Teleradiology and emerging business models

Mun, Seong Ki; Tohme, Walid Gabriel; Platenberg, R. Craig; Choi, Inyoung

doi:10.1258/1357633054893373

Cited by 30 publications

(21 citation statements)

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“…general practitioners, insurance companies, and governmental departments, requires a monitoring framework to enable synchronization of processes and to check collaboration agreement adherence (and to act upon it) [6]. Within the healthcare domain, teleradiology is an already well-established area in which collaborations between different organizations is commonplace and succesful [23,45,57], although collaborations are usually considered to be static. In our view, collaborations (and thus agreements) should be established much more dynamically.…”

Section: Case Study: Teleradiology As An Evolving Business Networkmentioning

confidence: 99%

Measures and mechanisms for process monitoring in evolving business networks

Comuzzi

Vonk

Grefen

2012

Data & Knowledge Engineering

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractThe literature on monitoring of cross-organizational processes, executed within business networks, considers monitoring only in the network formation phase, since network establishment determines what can be monitored during process execution. In particular, the impact of evolution in such networks on monitoring is not considered. When a business network evolves, e.g. contracts are introduced, updated, or dropped, or actors join or leave the network, the monitoring requirements of the network actors change as well. As a result, the monitorability of processes in the network may be disrupted. This paper proposes a framework to solve the problem of preserving the monitorability of processes in an evolving business network. We first propose a formal model of business networks, contracts, and monitoring requirements. Then, we model network evolution and the mechanisms to preserve the monitorability of the processes in the network for different types of evolution. In particular, the preservation of monitorability requires the actors in the network to take appropriate actions in case of dependencies between already established contracts, and update their monitoring infrastructure to satisfy the new monitoring requirements introduced by evolution. We also define a set of metrics that can be used for supporting decisions regarding the potential evolution of a business network. A case study in healthcare and the discussion of a prototype implementation show the applicability of our framework in real-world scenarios.

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Section: Case Study: Teleradiology As An Evolving Business Networkmentioning

confidence: 99%

Measures and mechanisms for process monitoring in evolving business networks

Comuzzi

Vonk

Grefen

2012

Data & Knowledge Engineering

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“…However the main challenge is seamless integration of teleradiology with PACS, in order to enable flexible exchange of patient related information, i.e. electronic patient records (EPR) and radiological images including priors [2, 5, 6]. …”

Section: Introductionmentioning

confidence: 99%

“…Different models for the usage of teleradiology can be defined accordingly: (1) a single facility (hospital or imaging centre) using teleradiology for on-call purposes (home-based radiologists); for obtaining expert/second opinions; or for outsourcing the readings to an outside teleradiology company or hospital, (2) an enterprise with multiple facilities, using teleradiology for in-house distribution of workload, for obtaining second/expert opinions or for outsourcing the work to a commercial teleradiology provider, (3) a radiology group or teleradiology company providing professional services to several related or unrelated facilities (in terms of ownership) [2, 6]. …”

Section: Introductionmentioning

confidence: 99%

European Teleradiology now and in the future: results of an online survey

Ranschaert

Binkhuysen²

2012

Insights Imaging

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ObjectivesTo obtain an overview of teleradiology usage within Europe, to evaluate the current opinion and future vision about this technique.MethodsA web-based survey targeted at active radiologists throughout Europe.ResultsA total of 368 radiology professionals participated in the survey. Among them 65 % currently use teleradiology. The main usages are in-house image distribution (71 %) and on-call readings from home (44 %). The major advantages are improved collaboration with other radiologists (46 %) and efficient distribution of workload (38 %). Outsourcing is performed by 35 % of the participants, among them 68 % use commercial services. The major advantages of outsourcing are availability of second opinions (82 %) and additional capacity for on-call services (71 %). The major disadvantages are insufficient integration of patient history and priors (69 %), and limited communication with clinicians (68 %). The majority expressed a positive opinion regarding the future of teleradiology (80 %) predicting a growing importance (46 %). Opportunities ought to be found in emergency reading services, flexible support of small practices and in collaborative platforms.ConclusionsA wide usage of teleradiology throughout Europe is perceived; however usage of commercial services is relatively limited. Regarding cross-border services, there is a great demand for a focused Pan-European legislation, an adapted price regulation and a quality assurance framework.Main Messages• A wide variety of teleradiology applications exist in Europe• Implementation mainly occurs in countries with a high concentration of networked PACS• Usage of commercial teleradiology services in Europe is relatively limited• Language is an unsolved issue and limiting factor for further deployment of services• There is a demand for a Pan-European legislation, price regulation and quality assurance framework

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“…7,10 The participants also stated that a lack of contact with the radiologist is likely to impede the diagnostic progress of the patients, particularly in emergency cases. 13,14 These problems are serious threats for the effectivity and quality of teleradiology practices. Our results also suggested that the integration of accurate clinical history is of prime importance for the efficiency of teleradiology consultations.…”

Section: 7-9mentioning

confidence: 99%

The Use of Teleradiology in Turkey: Current Situation and Attitudes of Radiologists

Petik¹,

Şirik²,

Çolak³

et al. 2015

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this study, we aimed to evaluate the teleradiology use in the daily practices of the radiologists and the attitudes regarding the use of teleradiology in Turkey. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The descriptive cross-sectional study was based on a 27-item questionnaire which was administered online and through in-person structured interviews. The questionnaires that were duly filled and returned within one year were included in the study. R Re es su ul lt ts s: : A total of 226 radiologists participated in the study. Of these, 67 (29.6%) were working at university hospitals, 45 (19.9%) at training and research hospitals, 59 (26.1%) at state hospitals, 55 (24.3%) at private hospitals. Level of teleradiology knowledge was revealed as very little in 2.2%, little in 14.2%, moderate in 43.4%, considerable in 26.1%, and expert in 14.2%. The most common format for transmission of teleradiology data was Digital Imaging and Communications in Medicine (DICOM) 3.0 (63.3%). The most common disadvantage of teleradiology was revealed as insufficient integration of clinical history (62.8%). The majority expressed a positive opinion regarding the spread of teleradiology in Turkey (73%). C Co on nc cl lu us si io on n: : A wide usage of teleradiology throughout Turkey was revealed although most of the radiologists have limited information regarding the use of teleradiology. The participants have a positive attitude towards the spread of teleradiology.K Ke ey y W Wo or rd ds s: : Radiology information systems; teleradiology; telemedicine Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada, ülkemizde radyologların günlük pratiklerinde teleradyoloji kullanım sıklığını, teleradyoloji kullanımına ait ayrıntıları ve teleradyolojiye ait tutumlarını değerlen-dirmeyi amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Tanımlayıcı kesitsel olarak planlanan bu çalışmada, 27 sorudan oluşan anketin bir kısmı elektronik posta ile bir kısmı ise elden dağıtılan anketlerin doldurulması ile elde edildi. Bir yıllık bir süre içerisinde tam ve hatasız doldurularak geri gön-derilen anketler çalışmaya dâhil edildi. B Bu ul lg gu ul la ar r: : İki yüz yirmi altı anketin değerlendirmeye alındığı çalışmada, katılımcı radyologların %29,6 (67)'sının üniversite, %19,9 (45)'unun eğitim ve araştırma hastanesinde, %26,1 (59)'inin devlet hastanesinde, %24,3 (55)'ünün özel hastanelerde çalıştığı gözlendi. Öte yandan katılımcıların %2,2'sinin teleradyoloji hakkında hiç, %14,2'sinin az, %43,4'ünün orta, %26,1'inin fazla, %14,2'sinin çok fazla düzeyde bilgi sahibi olduğu saptandı. En sık %63,3 kullanılan teleradyolojik yöntemin radyologlara elektronik posta vb. yollarla DICOM 3.0 (Digital Imaging and Communications in Medicine) kullanılarak hasta görüntüleri göndermek (depola ve gönder) şeklinde yapıldığı öğrenildi. Teleradyolojinin en sık dezavantajının klinik bilgi yetersizliği olduğu ortaya konuldu (62,8%). Teleradyolojinin ülke-mizde standartlara uygun bir şekilde yaygınla...

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Teleradiology and emerging business models

Cited by 30 publications

References 0 publications

Measures and mechanisms for process monitoring in evolving business networks

Measures and mechanisms for process monitoring in evolving business networks

European Teleradiology now and in the future: results of an online survey

The Use of Teleradiology in Turkey: Current Situation and Attitudes of Radiologists

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