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DMI SOLUTIONS QUESTIONNAIRE

By Clyde Alexander,2014-07-09 17:48
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Either the doctor or his assistant will need to get it there.17 The name, phonefax numbers, and contact information of your current IT consultant.

    QUESTIONNAIRE

1: How many doctors are in your group?____________________________

    2: At how many clinics/offices including your primary office does your practice provide medical care/coverage and take X-rays in-house?_________

    3: Please provide clinic names, addresses, phone/fax numbers, the number of doctors at those locations and the contact persons.

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    4: How many X-ray films do you expose at each office, please be specific, i.e. at our Eagle office we go through 100 films per day/month/year?

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    5: At each location how many cassettes do you need and what sizes, please be specific? For instance, we need three 8x10s, three 10x12s, and four 11x14s at our Chicago office, etc. Remember the cassettes and plates are reusable. The typical plate will be good for tens of thousands of images. If a cassette or plate gets damaged they can be replaced separately. __________________________________________________________________________________________________________________________________________________________________________________________

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    6: What is the maximum number of films per hour (through put) that your practice requires? In

other words at our Madison office we sometimes take 50 films per hour? Please be specific for

    each location._________________

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7: At which locations will you require suture technology for full back and or leg X-rays? Suture

    software allows the end user to view, and measure length, or angles or templates on a full structure.

    Again, please be specific for each

    local._________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

    8: How many treatment rooms does each facility have, please be specific? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9: At which offices do you think you would like to be hard wired? Or will each doctor have a

    wireless tablet that will be brought from room to room? The advantage of wireless is that it is less money. There are no extras for the hard wiring of the treatment rooms, etc. I think the costs involved are small compared to the convenience factor in a busy office. Carrying a tablet is somewhat less convenient, and the images will come up a little slower. Also, if you want access to the images you will need the tablet in the room. Either the doctor or his assistant will need to get it there. Saving time saves money and stress. At busy locations especially with multiple doctors it is ideal to be hard wired. Please be specific, i.e. at our Milwaukee office we need to be hard wired with a viewing station in each treatment room, and one for each doctor’s office, (probably a laptop to bring with him to home and hospital). Our West Allis location is just a satellite, and a tablet or laptop would be great. ________________________________________________________ _____________________________________________________________

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    10: Are any of your offices already hardwired for a computer network in the treatment rooms, etc. If so which ones?______________________________

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    11: How many doctors at each location will be reading images at the same time. For instance, at our Gurney office we will need three doctors to read images at the same time. At our McHenry office we need just one.

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    12: How many viewing stations do you think you will need at each location. For example: At our Rockford location we need 14 viewing stations, 9 for the treatment rooms, three for the doctors offices, one for the QA station (the quality assurance station is where the images are taken and reviewed by the tech to make sure they are readable), and one fully functional diagnostic

    workstation with a high resolution monitor and orthopedic templates, etc. Usually there is just one diagnostic work station per office but at very busy offices where more than one doctor might need the high resolution monitor with templates, etc. at the same time, a second work station could be installed. Another example: At the Elgin office we will need just three, a QA work station, a tablet and a diagnostic workstation._____________________

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13: Are your films read by an outside radiologist?______________

    Institution: _____________________________________________________

    Address:_______________Phone #__________Contact_________________

    Institution:_____________________________________________________

    Address:_______________Phone#___________Contact________________

    14: Will each location be reading their own images or will all images be sent to and read at one location, if so which one?__________________________

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    15: Do referring physicians need access to the images, if so how many, their contact info, etc.________________________________________________

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    16: The name and contact information for all hospitals, ERs, urgent care centers, and surgery centers where you are on staff._____________________

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    17: The name, phone/fax numbers, and contact information of your current IT consultant. ____________________________________________________

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18: Do you have any other DICOM modalities in your office: ultrasound, fluoroscopy, etc? If so

    what types, contact information, model etc/office.

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    19: Do you want some or all of your previous films archived? If so, how many films/office._______________________________________________

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20: Does your practice receive outside studies regularly from an outside source, MR / CT etc?

    Please provide the names, addresses, phone/fax numbers and contact names._______________________________________

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21: Do you have internet service? Please provide the type (DSL or cable) at each of the locations

    that were mentioned above._______________________

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22: What is your E-mail?_________________________________________

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    23: Do you have a logo? ______________Eventually we will need the original artwork either digital or plates, to help customize CD’s and reports.

Please return this form to Steven Belinkoff at: s.belinkoff@dmisolutions.com.

Thank you!

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