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University Hospitals of Leicester NHS Trust & Leicestershire and Rutland Healthcare NHS Trust. Dr Kim Krarup Dr Kevin Mulcahy. Developments in PACS for Leicestershire PACS Installation - Loughborough Hospital. UHL LRI LGH GH. L & R HCT Loughborough Coalville Hinkley Market Harborough
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University Hospitals of Leicester NHS Trust&Leicestershire and Rutland Healthcare NHS Trust Dr Kim Krarup Dr Kevin Mulcahy
Developments in PACS for Leicestershire • PACS Installation - Loughborough Hospital
UHL LRI LGH GH L & R HCT Loughborough Coalville Hinkley Market Harborough Melton Mowbray Oakham Leicestershire CPACS Project
Leicestershire - Infrastructure • Formal links UHL / Community hospitals • Single HIS • Single RIS • Directorate of Imaging
Leicestershire • LGH PACS (Insignia) • Loughborough PACS (Philips) • UHL PACS server (Agfa) • SAN • Single RIS
Leicestershire – the future • CPACS Project Team • Radiology IT & PACS Oversight Committee
Community PACS Project • Archive • Web-based distribution • Tele-radiology • Expansion of soft-copy reporting • LGH PACS replacement • Modality Integration • GP Interfaces • Hard copy archive
Loughborough - Radiology • 2 x Plain radiography ( + Tomography) • 1 x Dental, OPT, Ceph. • 1 x Fluoroscopy • 1 x Ultrasound
Loughborough Project • New build & move • New radiography equipment • CR • PACS • New RIS
Timescale - PACS • Advert 28.06.02 • SON to interested suppliers 27.07.02 • Shortlist interested suppliers 13.09.02 • Tender responses by 15.11.02 • Award contract 17.01.03 • Go Live 17.03.03
Timescale - RIS • Migrate Hilex Xero RIS toHSS CRIS3 RIS • By Dec ’02!
Philips • Short term archive (RAID) (EasyAccess) • Image distribution (web browser) • Long term archive to UHL SAN • Broker to RIS • Diagnostic workstation • Radiographer workstations
Philips…. • Film Scanner • Request Scanner • Image export • Dry laser • CD • (Web based)
Issues • Re-tendering • RIS time scale slipped • Minor Injuries Unit & Walk-In Centre
Tight time scale Good project support Fully filmless ‘Nearly’ paperless It worked! It still works! Things we got right
Things we got wrong • Tight time scale • Move/RIS/CR/PACS change all on same day not ideal! • Reporting environment • Ongoing project management • Communication with users outside radiology
Thoughts for next time - • Avoid changing too much at once • But keep up momentum • Project management, pre & post • Workflow issues – communicate, communicate, communicate • Reporting environment