__
Colleagues,
In light of the continued issues with the temporary environment following the data center fire, it is advised that FINAO go live with the permanent server environment today (7/19) at 1:30 PM
Updates will be emailed and posted to the ROH website.
The temporary environment is live and will remain active, as needed.
Thanks for your continued patience and this next step is critical in moving toward full restoration of the system.
Parke
____________________________________________________________________________________________________________________________________
Please see message below from Gene Cathey (CEO FINAO Solutions).
We hope go live can be rescheduled for midday tomorrow. I will relay this information via email and web post, when we receive confirmation.
The temporary system remains active.
Parke
– – – – – – – – – – – – – – – – – – – – – – – – –
Parke,
The go-live is postponed for today. Intelerad found they have to do an FRU (upgrade) to the new system. I am VERY frustrated and have shared this with Intelerad.
I am waiting to hear from Intelerad on a new go-live date. Have another call at 3pm to set time to go live.
Thanks!
—————————
Gene Cathey CEO
FINAO Solutions
Tel. 256-705-3462
Fax 509-461-1602
______________________________________________________________________________________________________________________________________
Colleagues,
Intelerad and FINAO continue to work through final configurations to transition from Intelerad’s temporary server environment to the permanent environment, while minimizing disruption during the transition.
Intelerad expects this go live will occur this afternoon, likely sometime after 1:30 PM Central. As soon as ROH has firm confirmation, we will provide notice and add a post to the ROH website:
The temporary system is live and will remain on line until FINAO is certain that the go live is completed. Thank you for your continued patience.
Parke
______________________________________________________________________________________________________________________________________
Intelerad Go live – Monday (7/17) @ 12:00 Noon
(July 14, 2023 – for immediate release)
Colleagues,
FINAO just received confirmation that the Monday go live for the permanent servers can occur at 12:00 Noon, to better accommodate the Monday morning surgery schedule. Unfortunately, Intelerad was unable to perform this go live in the requested ‘off peak’ hours.
FINAO Support contacted sites with the ‘single use’ password required to access the permanent environment. Individuals with active user names can then reset their permanent password. FINAO Support is available at 256.705.3462, if needed … or you can call me directly.
No changes to the current system will occur until Monday 7/17 at 12 noon.
ROH Radiologists will be on-site at facilities for this go live and access to the current temporary system will remain active during the go live and for a residual time thereafter. Access to the current temp system during go live can occur as follows: (below)
Again, thank you for your efforts in helping ROH to this point.
Parke
When we go-live with the new environment the below will happen with regards to the url:
1. Currently the url (https://pacs.finaosolutions.com) is pointed at the public IP address (142.215.19.50) for the temporary system.
2. At the time of go-live, the url (https://pacs.finaosolutions.com) will be pointed at the NEW system public IP address.
3. IF someone still needs to login to the temp system, they would use the public ip address (https://142.215.19.50). The certificate will say “Not Secure” or Private but that is only because of using the public IP instead of the named URL. Below are screenshots of using the temporary system public IP address:
SELECT Advanced
SELECT Continue to 142.215.19.50
You will then be presented with the Intelebrowser login screen
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______________________________________________________________________________________________________________________________________
Go live – DELAYED
(July 12, 2023 – for immediate release)
Huntsville, AL
Colleagues,
The planned ‘go live’ for the permanent Intelerad system, which was initially scheduled for tomorrow (7/13/2023), is delayed.
Additional work is needed to ensure all Intelerad site and provider configurations are correct in final testing.
The future ‘go live’ date will be circulated via email and this information will be posted to the Radiology of Huntsville website when the date is confirmed.
The temporary system will remain active until ‘go live’ with permanent servers. Thank you for your continued patience as we recover.
Parke
______________________________________________________________________________________________________________________________________
Imaging volumes increased significantly following the Memorial holiday. These increasing volumes and the scores of comparisons retrieved for needed interpretations impacted the speed of the temporary system materially earlier this week. FINAO is aware of these events and the team was actively working with Intelerad during these events. The permanent server environment is significantly more robust. Currently, ROH operates on a single, large temporary server. This will be replaced and then mirrored with twelve (12) corresponding servers. This additional horsepower is needed and Intelerad is actively loading software and configuring this environment. ROH is continually assured that this project is top priority for Intelerad, and we anxiously await the ETA.
FINAO continues to provide technical updates at:
Thank you and your staff for your tireless efforts… we are getting closer!
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
(May 26, 2023 – for immediate release)
Huntsville, AL
The pending Intelerad worklist is largely within expected parameters, with the vast majority of the studies completed on or after May 25th. Radiologists continue to work through the remaining studies that may be awaiting prior imaging / reports.
ROH sincerely appreciates the substantial efforts technologists provided to help get the worklist to this point. Your hours of work retrieving priors, distributing reports, and performing all needed tasks to help care for imaging patients have not gone unnoticed. On behalf of ROH and its most grateful doctors, please accept our sincere thanks. We could not have recovered to this point without you and your dedicated efforts.
Nonetheless, we know much work remains to restore full PACS services. These efforts continue and will continue through the holiday weekend.
Lastly, please join us in pausing this Memorial Day weekend in remembrance of the brave soldiers and servicemembers who gave the ultimate sacrifice for the country we are fortunate to call home. ROH hopes you and your families have a safe and enjoyable weekend and we appreciate the many technologists, clinicians, and physicians working away from their families this weekend.
Parke Keith
Radiology of Huntsville
- Additional technical updates are available at: https://www.finaosolutions.com/
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
(May 24, 2023 – for immediate release)
Huntsville, AL
ROH radiologists significantly reduced the number of outstanding studies awaiting final report. Access to prior images remains stable and technologists retrieving prior studies prior to Save/Completion is improving workflow.
Additional technical updates are available at: https://www.finaosolutions.com/
ROH will continue to provide updates as timely and relevant progress is announced. Thank you for your continued patience as we progress to full restoration.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
(May 22, 2023 – for immediate release)
Huntsville, AL
Radiologist’s access to retrieve prior exams from long term archive helped in addressing studies needing final reports over the weekend.
Technologists can and should retrieve relevant priors to the Intelerad system for current exams before the current study is saved/completed, to avoid interpreting delays.
Additional technical updates are available at: https://www.finaosolutions.com/
- The data center FINAO is utilizing for Intelerad servers is 3verest/Equinox.
- The data center in use for Nuance / Powerscribe 360 is DC Blox.
- Web links to these sites are available via the FINAO hyperlink.
ROH will continue to provide updates as timely and relevant progress is announced. Thank you for your continued patience as we steadily progress to full restoration.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 19, 2023 – for immediate release)
Huntsville, AL
ROH radiologist’s access to retrieve prior exams from long term archive was significantly expanded this afternoon.
Technologists can and should also retrieve relevant priors to the Intelerad system for current exams before the current study is saved/completed, to avoid interpreting delays.
Technical updates are available at: https://www.finaosolutions.com/
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 18, 2023 – for immediate release)
Huntsville, AL
FINAO focused efforts on taking servers now provisioned in conjunction with Intelerad and creating the environment in the new data centers.
Work is being done to ensure that radiologists can see prior studies in the “patient jacket” section of the current viewing environment.
HL7 connections remain an ongoing effort.
The latest technical updates are posted at https://www.finaosolutions.com/
Jonathan Henson
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 17, 2023 – for immediate release)
Huntsville, AL
FINAO continues to work with Intelerad on the stability of the temporary system and toward seamless retrieval for all prior studies.
Instructions for the newly built Tech Portal were distributed yesterday. Please contact us if your facility did not receive these instructions.
Additional batches of prior mammography studies were distributed today, and extra radiologist interpretation hours continue to be allocated to ensure that the MQSA timeline is met.
The latest technical updates are posted at https://www.finaosolutions.com/
Jonathan Henson
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 16, 2023 – for immediate release)
Huntsville, AL
FINAO continues to work with Intelerad on the stability of the temporary system and toward seamless retrieval for all prior studies.
Instructions for the new Tech Portal are being distributed to facilities.
ROH is acutely aware of the necessity of meeting the thirty (30) day MQSA timeline for mammography interpretations. ROH intends to finalize these interpretations as needed prior studies are available, prior to the MQSA deadline.
The latest technical updates are posted at: https://www.finaosolutions.com/
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 15, 2023 – for immediate release)
Huntsville, AL
FINAO continues to work toward seamless retrieval for all prior studies. This functionality is working for newly performed studies but is challenging for older priors. FINAO is working on functionality for the Intelerad Tech Portal that we hope to distribute tomorrow. This should simplify tech’s ability to retrieve relevant priors (i.e. three (3) latest mammograms).
Instructions for the new Tech Portal functionality will be distributed as soon as it is available… hopefully tomorrow.
The latest technical updates are posted at: https://www.finaosolutions.com/
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 14, 2023 – for immediate release)
Huntsville, AL
FINAO has been working with Intelerad over the weekend to improve functionality and performance for retrieval of prior studies for comparisons. Additionally, work is being done to improve speed on the viewing platform.
HL7 connections continue to be restored.
The latest technical updates are posted at https://www.finaosolutions.com/
Jonathan Henson
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 13, 2023 – Morning Update – for immediate release)
Huntsville, AL
The FINAO team continues to work to integrate prior exams from the long-term archive as ROH Radiologists work throughout the weekend.
Manual retrieval of prior studies is occurring, as current studies are consistently pairing with priors via the new Dicom index.
FINAO will provide timely updates at:
Parke Keith Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 12, 2023 – for immediate release)
Huntsville, AL
Scans originating today and going forward will begin to auto-populate prior studies from the long-term archive for comparisons. However, scans prior to May 12th may require manual retrieval by FINAO technical support for the time being. Please continue to allow FINAO technical support 24 hours to manually retrieve prior studies.
With all Mirth HL7 servers now provisioned, efforts are focused on loading and testing HL7 connections across the environment. The FINAO reports database and tools are also being reestablished.
A significant number of additional reading hours have been scheduled for the coming weekend in order to address the worklist size.
The latest technical updates are posted at: https://www.finaosolutions.com/
Jonathan Henson
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 11, 2023 – for immediate release)
Huntsville, AL
FINAO, with its IT partners, provisioned twenty Mirth servers, needed to reestablish, and manage HL7 messaging, at the DC-Blox data center in Huntsville. This is a critical step toward full service for modality worklist, report distribution, etc.
Work continued throughout the day to seamlessly connect the long-term archive. Scores if not hundreds of studies are manually retrieved, daily. Your assistance in providing a minimum of twenty-four (24) hours prior notice is appreciated.
The latest technical updates are posted at: https://www.finaosolutions.com/
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS Update
(May 10, 2023 – AM Update: for immediate release)
Huntsville, AL
ROH radiologists convened via a one hour Zoom meeting to strategize the best pathway to address all studies requiring a final report. ROH learned that the manual connection to the study archive is stable and FINAO is working toward seamless interface. Connecting access to the archive with prior studies is paramount. The process to manually request an archived study is, as follow:
The workflow for these manual, individual study retrievals is as follows:
1. Best Case: Physician requests needed imaging from the archive with patient Accession Number (available on previous reports)
2. If no patient Accession Number is available: Forward full patient demographics, date of birth, MRN, date of study, location of study, etc. – FINAO staff will attempt retrieval without Accession Number
– If the patient has previous interpretations by an ROH radiologist, please copy ROH at bmccown@radhunt.com with full patient demographics, date of birth, MRN, date of study, location of study, etc. and ROH should be able to retrieve the Accession Number.
3. Please email any requests (preferably with the patient Accession Number) with twenty-four (24) hour prior notice to: support@finaocorp.com
4.Manually retrieved archived images will be available at: https://pacs.finaosolutions.com/ (Access requires new username/password from FINAO Support)
ROH radiologists continue to complete current reports that are available on the new Intelerad link https://pacs.finaosolutions.com/ (with a new username / password) and from the performing facility.
Your assistance in sharing this workflow with clinicians is appreciated as our team continues to progress through this event.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
DAILY UPDATE: FINAO Intelerad PACS
(May 9, 2023 – for immediate release)
Huntsville, AL
ROH is testing a manual process for the FINAO team to retrieve individual studies performed before the fire (4/26/ 2023) for patients awaiting treatment, surgery, or necessary procedures.
The workflow for these manual, individual study retrievals is as follows:
1. Best Case: Physician requests needed imaging from the archive with patient Accession Number (available on previous reports)
2. If no patient Accession Number is available: Forward full patient demographics, date of birth, MRN, date of study, location of study, etc. – FINAO staff will attempt retrieval without Accession Number
– If the patient has previous interpretations by an ROH radiologist, please copy ROH at bmccown@radhunt.com with full patient demographics, date of birth, MRN, date of study, location of study, etc. and ROH should be able to retrieve the Accession Number.
3. Please email any requests (preferably with the patient Accession Number) with twenty-four (24) hour prior notice to: support@finaocorp.com
4.Manually retrieved archived images will be available at: https://pacs.finaosolutions.com/ (Access requires new username/password from FINAO Support)
ROH radiologists continue to complete current reports that are available on the new Intelerad link https://pacs.finaosolutions.com/ (with a new username / password) and from the performing facility.
Again, ROH appreciates your continued understanding, and the practice anticipates this manual retrieval functionality will improve your ability to care for your patients.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad Update
(May 8, 2023 – Daily Update – for immediate release)
Huntsville, AL
ROH radiologists continue to decompress the study worklist, as needed patient histories and tech worksheets are added and available. Current stat studies are dictated with Power Scribe 360 as these studies populate the worklist. Dictated reports are being made available by the respective facility.
Gene Cathey (FINAO CEO) and his team had a lengthy meeting with Intelerad this morning and an ETA and a detailed process to seamlessly connect the long-term archive is expected in the coming days.
A daily midday update will be provided as information regarding this aspect of the project, or any other information becomes available. This mid-day update will continue to be posted at https://www.radiologyofhuntsville.com/
Also, Gene Cathey (CEO – FINAO Solutions) is providing updates with a list of priorities and completion percentages at:
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 8, 2023 – AM Update: for immediate release)
UPDATE: FINAO Intelerad PACS Update
Huntsville, AL
ROH radiologists worked throughout the weekend making material progress on the worklist. Radiologists are working with sites to access patient history required for any outstanding studies.
FINAO and the IT team continue to work with sites on all needed HL7 and network connections. FINAO provides an update with completion percentages at https://www.finaosolutions.com/data-center-update/
As more detailed timelines and estimated times to completion are available, these will be circulated via email and posted at https://www.radiologyofhuntsville.com/
Considerable progress has occurred since the devastating fire at 2:15PM on April 26th. A significant amount of work and effort continues to reestablish the full FINAO PACS services. Again, thank you for your patience as our team works to this completion.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad Update
(May 7, 2023 – Update for immediate release)
HL7 connections and integration of the long-term storage archive into the new data centers are now the primary areas of focus. Numerous HL7 connections were completed last night with more in progress.
The FINAO reports database is also being rebuilt with good progress made this weekend.
ROH allocated additional reading hours over the weekend and will continue this practice during the coming week.
Regular updates will continue to be provided until the full PACS environment is restored.
Jonathan Henson
______________________________________________________________________________________________________________________________________
(May 6, 2023 – Update for immediate release)
Additional reading hours continue to be conducted over the weekend by ROH radiologists to address the study list size.
The patch to the Intelerad system improved stability and performance.
PowerScribe 360 dictation software is active and in use at all ROH covered locations.
Development of connections to the long-term storage archive is being prioritized this weekend by FINAO. HL7 connections are also being configured.
Technical updates are being posted by FINAO at https://www.finaosolutions.com/data-center-update/
Jonathan Henson
______________________________________________________________________________________________________________________________________
(May 5, 2023 – PM Update for immediate release)
Huntsville, AL
The Intelerad restart and software patch installation was completed earlier today. FINAO worked continuously with Intelerad throughout the day to address lingering PACS issues. FINAO anticipates improved stability and functionality with this patch.
Radiologists will be interpreting studies throughout the weekend from the worklist. Facilities and Imaging Centers will have access to all completed dictated reports.
ROH will provide daily updates this weekend as work continues to complete all network connections and toward full restoration of all PACS workflow services.
httpe://www.radiologyofhuntsville.com
Also, Gene Cathey (CEO – FINAO Solutions) is providing updates with a list of priorities and completion percentages at:
https://www.finaosolutions.com/data-center-update/
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
(May 5, 2023 – AM Update: for immediate release)
Huntsville, AL
A planned Intelerad restart will occur today at 12:00 noon (Central). This restart will allow Intelerad to apply a ‘patch’ to the software and to update needed rule changes. Intelerad expects continued improvement in speed, stability, and performance following this update. This downtime should not exceed ~15 minutes. Any additional information regarding this restart will be relayed, as it is received.
All ROH radiologists are dictating and issuing reports, using the new Power Scribe 360 voice recognition platform. These dictated reports are available from the imaging facility. FINAO re-established an additional Mirth server late last night to address additional transmission of HL7 messages.
Radiologists will be working through the weekend to interpret studies from the worklist. Work continues to complete all necessary network connections and initial steps began to reestablish pathways to long term archived studies. These combined efforts will also continue through the weekend and ROH will post a midday update this Saturday (5/5) and Sunday (5/6) at:
Home
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 4, 2023 – PM Update – for immediate release)
Huntsville, AL
PowerScribe 360 is active on a significant majority of ROH reading stations and is being used to dictate reports. The reading stations remaining are being actively configured. Dictation greatly improves radiologists’ ability to complete patient reports.
ROH radiologists have added additional reading hours in order to address the patient worklist.
FINAO will install a software patch at 12:00PM tomorrow (Friday) with stability and performance improvements to the Intelerad system. A brief restart of the system will be conducted in relation to the install resulting in downtime of less than 15 minutes.
A prioritized list of milestones in the Intelerad environment rebuild can be found at http://www.finaosolutions.com/data-center-update/
Jonathan Henson
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
(May 4, 2023 – Morning Update – for immediate release)
Huntsville, AL
FINAO successfully brought six (6) Power Scribe 360 servers along with a Mirth server on-line yesterday and radiologists began dictating reports using this voice recognition on Intelerad. Work to configure PS 360 for all radiologists continues. This voice recognition functionality tremendously improves radiologists’ ability to complete patient reports.
- Networking efforts to reestablish all needed connections continue daily.
Primary efforts today are focused on achieving 100% voice recognition by radiologists for patient reports and adding functionality modules in Intelerad to assist with patient workflow.
Establishing Power Scribe 360 functionality was critical to this recovery project. As all radiologists can launch their PS 360 platform throughout today, ROH expects to see quick progress in addressing the patient worklist.
Lastly, ROH, FINAO and the entire team are acutely aware of the need to establish connection to the long-term archive for study retrieval. Initial preparations for these connections are occurring and this will quickly become a primary focus.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
(May 3, 2023 – Morning Update – for immediate release)
Huntsville, AL
Final configurations occurred into the night for the new Power Scribe 360 voice recognition platform. Archived report templates are being loaded and we expect a ‘go-live’ ETA for this system, imminently. Numerous imaging modalities and imaging center modality servers were fully connected to the FINAO network in the last twenty-four (24) hours. These sites now have full PACS Viewing with Preliminary Report capability, and these sites are working diligently to distribute Reports to referring physicians.
- IT networking teams continue to establish connectivity across all imaging modalities and site modality servers to allow full PACS Viewing and interpretation.
- Final steps preparing the PS 360 platform are underway with an ETA expected.
These are the next critical steps in working to establish the reading environment. Continued efforts to integrate connections to the long-term archive for needed comparisons will soon follow. Also scores of HL7 messaging connections to reestablish efficient report distribution must be addressed.
The Power Scribe 360 platform and its functionality significantly improves ROH radiologist’s ability to efficiently provide needed patient interpretations. We hope to forward a thankful announcement of this ‘go-live’ very soon.
Again, thank you for your patience … progress is occurring.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
May 2, 2023 PM Update
PowerScribe is undergoing final configuration and is now in the testing phase. Templates are being migrated into the system. Please be assured, a separate communication will be sent to all ROH radiologists as soon as PowerScribe can be used for dictation.
Additional outpatient facilities covered by ROH were added to the network today.
Work continues around the clock, and we will keep you apprised of any new updates.
Jonathan Henson
______________________________________________________________________________________________________________________________________
(May 2, 2023 – Morning Update – for immediate release)
Huntsville, AL
ROH radiologists began seeing increased functionality of the new PACS viewing system as additional sites are connected and preliminary interpretations are entered into the new system. Priorities for the IT teams are as follows:
- Full image viewing and preliminary interpretation capability across all sites, including establishing all needed site connectivity.
- Completing install and configuration of the new PS 360 voice recognition platform.
- Reestablishing the full service PACS reading environment.
As these critical tasks are completed, the teams will address all HL7 message interfacing across all facilities for Orders and Reports. Unfortunately, providing definitive ETAs for completion is nearly impossible, as tasks are addressed continuously. As tasks are completed, our team members will communicate directly with facilities.
We want to assure our patients, referring, physicians, staff and leadership at imaging facilities that ROH increased its radiologist coverage both across sites and remotely to ensure timely interpretation of all urgent imaging. Unfortunately, routine imaging studies are interpreted as quickly as possible.
ROH radiologists remain available 24/7 for consultation and interpretative services. We anticipate material progress toward full restoration of the PACS system in the coming days. We regret that an exact timeline is impossible to predict at this time, as work continues minute by minute.
ROH is fortunate to have the support of this wonderful community and its clinicians and please know that excellent patient care remains top priority.
If you have any questions, please do not hesitate to call, text, or email me directly and thank you for your patience and your support as we navigate these days.
Parke Keith
Radiology of Huntsville
______________________________________________________________________________________________________________________________________
UPDATE: FINAO Intelerad PACS
May 1, 2023 PM Update
The configuration of PowerScribe dictation software made significant progress today with efforts ongoing through the night. Additional information is expected in the morning on this installation.
Additional sites were added to the network today with others in progress.
Once PowerScribe is active and the new Intelerad network is connected to FINAO’s offsite long-term storage, final reads will be provided by ROH radiologists.
Jonathan Henson
______________________________________________________________________________________________________________________________________
May 1, 2023 Midday Update
FINAO and Traveller are continuing to connect to new sites today, including outpatient centers. If you have not been contacted already regarding establishing your facility’s connection to the new Intelerad network, you will receive that information today.
PowerScribe server configuration remains a priority effort.
Updates will continue to follow.
Jonathan Henson
______________________________________________________________________________________________________________________________________
(May 1, 2023 – Morning Update – for immediate release)
Huntsville, AL
ROH Radiologists continue to provide preliminary interpretations, around the clock, via the new Intelerad connection. Work continues, on the follow:
- Reestablishing connection to all remaining facilities and imaging centers to, initially, allow access for preliminary reports.
- Full configuration of a new Power Scribe 360 server
- Final configurations of the new Intelerad servers
Each of these tasks are addressed with the goal of achieving final interpretations for your patients and your facility as quickly as possible. As any of these tasks are completed, FINAO and a designated radiologist will directly communicate with your center.
Although monumental efforts occurred to reach this point, we understand your frustration and need for final interpretations for your patients. Please know that our IT teams worked tirelessly through the weekend, and they will continue their efforts until full service is restored for every site and every patient.
Parke Keith
______________________________________________________________________________________________________________________________________
4/30/2023 5 pm Update:
All but one hospital covered by ROH have been connected to the Intelerad network. A connection to the remaining hospital is imminent.
With these connections established, ROH can extend remote coverage, particularly overnight, in order to negate the need for diverted patients.
Outpatient centers are in the process of being connected to the Intelerad network at this time. Please note that each outpatient center will be contacted directly as connections are established.
PowerScribe dictation servers are now online and are being configured. FINAO is trouble shooting any issues as they arise with the new PowerScribe environment.
Jonathan Henson, CFO
____________________________________________________________________________________________________________________________________
4/30/2023 8 am Update:
Preliminary reads were conducted yesterday and this morning on the Intelerad system. Additional facilities were connected to the Intelerad network overnight, and work continues around the clock to connect all remaining facilities.
FINAO and ROH are working with scheduled radiologists and technologists to communicate the current workflow changes.
Configuration of Powerscribe dictation software on the new servers continues.
Regular updates will continue to be provided.
Jonathan Henson, CFO
____________________________________________________________________________________________________________________________________
4/29/2023 5 pm Update:
All,
Our teams established limited remote access to a new Intelerad connection today, primarily for STATs, ER and Inpatient interpretations. These preliminary interpretations are being logged as notes within the new Intelerad (new URL; new accounts being built). Final reports will be completed for each of these patients. These interpretations must be communicated directly with the appropriate clinicians and technologists are working with the designated radiologist to accomplish this workflow.
Work continues to re-establish the PS 360 server and to establish remaining connections across all hospitals and outpatient centers. We will communicate directly with each center as these connections are established. Please continue to know our team is working around the clock and we will communicate directly with you as soon as your site is live.
Again, thank you for your patience. We are seeing material progress for radiologists to provide interpretations for your patients.
Parke Keith, CEO
____________________________________________________________________________________________________________________________________
4/29/2023 Noon Update:
FINAO is connecting individual workstations to the new server environment as facilities are added to the network. This will enable remote preliminary reads. We will notify each site individually as connections are established. PowerScribe dictation software is not yet functional, and preliminary reads must still be communicated to the referring physician at this time.
Regular updates will continue to be provided throughout the weekend.
Jonathan Henson, CFO
_____________________________________________________________________________________________________________________________________
4/29/2023 8 am Update:
FINAO established additional connections overnight to specific sites. These connections were successfully tested and able to receive data (studies). Configuration adjustments on the Intelerad servers were made. FINAO continues to work on establishing additional connections to facilities.
Nuance PowerScribe servers are built and pending completion of software installation.
Regular updates will continue to be provided throughout the weekend.
Jonathan Henson, CFO
_____________________________________________________________________________________________________________________________________
4/28/2023 5 pm Update:
Installation of Intelerad software on new offsite servers has been successfully implemented. With this milestone completed, connections to facilities will begin to be reestablished. FINAO has successfully established its first connection between the new servers and a facility with others actively in progress.
Configuration of the Nuance PowerScribe voice recognition platform is being completed in parallel.
Work will continue around the clock this weekend. The FINAO environment rebuild remains the highest priority of key partners, including Intelerad, Nuance, Traveller, and two new datacenter partners.
ROH will maintain its current coverage providing preliminary onsite interpretations over the weekend.
Regular updates will continue to be provided throughout the weekend.
Jonathan Henson, CFO
_____________________________________________________________________________________________________________________________________
4/28/2023 12 pm Update:
We await the imminent completion of eight (8) new, offsite Intelerad servers. Intelerad will immediately begin configuration of these servers and loading software. As soon as humanly possible, we will relay the estimated time to completion. Completion of this step allows radiologists to view and access facilities’ current images for preliminary interpretation. This is the foundational step toward full restoration of service.
Traveller continues to rebuild VPN’s and various required internet connections across the FINAO environment. As these come online, designated radiologists will notify facilities.
We will provide the next update before 5PM, and we will have morning, midday and before 5PM updates through the weekend.
Lastly, ROH, FINAO and our entire team genuinely appreciate the overwhelming outpouring of help, offers to assist, and understanding from our referring physicians, our facilities, and their dedicated staff.
Parke Keith, CEO
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4/28/2023 8 am Update:
Work continues around the clock to configure servers both at a new Huntsville data center as well as at an out-of-town center, with extensive Intelerad experience. Once these new servers are live and configured, we will communicate when Intelerad begins loading its software. Thereafter, ROH should have a timeline when a basic reading solution, via Intelerad, will be functional. Similar parallel efforts are occurring with Nuance (PS360) regarding establishing the voice recognition platform.
Work also continues with Traveller to reestablish the needed VPN connections with facility modality servers. ROH has seen progress with Traveller network connections in the past twenty-four (24) hours. The first shipment of hardware arrived at the Traveller data center via expedited transport just after 8:00 PM last night. Unfortunately, vendor analysis of the equipment in proximity to the fire revealed internal temperatures greater than 180 degrees and that equipment is likely not salvageable.
Again, long-term patient data remains safe but, unfortunately, inaccessible at long term data storage centers. Analysis regarding any data in transit from facility modality servers, to Traveller, before transferring to long-term storage will occur once access to Intelerad is reestablished.
ROH will maintain its current coverage providing preliminary interpretations for facilities with Intelerad.
Please continue to share this information with your physicians and staff and know that our IT teams are working tirelessly to restore service.
Parke Keith, CEO
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4/27/2023 4 pm Update:
We started to see early signs of some limited progress. The Team has one server on-line and Traveller is working to reestablish numerous VPN connections. The system is not yet operational and, unfortunately, we do not have an ETA.
The delivery of the first shipment of new hardware is expected by 8PM tonight.
Unfortunately, sites that utilize FINAO Intelerad for long term storage cannot access any archived images to burn CD’s. All Physicians are advised to ensure they have physical copies (CD, etc.) of any needed imaging before patients are scheduled for any surgery or procedure.
ROH radiologists continue to provide preliminary interpretations and all imaging studies will be interpreted with a final report once the system is live.
Again, we appreciate your understanding. Please know that our IT team is exhausting every available option to restore service.
Parke Keith, CEO
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4/27/2023 12 pm Update:
Traveller Data Center reports that their DNS servers that provide internet connectivity for the center are coming online. Thereafter, Traveller specialists will begin re-establishing VPN connections with facilities.
FINAO has a total of eight (8) replacement ‘blade servers’ arriving in Huntsville via courier by 8PM tonight. The FINAO team, Traveller and Intelerad are working around the clock to re-establish PACS services. Unfortunately, we cannot provide an ETA at this time.
We plan to provide consistent updates at 8AM, 12 noon and 5PM daily until further notice. Please share this communication with your staff and physicians.
We thank you for your patience and your understanding as our teams diligently work through this event to resume full coverage.
Parke Keith, CEO
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4/27/2023 8 am Update:
We experienced a significant fire with auxiliary servers at the Traveller data center. Although the impacted servers were not in the FINAO environment, the heat and soot rendered the FINAO / Intelerad servers non operational.
Foremost, all long-term patient data is safely stored at multiple redundant sites. Unfortunately, the Traveller data center facility was the gateway to these long-term storage sites.
Gene, the entire FINAO team, Traveller and Intelerad worked through the night and continue to work on the quickest viable solution for ROH radiologists to resume reads in a PACS environment. Currently, radiologists can only provide preliminary interpretations at the modality.
Unfortunately, all interpretations will be delayed and any ‘screening’ imaging (screening mammography, calcium scoring, lung cancer screening exams) cannot be addressed in the immediate future. These studies will be interpreted as soon as possible.
ROH will be working with the FINAO team today investigating all viable options including the use of any available legacy PACS.
Please share this communication with imaging sites, referring physicians and, where needed, with patients, whose interpretations will be delayed.
ROH apologizes for any and all inconveniences this disaster caused your patients, your referring physicians and your facility. Please know we will work to a viable solution as quickly as possible.
G. Scott Tucker, M.D. Parke Keith President CEO