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Edition 4 - Agfa HealthCare

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IMPAX PACS’ unique architecture<br />

integrates complex Croatian linguistic<br />

requirements with HIS and nationwide<br />

EPR at Zadar General Hospital<br />

EPR and HIS integration, alphabet compatibility and enterprise-wide training<br />

in digital workflows are among the unique challenges met by <strong>Agfa</strong> <strong>HealthCare</strong><br />

INTERVIEWEE Dr. Boris Bilic, Chief of Radiology<br />

Hospital Zadar General Hospital, Croatia<br />

Integrating a Picture Archiving and<br />

Communications System (PACS) with<br />

an already existing hospital Information<br />

System (HIS) and Electronic Patient<br />

Record (EPR) resulted in some extremely<br />

unusual challenges in Croatia’s Zadar<br />

General Hospital. The challenge was to<br />

find a company that could customize its<br />

solutions to accommodate the Croatian<br />

language with its complex alphabet and<br />

vernacular. But according to the Chief<br />

of Radiology, Dr. Boris Bilic, the open<br />

architecture of <strong>Agfa</strong> <strong>HealthCare</strong>’s IMPAX<br />

PACS and the company’s technical<br />

expertise easily addressed some critical<br />

obstacles. The Radiology Department<br />

significantly improved productivity while<br />

using the same number of staff, resulting<br />

in a better service to physicians and<br />

clinicians throughout the institution.<br />

A PACS solution to integrate<br />

with HIS and nationwide EPR<br />

A newly independent nation recognized<br />

in 1992 by the United Nations and<br />

the European Union, the Republic of<br />

Croatia has grown both financially and<br />

in population. A credit boom in 2002<br />

and expanding tourism has led to a<br />

highly stable market economy. It has<br />

been accepted for EU membership,<br />

and expects to join in the next few years.<br />

Zadar General Hospital is a state-owned,<br />

500-bed regional institution serving<br />

about 180,000 residents of this costal<br />

Adriatic Sea community. Continuous<br />

population growth in Zadar has<br />

increased the demand for healthcare<br />

services from this hospital. As a result,<br />

the Radiology Department now performs<br />

about 85,000 procedures annually,<br />

which includes general radiography,<br />

Computed Tomography (CT), Magnetic<br />

Resonance (MR), digital mammography<br />

and Ultrasound (US). The hospital also<br />

houses the region’s primary cardiac<br />

catheterization facility, making Zadar<br />

second only to the nation’s capital,<br />

Zagreb, as a major cardiac center.<br />

AGFA <strong>HealthCare</strong>’s CONTRIBUTION<br />

» IMPAX PACS version 6.<br />

In 2006, the Radiology Department<br />

under its Chief of Radiology,<br />

Dr. Boris Bilic, realized that its<br />

conventional workflows and information<br />

sharing with referring physicians and<br />

staff were inadequate to meet the<br />

growing demand. “Creating a hospitalwide<br />

EPR – to be connected to the<br />

nationwide EPR – required a fully digital<br />

workflow integrating a department-wide<br />

PACS with the pre-existing HIS,” he says. ›››<br />

“Few other large firms we met<br />

had <strong>Agfa</strong> <strong>HealthCare</strong>’s depth<br />

of experience and information<br />

technology knowledge, not to<br />

mention an ongoing presence<br />

in our country.”<br />

Dr. Boris Bilic, Chief of Radiology<br />

THERE 25

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