NHS Radiology

Legacy Radiology Infrastructure is fragmented across 5 core systems, and 11 ancillary systems, compromising efficiency, quality and workforce planning. Offsite access requires scarce and expensive VPN and Radiologists then work in local groups, limiting specialist opinion.

Radiology Technology Summary

Current Radiology Systems

  • Referrals :

Known as OrderComms to integrate GP Systems and upload Referrals into the Radiology Information System

  • Radiology Department Patient Management :

 Radiology Information System (RIS) -Radiology workflow system, utilised for scheduling patients for scanning and in some hospitals, the Reporting (if RIS not used for reporting within the PACS.

  • Scans storage and viewing :

Picture Archive Computer System (PACS) – Receives medical images in from the scanner for short-term storage and may include reporting if it is not performed in the RIS.

Legacy-on premises solutions versus myOrb public cloud platform

myOrb removes the legacy technology barriers by lifting the entire technology stack from on-premises to the Public Cloud, as well as extending the workflow to preceding and succeeding processes. All delivered as a light touch, fully managed service.

Limitations of on-premises infrastructure

– Offsite access requires scarce and expensive VP

– Radiologists work in local groups, limiting specialist opinion

– Networking across regions or nationally is difficult and expensive

– Limited clinical information is available for diagnosis

– Difficult to connect to the public cloud, AI and advanced rendering

The benefits of one public-cloud platform

– Patients are scanned locally and reported anywhere with faster turnaround times, reduced anxiety and uncertainty

– Networked reporting and collaboration between specialists and sub-specialists, levelling resources between hospitals, regions, or nationally, to reduce diagnosis risk

– Home working unlocks overtime and part-time capacity to increase productivity or reduce insource and outsourcing costs

– Real-time advanced analytics proactively predict demand for optimal workforce scheduling

A Comprehensive End-To-End Platform

myOrb drives efficiency by eliminating fragmentation and consolidating all radiology processes into one platform.

GPIT Futures digital diagnostic referrals

  • Digital diagnostic referrals direct from GPs
  • Collaborative environment from GP to any imaging facility
  • All requests, alerts and patient info in one place
  • Patient portal eliminates need for CD-ROM
  • Includes SNOMED translation to NICIP and PBCL

Electronic Request System

  • Create imaging requests for patient investigation
  • Attach scanned forms with your online requests
  • Securely and reliably collaborate with any care setting
  • Manage requests, track statuses and inform patients
  • Interoperates bi-directionally with any system

Vetting & Protocolling

  • Benefit of EPR, receiving quick test results and priors
  • Automated vetting process integrated into the system, where appropriate
  • Intelligent analytics which allows you to view key metrics
  • Full audit trail of vetting
  • Adaptable to local procedures, regional and national level

Scheduling

  • Built-in appointment scheduler for scanned bookings
  • Create, view and amend appointments
  • Built-in management interface
  • Online check-in system
  • Requesting protocol analysis for time requirement estimation

Reporting

  • Reporting on all modalities
  • Create personalised study views, tailoring filters to make the dashboard specific
  • View all clinical and reporting information in one place
  • Diagnose studies with DICOM viewer
  • Report on images and add addendums to to any report

Dictation

  • Powerfully-driven artificial intelligence
  • Dictate report information from your mobile device
  • Eliminates typing out clinical information
  • Intuitive natural speech recognition
  • High transcription accuracy levels

Consultation & MDT

  • Alerts for unexpected findings, which you can then fix immediately
  • View all records and file types together in one platform
  • Invite, share, and collaborate upon reports in a secure MDT environment
  • Includes chat, email, video/audio/text notes with full audit trail
  • Patient portal allows everyone to participate in the care episode

Referrer and patient portals

  • Referrer portal with all information and scans
  • Avoids IEP, parallel emails and phone calls
  • Patient portal to eliminate CD-ROMs
  • Collaborative environment for all updates and communications
  • Let patients take the pressure off through participation

Integrating AI with RIS/PACS

myOrb’s conforms to Royal College of Radiology AI integration compliance. With most Radiology RIS and PACS still hosted on-premises or through private/hybrid cloud data centers and the majority of AI systems hosted in the public cloud there is a disconnect blocking the integration of AI, which myOrb can solve.

Flexible Home Working

Working from home can unlock overtime and retired capacity, benefit work/life balance, reduce outsourcing costs and increase volume with disruption-free reporting time.

Home working provision has improved, although access can still be limited especially when prior scans are needed.myOrb remote reporting, brings together reports and scans to one intuitive interface, with a high-resolution viewer with lossless fidelity and dictation through  a smartphone app.

Multi-Disciplinary Team Meetings Standards

myOrb can bring together reports and any other clinical information together with scans all viewable together within the platform. We can facilitate MDT in the cloud and make the process asynchronous enabling more patients to be discussed in the limited time available.

MDT Space

A doctor can view the MDT space from the myOrb PACS system, where they can seamlessly upload scans and collaborate with other medical professionals, seeing their insights and expertise.

As they navigate through the digital platform, they can collaborate as part of a disciplinary team to solve core problems at hand and provide valuable feedback.

Inviting Doctors To The Room

The PACS manager, within the MDT space of the myOrb PACS system, has the ability to invite another doctor into the specific room to gain their expertise and feedback regarding certain scans.

In real-time, the doctor’s feedback would be seamlessly integrated into the multidisciplinary approach, enhancing the quality of patient care.

Notes

Within the MDT space of myOrb PACS System, the doctor seamlessly accessed a specific scan requiring their expertise. With precision and ease, they can analyse the images, and identify key findings and nuances in the patient’s condition.

Utilizing the system’s integrated notes section, the doctor diligently recorded their observations and expert insights, ensuring clear and comprehensive documentation of their feedback.

Send To Another PACS

The PACS Manager has the capability to seamlessly send a specific study to another PACS Server, such as Acute Trusts or CDC PACS. Using the system’s interoperability features, they initiate the process by selecting the relevant study and specifying the destination.

The myOrb PACS System ensures secure and compliant data transfer protocols to transmit the study to the designated external system, maintaining data integrity and patient privacy throughout the system.

Radiology Business Intelligence Service Planning

myOrb business intelligence brings together the information from all systems in the hospitals and applies Royal College of Radiology complexity metrics to accurately measure demand and productivity. Combined with dynamic worklists and remote reporting myOrb has the tools to improve efficiency, minimise outsource and calculate overtime payments.

Efficient Collaborative Radiology Solution

myOrb can automate certain processes, such as routing images to appropriate radiologists through dynamic worklists based on their expertise and availability. This can lead to a reduction in report turnaround times, ensuring timely delivery of critical information to referring physicians.

Integration To The Public Cloud

myOrb mirrors all fragmented local databases into the public cloud and consolidates them into one HL7 FHIR database, with all clinical activities converted from local coding tables to SNOMED CT. Access is secure and controlled by the local compliance guardians to ensure information governance compliance.

Talk To The myOrb Team

If you want to learn more about myOrb, interested in partnering with us, or if you have questions, please contact us and we will be happy to talk to you.

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