While we don’t generally identify all of our customers outside of case studies or other mutually agreed-upon communications, I can say that Bronson Healthcare and CHS [Community Health Systems] have been publicly announced as development partners [in the United States], and EIN Archive is also being deployed commercially at a growing number of other hospitals and IDNs [Integrated Delivery Networks] with more on the horizon. As of January , we have 92 million studies totalling 3.9 petabytes in our Enterprise Imaging Network Archive alone – with the pace and scale of adoption accelerating.
IH: The company’s Enterprise Imaging Network (EIN) is the first major cloud-native enterprise imaging platform offered as a fully managed software as a service (SaaS). What are the main benefits of hosting the imaging network in the cloud and in providing this as a SaaS solution?
AM: We want to unburden our customers – both clinicians and IT professionals – to allow them to focus on what they do best: take care of patients, without having to unnecessarily focus on the business of boxes and wires. Cloud-native technology abstracts management of non-value-add capabilities such as data center management, IT infrastructure and talent, planning of downtime schedules, migrations, and upgrades. Best practice 3rd-party-certified cybersecurity is built in. The solutions offers frequent, seamless, no management required upgrades, with 99.99% uptime.
Change Healthcare is the only major Enterprise Imaging vendor building a cloud-native end-to-end Enterprise Imaging solution that meets customers where they are at in their cloud journey. Because the service is delivered on a subscription basis, with no upfront migration fees, financial impact is predictable and moved from a capital expense to an operating expense.
IH: Are you partnering with any major radiology device manufacturers?
AM: We work to ensure that all of our solutions are compatible with the devices offered by each vendor and for all the modalities of digital radiology. Instead of partnerships with specific vendors, we leverage standards and APIs to ensure interoperability and compatibility. We partner with a broad range of artificial Intelligence and other technology vendors including TeraRecon, iCAD, Zebra, Nuance, Vital Images, and many others to deliver a complete end-to-end Imaging workflow.
IH: Can you tell us about the installation process?
AM: At a very high level, we start by identifying all sources of imaging data wherever the customer has it – on-premise archive, off-site data centers, etc. Then we bring a transfer appliance to rapidly copy the data from each location and bring it to one of several cloud data centers. The data is rapidly ingested (at speeds of up to one million studies per day) into our Enterprise Imaging Network Archive, where it is then validated, tested, and moved live. We synchronize any changes made in the source system during the transfer and ingestion process so all patient data is completely up to date at go-live.
Due to the fast nature of data copying using the transfer appliance and accelerated ingestion through use of the massively scalable computing resources present in the cloud, migration can be completed in just a few weeks rather than several months required for a traditional migration. The implementation minimizes customer workload associated with the migration as it is included as part of the overall managed service. Some customer Involvement is of course necessary to ensure proper interface with existing systems.
Because Enterprise Imaging Network is hosted in the cloud, there is very little hardware required beyond a gateway edge server at each customer site. However, depending on customer needs for additional hardware to meet their imaging requirements, we have partnerships with hardware vendors such as Barco, Eizo, Dell, HP Inc, HP Enterprise, Netapp, and others. This helps ensure our customers can access any needed hardware to implement our cloud and on-premises solutions.
IH: How do you maintain security of imaging data over the network?
AM: We align with multiple best-practice security standards. Enterprise Imaging Network Archive is both HITRUST and SOC2 certified. Connections to the Enterprise Imaging Network are managed through well-protected https APIs. All API connections are continuously monitored for malicious behaviour and fraud. If malicious behaviour or fraud is detected, connections are automatically disconnected.
All communication into and out of Enterprise Imaging Network is encrypted (using TLS 1.2). All data stored within EIN (objects and metadata) is encrypted using AES-256.