Transcript Radiology Ordercomms - UK Imaging Informatics Group

Radiology
Ordercomms
Musgrove Park Hospital, Taunton
Dr Paul Burn
700 beds
340,000 population served
15 radiologists
2 CT
2 MRI
5 Radiology sites
23 Pathology sites
20 years
35 employees
Sheffield based
Ordercomms Board
Radiology Group
Ordercomms Team
Ordercomms Team



Project Manager (25% of time)
PACS Manager (25% of time)
Radiologist Lead (1PA – 4h/week)
Progress

Started >3 years ago from scratch

GP go live rollout - 2011

Secondary Care go live - Summer 2011
The Patient
DEPARTMENT OF DIAGNOSTIC IMAGING
CLINICAL SUPPORT DIVISION
MUSGROVE PARK HOSPITAL
TAUNTON
SOMERSET TA1 5AD
Patient Name (details):
BARCODE
PATIENT REFERRAL INFORMATION
Your doctor has referred you for an {EXAM CODE}
TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP
appointment to allow us time to process this request, on: 01823 343509.
Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday
A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a
choice of hospital.
For adult patients, please drink 1.5 pints of water one hour before your appointment
and do not empty your bladder during this time, so that you attend with a full bladder.
This is important to improve the quality of your scan. If you are under 16 years the
booking clerk will give you appropriate alternative instructions.
Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book
you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will
either contact you by telephone or by post; however this may delay your examination.
If you find you are unable to make the appointment that is given to you, please contact us as soon as possible
on the above number to rearrange.
What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address,
and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will
then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to
change into a gown, which will be provided.
Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid
foetal exposure to radiation.
What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain
conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is
passed over your skin.
Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very
good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients
who DNA will no longer be routinely given another appointment and your request will be returned to your
referring doctor.
Parking– is available at all sites on a Pay & Display basis.
Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444.
Other Information: - unfortunately we are unable to supervise children who accompany adults having an
examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be
brought to the department (unless they themselves are having an ultrasound).
DEPARTMENT OF DIAGNOSTIC IMAGING
CLINICAL SUPPORT DIVISION
MUSGROVE PARK HOSPITAL
TAUNTON
SOMERSET TA1 5AD
Patient Name (details):
BARCODE
PATIENT REFERRAL INFORMATION
Your doctor has referred you for an {EXAM CODE}
Patient Name (details):
DEPARTMENT OF DIAGNOSTIC IMAGING
CLINICAL SUPPORT DIVISION
MUSGROVE PARK HOSPITAL
TAUNTON
SOMERSET TA1 5AD
TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP
appointment to allow us time to process this request, on: 01823 343509.
Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday
A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a
choice of hospital.
BARCODE
For adult patients, please drink 1.5 pints of water one hour before your appointment
and do not empty your bladder during this time, so that you attend with a full bladder.
This is important to improve the quality of your scan. If you are under 16 years the
booking clerk will give you appropriate alternative instructions.
Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book
you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will
either contact you by telephone or by post; however this may delay your examination.
PATIENT REFERRAL INFORMATION
If you find you are unable to make the appointment that is given to you, please contact us as soon as possible
on the above number to rearrange.
What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address,
and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will
then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to
change into a gown, which will be provided.
Your doctor has referred you for an {EXAM CODE}
Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid
foetal exposure to radiation.
What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain
conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is
passed over your skin.
TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP
appointment to allow us time to process this request, on: 01823 343509.
Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very
good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients
who DNA will no longer be routinely given another appointment and your request will be returned to your
referring doctor.
Parking– is available at all sites on a Pay & Display basis.
Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444.
Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday
Other Information: - unfortunately we are unable to supervise children who accompany adults having an
examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be
brought to the department (unless they themselves are having an ultrasound).
A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a
choice of hospital.
For adult patients, please drink 1.5 pints of water one hour before your appointment
and do not empty your bladder during this time, so that you attend with a full bladder.
This is important to improve the quality of your scan. If you are under 16 years the
booking clerk will give you appropriate alternative instructions.
Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book
DEPARTMENT OF DIAGNOSTIC IMAGING
CLINICAL SUPPORT DIVISION
MUSGROVE PARK HOSPITAL
TAUNTON
SOMERSET TA1 5AD
Patient Name (details):
BARCODE
PATIENT REFERRAL INFORMATION
Your doctor has referred you for an {EXAM CODE}
TO BOOK AN APPOINTMENT, please call the bookings centre 24 hours after your GP
appointment to allow us time to process this request, on: 01823 343509.
Telephone booking opening times: 8:30 am to 4:30 pm Monday to Friday
A trained appointments clerk will arrange a convenient date and time for your examination and may offer you a
choice of hospital.
For adult patients, please drink 1.5 pints of water one hour before your appointment
and do not empty your bladder during this time, so that you attend with a full bladder.
This is important to improve the quality of your scan. If you are under 16 years the
booking clerk will give you appropriate alternative instructions.
Please bring this information sheet with you to the X-ray department as this will enable the receptionist to book
you in more efficiently. If we have not heard from you within 3 working days of receipt of your referral, we will
either contact you by telephone or by post; however this may delay your examination.
If you find you are unable to make the appointment that is given to you, please contact us as soon as possible
on the above number to rearrange.
What happens when I arrive? - The receptionist will check your personal details with you i.e., name, address,
and date of birth. Once you have been booked in, you will be asked to take a seat in the waiting area. You will
then be called by a radiographer or health care assistant either directly to the x-ray room or to a cubicle to
change into a gown, which will be provided.
Pregnancy – Please inform clerical staff and the radiographer if there is any chance you are pregnant, to avoid
foetal exposure to radiation.
What is an Ultrasound? – This is an imaging test obtained using ultrasound waves to help diagnose certain
conditions, performed by either an ultrasonographer or a radiologist doctor. A probe lubricated with gel is
passed over your skin.
Don’t be a DNA! - A DNA is someone who “did not attend”. While we know that there are sometimes very
good reasons why you cannot attend your appointment it is extremely important that you let us know. Patients
who DNA will no longer be routinely given another appointment and your request will be returned to your
referring doctor.
Parking– is available at all sites on a Pay & Display basis.
Patient Transport – for advice & bookings contact the Patient Transport Advice Centre on 01278 727444.
Other Information: - unfortunately we are unable to supervise children who accompany adults having an
examination. We therefore ask that unless it is absolutely necessary, accompanying children should not be
brought to the department (unless they themselves are having an ultrasound).
The Referrer
The Vetter
Vetting Module
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Criteria
Examination
Patient Type: GP, IP, OP
Age
Sex
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Avoid vetting – XR, most US, some oncology CT
The Imaging Department
CLERICAL QUESTIONS
CLINICAL QUESTIONS
urgency/future bookings
history
special needs
pregnancy
transport
allergy
nhs, private pt etc
creatinine
MRI safety
CLERICAL QUESTIONS
CLINICAL QUESTIONS
urgency/future bookings
history
special needs
pregnancy
transport
allergy
nhs, private pt etc
creatinine
MRI safety
CLERICAL QUESTIONS
CLINICAL QUESTIONS
urgency/future bookings
history
special needs
pregnancy
transport
allergy
nhs, private pt etc
creatinine
MRI safety
TEST SPECIFIC
INFORMATION
‘MRI Liver Cirrhosis’
Booking Information: MR2. 60 min. Gd. Buscopan.
Radiographer Information: L1 Protocol.
Clinical Information
Clerical Information
Unexpected Problem
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Demographic mismatches
25% of patients from GP to our RIS
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Solution:
email alert
additional staff member for ‘housekeeping’
Criticisms
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Style of User Interface – could be improved
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No ‘My Favourite Items’ functionality
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No Vetting triage for pregnancy/allergy/creatinine
Summary –
Indigo4 Ordercomms

Excellent product and company