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PACS in Scotland

PACS in Scotland. Dr Andrew Downie Consultant Radiologist Victoria Infirmary, Glasgow. Scotland is different. Devolution 1999 Abolition of NHS Trusts Run by 14 Health Boards CfH does not apply. The PACS Contract. Main Contract Kodak & NHS National Services Scotland – Nov 2005

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PACS in Scotland

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  1. PACS in Scotland Dr Andrew Downie Consultant Radiologist Victoria Infirmary, Glasgow

  2. Scotland is different • Devolution 1999 • Abolition of NHS Trusts • Run by 14 Health Boards • CfH does not apply

  3. The PACS Contract • Main Contract • Kodak & NHS National Services Scotland – Nov 2005 • Archive Storage • ATOS Origin Change Control Note – Dec 2005 • Health Board Access Agreements • Kodak & NHS Greater Glasgow – April 2006

  4. “A major project” • “A multi-dollar project…” • “Kodak will roll out PACS to all hospitals in Scotland over the next 25 years…” • RAD Magazine announced the contract to the world:

  5. What is included? • 39 main acute hospitals • 67 satellite centres • 3.2 million exams annually • 2 central data archives • 308 dual 3mp workstations, RIS integrated • Web browser access • Orthopaedic templating on web

  6. And what isn’t? • The Network • The RIS • Ward & Clinic PCs • Theatre & specialist workstations • Mammography • VR (separate procurement)

  7. Who pays?

  8. Central funding • All capital elements • Workstations, hardware, training • Central archive • Software licences • Implementation charges • Software support & upgrades for 10 years • One hardware refresh in 10 years

  9. Local funding • Hardware support charges • Capital charges • Additional catalogue items • Local PACS System Manager(s) • Project Management costs

  10. Storage Policy • 1 year on site • “Store everything for ever” • Until death plus 3 years • Use of lossy compression after 3 years • Review after 6 years • Funded for baseline plus 5% growth pa

  11. Patient ID • DICOM ID = RIS ID locally • DICOM ID = CHI number nationally • CHI = Scottish NHS number, 10 digit • “No CHI, you’re not getting in” • Dirty store • Kodak / RIS / PAS / SCI Store interface

  12. Problems • CHI availability • SCI Store problems • Multiple RIS • Image & report viewing • Legacy PACS

  13. Differences: England & Scotland • Based on English OBS, but • No LSP • Direct relationship with Kodak • Clinical engagement • No single RIS • Integration with RIS included • Spine supplied by Scottish Exec – SCI Store

  14. RIS Procurement • Varied RIS in Scotland • Many new RIS for Y2K compliance • No standard RIS for this project but • National RIS procurement now in progress for future RIS needs

  15. EPR Procurement • Scottish Executive committed to EPR • No actual progress to date

  16. CR Procurement • National contract • Central funding for pre agreed needs • Additional hardware at favourable prices • Awarded to Fuji • Installations timed to match PACS

  17. The future is bright? • April 2006 • PACS • Voice Recognition • and…

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