1 / 12

London NHS CFH PACS Programme

London NHS CFH PACS Programme. Tony Newman-Sanders. April Fools Day. Deployment completed Many ongoing challenges Time for reflection Lessons learned PACS in other clusters Rest of CFH programme in London. OBS Tender and Contract Design Build Test Planning Change Management

shay
Download Presentation

London NHS CFH PACS Programme

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. London NHS CFH PACS Programme Tony Newman-Sanders.

  2. April Fools Day • Deployment completed • Many ongoing challenges • Time for reflection • Lessons learned • PACS in other clusters • Rest of CFH programme in London

  3. OBS Tender and Contract Design Build Test Planning Change Management Benefits baselining Safety Deployment Clinical Engagement Do once and Share Documentation Early adopters The Final Countdown Lessons Learnt Benefits realisation Next Steps Datasharing Security Releases Spine, other ‘ologies’ etc Overview

  4. OBS Tender and Contract Design Build Test Planning Change Management Benefits baselining Safety Deployment Clinical Engagement Do once and Share Early adopters The Final Countdown Lessons Learnt Benefits realisation Next Steps Datasharing Security Releases Spine, other ‘ologies’ etc In fact

  5. Clinical Engagement • CRG plus URG =ERG • Participation inversely proportional to distance from EBT. • London small yet large. • Variety of institutions. • Mix of Home and Away. • Workshops. Engagement events.

  6. Clinical Engagement • Single point of contact • Struggled with communication structure • outbound and inbound • National/Cluster • CFH/LSP/NCA • Within Trusts ? NLOP ?NHS London • Clinical Engagement universally valued • Honest broker.

  7. Do once and Share • Model deployment plan. • Hit squads • Website • Clinical engagement events • Tracking database • RFC/CCN • Gold build upgrade path

  8. Early adopters vs Final countdown • EAs settled and largely happy. • Many lessons learned quickly overtaken by developments • Often disproportionately well endowed • FCs stressed, resentful of deadlines • Considerable bargaining power • Latest versions of PACS/RIS

  9. Benefits • Workflow and Change Management • DD/VR • Templating etc. • Interfaces with Ordercomms/EPR • Webbrowser utility • Design • Large data sets • Image sharing eg Out of Hours. • Overall satisfaction with COTS deployment.

  10. Benefits • Significant number of unresolved issues • ‘Work off’ Management. • Safety • IRMER • Merge and multiple MRNs • MPR, CDs • Acute sense of importance of success of next Steps

  11. Next Steps • Data sharing; MIA • Technical requirements • Grid technology • XDS and XDSi • Clinical requirements • Intercluster workshops • Contractual and IG issues • Dirty grid • NUPI

  12. Conclusion • Clinical Leadership valued • Risk becoming a resource. • PACS is an intrinsically worthwhile product • Exposes weak points in other parts of the digital world. • Robust mechanism for sharing lessons learnt and best practice • Microsoft ? FAQs. Database management. • The real challenge is just beginning.

More Related