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intelerad best practices steps to a successful inteleonetm implementation the business of radiology has changed dramatically over the last few years these days radiology practices serve multiple hospitals imaging centers and specialty clinics through disparate imaging solutions information systems and networks radiologists are no longer attached to specific locations and workstations yet they still require all patient relevant data including priors to be presented at the time of interpretation and expect a seamless and enjoyable reading experience to keep up with the new standards in turnaround times sub-specialty coverage remote reading and 247 final interpretations radiology groups are facing new it challenges intelerad s inteleone solution is the answer to these new challenges inteleone is designed for reading groups who wish to unify their workflow when reading for multiple hospitals/facilities with different ris and pacs systems inteleone provides the following benefits anne hengen professional services manager intelerad medical systems inc · · · · · · seamless access to studies including priors regardless of radiologist location unified reporting worklist improved report turnaround times and after-hours coverage broader sub-specialty reporting services improved radiologist collaboration and efficiency improved balance of workloads across radiologists for your reading group to maximize the advantages of inteleone you will need to work with your client hospitals and facilities you will need to partner with your clients to enable their participation in your inteleone solution in order to achieve your shared workflow objectives in a nutshell your clients will send current studies to inteleone where your radiologists will read them and as an output inteleone will send the final report back to their his ris or emr achieving this requires you and your customer to set up the necessary it infrastructure connectivity hl7 integrations and agree upon workflow and appropriate project staffing achieving collaboration and system integration between two separate businesses is not trivial over the past few years of working on many successful inteleone distributed radiology projects intelerad has overcome many challenges and has developed some key success factors and recommendations which are enumerated below 1 www.intelerad.com 1-888-246-9774 sales@intelerad.com © intelerad medical systems 2011 all rights reserved.

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planning despite the excitement or pressure of diving straight into your first hospital/facility rollout it is important to set aside some time for proper planning here are the key things to consider plan facilities to target ­ start early and approach several in parallel think about which of your customer hospitals/facilities you would like to include in your inteleone workflow and rank them in order of easiest-to-hardest to implement begin discussions with at least the top few right away as those get underway continue contacting the others on your list some will take weeks or longer to negotiate with or even just to have project resources available in short always have several irons in the fire designate an internal project manager ­ this should be someone on your side who knows your business has some project management experience and ideally has participated in a large software implementation in the past this person will need to have some time available to dedicate to your inteleone project s/he will coordinate your own internal project team as well as work with intelerad and your customer hospitals/facilities to get them implemented keep in mind that an inteleone project will run for some period of time as your partner facilities continue to be rolled out assemble your inteleone project team ­ most inteleone clients elect to designate a project manager a system/network administrator a pacs administrator and an executive project sponsor these resources are usually required on a part-time basis it is most efficient if you can keep the same people on the project across rollouts these key resources are often supplemented by other related personnel depending on the size of the organization intelerad has prepared sample job descriptions for these project roles to help you build your team partnering with your hospitals/facilities working with your hospitals/facilities is often the most challenging aspect of an inteleone project you are dealing with a separate organization with its own goals constraints policies and motivations they are also your customer which can make things a little delicate at times to enlist their full cooperation you will want to effectively communicate the shared advantages in streamlining operations with inteleone which ultimately enables faster and better patient care if you can make it work there are benefits to be reaped by both of you here are the key considerations understand your client s existing workflow in advance ­ take care to understand your client s existing workflow in detail including fringe/exception cases if you haven t already we suggest you visit them in person and understand how they are working and how your radiologists are working with them this will be important to ensure a smooth transition from their existing workflow to inteleone depending on the complexity of your project intelerad may send a representative to assist with this if not we will ask that you capture certain information and feed it back to us for planning agree on project scope and acceptance requirements ­ in order to meet project expectations and measure its success we strongly suggest that you formally define the project scope inclusions/exclusions planned workflow and acceptance criteria in advance with your customer facilities intelerad can help with this collaborate ­ in the case there is some friction between you and your customer remember that you are in this together on your side you want your customer to embrace inteleone and on theirs they need you to do their reading make the project a win-win scenario try to be as transparent and communicative as possible it s in your best interest to keep relationships and the project flowing smoothly 2 www.intelerad.com 1-888-246-9774 sales@intelerad.com © intelerad medical systems 2011 all rights reserved.

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navigating delicate areas ­ below are two sensitive areas that deserve special attention from your project planning team 1 costs ­ who pays for the necessary it infrastructure e.g hardware networking what if the hospital s ris and/or pacs vendor charges them to set up a new connection to inteleone these are questions you will need to iron out in advance 2 possible job impacts ­ if your new inteleone workflow reduces or eliminates the need for certain work to be performed by your customer e.g implementing voice recognition may reduce the need for transcription services be gentle although this may be seen as a cost-savings benefit at the senior level it may be seen as a threat by others approach delicately determine and document an escalation procedure ­ decide internally and work with your customers to determine how you will handle the support for inteleone users within your organization and theirs keep in mind that depending on your workflow this may be a 24x7 responsibility shortly before go-live print out copies of your escalation procedure and have your customer put them in key user areas note that intelerad will provide support directly to you but not necessarily to your customers communication communication is an important factor in the success of any project when you re managing the number of stakeholders and participants involved in an inteleone project it becomes even more critical here are some suggestions to foster a positive successful experience achieve agreement on planned workflow you your customer intelerad ­ all three parties will need to agree on the workflow to be implemented intelerad has a template to help plan this keep stakeholders updated on project status ­ this would include your internal stakeholders the applicable managers/executives physicians committees and of course the project team itself as well as the external stakeholders in your customer s organization we suggest regular periodic status updates give plenty of notice before planned go-live and training phases if you provide status updates in person say at a meeting be sure to also send minutes by email to ensure that anyone who missed the meeting stays informed maintain good relationships with your facilities ­ this would be before during and after implementation before implementation ­ to help with the buy-in process during ­ to help smooth over any issues that may crop up and after ­ to preserve a foundation of mutual assistance for those times you need to work together to solve problems in summary the key drivers in achieving a successful inteleone implementation are proper planning partnering with your customers in constructive ways and fostering good communication we hope you ve found our key tips and best practices gleaned from our broad installation experience to be informative we look forward to helping you and your customers achieve implementation success for more resources visit www.intelerad.com/inteleone_wp about intelerad medical systems intelerad is a recognized leader in medical imaging pacs and workflow solutions intelepacs® relies on a scalable flexible and fault-tolerant architecture intelerad solutions like inteleonetm have a strong reputation for reliability and performance in complex multi-site environments with challenging workflows 3 www.intelerad.com 1-888-246-9774 sales@intelerad.com © intelerad medical systems 2011 all rights reserved.

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