostic facilities.”
“While the large diagnostic centers with hundreds of employees are
far from dead, we do see a trend in diagnostic imaging towards
diversification. Many of the more astute investors want to limit
their capabilities to the installation of more profitable
technologies, such as magnetic resonance (MR) and computed
tomography (CT). They may offer technologies such as X-Ray or
mammography to make the center more attractive to a wider range of
patients, but these services are typically not profitable.”
“Smaller imaging centers bring a very different set of demands based
on a lower economy of scale. While the diagnostic and management
employees are usually some of the best, many of the support and
overhead functions are reduced. Computer support staff is often one
of the luxuries that suffer in a smaller environment. The result is
a hesitance to install sophisticated servers, terabyte archival
systems, tape backup systems and other disaster recovery needs.”
“We provide the ability to offer sophisticated systems, such as
RIS/PACS, without the need to install these systems locally.
Offering local installation is, of course, part of our business, but
we see an increasing number of clients who realize that they do not
want to be in the systems maintenance business. Installing these
services at a central location allows us to provide the best in
systems operation, security, disaster recovery and regulations
compliance at a very reasonable price.”
Miner points to the payout for such installations as very
attractive. “Creating radiology films is expensive when you consider
all the materials, manpower and facilities costs. Providing digital
archival (PACS) in place of films usually pays out in 9-10 months of
operation. Contracting your claims billing to a remote company is
also expensive and requires more manpower to manage effectively.
Bringing these functions in-house with an RIS system gives you
better control over your business, reduces manpower requirements,
and also pays out in roughly 9-10 months of operation. Since we also
work with financing companies, payout is a critical indicator for
both us and our clients.”
Additional information and questionnaires can be found at http://www.minermiraclesltd.com/
About Miner Miracles LTD
MML supplies turnkey digital diagnostic imaging management:
teleradiology, RIS integration, digitizers, diagnostic workstations,
PACS and VPACS™ archival. The company also manages the largest
teleradiology network of its kind, the Lone Star VPACS™
Teleradiology Network, providing network monitoring, maintenance and
24/7 help desk operations.
CONTACT INFORMATION:
Ms. Deborah Miner
Miner Miracles LTD
281.494.6644 tel
281.494.2224 fax
http://www.minermiraclesLTD.com
dminer@MinerMiraclesLTD.com