Transcript Clinical IT & Digital Medical Imaging

Dr Otto Schulze
Project Leader DMIMTC
 Communication between the
 Imaging modality – The machine
 PACS – The film
 RIS – The paper
 HIS – The reception computer
 Two components
 Digital medical imaging
 Digital image management
 Specialized equipment (CT, MR)
 Already digital
 We choose to print it on film (laser camera)
 Cost: R 1 million per year (TBH)
 Projection radiography
 CR – Computed radiography
 Change cassettes & developer
 Cheaper, general applications
 DR – Digital Radiography
 Digital camera
 Expensive, specialized applications
 Film performs a balancing act between:
 Capturing the image
 Displaying the image
 Storing the image
 Digitizing the process allows each step to be optimized
 Cost saving:
 No more film
 Chemicals for development
 Dark Room assistants
 Better capturing techniques
 Less exposure problems
 Better image manipulation techniques
 Distribution is required:
 Physically:
 Laser camera: R20 per page
 Paper printing: R2 per page
 Digitally:
 Optical Disc (CD/DVD): R2 – R4 per disc
 Web-distribution: Free
 Digital management is required / advised / mandatory
DMI without DIM can work,
it is just DUMB
 Electronic
 Ordering
 Scheduling
 Performing the examination
 Reporting
 Distribution
 Communication between different
information systems to allow workflow
 Equipment – PACS – RIS – HIS
 Improved display techniques
 Cell phones, PDA’s, Laptops, Multi-monitor displays,
large screen displays and data projectors
 Improved storage techniques
 Large redundant data archives
 Improved management of resources
 Measurement possible
 Productivity of personnel, modalities and departments
 Equipment lifecycle according to usage
 Management possible
 Resources can be utilized across the province
 The patient
 Quicker and Improved patient care
 The clinician
 Faster available, ubiquitous imaging
 Management
 Improved management capabilities
 The imaging department
 Improved workflow
NOT a Radiology toy,
but a clinical governance tool
 Change in approach to IT
 Necessary evil to Business solution
Digital Imaging Modalities
PACS
RIS
HIS
IT
Modalities
???
RIS
IT
PACS
FPS
EDMS
NHLS
EMS
HIS - EHR
 Change in approach to IT
 Necessary evil to Business solution
 Using the tool
 A sword is only as good as the swordsman
 Commitment to the project
 Resistance to change
 Financial support
 Large amount of capital
 Continued support & maintenance
 Benefits far exceed this project
 Dramatic improvements in:
 Patient care
 Resource management
 Requires:
 Changes approach to IT
 Capital investment in IT
 Capital investment in an integrated PACS / RIS solution