Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008 - (Page 8)

Q&A CIO John Bosco  North Shore-Long Island Jewish Health System › by Lisa FraT T Enterprise Information Infrastructure Delivers Economy & Efficiency Co-mingling Cardiology & Radiology Images north Shore-long Island Jewish Health System (nS-lIJ) is a large integrated delivery network comprised of 15 hospitals and dozens of facilities that span Staten Island, Queens and long Island, new York. The health system employs a centralized approach to information services. The model features an enterprise approach to cardiology and radiology information infrastructure and a replicated archive. CIo John Bosco explains the benefits of the approach. John Bosco, CIO, North Shore-Long Island Jewish Health System Cardiovascular Business: Deploying information infrastructure across cardiology and radiology is a massive undertaking. What is the rationale for this model? BOSCO: my primary objective is to leverage as much of the same technology infrastructure across the enterprise as possible. By doing so, we can better support physicians and lower both operational and capital costs. The enterprise approach also allows us to reduce the complexity involved in maintaining and supporting all of the radiology and cardiology departments across the enterprise, some of which have their own disparate imaging and reporting systems. from the clinical perspective, physicians like the concept of one consolidated patient health record and access via a single portal. It improves the quality of care and simplifies workflow for physicians who work at multiple sites or whose patients utilize services across multiple sites. The fewer systems physicians have to access or train on…the easier it is for them to use technology while rendering care. configuration at North Shore-LIJ? BOSCO: Percentage-wise, storage is one of the fastest growing pieces of the It budget. our health system performs close to 700,000 cardiac catheterization, echocardiography and radiology studies annually. By the time our enterprise radiology/cardiology imaging system is fully rolled-out, we will store more than 1.1 million studies annually. as a result, we need to make sure our storage solution is cost effective and provides easy and rapid access to images. to accomplish this, we use a two-tier storage architecture for clinical images. Cardiology and radiology datasets are transmitted to emC Corporation’s CLariion networkattached storage and Centera content addressed storage systems. CLariion provides the rapid retrieval needed in a short-term storage solution. Centera storage is a lower speed, lower cost solution that functions as our permanent archive and also as a back-up for CLariion. Centera is replicated across two physically distinct data centers for redundancy and disaster recovery. We continuously review the lifecycle of data to determine the most appropriate platform to obtain the performance and price-point we desire. Cardiovascular Business: Can you describe the storage Cardiovascular Business: How do you make decisions about storage? BOSCO: We work very closely with each hospital site and clinical department to determine their storage needs for both organic growth (the total storage required in a given year based on procedural volume) and data migration initiatives. 8 Cardiology PACS & CVIS: Implementing Digital Strategies november/December 2008

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Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008 Contents North Shore-Long Island Jewish Health System South Shore Hospital The CIO Suite Scottsdale Healthcare

Cardiology PACS & CVIS: Implementing Digital Strategies - November/December 2008

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