1) Imaging Architecture & Performance
- Enterprise imaging design (single or multi-site): PACS, VNA, DICOM routers, DICOMweb
- Time-to-first-image optimization: bandwidth/QoS, caching, adaptive prefetch
- High-availability & DR: clustering, failover, cross-site resiliency
2) Workflow Automation (Less Clicks, More Reads)
- Advanced DICOM routing by modality/exam/priority/reader group
- Prior prefetch & advanced prefetch (patient MRN/time windows/body part logic)
- DICOM tag morphing & harmonization (vendor-to-vendor normalization)
- Smart worklists (STAT rules, capacity balancing, subspecialty coverage)
- Auto-hanging protocols and smart study grouping
3) Interop & Integration (Make Systems Talk)
- HL7/FHIR orders, results, and schedule sync (RIS/EMR/portals)
- Referrer connectivity (fax-out, Direct, SFTP, portal, API)
- Report and voice (PowerScribe, M*Modal) with structured templates
- Patient access: eligibility, e-forms, reminders, online pay
4) AI, Orchestrated
- AI Orchestrator: route studies to the right AI model; return results to PACS/RIS/report
- Use cases: CT stroke triage, CXR findings, lung nodules, mammo CAD/density, echo quant, QC
- Human-in-the-loop safety, explainability notes, and drift monitoring
5) Data, Analytics & Forecasting
- DashView™ live ops KPIs (TAT, no-shows, utilization, scanner idle, report aging)
- GenBI™ EDW & predictive analytics (volume forecasts, staffing models, case-mix, payer mix)
- Mayhem Master™ storage intelligence (growth, anomalies, cost tiers, archive hygiene)
6) Security, Compliance & Accreditation
- SOC 2 / HITRUST-aligned processes; HIPAA/BAA
- Endpoint hardening, MFA/SSO, least-privilege, encrypted PHI
- ACR/MQSA readiness, dose monitoring pipelines, audit trails
7) Remote Reading & Coverage Expansion
- Home reading enablement: secure VPN/SD-WAN, GPU virtualization, clinical monitors
- Telerad integration: capacity overflow, after-hours, subspecialty reads
- SLA-backed monitoring and 8×5 or 24×7 support
8) Managed Imaging & Integration Services
- Proactive monitoring, patching, vendor coordination
- Ticketing, change control (ITIL), capacity planning
- Predictable Opex; fewer fire drills