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Radiology Information System (RIS) Presented by: Safa Fathi Amini, MD

Radiology Information System (RIS) Presented by: Safa Fathi Amini, MD 21 st Iranian Congress of Radiology Tehran, 17-20 Jan, 2006. Rayavaran Co. CIS/HIS/RIS Solutions.

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Radiology Information System (RIS) Presented by: Safa Fathi Amini, MD

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  1. Radiology Information System (RIS) Presented by: Safa Fathi Amini, MD 21st Iranian Congress of Radiology Tehran, 17-20 Jan, 2006 Rayavaran Co. CIS/HIS/RIS Solutions

  2. “Selecting the right Radiology Information System (RIS) is one of the most important decisions that will ever be made regarding your department.” Randall Swearingen, Swearingen Software, Inc., Houston, Tex. 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  3. Recent Advancements in Computer Technology • Computer network technologies • Digital imaging • Electronic Patient Record (EPR) • DICOM and HL7 standards • Picture Archiving and Communication System (PACS) 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  4. PACS HIS Functional Areas Patient Management Department Management Procedure Management RIS 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  5. Outcome Efficiency Expenses 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  6. Components Scheduling Tracking Patient Man. Department Man. Reporting RIS Research Integration Database Security 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  7. Scheduling • Integrated • Admission • Staff/stock management • HIS scheduling • Smart “Rules-based” • Automatic sequencing • Alerts/conflicts/duplicate requests • Appointment letters/prep instructions 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  8. Scheduling • Customers: • Referring physiciansANDtheir office staff • Patients • Does your system say in effect: “Use our competitors!” 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  9. Patient Management • Admission / Billing • HIS integration • Images / Reports • PACS integration • EPR The entire patient workflow 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  10. Tracking • Patient • Progress • Location • Report • Status • Film 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  11. Reporting • PACS integration • Voice recognition/Transcription • Word processing • Free format text • Pre-defined result text and codes • MS Office integration 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  12. Integration/Interfacing • PACS • HIS/EPR • Others • Primary care • Remote requesting • Pharmacy • Equipment engineering • Stock management Bi-directional 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  13. Department Management • Equipment • maintenance schedule • logging • maintenance days • Stock • pharmacy integration • warehouse integration • re-ordering flags • consumables decrease • Staff • worklists • shifts • leaves • rooms • Reports • statistical • billing • payrolls 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  14. Research facilities • Keyword search • Custom reports • Statistical software • Data mining 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  15. Security • Access levels/Access lists • Access logging • Audit reports Data Integrity 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  16. Database • Scheduled backup • Crash recovery measures • Database maintenance Data Integrity 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  17. Purchase Considerations • Validity • Reliability • Other considerations • Hardware • Standards • Old Data • Implementation • Training/Acceptance • Maintenance • Finance • Future developments 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  18. Validity • Are the necessary components there? • Will this new software improve my workflow? Do I really need this one and only this one? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  19. Reliability • Will this software ensure my data integrity? • Will this software ensure my workflow integrity? Can I trust it? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  20. Hardware • Network • Workstations • Peripherals (printer, scanner, barcode reader,…) • Integration with existing PACS • Other requirements (UPS/Air conditioning) 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  21. Standards • HL7 • DICOM • Other standards Do I really need them? Why? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  22. Present/Old Data • Old RIS • Existing HIS What will happen to my existing data? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  23. Implementation • Hardware/equipment • Software • Integration • PACS/HIS/EPR • Startup data • Code tables 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  24. Training / Acceptance • Training • Strategy • Package • Acceptance • Ease of use • Switching from old systems 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  25. Maintenance • System availability • Support availability • Response time • Resolution of problems • Unacceptable downtime Will they be there for me 24 / 7 ? 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  26. Finance • Capital purchase • Operating lease • Managed service 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  27. Future Developments • Updates • Upgrades 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  28. References and Links • Nogah Haramati, MD, PACS and RIS: Approaches to Integration,Journal of Healthcare Information Management, vol. 14, no. 3, Fall 2000, HIMSS • Rowe WM, Moffitt ME, Bunnell WJ, Scheduling: if your RIS cannot, perhaps your HIS can , Radiol Manage. 1995 Spring;17(2):35-41, [PMID: 10143135] • Rowe WM, Radiology information systems help radiology departments operate more efficiently, Radiol Manage. 1993 Summer;15(3):38-41, [PMID: 10127657] • Rowe WM, Upgrading a radiology information system, Radiol Manage. 1990 Spring;12(2):24-8, , [PMID: 10105540 ] • Swearingen R, Demystifying radiology information systems, Radiol Manage. 2000 Sep-Oct;22(5):52-6, [PMID: 11151323] • Nanni M, Carnassale R, Napoli M, Campioni P, Marano P, Information systems in the management of the radiology department,, Rays. 2003 Jan-Mar;28(1):63-72, [PMID: 14509180] • Andrew Forrest, Electronic Records Development and Implementation Programme – Cornwall PEG Project, 31 December 2002 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  29. References and Links • Board of Faculty of Clinical Radiology, The Royal College of Radiologists, Clinical Radiology and Electronic Records, 2002, ISBN 1 872599 78 8, RCR Ref No BFCR(02)3, http://www.rcr.ac.uk/docs/radiology/other/Clinical%20Radiology%20and%20Elecronic%20Records.html • John S. Webster, Solving the Data Sharing Dilemma, April 2005, www.Healthimaging.com • _____________________________________________ • Link to this presentation: Radiology Information System (RIS), http://www.rayavaran.com/articles 21st Iranian Congress of Radiology, Tehran, 17-20 Jan, 2006

  30. www.Rayavaran.com safa@Rayavaran.com Radiology Information System (RIS) 21st Iranian Congress of Radiology Tehran, 17-20 Jan, 2006 Rayavaran Co. CIS/HIS/RIS Solutions

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