CARESTREAM RISTaking workflow to the next level

Facilities struggle with the shortage of radiologists and other key personnel. Enterprise health systems endeavor to communicate critical patient data across numerous sites – often using a range of legacy systems from multiple manufacturers. More exams are being performed, generating more images to be managed, while the pressure to contain costs continues to grow.

Radiology is a world in motion.

Contact your Carestream Health representative, call us at 1-877-865-6325, ext. 655, or check us out on the web.

it.carestreamhealth.com

Carestream Health, Inc.150 Verona StreetRochester, NY 14608

© Carestream Health Inc., 2009. CARESTREAM is a trademark of Carestream Health, Inc.M1-875 CAT No. 184 8886 5/2009

Learn more about CARESTREAM RIS/PACS and SuperPACSTM Architecture

Count on Carestream Health’s expertise and supportCarestream Health’s medical imaging solutions are backed by a support team of product and industry specialists who have helped to drive the transition from film to digital imaging in hundreds of radiology de-partments worldwide. Carestream Health supplements 100 years of knowledge and experience with interactive user groups, medical advisory groups, and input from our diverse radiology customers to constantly improve the quality and utility of the company’s digital solutions.

Carestream Health support begins with our in-depth o�ering of Professional Services to assist clients in identifying and managing the ever-changing business challenges encountered. Worldwide centers of excel- lence provide both remote and on-site diagnostics and maintenance of for our RIS, PACS, and storage solutions.

ONE Solution.Now there’s

ONE Solution.Now there’s

Streamline workflow from order entry to results distribution

Adapts to the specifics of your workflow needsThe new CARESTREAM RIS is Microsoft® .NET-connected to o�er tre- mendous flexibility and scalability in a web-enabled client – allowing optimal

Next-generation CARESTREAM RISThe benefits are clear and compelling

With this new system, you’ll collaborate seamlessly across multiple sites and multiple clinical specialties, while using intelligent tools to support the delivery of better and faster care to your patients at reduced costs. Consistent, predictable workflow will help ensure high productiv-ity. These advantages are all delivered in an intuitive, easy-to-use system that lets users work anytime, anywhere – and adapts to each facility’s individual workflow requirements. It’s all available with the newest generation of CARESTREAM RIS. You can count on:

• Optimized efficiency of operations in multi-site enterprises or single-site hospitals• Reduced complexity in the information sharing process • Lower cost of patient stay• Faster, more accurate diagnoses for improved patient care• Increased data security

The system also o�ers both basic and advanced screen commands so that new schedulers can become productive quickly and experienced schedulers can further expedite workflow. A powerful database platform enables flexible storage, manipu-lation, retrieval, security, and analysis of data.

In terms of software flexibility, the standard system architecture accommodates additional screens, menus, and data fields that can be added to capture specific patient, operational, and procedural information. This flexibility can lessen workflow complexity, reduce information errors, and eliminate costly exam re-takes. Unique reports, forms, and patient letters can also be designed. Users can install and run the RIS client from a URL as well, and many software upgrades can be automati-cally downloaded and installed to reduce maintenance needs.

automation of radiology workflow, even across large, multi-site enterprises. The CARESTREAM RIS displays graphics and commands intuitively. Each user can adapt content based on his or her role in the department or organization – personalizing the interface to further enhance productivity, and make real- time changes to tailor workflow to the most specific needs. Moreover, once personalized, each user’s interface follows him or her to any workstation.

For example, artificial intelligence is used at the front of the process for appropriate-ness and eligibility checking; coding is more consistent and accurate, and identi-fying the correct exams is easier for sched-ulers. A one-step administration tool allows entry of the exam order at the same time the appointment is scheduled. By applying rules to messages received from the HIS, the RIS also acts as an information mediator, further minimizing the incidence of scheduling errors. Single, dual, and series exams can be scheduled at one or multiple sites based on specific criteria such as department schedules, procedure duration, and availability of rooms, equip-ment, and personnel. Asset utilization is improved with cross-modality scheduling. Finally, cancellations and reschedules are accommodated, and the reasons tracked precisely.

Scheduling productivity keeps things movingPatients, often anxious and uncomfortable, don’t like long waits while exams are scheduled or completed. Referring physicians appreciate quick turnaround of reports to expedite treatment. Now, you can eliminate time-consuming manual pro-cedures and improve physician and patient satisfaction – while powerful new schedul-ing capabilities further streamline workflow and reduce the need for rescheduling.

It all points squarely at the need for improved workflow – greater speed and higher efficiency, with no compromise in data accuracy or patient care. Now, Carestream Health introduces a dynamic new workflow solution: our latest version of CARESTREAM RIS.

And it just spins faster every day.

POWERFUL SCHEDULING TOOLS

An intuitive graphical interface, “hot key”, and rules-based scheduling help to streamline workflow and reduce the need for rescheduling

2 3

ONE Solution.Now there’s

Streamline workflow from order entry to results distribution

Adapts to the specifics of your workflow needsThe new CARESTREAM RIS is Microsoft® .NET-connected to o�er tre- mendous flexibility and scalability in a web-enabled client – allowing optimal

Next-generation CARESTREAM RISThe benefits are clear and compellingWith this new system, you’ll collaborate seamlessly across multiple sites and multiple clinical specialties, while using intelligent tools to support the delivery of better and faster care to your patients at reduced costs. Consistent, predictable workflow will help ensure high productiv-ity. These advantages are all delivered in an intuitive, easy-to-use system that lets users work anytime, anywhere – and adapts to each facility’s individual workflow requirements. It’s all available with the newest generation of CARESTREAM RIS. You can count on:

• Optimized efficiency of operations in multi-site enterprises or single-site hospitals• Reduced complexity in the information sharing process • Lower cost of patient stay• Faster, more accurate diagnoses for improved patient care• Increased data security

The system also o�ers both basic and advanced screen commands so that new schedulers can become productive quickly and experienced schedulers can further expedite workflow. A powerful database platform enables flexible storage, manipulation, retrieval, security, and analysis of data.

In terms of software flexibility, the standard system architecture accommodates additional screens, menus, and data fields that can be added to capture specific patient, operational, and procedural information. This flexibility can lessen workflow complexity, reduce information errors, and eliminate costly exam re-takes. Unique reports, forms, and patient letters can also be designed. Users can install and run the RIS client from a URL as well, and many software upgrades can be automatically downloaded and installed to reduce maintenance needs.

automation of radiology workflow, even across large, multi-site enterprises. The CARESTREAM RIS displays graphics and commands intuitively. Each user can adapt content based on his or her role in the department or organization – person-alizing the interface to further enhance productivity, and make real- time changes to tailor workflow to the most specific needs. Moreover, once personalized, each user’s interface follows him or her to any workstation.

For example, artificial intelligence is used at the front of the process for eligibility checking; coding is more consistent and accurate, and identifying the correct exams is easier for schedulers. A one-step administration tool allows entry of the exam order at the same time the appointment is scheduled. By applying rules to messages received from the HIS, the RIS also acts as an information mediator, further minimizing the incidence of scheduling errors. Single, dual, and series exams can be scheduled at one or multiple sites based on specific criteria such as department schedules, procedure duration, and availability of rooms, equipment, and personnel. Asset utilization is improved with cross-modality scheduling. Finally, cancellations and reschedules are accommodated, and the reasons tracked precisely.

Scheduling productivity keeps things movingPatients, often anxious and uncomfortable, don’t like long waits while exams are scheduled or completed. Referring physicians appreciate quick turnaround of reports to expedite treatment. Now, you can eliminate time-consuming manual procedures and improve physician and patient satisfaction – while powerful new scheduling capabilities further streamline workflow and reduce the need for rescheduling.

It all points squarely at the need for improved workflow – greater speed and higher efficiency, with no compromise in data accuracy or patient care. Now, Carestream Health introduces a dynamic new workflow solution: our latest version of CARESTREAM RIS.

And it just spins faster every day.

POWERFUL SCHEDULING TOOLS

An intuitive graphical interface, “hot key”, and rules-based scheduling help to streamline workflow and reduce the need for rescheduling

2 3

specify. If appropriate for your operation, a new patient portal feature allows patients themselves to access existing schedules and change appointments – improving patient satisfaction while maximizing sta� e�ciency. Moreover, you can keep a finger on the pulse of your productivity by monitoring e�ciency levels through a unique dashboard display, management reports, and strategic management tools.

Streamlining the exam processPatient progress and procedures are tracked and documented with CARESTREAM RIS – improving workflow, productivity, and patient service. Physicians and other system users can follow workflow from patient scheduling and arrival through report sign-o�.

During the exam, the level of documenta-tion detail is unsurpassed: the menu can be tailored per your requirements to include the radiographer's name, protocol, and amounts and types of inventory used. Contrast agent, dosage, kV, and the requesting or authorizing physician also can be documented. Full-featured drawing tools enable users to provide graphically based information with greater speed and precision.

To expedite workflow and improve the sharing of information, an easy to use touch screen allows technologists to enter data quickly and accurately, without the need for a keyboard. Fully integrated workflow lets the RIS interface with labs and other systems, eliminating the need for separate reports.

Enhanced exam reading and reportingThe system o�ers a range of features to improve e�ciency in radiologist reporting, all based on “lean” principles that stream-line the reading and reporting process while providing flexibility for personal preferences. These include interactive voice dictation, voice command and control, mouse-less reporting, and embed-ded voice fields in the standard answer.

In standardized reporting, information is presented in a consistent, clear, organized, predictable way. Reporting is faster due

to the need to change only what varies from standard answer. Based on the exam performed, CARESTREAM RIS selects the correct standard report – eliminating the need to search for the appropriate report format. When the radiologist begins a diagnosis, all basic patient and exam data is pre-populated in the report. This is an example of how the "lean" concepts are build into CARESTREAM RIS, by eliminating unnecessary or redundant activities to create a highly e�cient workflow. E�ciency is further enhanced by a summary screen that provides “at a glance” access to information required by radiologists, and automatically populating the report with key images.

Finally, the option for second and third signing enhances collaboration between radiologists and supports improved patient care.

Powerful options for results distributionMore information, in the right hands, faster, can make all the di�erence in both the quality of patient care and the speed of your workflow. Powerful results distribu-tion options allow CARESTREAM RIS to dramatically streamline this process. The automatic tracking of key parameters over time, including integration of information from other systems, provides more information to radiologists. Referring physicians are better supported by the new RIS as well: they receive preliminary reports, final reports, and voice clips, and can access reports and results via the web. This reduces wait time so the patient’s treatment plan can commence sooner.

Other distribution options include automatic, secure emails with reports and embedded images*; text messages, alerting physicians instantly when reports are available in their email; automatic printing and faxing of results; or, burning of all results and images to CD – a unique way to share and create a redundant archive of patient histories.

Prior studies and reports, order information, and study comments are easily accessed. Innovative voice recognition options let radiologists dictate, edit, and approve reports at the desktop, or forward dictation for transcription.

*Secure email services must be supplied by the customer.

RESULTS DISTRIBUTION –MORE INFORMATION, FAST

Tailor results notification to the needs of stakeholders and distribute results via SMS, internal messaging, or email.

4 5

An intuitive, user-friendly graphical inter-face makes it easy for new schedulers while “hot key” scheduling boosts e�ciency for those more experienced. Customizable workflow rules allow user notification of scheduling restrictions (hard stops), warning messages (soft stops), and exam conflict messages. Schedulers are flagged with a dialog box when scheduling rules are violated. This means reduced chance of errors and an overall increase in scheduling e�ciency. You can also customize schedul-ing rules for di�erent sites, giving you the flexibility to meet your varying business needs. The system delivers even greater time savings by triggering automatic accessing of prior exams by notifying a PACS, or by printing a "pull list" for films.

Customized patient communications can be generated with pre-exam instructions, directions, and other information you

specify. If appropriate for your operation, a new patient portal feature allows patients themselves to access existing schedules and change appointments – improving patient satisfaction while maximizing sta� e�ciency. Moreover, you can keep a finger on the pulse of your productivity by monitoring e�ciency levels through a unique dashboard display, management reports, and strategic management tools.

Streamlining the exam processPatient progress and procedures are tracked and documented with CARESTREAM RIS – improving workflow, productivity, and patient service. Physicians and other system users can follow workflow from patient scheduling and arrival through report sign-o�.

During the exam, the level of documenta-tion detail is unsurpassed: the menu can be tailored per your requirements to include the radiographer's name, protocol, and amounts and types of inventory used. Contrast agent, dosage, kV, and the requesting or authorizing physician also can be documented. Full-featured drawing tools enable users to provide graphically based information with greater speed and precision.

To expedite workflow and improve the sharing of information, an easy to use touch screen allows technologists to enter data quickly and accurately, without the need for a keyboard. Fully integrated workflow lets the RIS interface with labs and other systems, eliminating the need for separate reports.

Enhanced exam reading and reportingThe system o�ers a range of features to improve e�ciency in radiologist reporting, all based on “lean” principles that stream-line the reading and reporting process while providing flexibility for personal preferences. These include interactive voice dictation, voice command and control, mouse-less reporting, and embed-ded voice fields in the standard answer.

In standardized reporting, information is presented in a consistent, clear, organized, predictable way. Reporting is faster due

to the need to change only what varies from standard answer. Based on the exam performed, CARESTREAM RIS selects the correct standard report – eliminating the need to search for the appropriate report format. When the radiologist begins a diagnosis, all basic patient and exam data is pre-populated in the report. This is an example of how the "lean" concepts are build into CARESTREAM RIS, by eliminating unnecessary or redundant activities to create a highly e�cient workflow. E�ciency is further enhanced by a summary screen that provides “at a glance” access to information required by radiologists, and automatically populating the report with key images.

Finally, the option for second and third signing enhances collaboration between radiologists and supports improved patient care.

Powerful options for results distributionMore information, in the right hands, faster, can make all the di�erence in both the quality of patient care and the speed of your workflow. Powerful results distribu-tion options allow CARESTREAM RIS to dramatically streamline this process. The automatic tracking of key parameters over time, including integration of information from other systems, provides more information to radiologists. Referring physicians are better supported by the new RIS as well: they receive preliminary reports, final reports, and voice clips, and can access reports and results via the web. This reduces wait time so the patient’s treatment plan can commence sooner.

Other distribution options include automatic, secure emails with reports and embedded images*; text messages, alerting physicians instantly when reports are available in their email; automatic printing and faxing of results; or, burning of all results and images to CD – a unique way to share and create a redundant archive of patient histories.

Prior studies and reports, order information, and study comments are easily accessed. Innovative voice recognition options let radiologists dictate, edit, and approve reports at the desktop, or forward dictation for transcription.

*Secure email services must be supplied by the customer.

RESULTS DISTRIBUTION –MORE INFORMATION, FAST

Tailor results notification to the needs of stakeholders and distribute results via SMS, internal messaging, or email.

4 5

An intuitive, user-friendly graphical inter-face makes it easy for new schedulers while “hot key” scheduling boosts e�ciency for those more experienced. Customizable workflow rules allow user notification of scheduling restrictions (hard stops), warning messages (soft stops), and exam conflict messages. Schedulers are flagged with a dialog box when scheduling rules are violated. This means reduced chance of errors and an overall increase in scheduling e�ciency. You can also customize schedul-ing rules for di�erent sites, giving you the flexibility to meet your varying business needs. The system delivers even greater time savings by triggering automatic accessing of prior exams by notifying a PACS, or by printing a "pull list" for films.

Customized patient communications can be generated with pre-exam instructions, directions, and other information you

Comprehensive mammography workflow A full-featured mammography solution in CARESTREAM RIS enables accurate docu-mentation and reporting. These graphically enabled tools capture patient medical and mammography radiology histories, mam-mography findings, follow-up and patient tracking, pathology results, and generate automated radiologist reports. A detailed capture screen for patient concerns and procedure information includes a drawing tool that allows technologists to convey visual information to the radiologist.

Customized patient letters based primarily on the BIRAD levels selected can be quickly created. Letters to referring physicians and patient appointment reminders can also be generated and tracked. Available reports include MQSA basic audit data, initial diagnosis statistics, patient follow-up, and patient status.

Strategic management tools optimize business performance CARESTREAM RIS combines powerful strategic management tools with fast data access to support proficient business productivity and profitability. Decision- support tools help you manage workflow e�ciency and business operations. These include operational assessments, sta�ng, and resource analysis. Robust standard or customized management reports provide a wealth of information such as unread exams, cancelled exams, and patient no-show lists.

Once the system has provided the operational performance metrics, the customization studio feature allows you to redesign screens in order to make process and workflow changes. These workflow changes support taking e�ciency to the next level and can be done either by your system administrator or by technical support sta� from Carestream Health.

Carestream Health's customized workflow solutions not only enable you to increase e�ciency, improve sta� and patient satis-faction, but also improve your bottom-line. Flexible integration with in-house or out-sourced billing systems promotes an accu-rate billing and timely reimbursement cycle.

Tools to empower your IT sta� CARESTREAM RIS is designed to reduce demands on your IT sta�, freeing valuable personnel for other duties. Flexible industry standard communication options enable seamless integration with a wide array of applications, tools, accessories, and network peripherals.

CARESTREAM RIS can operate on any standard o�-the-shelf server or PC that meets Carestream Health's minimum hardware requirements. This provides IT departments the ability to maximize current hardware and operating system investments and reduce lifecycle mainte-nance costs. When it comes to hardware, the system can grow incrementally without forklift upgrades: it allows IT personnel to easily and a�ordably add hardware for greater system scalability.

Optimized critical results notificationCritical studies are identified in the RIS, with no need for manual tracking, allowing clinicians to focus on the patient exam process. Results notification can be tailored to meet the distribution needs of various stakeholders – results can be sent via SMS, internal messaging, or email. The system also tracks notification to referring physicians and issues warnings for aging messages, to ensure appropriate follow-up and confirmation of results delivery. As an additional method to provide findings, the ability to record speech messages adds value to reports, ensures all critical information is shared, and reduces the need for one-to-one communications. An administration screen makes it easy to administer the tracking and reporting functions for critical results notification, saving time for personnel who normally consolidate information from many sources to generate reports for JCAHO.

Support for regulatory complianceAchieving full compliance is critical, but you don’t want your e�orts to slow workflow or detract from patient care. The new RIS sup-ports ACR peer review – second reads with conflict tracking, expediting compliance with U.S. standards.

CARESTREAM RIS and PACS: a powerful combination This new-generation RIS is part of Carestream Health’s radiology solutions portfolio. The unified solution of CARESTREAM RIS and CARESTREAM PACS automates diagnostic workflow and enables e�cient creation, storage and distribution of the patient’s complete radiology record. The full solution o�ers diagnostic quality review of exam images – complemented by display of patient information – so radiologists can quickly consult a patient's complete clinical status for fast, accurate exam interpretations.

6 7

RIS tracks notification to referring physicians and issues warnings for aging messages to ensure proper follow-up and confirm results delivery.

MANAGE YOUR ENTERPRISE, YOUR WAY

Design screens to optimize e�ciency,collecting and managing data to match your work flow. CARESTREAM RIS lets you capture the information you need, at the right point in the process, and allows you to decide with whom it is shared.

Comprehensive mammography workflow A full-featured mammography solution in CARESTREAM RIS enables accurate docu-mentation and reporting. These graphically enabled tools capture patient medical and mammography radiology histories, mam-mography findings, follow-up and patient tracking, pathology results, and generate automated radiologist reports. A detailed capture screen for patient concerns and procedure information includes a drawing tool that allows technologists to convey visual information to the radiologist.

Customized patient letters based primarily on the BIRAD levels selected can be quickly created. Letters to referring physicians and patient appointment reminders can also be generated and tracked. Available reports include MQSA basic audit data, initial diagnosis statistics, patient follow-up, and patient status.

Strategic management tools optimize business performance CARESTREAM RIS combines powerful strategic management tools with fast data access to support proficient business productivity and profitability. Decision- support tools help you manage workflow e�ciency and business operations. These include operational assessments, sta�ng, and resource analysis. Robust standard or customized management reports provide a wealth of information such as unread exams, cancelled exams, and patient no-show lists.

Automatic inventory control of consum-ables includes such functions as stock-level management, transfers between locations, and ordering and supplier management. Film archiving management helps to ad-minister onsite and remote environments with quick, e�cient registration of film deposits and loans.

Carestream Health's customized workflow solutions not only enable you to increase e�ciency, improve sta� and patient satis-faction, but also improve your bottom-line. Flexible integration with in-house or out-sourced billing systems promotes an accu-rate billing and timely reimbursement cycle.

Tools to empower your IT sta� CARESTREAM RIS is designed to reduce demands on your IT sta�, freeing valuable personnel for other duties. Flexible industry standard communication options enable seamless integration with a wide array of applications, tools, accessories, and network peripherals.

CARESTREAM RIS can operate on any standard o�-the-shelf server or PC that meets Carestream Health's minimum hardware requirements. This provides IT departments the ability to maximize current hardware and operating system investments and reduce lifecycle maintenance costs. When it comes to hardware, the system can grow incrementally without forklift upgrades: it allows IT personnel to easily and a�ordably add hardware for greater system scalability.

Optimized critical results notificationCritical studies are identified in the RIS, with no need for manual tracking, allowing clinicians to focus on the patient exam process. Results notification can be tailored to meet the distribution needs of various stakeholders – results can be sent via SMS, internal messaging, or email. The system also tracks notification to referring physicians and issues warnings for aging messages, to ensure appropriate follow-up and confirmation of results delivery. As an additional method to provide findings, the ability to record speech messages adds value to reports, ensures all critical information is shared, and reduces the need for one-to-one communications. An administration screen makes it easy to administer the tracking and reporting functions for critical results notification, saving time for personnel who normally consolidate information from many sources to generate reports for JCAHO.

Support for regulatory complianceAchieving full compliance is critical, but you don’t want your e�orts to slow workflow or detract from patient care. The new RIS sup-ports ACR peer review – second reads with conflict tracking, expediting compliance with U.S. standards. Double blind readings add e�cacy to the diagnostic process by removing subjectivity, bias, and other con-founding e�ects – to promote compliance with European regulations.

CARESTREAM RIS and PACS: a powerful combination This new-generation RIS is part of Carestream Health’s radiology solutions portfolio. The unified solution of CARESTREAM RIS and CARESTREAM PACS automates diagnostic workflow and enables e�cient creation, storage and distribution of the patient’s complete radiology record. The full solution o�ers diagnostic quality review of exam images – complemented by display of patient information – so radiologists can quickly consult a patient's complete clinical status for fast, accurate exam interpretations.

6 7

RIS tracks notification to referring physicians and issues warnings for aging messages to ensure proper follow-up and confirm results delivery.

MANAGE YOUR ENTERPRISE, YOUR WAY

Design screens to optimize e�ciency,collecting and managing data to match your work flow. CARESTREAM RIS lets you capture the information you need, at the right point in the process, and allows you to decide with whom it is shared.

CARESTREAM RISTaking workflow to the next level

Facilities struggle with the shortage of radiologists and other key personnel. Enterprise health systems endeavor to communicate critical patient data across numerous sites – often using a range of legacy systems from multiple manufacturers. More exams are being performed, generating more images to be managed, while the pressure to contain costs continues to grow.

Radiology is a world in motion.

Contact your Carestream Health representative, call us at 1-877-865-6325, ext. 655, or check us out on the web.

ris.carestreamhealth.com

Carestream Health, Inc.150 Verona StreetRochester, NY 14608

© Carestream Health Inc., 2009. CARESTREAM is a trademark of Carestream Health, Inc.M1-875 CAT No. 184 8886 6/2009

Learn more about CARESTREAM RIS/PACS and SuperPACSTM Architecture

Count on Carestream Health’s expertise and supportCarestream Health’s medical imaging solutions are backed by a support team of product and industry specialists who have helped to drive the transition from film to digital imaging in hundreds of radiology de-partments worldwide. Carestream Health supplements 100 years of knowledge and experience with interactive user groups, medical advisory groups, and input from our diverse radiology customers to constantly improve the quality and utility of the company’s digital solutions.

Carestream Health support begins with our in-depth o�ering of Professional Services to assist clients in identifying and managing the ever-changing business challenges encountered. Worldwide centers of excel- lence provide both remote and on-site diagnostics and maintenance of for our RIS, PACS, and storage solutions.

ONE Solution.Now there’s