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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. Our current problems!. Increasing demand for specialized imaging (>500 images/patient on MDCT/MRI) Repeat examinations (No post-processing)

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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. Our current problems! • Increasing demand for specialized imaging (>500 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?

  3. 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

  4. Imaging modality – The machine

  5. PACS – The filmPicture Archiving and Communication System

  6. RIS – The paperRadiology Information System

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

  8. 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

  9. 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

  10. 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

  11. How will it affect you? • CHANGED WORKFLOW • No more administration / statistics • No more looking for films • No more taking beautiful pictures

  12. Changed Workflow • Digital Ordering • Digital Scheduling • Digital Statistics / Tick-Sheets • Digital Work-lists • Digital Quality Control • Digital Reporting • Digital Distribution

  13. Radiology Diagnostic Workstations Imaging Modalities Patient Clinician Viewing Stations PACS Server Distribution: CD, DVD, Email, Web Archive HIS RIS 7. Report Dictation 1. Patient presents to hospital 8. Final Report 5. Studies sent to Radiologist 2. DICOM worklist 6. Studies sent to Clinician 4. Study performed 3. Prefetch old study 10. Report and study distributed to clinician 9. Backup of study and report

  14. Clinician Radiologist 1. Request for imaging study 2. Request for additional clinical information by radiologist and supplied by clinician 7. Study date & time Blood assays requested 3. Study approved 4. Study planned 8. Tracking the progress of the study Patient RIS 6. Study date & time Information about study Preparatory instructions 5. Scheduling of study

  15. Film – paper based department

  16. Digital department

  17. Trauma

  18. “COW” Computer - On - Wheels

  19. Old X-ray room now being converted to Recovery Room

  20. CR

  21. DR

  22. What is the Western Cape planning? • DMIMTC • TMM decision • Funds • MTS • HRP • National

  23. Q &A

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