Question & Answers

What do you need to provide?
Your assistance will be required to implement remote Teleradiology. Executed annual contract with monthly payment. Provide a reliable broadband Internet connection (Dedicated 1MB at least). Have your IT person contact us to understand the VPN connection and test requirements. Have your modality maintenance people contact us for assistance in adding our servers as a DICOM device and sending test images.
Provide a list of all users: first and last name, email address, and function. Set up training sessions with your technologists, transcriptionists, radiologists and referring physicians. Help us track and correct any problems that could arise to assure your satisfaction.

What steps are required to implement Remote Teleradiology?
The following steps are usually required to implement remote Teleradiology in your facility. Complete and execute our annual contract. Set up and maintain a VPN connection to our servers on your LAN. Add our servers as a DICOM device on each of the modalities that will send images to Teleradiology. Decide which users can access your studies and what role each user will assume. Provide training access to your user groups: technologists, transcriptionists, radiologists and referring physicians. Assist in defining and tracking any problems which may arise to assure your satisfaction.

What is a VPN connection?
VPN stands for Virtual Private Network. This refers to a network in which some of the parts are connected using the public Internet, but the data sent across the Internet is encrypted, so the entire network is virtually private. An example might be a company network where there are offices in different cities. Using the Internet the offices merge their networks into one network. The data is encrypted to insure that only the offices can see the data on the Internet link.

What safeguards are in place for our network?
Router controls severely limit the amount of data that can be transferred from our network to yours over the designated port(s), providing a connection that is virtually one- way, from your network to our servers. Fully excluding transmission from our network to yours is not possible, since TCP/IP and DICOM are two-way connection protocols.

To further protect your network, the network using VPN is isolated to Teleradiology/remote PACS and fire walled to expose only the ports required for those functions.

Which modalities can send studies to Remote Teleradiology?
Any "DICOM transmission ready" modalities can forward studies to our servers. Your maintenance person can install our servers as a listed device using three parameters: IP address, AE title and port number. We will do the same thing for your modalities on our servers and then study transmission is available.

Which studies can you forward to Teleradiology?
You decide which studies you wish to forward to Teleradiology. Please bear in mind that the annual study volume should be clarified to set the necessary infrastructure required for excellent service.

You can decide to forward all CT studies, all digitized films, or have your technologists decide which studies they will manually forward.

How many studies can we send?
The typical annual contract involves unlimited DICOM studies per year.

What happens to our studies after we send it?
When the doctors download your studies to their workstation using an encrypted Internet connection, they are stored temporarily in encrypted form on their hard drive until they are deleted to free hard drive capacity.


How long are our studies available?

Between 5 to 25 Years, are dependant on the hard drive capacity, your contract and your requirement 

How are reports transcribed?
The reporting component of the Teleradiology software allows the radiologist to dictate a report for later transcription and have also voice recognition dictation system.

In practice, the radiologist dictates the report, and then changes the study status to Dictated. An email is generated to the transcriptionist. The transcriptionist enters the web reporting access, types the report, changes the status to preliminary, then sends the report back to the server. The radiologist gets an email alerting that the transcription is complete, and marks the report as Final.

The initial dictation is saved on our servers as a sound file. Foot pedal actuation is available for the transcriptionist to allow easy control while typing.

How do we get reports from our radiologist?
If your radiologist uses our reporting feature, you login, download and print the report. If your radiologist uses another reporting tool, he will fax or send his reports.


Do you provide an image viewer?
We provide one of the most sophisticated image viewers available. The viewer is downloaded and installed automatically from our servers when the doctor logs in. Updates are automatically downloaded and installed.

Can our radiologists use their existing image viewer?
Our servers do not support DICOM query/retrieve. Your doctors have the option of downloading studies from our servers using our image viewer or having studies pushed to their servers where they can download studies using their image viewer.

Can our radiologists manipulate the images?
Our image viewer allows standard manipulation and annotation. Images can be attached to reports. It also offers advanced features such as series linking, single point linkage through multiple planes and planar reconstruction.

Can our radiologists report their findings?
We provide a complete reporting tool as part of our image viewer. Reporting can be done using dictation/transcription or typed directly into the reporting system. After reports are marked as final, they can be downloaded and printed for your records.

Can our radiologists use dictation?
The reporting tool supplied as part of our image viewer allows the doctor to use any microphone/sound card combination to dictate reports. 
Dictation generates a standard sound file stored on the server for later transcription. At this time, we do not support voice recognition, although it can easily be used with our system. Create and edit the report using voice recognition, block/copy the report to our reporting tool, then save it on our servers.

Can you suggest a radiologist for our facility?
Tamer Teleradiology is not officially affiliated with any radiologist or group, but our work with radiology gives us access to some of the best in the business. Whether you need only nighttime services or full time service, we can suggest experienced professionals with excellent credentials.

Can only our users see our studies?
Your studies are strictly isolated in our systems. Only your users can see your studies.

How do we assure that only the right person can see their studies?
We typically allow your technologists and department managers to see all of your studies without restriction.

Further restriction is possible so that referring physicians and radiologists can only see their studies. These restrictions are at the discretion of the technologist who generated the study.

Should each user have a separate login?
Assignment of your user accounts is your decision. We highly recommend individual accounts for each user where possible, but there may be situations where doctors work as a group and individual logins may be impractical. In these cases, HIPAA appears to allow group logins as long as the group assumes responsibility for tracking user activity that provides a comprehensive audit trail.

What documentation is available for reference?
A complete user’s manual is available for download from our servers. The document is in MS Word format.

Who can our users call for assistance?
Your users can call 800 244 4900 - 24/7 user assistance is available FOC.

Services & Rates & Our Radiologists

Teleradiology Solutions can assist your radiology practice or facility in adding value to the evening and weekend healthcare services you are providing to your community. As a full-service Teleradiology provider, we interpret a wide range of digital modalities, including ultrasound, nuclear medicine, computed tomography (CT), and magnetic resonance imaging (MRI). We have subspecialty expertise in neuroradiology, cardiac, MR muscular/skeletal, pediatric radiology, PET, cerebral CT angiography and venography, as well as other three-dimensional post-processing applications.

Our benchmark is a 4 - 24 hrs turnaround time on a receiving the case. Our client testimonials reflect our achievement in this area.
We do not charge for set up, credentialing, licensure, malpractice or installation. Our fees are based on a simple rate according to the number of studies interpreted.

We have a team of North American  and Saudi Board Certified Radiologists with subspecialty fellowship training from world class universities
All of the radiologists on our team have subspecialty expertise in neuroradiology, cardiac, MR muscular/skeletal, pediatric radiology, PET, cerebral CT angiography and venography, as well as other three-dimensional post-processing applications.