Interoperability in India

enginestagΔίκτυα και Επικοινωνίες

26 Οκτ 2013 (πριν από 3 χρόνια και 10 μήνες)

64 εμφανίσεις

THE DICOM 2013 INTERNATIONAL

CONFERENCE & SEMINAR

March 14
-
16


Bangalore,
India


Challenges to DICOM
Interoperability in India




Madhusudan Sreenivas

GE Healthcare

Sr. System Specialist

Bangalore, India





Challenges to DICOM
Interoperability in India

Outline:


Introduction

Challenges to Interoperability

Conclusion

References

Contact info

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

2



Introduction

India, one of the fastest growing countries in the world, has seen
tremendous growth in medical field in a very short span of time.


DICOM and other standards have contributed immensely in
improving the
quality of
healthcare services
provided in India.
They have made the life of healthcare
providers a
little less
complex.


Though DICOM brings in many advantages, there are
challenges
in
India that
pose hurdles to
its
wide spread use. Some of those
challenges
are highlighted here
.

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

3


Challenge : Cost

Hospitals/Clinics look for alternatives to
reduce cost by :



Purchasing old refurbished
equipment with
no digital & networking capabilities



Purchasing less
-
expensive ones with
limited/no DICOM capabilities



Not purchasing required licenses for
DICOM/Interoperability features



Continue to use
& buy analog imaging
devices

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

4


Medical Devices & Systems are very expensive in India as most of them are
imported

System features

Scanner

Workstation

Post processing

DICOM

MWL / MPPS

Challenge : Cost


Effects: 1. Manual & complex workflows leading to overheads



2. Devices not interoperable, though sometimes capable







There
is a need for bringing awareness to the medical & finance
departments of hospitals
/
clinics to assess the long term benefits
of using
Digital, DICOM
supported devices.


March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

5


Challenge
:
Infrastructure


India has almost ~68% of its population in rural
areas



Most of the rural areas have very limited or no
access at all to electricity and network



The most feasible solution seen in this case is to
use the Film based workflows, which
inadvertently discourages the healthcare
providers from moving to digital devices with
DICOM capabilities as they do not see any value
add from them



March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

6


68.8
4

31.1
6

% Population

Rural
Urban
Lack of infrastructure is obstructing the reach & popularization of
systems that are capable of interoperating

Challenge
: Infrastructure



This
has been a
major driving
factor for many
Tele
-
Radiology application vendors to develop
and use proprietary protocols instead of
DICOM


March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

7


DICOM communication over WAN is still a huge challenge for Tele
-
Radiology applications due to irregular network connectivity

Challenge
:
Infrastructure


Referral
doctors in India still do not have computers in their
office
.


They
would prefer the patients to bring in Films and paper Reports
instead
of CDs / DVDs
.




Hospitals
charge a very high amount to
provide the
images on
CD/DVD.


Patients prefer Film prints to avoid paying extra money from
their pockets
for the CD/DVD, unless really necessary


March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

8


Challenge
: Awareness & Expertise

There
are not many
DICOM & standards experts
available in
India.




Hospital
IT staff is not much aware of
DICOM/IHE standards
and their
importance.



Their
worries are usually limited to "Are we able to scan the images
and view
them or not?”



DICOM & interoperability features are not given proper consideration
while purchasing medical equipment



Effects: 1. Hospitals end up buying
non
-
interoperable
systems



2. Challenges
and delays during deployment and
system usage


leading to inefficient workarounds


March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

9


Challenge : Awareness & Expertise

Hospitals usually end up buying department specific software
such as RIS, LIS from different vendors, due to various
factors


When
these systems do not
interoperate fully,
the data ends up
lying duplicated in multiple
systems also
causing problems during
future
migrations




Bringing awareness in Hospital IT staff about DICOM and other
standards is crucial for smooth integration and efficient
workflows.



March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

10


Challenge : Awareness & Expertise

There has been a fast growth in number of local healthcare device and IT
system manufacturers in India. Sometimes these vendors do not fully
respect the interoperability capabilities needed in their systems.



Quality
of these capabilities is usually compromised for lesser cost and early
introduction of the products into the market.



This
could also be due to lack of sufficient test environments and opportunities
for these vendors to test their systems with other
vendor systems.



Cross
-
vendor
testing events such as
IHE Connectathon
if conducted in
India would encourage local
manufacturers
to test their systems for
interoperability.


March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

11


Conclusion

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

12


Bringing awareness in Hospital IT & radiology staff about DICOM
and other standards is crucial for smooth integration and efficient
workflows
.


This awareness will empower t
he
end users to properly assess
their workflow needs and demand the necessary interoperability
capabilities in the medical devices/systems before purchasing and
deploying them in their hospitals.


The demand for these capabilities will force the device vendors to
keep up with DICOM and other standards.

References

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

13

http://www.IHE.net/

http
://dicom.nema.org
/

Author Contacts

Madhusudan Sreenivas

madhusudan.s@ge.com

GE Healthcare

John F Welch Technology Centre,

Plot
# 122, EPIP, Phase 2, Whitefield Road,

Bangalore


560066,

India

March 2013 DICOM International Conference & Seminar

Challenges to DICOM Interoperability in India

14

Thank you for your attention !