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

An Integrated PACS / RIS solution Making IT work for the patient. Dr Otto Schulze Project Leader DMIMTC. An Integrated PACS / RIS solution. Communication between the Imaging modality – The machine PACS – The film RIS – The paper HIS – The reception computer Two components

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

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  1. An Integrated PACS / RIS solutionMaking IT work for the patient Dr Otto Schulze Project Leader DMIMTC

  2. An Integrated PACS / RIS solution • 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

  3. Imaging modality – The machine

  4. PACS – The filmPicture Archiving and Communication System

  5. RIS – The paperRadiology Information System

  6. Digital medical imaging: What is it? • 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

  7. Digital medical imaging: But why? • 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

  8. Digital medical imaging: And then? • 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

  9. Digital image management: What is it? • Electronic • Ordering • Scheduling • Performing the examination • Reporting • Distribution • Communication between different information systems to allow workflow • Equipment – PACS – RIS – HIS

  10. Digital image management: But why? • 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

  11. Beneficiaries of an integrated solution • 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

  12. What is it going to cost • Change in approach to IT • Necessary evil to Business solution

  13. Interdependent Information Systems Digital Imaging Modalities PACS RIS HIS IT

  14. Clinical Information TechnologyFrom Necessary Evil to Business Strategy NHLS EDMS FPS Modalities ??? EMS PACS RIS HIS - EHR IT

  15. What is it going to cost • 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

  16. Conclusion • Dramatic improvements in: • Patient care • Resource management • Requires: • Changes approach to IT • Capital investment in IT • Capital investment in an integrated PACS / RIS solution

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