Transcript Document

Dr Laurence Sutton.
Consultant Radiologist
Calderdale and Huddersfield NHS Trust.
National Clinical PACS Lead NE Cluster
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PACS the facilitator of change.
New ways of delivering
Diagnostic Imaging Services.
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The information Vision
to have relevant diagnostic images and associated data available and
useable in a timely manner at the point of care for all clinicians,
irrespective of the location and timing of the care being provided.
This would apply to any aspect of care delivery requiring images and
associated data and would integrate relevant diagnostic images and
data seamlessly with wider pertinent clinical information.
Further, to have relevant diagnostic images and associated data
available and useable for all clinicians to support service
improvements in care delivery, service planning, research or
education.”
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PACS Programme:
NCRP Vision for Future
Development.
• Sets out the Vision for PACS.
• Steps required to realise the Vision.
• Supports the wider strategy for
Diagnostic Imaging across the NHS.
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Diagnostic Imaging Service
Reform.
National Diagnostic Imaging
Board.
Dr. Erika Denton.
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Diagnostic Imaging Service Reform
Vision Enablers.
•Workforce Modernisation.
•Independent Sector Capacity
•PACS
•Service Transformation.(ISIP)
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Diagnostic Imaging Service Reform
Vision Enablers.
Service Transformation.
(ISIP)
Integrated Service Improvement Programme.
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a methodology to enable local health
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C economies, including all relevant service
S partners, to plan service change collaboratively
to optimise efficiency, value and quality.
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Diagnostic Imaging Service Reform
POLICY DRIVERS.
•System Reform and Patient Led NHS
•Patient Pathways.
•Patient Choice.
•Workforce Reform.
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•Organisational Changes
•ISIP
•Best Use of Capital Resources
•Payment By Result.
Independent Sector (IS)
Diagnostic Imaging (DI)
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Additional Services 2006.
Increase overall capacity.
Pleurality and Choice.
Waiting Times for DI.
DH Target 18 weeks. (R to T).2008
Waits for imaging < 1 month.
Target 13 weeks all DI March 2007
Shorter Waiting Times.
Referral to Treatment.
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Increase Primary Care Access.
NHS and NHS Contracted IS
Imaging prior to first OP appointment.
Evidence Based Guidelines.(Choose and Book )
Increased Volume Imaging.
Increased NHS Capacity.
Optimised NHS Capacity.(Choice of scan)
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Shorter Waiting Times.
Increased Volume of Imaging /1000
Current
Projected
Scan/yr
MRI
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35
CT
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1.8M
20%
2.5M
NUS
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4.6M
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Shorter Waiting Times.
Workforce Planning.
• Deliver increased volumes.
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• 4 Tier Structure.
• Radiology Academies Focus of Training
Initiatives to support workforce.
• NHS CfH PACS Programme
Full National PACS March 2007.
To facilitate:
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Flexible Workforce.
More Efficient Workforce
Radiology Networks.
Remote Reporting.
Teaching, Training and Research.
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National Infrastructure
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Increased Diversity of Service
Provision
•Shift from Secondary to Primary
Care
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•Standardisation
Infrastructure
•Split between Image acquisition
and
Reporting
•Commoditisation of
DI services.
•Pleurality and Choice
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National Infrastructure
versus
Increased Diversity of Service
Provision.
The Technical Challenge
• The challenge is to develop a Nationwide
Technical solution that will support the
requirements of Patient Choice, Shift in
where healthcare is delivered and
maintaining the Integrity and availability of
the Patients’ Imaging Record.
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National Infrastructure
versus
Increased Diversity of Service
Provision.
The Professional Challenge (1)
• The challenge is to maintain the
Clinical Integrity of Diagnostic
Imaging Services through evidence
based practice and improved
communication between Radiologists
and the Referrers.
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National Infrastructure
versus
Increased Diversity of Service
Provision.
The Professional Challenge (2)
• The challenge is to acknowledge the
benefits that PACS with integration
with other clinical IT systems now
provides for significantly improved
productivity and quality of reporting.
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National Infrastructure
versus
Increased Diversity of Service
Provision.
The Professional Challenge (2)
• ‘We can no longer hide behind the
inefficiencies of Film.’
• ‘Next Day doesn’t cut it anymore.’
Steven C Horri. MD
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The Technical Challenge.
The How Questions!? And More!
•When can I see Images from another
organisation?
•When will there be a truly pan Health
Care Community PACS?
•How will Image Data and associated
Data be updated and Validated?
•How will Data Retention Policies be
managed in an a digital environment?
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The Technical Challenge.
The How Questions!? And More!
•Is it worth connecting my Legacy
PACS into the cluster data store.
•How will I know which images to
report if I’m working remotely from
the point of acquisition?
•How do I know that an Image report
has been read and acted upon.
•Will I see all the patients prior
images?
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The Technical Challenge.
The How Questions!? And More!
PACS CENTRAL TECHNICAL
TEAM AND DESIGN
STEERING GROUP