First Belgian hospital to go for SaaS model

In 2011 ASZ signed a seven-year, multi-million-euro contract for Carestream Vue Cloud Services, becoming the first hospital in Belgium to choose this unique “Software-as-a-Service” (SaaS) model. The comprehensive deal includes a new generation onsite Carestream Vue PACS with native reporting and speech recognition; cloud archive for all radiology studies delivered from the Carestream regional data centre plus a 40 TB legacy archive which will also be accessible from the Vue Cloud Portal on the internet.
The 600-bed ASZ is a large hospital group in Belgium operating across three sites located in Aalst, Wetteren and Geraardsbergen, managing more than 320,000 studies annually. The deal also included PACS services for a related hospital in Oudenaarde.
Dr. Eddy Van Hedent, Head of Radiology, and Geert Brantegem, CEO, Medical Board, explain here the rationale for this decision and the benefits provided by the new services.

Dr Eddy Van Hedent, Head of Radiology, ASZ, Aalst
We’ve three locations connected with the same PACS. We wanted a total solution for the future but also for the integration of all our imaging modalities. And at the moment we made our decision we found that Carestream gave us the best solution, also compared to the price. This solution gave us confidence for the future. First of all we have four years’ storage in the hospital at two different locations and all the rest is in the Cloud.
We needed easy access on portable system like Ipads; we wanted to work at home just as we work in the hospital, I mean, completely in the same conditions. And I can tell you it works fantastic.

Geert Brantegem, CEO, Medical Board, ASZ, Aalst

We wanted the kind of system where we had a price for each image we put on the PACS, so ‘fee for service’. Carestream gave us a price for each medical examination that was coming from the modalities and going onto the PACS. It was very easy to do a prospective budget and to know what will be my cost next year, because with the older vendor, every year we had surprises. One of the reasons to finally go for Carestream, they gave us the best value for money and even today I’m very convinced that we made the right decision.
Our radiologists are very happy with the software, it’s reliable and we feel quite happy with it.

Dr Eddy Van Hedent
For us hanging protocols are very, very important to compare images and, with the hanging protocols which we developed together with the people from Carestream, our comparison of images is done so fast, you don’t have to drag and drop, it’s all automatically displayed on the screens.
For the maintenance of the system, it’s best that you can do outsourcing. If you have few problems you can have a small IT service in your department.

Nico Van Weyenbergh, Chief Nurse
Now we have a solution that gives us more possibilities on the PACS for reporting, working with the images, and connecting to other modalities. The connection with all the modalities is available, we don’t have any problems any more to connect with the PACS, and we have only one vendor.

Dr Eddy Van Hedent
Everybody in our hospital has access to Vue Motion. Vue Motion is integrated into the EPR system in the hospital, so referring clinicians can start Vue Motion very easily without having to log in again, so for them it’s an automated link within
the EPR system.

Geert Brantegem
Each month I get a report, a simple Excel file and from each modality I know how many examinations they did on that modality. It’s so easy for us that we can tell you for each modality how many links we made to our PACS system and this is perfect.

Dr Eddy Van Hedent
Voice reporting is very important. First of all you have the speed, there are almost no errors; after you have read it you sign it and a few minutes later it’s in the electronic reporting. So it’s very fast, it’s very good and we do it ourselves.

Geert Brantegem
I think we were the first hospital here in Belgium where they did a complete roll out of the system. For the first two or three months there were two Carestream engineers who were constantly here in the hospital and they solved the major problems and now I think everybody knows where each button is, what they can do with the system and they feel happy with it and I feel happy because I have transparency. I have good information and I think we also have value for money.

Nico Van Weyenbergh

I can log in at home and I can see problems at home and sometimes I can solve them at home, so it’s easier to work. We have a good and close relationship with Carestream. We can contact them immediately by Helpdesk and very quickly we have one of the managers or one of the technicians on the phone to solve our problems.

Dr Eddy Van Hedent
So now it’s all linked on one systems and we have very, very few problems. Turning back is impossible you know. After this achievement it’s impossible, impossible to go back.

EHR Portal: the gateway to integrated care

With the launch of its new electronic health record (EHR) Portal, Agfa HealthCare is taking customers on a journey towards an integrated care solution. Easy to implement, yet providing a comprehensive road map, the EHR Portal integrates the experience and knowledge Agfa HealthCare has acquired in its long history, to drive towards the future of healthcare delivery with an architecture that can be extended into the entire care continuum.  International Hospital talked to Joost Felix, Lead Product Manager, and J

The economics of anesthesia – an enduring debate

A wave of new anesthetic agents on the market has been followed by intense interest in the cost-effectiveness of different anesthesia alternatives. This, however, is not something new.

Debate dates back 50 years
Attention to the economics of anesthesia use dates back a half century. In 1965, the

KIMES 2015 takes a look at tomorrow?s medical technology

From 5 to 8 March 2015, the 31st Korea International Medical & Hospital Show in Seoul brought together domestic and overseas manufacturers and medical professionals.

More than 72,000 visitors convened last March to the COEX exhibition centre where KIMES is taking place every year. The 2015 edition saw 1145 companies showcasing their products over 38,350 square meters of exhibition space. Among exhibitors, the highest number unsurprisingly was from Korea, represented by 530 manufacturers, followed by China (137), the US (117), Germany (96) and Japan (67).
According to the post-show survey carried out by the organizers, a majority of exhibitors obtained positive results and fruitful contacts with qualified visitors at KIMES 2015. Most of them also reported that the medical market was continuing to grow in the Asia region. This is one of the main factors driving the expansion of Korea

CVD: obstacles to innovation in Europe

Although innovations in tests and treatments have allowed a dramatic reduction in cardiovascular disease mortality in recent decades, CVD is still the leading cause of death in Europe. And the major concern now is that this steady reduction in mortality is beginning to plateau due to the diabetes and obesity

Interventional radiology – opening up new frontiers

Interventional radiology (IR) has been revolutionizing modern medicine for a half century. Today, interventional radiologists diagnose and treat life-threatening conditions in some of the most inaccessible areas of the body.

Both therapeutic and diagnostic
IR originated as an invasive subspecialty within diagnostic radiology, but has become recognized as a specialty in some countries.
According to a Consensus Statement in 2010 by professional IR societies in the US, Canada, Europe, Australia, Korea, Philippines, Singapore, Japan, Israel, Lebanon and the BRIC countries (Brazil, Russia, India and China), interventional radiology comprises

Cardiovascular risk assessment – new tools and imaging techniques

Cardiovascular disease (CVD) is a major cause of death and disability across the world. In recent decades, the battle against CVD has focused on prevention, with the management of lifetime cardiovascular (CV) risk superseding treatment of individual cardiovascular (CV) risk factors. Such a strategy in turn is anchored in two complementary approaches – a population-based one promoting community health (e.g. anti-smoking campaigns, diet and nutritional management) and a clinical approach targeted at high-risk individuals.

Complexity of risk factors
In spite of this, CVD management remains less than optimal – even in countries with advanced and well-funded healthcare systems. In 2007, the authors of an article in the

Neonatology – calls for more policy support in Europe

Neonatology is a subspecialty of pediatrics. Neonatologists may act as general pediatricians, providing evaluation and care in a hospital to healthy newborns. However, they are best known for their role treating newborns requiring intensive medical attention.  Such treatment is usually provided at a hospital

KIMES 2016