ALLEGIANCE HEALTH, JACKSON, MICHIGAN, USAOn-the-go bedside imaging bringsbetter care to patients in ER and beyondMoving technology to ‘critical areas’ as needed lets doctors and technologists obtainimages and share results more quicklyInterviewees Robyn Pulliam, Director of Imaging Services · Dr. Samir Parikh, Vice Chief Radiologist · Amy Helton, Manager of ImagingPerformance and Qualityproducing about 230,000 procedureseach year.Immediate access to interpretimages from anywhereOne of the key drivers in the hospital'sdecision to add mobile DR to this rangeof services was the need to receiveand share images, especially in criticalcases, more quickly. "It's importantto have direct digital technology incritical areas, so that the image can beviewed and evaluated immediately,"says Amy Helton. For Dr. Samir Parikh,Vice Chief Radiologist, the speedyimage access that is enabled by theDX-D 100 solution is vitally important.Allegiance Health has played an integralrole in south-central Michigan for morethan 90 years, growing from a 100-bedfacility to a full-service acute carecommunity health system, now with411 beds and a broad range of specialtydepartments. In its continuous effortto improve patient care and processes,Allegiance Health recently implementedtwo DX-D 100 mobile DR solutions from<strong>Agfa</strong> <strong>HealthCare</strong>.Allegiance Health interprets'community' broadly, extending thedefinition to include an emphasis oneducation, both on the medical side andcommunity outreach. It will become ateaching hospital in 2014, bringing 140new physicians to Jackson. The hospitalalso strives to educate its communitythrough initiatives like the SpeakersBureau, offering experts to speak to24 THEREgroups on topics such as diabetes,health and wellness, or palliative care.For imaging, this focus on educationtranslates into a collaboration withlocal colleges. Allegiance providesa clinical experience for students ofgeneral radiology, ultrasound andnuclear medicine. "Having students inthe department supports an atmosphereof professional growth for all of us,"says Amy Helton, Manager of ImagingPerformance and Quality at AllegianceHealth. "They're able to learn in avariety of settings, on both older analogand the newest digital solutions."Imaging services at Allegiance Healthinclude about 170 staff members,operating 20 departments thatinclude MRI, CT, general radiology,nuclear medicine and mammography,“The DX-D 100 solutions werethe choice for us, meeting thecriteria, providing overall valueand ensuring the best use of ourresources.”Robyn Pulliam, Director of Imaging Services
“My staff technologists like theMUSICA 2 image processingsoftware, because they canmake immediate adjustmentsimproving efficiency, and theimages are excellent.”Amy Helton,Manager of Imaging Performance and Quality"The DICOM wireless connectivity isof great benefit," he says. "We haveimmediate access to interpret imagesfrom anywhere in the hospital, or evenour offices."One DX-D 100 is used in the emergencydepartment, and the other is used onselect patient floors. With its largeservo-driven wheels, and narrowwidth, "it maneuvers easily throughoutthe building," says Amy Helton. "Inaddition, my staff technologists like theMUSICA 2 image processing software,because they can make immediateadjustments improving efficiency, andthe images are excellent."The ‘gold-standard’ MUSICA 2 imageprocessing has been specially adaptedfor the DX-D 100 and tuned to furtherenhance the excellent DR image quality.Exam-independent, it providesconsistent image quality andhigh-contrast detail.Improved image quality anddecreased radiation doseFor Dr. Parikh, the image quality ofthe DX-D 100 is important as well. "Ingeneral, the quality is much better thanconventional portable radiography,providing very sharp and detailedimages. In addition, we are able tomanipulate the contrast on PACS forbetter visualization of lines and tubes.There is also an externaldose-measuring device that helps uscontrol the dose."The DX-D 100 features an integratedNX workstation, for an optimalworkflow. When users select a specifictype of exam, the appropriate X-raysettings are automatically transferredto the X-ray generator and displayedon the touch-screen console. NX addsthe exposure parameters used to thedigital image file, and communicatesseamlessly with the hospital's PACS.DX-D 100 takes the lead instringent review processFor this first foray into mobile DR,Allegiance Health conducted astringent review, assessing threevendors' solutions against a long listof requirements, including how thesolutions provided patient care, safety,quality, as well as cost, operationaland technical factors, and efficienciesgained. “In the end, the DX-D 100solutions were the choice for us,meeting the criteria, providing overallvalue and ensuring the best use ofour resources," says Robyn Pulliam,Director of Imaging Services. "When wechoose responsibly and use resourceswisely, it allows us to make goodquality healthcare accessible to asmany members of the community aspossible."The hospital already had a level offamiliarity with <strong>Agfa</strong> <strong>HealthCare</strong>, withan IMPAX PACS and CR from <strong>Agfa</strong><strong>HealthCare</strong> in place. "Allegiance hasenjoyed a strong business partnershipwith <strong>Agfa</strong> <strong>HealthCare</strong> for over 12“In general, the quality is muchbetter than conventional portableradiography, providing very sharpand detailed images.”Dr. Samir Parikh, Vice Chief Radiologistyears. We've been pleased with theirproducts, level of responsiveness, andcustomer service," concludes RobynPulliam. •<strong>Agfa</strong> <strong>HealthCare</strong>’s contribution» 100-years’ experience in developing imagingsolutions to meet full range of hospitalrequirements» In-depth understanding of user needs, fromtechnologists to radiologists through tohospital administrators» Specialists in ergonomics and intuitivesystems that are easy to learn and simple touseSolutionsDX-D 100 mobile DR solution» Efficient mobile bedside imaging solutionprovides improved patient comfort» Handles broad range of general radiographyX-ray studies» Offers instant high-quality image capture;immediate image validation, transfer andaccess (HIS/RIS/PACS integration)» Features specially-tuned MUSICA², forgold-standard image processing, and NXworkstation, for smoother workflowIMPAX PACS» Foremost image management solution forhealthcare providers around the worldDID YOU KNOW…» The emergency department at AllegianceHealth, which sees about 80,000 patients eachyear, was renovated in 2006, and features40 private rooms, an on-site pharmacy, valetparking, and family waiting areas.» Allegiance Health appears in many nationalrankings, including the CareChex Top 100Hospital 2012 Medical Excellence Awards;the Distinguished Hospital Award - ClinicalExcellence in 2012 for the third year in a rowfrom HealthGrades; and an “A” Patient SafetyRating from The Leapfrog Group.THERE 25