ETIAM_One-click_Telemedicine long version

One-Click Telemedicine

October 2014

A comprehensive

& integrated

Telemedicine

solution

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

One-Click Telemedicine2

Connect doctors

and patients in

real-time

«

»

ETIAM mission

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

3

1. Solutions


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


An integrated télémédecine solution

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Web-based Zero footprint User Interface

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


An on-demand telemedicine service platform> Simple > Integrated > Secure > Real-time > On-Demand

HOSPITALS IMAGING CENTERS HOME

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Multiple access

> from PC/Mac, tablets and smartphones

> from home

> from medical carts

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

2. Image Sharing solutions


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Tele-imaging

Transmit patient images securely. Ability to connect remotely to retrieve patient data from outside the institution.

Teleradiology

Send patients electronic health records with documents,images and videos to obtain second opinions and definitivediagnosis without the radiologist at the patients side.Radiologists and physicians remotely exchange these files and consult upon them.

Remote consultations helps those in rural areas and unable to access quality care. Provide remote consultations, follow up with patients and send prescriptions using videoconferencing.

Remote Consultation

Image Sharing Solutions

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Expertise

Request the opinions of one or more colleagues in or out ofthe institution. Share medical images and documents within the same window.

Videoconferencing

Exchange ideas and opinions with peers via a secure videoconferencing platform.

Provide expert consultations on stroke diagnosis 24/7 anywhere with a connected device using a wide range of available imaging and telemedicine tools.

Stoke Consultation

View photos or live video of the infected area of the skin, upload to the platform and perform remote diagnosis.

Teledermatology


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


VideoconferencingMichrophone, camera and speaker controls

Configuration

Conference management

Hang up

Distant correspondant

Videoconference organizer

Full screen

Screen layout

White board

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.



Collaboration

Organize meetings and discussions on patient cases andstudies to provide a better quality of care.

Tele-EEG

Send and receive pediatric examinations and clinical data.

Easily exchange images and studies of patients to get a real time, accurate diagnosis, dramatically decreasing the time required to provide effective care.

Tele-neurology

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

2. Image Capture solutions


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Image Capture Solutions

DICOM EISETIAM-Integrate Solution

DICOM Conversion ETIAM DICOM Izer

DICOM Viewer ETIAM Viewer

CD importETIAM CD-In

Document import ETIAM Print-in

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

3. Offer Description

Integrate Solution

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


General overview


DICOM EISETIAM-Integrate Solution




How to enrich your Electronic Health Record ?

ETIAM-Integrate is a suite of software components fitting into a DICOM imaging network

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


General overview





To convert all images and videos to DICOM format.

General DICOM viewer for clinicians. It is also useful to the PACS administrator for quality control.

To integrate efficiently imaging content from CD which patient brings during consultation.

To convert automatically documents to DICOM format and store them in PACS.

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

• The solution to convert imaging

examinations to DICOM format

DICOM Izer

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


DICOM Conversion

Images / Videos

Modalities

Files

Medical data PrinterDICOM/Windows

jpeg, png, bmp,avi, mpeg

CD/DVD with embedded viewer

HIS Worklist

PACS


PatientSelect a patient

Image processing tool

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Portfolio

DICOM Izer Solution

Basic Integration of still images, digital files and connection with TWAIN-compatible equipment.

Advanced Acquisition of images and films from analog and digital video sources whether standard or HD

VIDAR Radiological films digitalization with VIDAR scanner.

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Advantages

Customizable

Optimal integration thanks to numerous available adjustments

Simple and intuitive

§ Very fast learning§ The solution can be common to several

departments

Process optimization

Cost cutting by using the existing infrastructure to enrich the EHR with all imaging sources

Respect of standards

Consistent with DICOM, IHE, HIPAA standards

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Some references

Major companies choose us to complete their PACS solutionsAgfa, Perkins, Carestream, General Electric, Philips…

Gustave Roussy Institute (IGR), FranceDermatology images integration into PACS

Osakidetza region, Spain

Regional project (10 hospitals) to integrate all non-radiological images into PACS

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Some references

Major companies choose us to complete their PACS solutionsAgfa, Perkins, Carestream, General Electric, Philips…

Gustave Roussy Institute (IGR), FranceDermatology images integration into PACS

Osakidetza region, Spain

Regional project (10 hospitals) to integrate all non-radiological images into PACS

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

Universal DICOM Viewer

Viewer

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


DICOM Viewer

In PACS

Medical data

On CD/DVD

PrinterDICOM/Windows

jpeg, png, bmp,avi, mpeg

CD/DVD with embedded viewer

HIS Worklist PACS

PatientReconciliation

Visualization and image annotation tools:- Interactive

windowing/zooming- Panoramic/mirror/rotation- Fast cinema/stack modes- Annotations- Printing sheet composition- Multimedia export

Quality control/reconciliation:- Reconciliation- DICOM attributes edition


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Portfolio

ETIAM Viewer Solution

BasicUniversal DICOM viewer

- Still and animated DICOM images viewer - Multiplanar reconstruction (MPR)- Automatic synchronization of multiple series- DICOM Store SCU/SCP, DICOM Query and Retrieve SCU,

DICOM Print SCU- Possibility to choose and print pertinent images and to

create selections consisitent with DICOM (Key Object Selection Documents )

AdvancedPACS viewer and CD import

- Includes all the features available in the Basic edition- CD/DVD exams export with embedded viewer - Reconciliation of patient and exam identifiers by querying

HIS/RIS, by recovering data from PACS or by seizing them manually

- Database that can be queried by other applications- DICOM Basic Modality Worklist Management SCU and,

Query and Retrieve SCP

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Advantages

Customizable

Highly customizable and integrable to the EHR


§ Performant and easily usable by clinicians

§ Easy to deploy and manage through a central configuration server

Process optimization

A single solution to import and visualize exams

Easy to deploy

Universal DICOM viewer for the entire institution (floating licenses, site license)

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Some references

FranceAmiens University Hospital, Saint-Brieuc Hospital, Besançon University Hospital, Orléans Regional Hospital

USCleveland Clinic, Duke University, Johns Hopkins University

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

The zero-click solution to import CD

CD-In

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

Advanced

Welcome


ETIAM CD-In

Import failure

External CD/DVD

WL Broker/RIS

PACS

Worklist Query

Reconciliation & send

« Escape Mode » Manual reconciliation& send


DICOM ViewerETIAM Viewer

PACS Station

Consultation

DICOM ViewerETIAM Viewer

PACS Station

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Advantages

Customizable

Highly customizable and integrable to hospital workflow


Application running in background, usually setup on imaging services front desk workstations.

Gain of time

Import automatially CD/DVD into PACS


Consistent with standards DICOM and IHE

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


EuropeFrance : Gustave Roussy Institute, Léon Bérard Center Allemagne : Helios Klinikum

USCleveland Clinic

JapanKeio University Hospital

Some references

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

The solution to automatically integrate documents into PACS

Print-in

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Document Import


PACSPatientSelect a patient

Files

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Advantages

Security

Link between printed document and patient identity and identifier of exam, controlled by user before sending to the PACS


§ Easy to take in hand§ Few training required§ Compatible with all systems generating

reports or offering printing function § Interactive and automatic mode

Gain of time

No need of interfacing procedure with system generating reports, as we simply use printing function


Consistent with DICOM standard

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Some references

Major company choose usAgfa, Carestream, General Electric, Mc Kesson, Philips

France

Tours University Hospital, Nancy University Hospital, Lille University Hospital

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

4. Communicationsolutions


© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


ETIAM Communications Solutions

CD/DVD Burning

With ETIAM MARS, burn patient studies on CD’s or DVD’s.

- Maximize Productivity with automatic label printing- Save time with an automatic DICOM viewer preloaded into each image exchange- Remotely Burn or print via a simple web based portal- Compatible and tested with all EPSON PP robot printers- Secure patient data with automatic encryption

Value Added Solution:+ Operate up to 5 printers simultaneously+ Secure patient data with every exchange

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


ETIAM Communication Solutions

Web Based Sharing

With ETIAM Image Distribution, quickly and securely share patient studies via a secure web portal for patients and physicians.

Save money and reduce risk by incorporating a solution with 2048 bit secure encryptions.

Value Added Solution:+ Zero-Footprint HTML5 Viewer

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


ETIAM Communication Solutions

Paper Printing

- Create and customize patient booklets- Design and include reports and findings easily into the booklet with the images and studies- Combine Exams into one booklet, saving time and money- Compatible with all DICOM printers and modalities

ETIAM - the chosen provider of quality printing software in a demanding market.

With ETIAM Image Distribution, quickly and securely share patient studies via a secure web portal for patients and physicians.

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

Technology

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


The 3 pillars of ETIAM technology

2. Our Medical Backbone Network, ETIAM-Connect, that interconnects hospitals and provide central functions such as authentication, event tracking, videoconferencing, statistics,…

1. Our ETIAM-Nexus server, a versatile DICOM/HL7 gateway, integrated into the Hospital Information System and PACS (Picture Archiving & Communications System)

3. Our SaaS Telemedicine platform that offers a comprehensive and modular set of specialty applications (tele-expertise, tele-consultation, exam upload and distribution,…). It offers a very intuitive User Interface for all types of terminals (PC, tablets, smartphones).

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Architecture

Plate-formeETIAM-Connect(Paris)

Plate-formeETIAM-Connect(Boston)

Internet

Accès direct230 ETIAM Nexus déployés dans les hôpitaux, cabinets d’imagerie

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Versatile and secure solutions

Easy to deploy and configure

Service platform operated by ETIAM

Box installed in 5 mn Virtual machine

Highly Secure but easy to deploy

3DES encryption

Standard HTTPS port

No cloud storage

Distributed directory

Annuaire distribué

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Open platform

DICOM, HL7 and IHE XDS standards are supported and allow interoperability

All DICOM examsPhotos & videos Reports

ETIAM solutions connect all PACS and HIS/EMR

PACS

Dossier patient

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Simple to use

Web-based interface defined with UI specialists

All terminals « full text » search True « zero footprint » viewer

Truly one-click medical workflows

Customizable formsCustomizaible workflow Notification & routing

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


6 reasons to choose ETIAM

– 1. Universal workflows (all types of medical images and medical data)

– 2. Fast and simple to use

– 3. Access to leading institutions (Cleveland Clinic, Paris APHP,…)

– 4. High Definition medical videoconference

– 5. Secure and robust

– 6. DICOM/HL7 pioneer

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

48

in a nutshell

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.

One-Click Telemedecine49

SATISFIED CUSTOMERS

2 000HL7

DICOM

IHE

Telemedicine

service operator

SAAS OPERATOR

CREATION

INTERNATIONAL

FRANCEUSA GERMANY

SWITZERLAND CHINABENELUX

ETIAM in a nutshell

EXPERT SOFTWARE EDITOR

7 M$ turn-over in

2013 –

+16% growth

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


TELEMEDECINE NETWORK

NUMBER OF MONTHLY EXCHANGES

3Millions

7500cases

Exam capture

Exam storage

Medical case

HD Videoconferencing

Web exam distribution

CONFIDENTIALITY / SECURITY

DICOM/HL7 GATEWAY

250 Connectedhospitals

VPN-SSL

Medical images

ON-DEMAND REAL-TIME TELEMEDICINE APPLICATIONS

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Highly qualified staff, standards & methods

> Leading edge software AGILE development methodology allowing time-to-market delivery

> 24/7/365 support

> ISO 9001-2000 and ISO 13485 certification testifying leading edge healthcare

© 2

014

ETIA

M. Al

l rig

hts

rese

rved

.


Some references

(French Defense Health Service)