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Tsung-lung Yang, M.D. PACS Info Center, Department of Radiology

Initial Experience of Coupling De-paper Engineering and Digital signage broadcasting for a Modern Radiology Department. Tsung-lung Yang, M.D. PACS Info Center, Department of Radiology Kaohsiung Veterans General Hospital RSROC, AOCR 2010. Purpose.

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Tsung-lung Yang, M.D. PACS Info Center, Department of Radiology

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  1. Initial Experience of Coupling De-paper Engineering and Digital signage broadcasting for a Modern Radiology Department Tsung-lung Yang, M.D. PACS Info Center, Department of Radiology Kaohsiung Veterans General Hospital RSROC, AOCR 2010

  2. Purpose • To share the initial experience of coupling De-paper Engineering and Digital signage broadcasting to enhance patient safety and patient satisfaction during radiology visits

  3. De-paper engineering • Literally, de-paper engineering simply means the process of diminishing the presence of papers, especially of  orders or referral sheets from clinical doctors as tokens for completing healthcare services, such as the ones going through radiological studies.

  4. Digital Signage • Digital signage is a form of electronic display that shows information, advertising and other messages.

  5. Coupling • And the coupling of  these two particular purposes gave birth to the newest platform to deliver educational materials of radiological studies digitally and to provide the state-of-the-art automatic service calling system trying to smooth and depeakthe congested status of study throughputs.

  6. Methods • A new digital platform is created to incorporate the LED-based service call system, radiology information coupling module as well as digital signage broadcasting (DSB) on large-LCD TVs to implement the first phase of de-papering process for radiology information system (RIS).

  7. System Briefings • Layout of the study rooms with wall-mounting LCDs • Totally 14 sets for full coverage of study rooms of different modalities • System hardware • A server for information integration and service providing • 14 iPCs with LCDs for service rendering using web-based technology • System workflow and data integration

  8. Layout of study rooms showing the LCD locations

  9. System Hardware Card Writer Fanfree LCD FanfreeWiFi IPC Server

  10. sophisticated algorithms for automatic service calling Abdomen Ordinal No1. Sonotransrectum M/56y 4throom call <10y Breast Oridnal No2. Sono Upper abdomen M/65y (Special condition） Special condition MALE 11~55y Thyroid 2nd room call By order FEMALE >55y Trans-rectal Ordinal No3. Sono Lower abdomen F/35y 1stroom call MSsystem Ordinal No4. Sono Breast F/45y 3rdroom Call …. 男

  11. Transformation of paper-based order sheets into RFID-embedding, recyclable plastic cards • rewritable IC card with RFID inside and written information outside

  12. Room number, Ordinal number

  13. Digital Signage of Radiology Education Programs

  14. RFIDreader

  15. Instant Popup of order information by reading RFID data

  16. All timestamps could be available from RFID reading and calling system inputs

  17. Details per study, per patient basis Waiting time and study completion time

  18. Study Waiting time and study completion time

  19. Performance per technician

  20. Performance per exam room

  21. Real-time Monitoring of Study Traffic Jam Status per Exam Room

  22. Key performance indicator of patient waiting time of different study rooms

  23. Depeaking Engineering • The depeaking of a radiological study hub is a concept to smooth out patient study throughputs, such that the peaks and troughs in congested radiological workflows could be removed. • Thus, consistent study throughputs throughout  the workdays might enhance the degree of patient satisfaction while receiving radiological studies.

  24. Depeaking Plotting Ultrasound 2009 Dec. 1st week, Thursday Ultrasound 2009 Dec. 1st week, Friday

  25. Depeaking processes • On the spot: • additional technician and/or modality • Short term: • New algorithm of re-scheduling evenly by working hours, weekdays • Training courses for being more competent • New protocols • Long term • Purchasing of high performance modality • Training courses

  26. Conclusions • Paperlessness is no doubt the next milestone to be reached after being filmless • Through depeaking processes, we could make the best of the resources we have, including modality and human resources, to provide the best duly service quality ever.

  27. Advices and Suggestions • Establishing well and sophisticated planning for back to paper-based operation if the system is off • If budget available, high availability design for the system would be better • Making the system as a module or profile on the EMR platform rather than as an orphan system

  28. Thanks for your attention

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