Transcript An Integrated PACS / RIS solution Making IT work for the

Dr Otto Schulze
Project Leader DMIMTC
 Increasing demand for specialized imaging (>500
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images/patient on MDCT/MRI)
Repeat examinations (No post-processing)
Lost films & packets (Repeat examinations & no comparison)
Not all images are printed (Lost information 20
images/sheet)
Plain film X-rays (Dark room personnel, Chemicals, Film)
Storage is labor intensive, occupies space & problems (Lost
reports, packets, films)
Poor communication with referring doctor (Wait for
examination, reports, films & dependent on physical
transport)
Radiology opinion limited (Staffing in peripheral hospitals)
Why is the rest of the world going digital?
 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
Digital Imaging Modalities
PACS
RIS
HIS
IT
 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
 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
 CHANGED WORKFLOW
 No more administration / statistics
 No more looking for films
 No more taking beautiful pictures
 Digital Ordering
 Digital Scheduling
 Digital Statistics / Tick-Sheets
 Digital Work-lists
 Digital Quality Control
 Digital Reporting
 Digital Distribution
HIS
RIS
7. Report Dictation
Radiology
Diagnostic
Workstations
1. Patient presents
to hospital
Patient
Imaging
Modalities
2. DICOM worklist
Clinician
Viewing
Stations
6. Studies sent to Clinician
4. Study performed
PACS Server
Archive
Distribution: CD,
DVD, Email, Web
Clinician
1. Request for imaging study
Radiologist
2. Request for additional clinical information
by radiologist and supplied by clinician
3. Study approved
4. Study planned
Patient
RIS
6. Study date & time
Information about study
Preparatory instructions
5. Scheduling of study
Trauma
“COW”
Computer
- On Wheels
Old X-ray room now being converted to Recovery Room
CR
DR
 DMIMTC
 TMM decision
 Funds
 MTS
 HRP
 National
Q &A