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Mi5it is a Global Web Based Medical Image Exchange service. Mi5it allows people to to archive and share medical images in a way that is practical, safe and easy to use. Mi5it is a Cloud Service for all your EMR and Medical Imaging needs. It combines the best technologies from Diagnostic Medical Imaging with the best of breed innovations from Web 2.0 and Social Media.

Mi5it offers easy to use HIPPA compliant web based tools that can be used to acquire, store, view, and share Medical Images Online. With our web based platform we allow Patients, Professionals and Corporations to have secure access to these images. Mi5it’ empowers better patient care and outcomes by bringing people together. Mi5it offers software and IT solutions that are affordable to large and small facilities, alike.

  1. Patients will have instant access to images. There are no more pesky DVD’s — or worse, “film” — to carry around in the back of a car. Patients can now share their images with their doctors as easily as sending email.
  2. Doctors, Radiologists and Tele-radiology service providers can now use a ubiquitous and omnipresent interface that not only standardizes how they work but also allows them to offer extended value added services.
  3. Imaging Centers and Hospitals can do away with their film and go digital with no upfront costs, no difficult-to-learn Information Technology(IT) knowledge and no complex, expensive equipment.
  4. The ultimate breakthrough is that Mi5it enables Companies that produce Medical Images to share information with Patients and Professionals in a new way — one that is easy, intuitive and precise! Patients can find doctors and get second opinions online.

Site Operations Assessment & Planning

A PACS deployment in radiology, integration with HIS/RIS information systems enabling image distribution throughout the healthcare enterprise. But where should you start?

Phase I. Site Operations Assessment & Analysis.

  • Develop a current workflow map, film storage and image distribution mapping for radiology and throughout the healthcare enterprise.
  • Develop clinical information maps, determine critical enterprise information needs and make recommendations for effective information flow.
  • Quantify costs; identify inefficiencies, communication and workflow breakdowns.
  • Show how electronic re-engineering of radiology will help.

Phase II. Cost Benefit & Justification Based on Analysis.

  • Develop cost analysis for direct and indirect costs.
  • Development of benefits scenarios.
  • Increases in production capacity.
  • Increases in billing and revenue capture.
  • Re-engineering and work process improvements.
  • Impact to clinical care enterprise wide.

Phase III. Proforma Modeling.

  • Development of information based decision-making models.
  • Development of financial scenarios for optimal deployment and payback.

Pre-Deployment Project Planning

Managing a PACS /EMR  project from inception through implementation is an overwhelming undertaking for any institution. Working with the proven methodology and assessment techniques of Mi5it will help to ensure that your institution delivers the most cost-effective program for a successful project.

Mi5it Consulting will spend the time to understand your institution’s needs and develop a customized approach all based on your specific needs and particular challenges. The program outline below provides an easy to understand approach to developing a complete plan and implementation strategy that delivers results.

Phase I. Needs Assessment & Objectives Development.

  • Identification assessment and integration of a healthcare institution’s short- and long-term needs.
  • Clearly articulated set of objectives and goals for the PACS /EMR  Program.
  • Ensure the operational and clinical goals of radiology will integrate with those of the clinical clients of radiology.
  • Make provisions for time frames and informational needs of the institution.

Phase II. Operational Analysis & Cost Assessment.

  • Site Analysis
  • Develop a current workflow map, film storage and image distribution mapping for radiology and throughout the healthcare enterprise.
  • Develop clinical information maps and determine critical enterprise information needs to make recommendations for effective information flow.
  • Quantify costs; identify inefficiencies and communication breakdowns.
  • Cost and Benefit Analysis
  • Proforma Analysis and Justification

Phase III. Radiology and Institutional IT Infrastructure Assessment.

  • Network Infrastructure Assessment
  • DICOM Modality Analysis
  • HIS/RIS/CIS Integration Considerations
  • Image Archive Needs, Forecast and Analysis
  • Re-engineering enhancements, workflow and throughput Considerations

Phase IV. PACS And IT Requirements Statement.

  • Develop Technical Needs
  • Project RFP Document Generation
  • Vendor Analysis
  • Budgeting
  • Trade-off Analysis
  • Acceptance Criteria

Phase V. Implementation Strategy and Deployment.

  • Phase Development and Prioritization For Optimized ROI
  • Project Deployment Designed to Funding Parameters
  • Technical Support Strategy and Implementation
  • Technical Specification Married to Technology Availability
  • Clinical Practice Deployment Strategy
  • Vendor Selection
  • Acceptance Testing by Phase
  • Re-engineering for Cost Reduction and Efficiency Improvements

RIS CIS PACS Workflow Analysis

Workflow analysis can be an effective tool in deploying new technologies. By facilitating a heightened understanding of the various economical and organizational benefits, workflow analysis allows institutions to capitalize on the efficient use of newly implemented technology.

This technique further results in many ancillary, equally valuable benefits:

  • Allows an understanding of the impact of the technology deployment.
  • Establishes a “benchmark” via a “snaphot” of the department processes.
  • Can be used in order to maximize efficient use of the technology.
  • Can be used to measure changes in operating costs.
  • Can be used to identify and monitor security of patient information.

In addition to a return on investment (ROI) analysis and continued monitoring, workflow analysis provides a mechanism to gather operational statistics that will serve as a baseline for future evaluations of the impact of such technological implementations as PACS.

Also, workflow charting provides an avenue by which the user may achieve a vital and fundamental understanding of a department’s operations, and, through this unique perspective, may assist in efforts toward improving efficiency in departmental and organization-wide operations and procedures.

Mi5it Consulting has and will provide the skill sets necessary for flow-charting the work processes (for example, each step that is performed from the time a patient procedure is ordered/scheduled to the time the procedure is completed) within the Radiology/Cardiology department. Mi5it will also assist to develop the skills (task organization, diagram drawing, process timing, etc.) of department personnel to evaluate and refine processes in the future.

The Workflow services include the following:

  • Interview technologists and area supervisors to determine job functionality on a daily basis and to identify differences in methodology between individuals, modalities, and shifts.
  • Flow chart workflow processes (all patient movement, clerical tasks, Radiologist/physician work and technologist/modality procedures) and submit to departments for review and adjustments.
  • Enter all processes into Visio software program for a concise visual layout of workflow to be given to the institution.
  • Review all processes to identify existing inefficiencies (inability to retrieve prior films due to misfiling, etc.) prior to new technology application.
  • Identify steps of each process that will change or be deleted by PACS implementation.
  • Develop and chart post-PACS implementation processes
  • Mi5it can also provide the services of deploying the new processes.


  • Yields Technology opportunity
  • Identifies inefficiencies of existing processes within the department. This data can be used in the ROI development process.
  • Identifies approximate lengths of time for each procedure and what the associated FTE costs are for the procedure.
  • Provides a tool to be utilized in Improved Operations Procedure (IOP), required by JCAHO.

RIS CIS PACS RFP Development

Creating a RFP for a RIS, CIS, and/or PACS is a daunting task for any healthcare institution. Mi5it can custom build and create a RFP based upon your institution’s unique current and future business goals.

Mi5it develops each client’s individual RFP by understanding some of the following core business metrics:

  • Healthcare System Profile
  • Corporate business goals for RIS CIS and/or PACS
  • Current IT Infrastructure
  • Current Business & Clinical Systems Capabilities
  • Prospective Vendor Profiles
  • Prospective RIS CIS and/or PACS Descriptions and Capabilities
  • Vendor Support Details
  • Available Industry Technology
  • Documentation

Mi5it has the experience and knowledge to create a custom developed RFP for your healthcare institution. Your institution’s unique RFP will ensure that you thoroughly define your current and future business goals to any prospective vendor. Mi5it can help simplify the complex RFP process and ensure appropriate results.

Vendor Evaluation & Contract Negotiation

The process of evaluating each prospective vendor’s response to a RFP, vendor selection, and contract negotiations can be very time consuming and frustrating.

Mi5it can help in one or all of these tasks.

Vendor Evaluation

Mi5it evaluates vendors based upon some of the following metrics:

  • Response to the RFP
  • RFP scoring
  • Site visits
  • Technology & System evaluation
  • Vendor Selection

Mi5it assists clients with vendor selection based upon the vendor evaluation and some of the following metrics:

  • Pricing
  • Vendor support
  • System customization
  • System reliability
  • System upgrades
  • Open system architecture
  • Adherence to IHE standards and EMR integration
  • Contract Negotiation

Mi5it has the experience and knowledge to negotiate contracts on the client’s behalf.

Mi5it can assist in contract negotiations with:

  • Pricing
  • Payment term agreements
  • Vendor support agreements
  • Vendor payment and/or technology concessions
  • System testing and acceptance
  • System upgrades

Acceptance Testing & Criteria

The development of Acceptance Testing & Criteria is the single most key component to ensure that the application your institution has implemented will be thoroughly approved for system and clinical wide use.

By thoroughly understanding a client’s specific PACS requirements, or any other application requirements, Mi5it can assist in the development of fully comprehensive Acceptance Testing & Criteria based upon the vendor’s PACS specifications and an institution’s published RFP requirements.

The metrics that Mi5it incorporates into Acceptance Testing & criteria include but are not limited to:

  • Overall deployment management & implementation services
  • Systems Integration
  • Modality Integration
  • Performance Specifications
  • Quality Assurance
  • Functional Requirements
  • Test Scripting
  • Training Requirements
  • System Downtime/Uptime requirements & specifications
  • Disaster Recovery