Date post: | 20-Jun-2015 |
Category: |
Health & Medicine |
Upload: | carestream |
View: | 1,257 times |
Download: | 1 times |
1
Digital
Radiography,
Asset
Management in
a new DR
World.
JED Armstrong
Before we get started….Disclosure
I am an employee of Carestream Health, Inc., formerly Kodak
Carestream designs and manufactures the DRX-1 and DRX-1C
detectors, DRX Room and Mobile Upgrades, and the DRX-Evolution
and DRX-Revolution line of exposure equipment.
I will try to remain vendor neutral and unbiased.
The information contained herein is based on commercially available
product data. Because digital imaging is such a dynamic market, new
DR products are constantly being announced and introduced. As a
result, there may be voids where you were expecting information. My
apologies in advance if this is the case.
Asset
Management
4
DR Rooms from 10
years ago had fixed
detectors in the wall
stand and table.
The fixed detectors are
hard-wired in the room
and cannot be utilized
anywhere else.
Asset Utilization
5
Today’s generation of DR
rooms have a portable
detector in either or both
bucky’s.
Portable detectors can be
positioned anywhere they
are needed, maximizing
use and efficiency.
Asset Utilization
BTW… the detector is the single most expensive component
in a DR room!
6
What does using a Portable Detector mean?
Asset Utilization
•You can share detectors between applications
•You can share detectors between rooms
•You can utilize the detector around the clock.
•You can save $$$….
7
How does it work?
Asset Utilization
•Systems are based on wifi detectors.
•Detectors communicate with PC-based
consoles, either in an x-ray room or a portable x-
ray machine.
•Detectors can be used wherever they are
needed.
8
Portability in DR
9
Portability in DR
Analog Room
Better Care of Patients
Smarter Use of Capital
Mobile X-Ray Integrated DR
Rooms
Scenarios
8:00AM – 5:00PM 5:00PM – 8:00AM
Ra
dio
log
y
De
pa
rtm
en
t
Em
erg
en
cy
Ra
dio
log
y
Scenarios
4:00AM – 7:00AM 8:00AM – 5:00PM
Ra
dio
log
y D
ep
art
me
nt
Scenario Solutions
Share Detectors…
Move your DR Workflow as needed…
4:00 AM – Take detector to portable.
7:00 AM – Take detector to room
5:00 PM – Take detector to ER
Usage and Investment
A few things to remember:
The detector is the single most
expensive component in a DR system
Idle detectors provide no workflow and
efficiency benefits
Sharing a detector will increase return
on your investment
A lot of stuff boils down to money!!
More expensive than one of these!
Usage and Investment
So…
The more you use a detector, the more
efficient you’ll be, and the greater savings you
will have.
By sharing a detector, you can produce more
images with each one, thereby reducing the
“cost per image”, and accelerate the return on
the investment.
Quizz
What is this?
Migration Non-Obsolescence
Migration to New DR Technology
The paradigm shift new DR technology => new strategy
•How can I most cost effectively upgrade my department to
DR?
•How can I justify my purchase to administration?
•Which technologies will give me the most “bang for my
buck”?
p.18
Public
© 2011, Carestream Health
Will your Investment be Obsolete?
Analog Room
R & F Room
DRX-Mobile
DR Room
DRX-Portable
DRX-Transportable
Obsolete? No! Not if you use this Strategy!
Find a technology that will allow me to utilize my existing equipment where it makes
sense.
• My portables are less than 6 years old.
• We purchased a new analog (CR) room 5 years ago and a new R & F room last year.
Invest in a technology that is not “tied” to the modality; one that can be utilized
where I need it the most------ when I need it the most.
• Find a solution that works both in the analog room and with the portables.
• We don’t do any fluoro in our R & F room in the afternoon.
• My second shift techs work alone - having two detectors would be more efficient.
Use a company with a solution that is “vendor neutral”.
• I have several different rooms with different OEM’s equipment.
It’s your Move - Make it Scaleable
1st Wireless Detector
Add DR X-Ray Equipment
Add 2nd
Detector
Retrofit Your
Mobile with
DR Detector
A modular approach to your capital purchases
can result in less initial capital needed to
achieve your goals!
Add DR
Portable
Scenario 1
Phoenix General has an extremely busy ED / Trauma area. The most they could afford in the last few budget years was CR technology. Funds this year are limited, but there is money available. Customer has 2 X-Ray Rooms; 1 “Chest” Room; 3 Portable units - all assets over 10 years of age. Demand for Imaging services has jumped since a nearby hospital has recently closed and now the ED / Trauma volume is significantly higher.
Using the “New” Paradigm………what could Phoenix General do first?
Buy DR Upgrades with a portable detector that can upgrade one of the
existing rooms to DR and one of the portables at the same time.
Depending on the budget, try for a second detector. If only one detector,
share it with the portable. If two, use both in the room and share one with
the portable.
Next year, when no parts are available for the upgraded room, keep the
detectors and the software and upgrade the X-Ray equipment hardware!
Answer?
Scenario 2
Tucson General has just remodeled their ICU / CCU. They used to have a CR reader in the
old unit, but it is just not keeping up with the demands of the physicians and the extra patient
load. PICC Lines are being placed and over 15 minutes later, it is confirmed by Radiology that
the line is too low. Post-surgical Open Heart patients are waiting 10-15 minutes for line
placement confirmation.
Using the new paradigm, what could Tucson General do?
Answer?
Buy DR portable upgrade solutions that can be added to their existing
portables and budget to purchase an integrated DR Portable next year.
Find a vendor that provides fast DR image review and specific software
for line-placement and post-op complications, such as pneumothorax.
4:00 AM “During peak hours, a
second detector helps
improve productivity.”
Mobile 1
“Morning rounds are
complete and the detector
can be returned.”
6:00 AM
Change the DR Game
A better use of your capital investment. The shared detector concept.
Room 1
Mobile 1
“I am ready for
morning rounds.”
“During off-peak hours, a
detector can be transferred
to a mobile system.”
Justification
I can get another 3 years out of my existing X-Ray room and my 10 yr old Portable.
For a fraction of the cost, I have converted my room to DR with minimal downtime.
We have reduced our dose from CR by 50%.
My techs are delighted since they have minimal or no cassette handling and can stay with their patient. No more “I have to go check your images now, I’ll be back in a few minutes”.
The patients spend less time in the room and are more comfortable.
We can share this detector with the portable when we are not busy.
The surgeons are elated with the quick image review and better image quality.
If you find the right solution, it will be easy to move to the next level!
In the End
•Ask for references.
•See if any of the referenced customers have written case studies with their own
data / experiences.
•Talk to your peers. Someone has been a leader in making this transition.
•Choose a vendor with experience in “wireless”, not just DR……it’s a whole new
game for some!
•Look for a company whose focus is on Digital Radiography and insist on “best of
breed”, even if it is a multi-modality purchase.
•You’ll be glad you did!!
Thank you!
Q & A