Children’s Hospital of Philadelphia

Case Study - Children's Hospital of Philadelphia


For over 150 years, Children’s Hospital of Philadelphia (CHOP) has been devoted exclusively to caring for infants, children, teens and young adults. As the nation’s first children’s hospital, CHOP has a history of innovation and excellence. The 535-bed facility in Philadelphia is home to world-renowned programs for cancer, cardiac care, orthopedics, fetal surgery and many others. CHOP treats more than 1.2 million children a year through hospital admission and outpatient visits. More than 2,000 physicians in the CHOP Care Network serve patients at more than 50 locations in Pennsylvania and New Jersey.

Through the years, Children’s Hospital of Philadelphia has been the national leader in pediatric care, and as such has experienced many dramatic firsts in the field. The Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children’s lives.


  • CHOP wanted to make high quality pediatric radiology services available to all children, regardless of their location and the size/capability/staffing of their local hospital/medical institution
  • The hospital wanted to offer the full CHOP experience to all children, including access to top pediatric radiology specialists to interpret studies and radiology exam protocols to reduce radiology dose to patients
  • CHOP needed to move patient data between CHOP and partner institutions seamlessly
  • CHOP needed to expand capabilities to reverse the internal downward trend in radiology revenue


To address the problems, CHOP was faced with managing complex interoperability issues. The hospital needed to provide diagnostic imaging that was available across disparate health systems for physician interpretation and reporting. The platform had to be automated, capable of managing differing MPIs, and proven to integrate at both the HIE and departmental system levels.

CHOP sought a company that had the experience and expertise in virtual radiology to handle large networks of images that could be moved to pediatric radiologists, sent back to the originating institution, and stored in its EMR/radiology system. This needed to be accomplished independent of the RIS, PAC and EMR without changing workflow at either institution. The company had to be able to insure record security and understand the needs of the customer (CHOP) as well as the customer’s customers (partner institutions).


ScImage provided the expertise, experience and interoperability required. The ScImage platform allows for configuration of complex business rules and provides automated, secure and bi-directional movement of relevant prior studies, current images and reports between CHOP and the referring medical center. Images and final reports are stored in the information systems of both hospital systems without disruption of workflow at either institution. The end result is increased quality of care, productivity and physician confidence in the reporting due to new access of comprehensive information.

ScImage also has extensive experience with partner-driven relationships and understands the needs and concerns of both.

 The United States’ first hospital dedicated to the healthcare of children.


  • Children throughout the country have the advantage of the CHOP experience 
  • Reduce radiation dose to the patient
  • Studies are read by top pediatric radiologists
  • Physicians have full access to prior studies resulting in less test duplication
  • Cost of care to patients is reduced
  • Studies are passed back and forth with security and maintained at the patient’s hospital of origin
  • Seamless radiology is provided, resulting in better quality of service
  • Build strong relationships between institutions
  • Patient care and revenue is enhanced
  • The model is a microcosm for healthcare delivery of the future

Solution Used

PICOM365 technology by ScImage provides a platform for true interoperability between different healthcare organizations with disparate information systems. The result is a seamless workflow to radiologists for reading and reporting between different organizations. This capability allows CHOP to extend its “brand” reach regionally and nationally to promote excellence in pediatric radiology.


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