Create an independent, quantitative & qualitative evaluation of the Barco Nexxis fully IP-centric solution for image distribution in the operating room compared to existing AV solutions.

Barco, a global technology company, designs and develops visualization solutions for a variety of selected professional markets: control rooms, defence & aerospace, digital cinema, healthcare, media & entertainment and simulation & virtual reality.

In these markets Barco offers user-friendly imaging products that optimize productivity and business efficiency. Its innovative hard- and software solutions integrate all aspects of the imaging chain, from image acquisition and processing to image display and management.

Nexxis is the fully IP-centric solution for image distribution in the operating room. The system architecture has been specifically designed to meet the performance demands and the unique requirements of the surgical suite, such as high-quality imaging, ultra-low latency, and real-time communication. This digital approach induced a new methodology: OR-over-IP.

Description | business case

The objective of the project was to create an independent, quantitative & qualitative evaluation of Nexxis compared to existing AV systems for the digital OR (Operating Room).

 In a preliminary phase hict was responsible to develop an economic model that not only covers an economic evaluation between traditional AV versus IP visualization, but also covers different direct benefits of DiOR for hospitals such as communication capability between OR’s and impact on the workflow inside the OR which have been inputs to the qualitative evaluation.

In a second phase hict was responsible for writing a white paper. This white paper is targeted at OR integrators, OR managers or hospital management. It describes the tools that are offered to support strategic (qualitative evaluation) and investment decision making (quantitative evaluation) in the context of a simple and flexible image and audio management solution, as part of a digital OR.


The qualification of value drivers & the quantification of cost are based on two key components: a strategic value model and a total cost of ownership (TCO) model.

The TCO assesses costs for IT based solutions and allows evaluating not only the acquisition cost of a technology, but all of the operational costs of the further use and maintenance.

The strategic value model assesses risks or how well a particular technology fits with a hospital’s strategic goals, needs or other “soft” benefits. This is based on the Intel HIT (Health IT) assessment model.

Starting from the goal to approach potential customers in a more effective manner by providing strategic and economic data to facilitate the decision making process for a scalable surgical visualization (& audio) solution, both the value and TCO model components were built using an approach consisting of 4 phases:

1. Activity analysis

Activity analyses were performed in 3 different types of surgeries in 1 Belgian (Flemish) general hospital.

2. Interviews

Semi-structured interviews were conducted in 3 types of Belgian Flemish hospitals:

  • Gasthuisberg, UZ Leuven
  • AZ Sint-Jan, Bruges
  • AZ Imelda, Bonheiden

3. Integrator discussion

hict performed a discussion with a system integrator for audio-visual customized total solutions in the Netherlands. The objective of this discussion was to collect their view as the “first customer” of Barco, with more qualitative input for the strategic tool and to collect their perception on the advantages for their end customers.

4. Round table

The round table discussions were based on carefully prepared specific questions using the information collected during the previous phases. As a result of this preparation, during the round table discussions there was a genuine exchange of information, analyses and reflection, leading to mutual understanding, identification of common concerns and formulation of conclusions that have been the input for the qualitative evaluation (strategic value model)

Three round tables discussions were moderated by hict, the round table stakeholders are all people of different Flemish hospitals

  • Round table 1: surgeons/anesthetists
  • Round table 2: nurses
  • Round table 3: biomedical engineers/IT


  • Qualitative evaluation: strategic value model: Value dials (measurable changes in healthcare business metrics) that were defined during the observation and interviews:
    • Patient benefits
    • Benefits for the OR staff
    • Benefits for the biomedical engineering department
    • Benefits for other physicians
    • Benefits for the hospital
  • Quantitative evaluation model: the TCO model
  • White paper describing the 2 models (download the white paper here)




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